Kev Kajsiab Project Hmong American Partnership

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Kev Kajsiab Project Hmong American Partnership. Alyssa Kaying Vang, PsyD, LP. Definitions. Mental health “…either a level of cognitive or emotional well-being or an absence of a mental disorder…” Wikipedia Mental illness
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Kev Kajsiab ProjectHmong American Partnership Alyssa Kaying Vang, PsyD, LP Definitions
  • Mental health “…either a level of cognitive or emotional well-being or an absence of a mental disorder…” Wikipedia
  • Mental illness
  • “…is a psychological or behavioral pattern that occurs in an individual and is thought to cause distress or disability that is not expected as part of normal development or culture…” Wikipedia
  • Challenges in interpreting Western terminologies and vocabulary into Hmong language
  • Mental illness = mental health = depression in Hmong
  • Depression = kev nyuab siab; mood disorders = tej kev nyuab siab nyuab ntsws
  • Anxiety disorders = kev txhawj, ntshai, ceeb; worries = kev txhawj, ntshai
  • Can be best understood within its context
  • What is considered a mental illness by Western definition? vocabulary into Hmong language
  • More than depression
  • Mood Disorders/Adjustment Disorders
  • Major Depressive Disorder, Generalized Anxiety Disorder, Posttraumatic Stress Disorder, Obsessive-compulsive Disorder, Bipolar Disorder, Adjustment Disorders
  • Cognitive functioning/Learning Disorders
  • Mental retardation, Borderline intellectual functioning, Math Reading Disorder
  • Behavioral difficulties
  • Attention-Deficit/Hyperactivity Disorder, Oppositional Defiant Disorder, Conduct Disorder
  • What is considered a mental illness by Western definition? Cont…
  • Communication Disorders
  • Expressive language disorder, Receptive Language Disorder
  • Childhood Disorders
  • Separation anxiety, selective mutism
  • Developmental Disorders
  • Autism, Asperger’s Syndrome, Tourette’s
  • Thought disorders
  • Schizophrenia, Delusional Disorder, Schizoaffective Disorder
  • What is considered a mental illness by Western definition? Cont…
  • Substance related disorders
  • Alcohol abuse/dependence, cocaine abuse/dependence, opium abuse/dependence
  • Impulsive control disorders
  • Pathological gambling, Trichotillomania, Kleptomania, Pyromania
  • Eating Disorders
  • Bulimia, Anorexia
  • Relational difficulties **activity**
  • The role of the “liver” Cont…
  • Liver controls much of a person’s feelings, character, and mental soundness
  • Detachment of mind and body *activity*
  • Differences with Hmong culture and Western culture Cont…
  • Physical vs. psychological
  • Identification of self
  • Interdependence vs. individualism
  • Sense of responsibility
  • Time
  • Shared vs. time
  • Control
  • Fate/visa vs. self-control
  • Communication style
  • Indirect vs. direct
  • Reality of the present life Cont…
  • Influences of Western culture onto Hmong values and perspectives
  • What used to be effective for the Hmong may no longer be effective
  • More treatment options than traditional healing methods to help address some of the symptoms that may not have been effectively treated.
  • Life stressors Cont…
  • Adjustment issues: language and cultural barriers
  • Role reversals, loss of status
  • Financial difficulties, employment
  • Generational gaps
  • Marital discord
  • Biculturalism
  • Clinical concerns versus within normal limits Cont…
  • When to get help?
  • Common mental health problems in the Hmong community Cont…
  • Adults
  • Depression
  • Domestic violence, homicide/suicide
  • Posttraumatic Stress Disorder
  • Anxiety
  • Addictions
  • Substance (opium), gambling
  • Common mental health problems in the Hmong community cont… Cont…
  • Adolescents
  • Depression
  • Oppositional Defiant Disorder
  • Conduct Disorder
  • Parent-child relational issues
  • Common mental health problems in the Hmong community cont… Cont…
  • Children
  • Learning problems
  • Depression
  • Anxiety
  • Treatment Cont…
  • Long history of counseling, just different
  • Many mental illness cannot be a “quick fix”
  • Mental illness can be treated if you get help early enough. Don’t wait until it is too late
  • Combining Western and Hmong treatments
  • Coping skills Cont…
  • Believe that you can take action to improve your mood and situation
  • Get some exercise
  • Continue to be socially active with those who are a positive influence
  • Actively participate in psychotherapy
  • Sometimes psychotherapy is like watching a flower blossom
  • For more information regarding mental health services or for help, you may contact:1.Wilder Southeast Asian Programs (651) 280-2311 [adult and children services]2.Children's Hospitals & Clinics of MN, Psych Services Hmong Mental Health Initiative (651) 220-6028 [children services]3.Ramsey County Mental Health Mobile Crisis Line (651) 774-7000 (children) (651) 266-7900 (adult)Or visit http://www.childrensmn.org/web/healthprof/052925.pdf for additional resources
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