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International Journal of Social Psychiatry
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Article

Perception of mental illness: preliminary exploratory research at a cross cultural outpatient psychiatric clinic

Soma Ganesan1*, Hiram Mok1, and Mario McKenna2

1 Department of Psychiatry, University of British Columbia, Vancouver BC, Canada
2 Psychiatry Administration, Health Centre, Vancouver General Hospital; Vancouver, BC, Canada

* To whom correspondence should be addressed. E-mail: soma.ganesan{at}vch.ca.


   Abstract

This descriptive study presented an overview of culturally sensitive mental health services and potential barriers for immigrant Canadians. A semi-structured question-naire was developed and administered to 173 patients who attended a large cross-cultural psychiatry outpatient clinic in Vancouver, British Columbia, Canada. Results indicated that only 21% of patients were able to state their diagnosis or were able to describe the symptoms of their diagnosis that met the DSM-IV criteria given by a psychiatrist. Examination of patient ethnicity showed that more South Asian (25%) or Southeast Asian (24%) patients had more diagnoses of anxiety disorder in comparison to other ethnic groups. Refugees characterized mental illness in terms of stress or stress-related factors (30%) in comparison to non-refugees (13%). There was a greater preference in women, when compared to men, to prefer the term ‘client’ versus ‘patient’. These results elucidate the importance of cultural and systemic barriers for immigrant Canadians. The need for appropriate service delivery is discussed.

First published on October 15, 2009
International Journal of Social Psychiatry 2009, doi:10.1177/0020764009104286


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