Barriers and Stigma
What is one example of a barrier for South Asian families?
Language, access, cultural stigma, lack of trust, threat to identity, etc.
How does religion contribute to or impact substance use in South Asian communities?
Many common religions in South Asian communities discourage substance use, which may contribute to the lower rate of alcohol use in South Asian as compared to the global rate; cause more shame and concealment due to negative perceptions
How might family involvement specifically be important for South Asian communities?
Collectivistic values, strong family support and reliance, increase comfort in working with clinician, keep families engaged
What does MDFT stand for?
Why may South Asian families not trust non-South Asian professionals?
May not be able to provide culturally competent care, offering solutions that are not applicable, negative view of South Asians as a result
What is one way to incorporate religion into MDFT?
Connecting people to religious community centers, encouraging them to participate in religious events, going to prayer/service with family members, meditation, etc.
How can MDFT be adapted for South Asian adults, as compared to adolescents?
Including partners/parents/important people in their life, considering different community systems (e.g., work, clubs) and their roles in it, have greater autonomy so more collaborative
What is one phase of MDFT?
Engagement and motivation, behavior change, maintenance/generalization
How can the threat to identity be addressed in MDFT?
Include as many important family members as possible, educate yourself on their culture, remain curious, highlight that you don't know everything but aim to learn, be open about treatment and seek their insight
Why can religion be helpful in MDFT?
Empower clients by allowing them to hand over "one's will/control to a Higher Power," help them make sense of their actions, develop a closer relationship to God, help them find purpose (e.g., volunteering with others struggling)
How can clinicians break down barriers for South Asian families?
Culturally familiar language, flexible settings, discuss cultural norms, spiritual coping strategies, frame SUD or AUD as a health issue (as compared to a moral issue)
Why is MDFT a good option for South Asian families?
Involves family, mirrors collectivist family systems, focuses on community influence, can be adapted for multiple different contexts (e.g., gender, age, substance of choice)