Culturally and Linguistically Competent Care of a Korean-American Child with Autism

Abstract

Issues and Purpose: Health care providers need to understand and respond effectively to the cultural and linguistic needs brought by patients to the health care encounter. However, there is almost no research on the needs of immigrant children, especially children with mental disabilities. This case study of an autistic Korean immigrant child and his family illustrates the need for cultural and linguistic competence in providing care. Conclusions: This Korean immigrant child did not receive culturally and linguistically competent care. His diagnosis was delayed and his engagement in ongoing treatment was problematic. Language problems and unfamiliarity with the health care system posed difficulties for the child's caregivers in accessing and participating in care and community resources. The parents experienced guilt, conflict, frustration, and isolation from viable support communities, even the Korean-American religious community. Practice implications: Health care professionals need to provide culturally and linguistically competent care to help to decrease the disparities in health status and health care access. Health care providers must assess their own cultural viewpoints and biases while learning about the issues and needs of children from different cultures.