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RETROSPECTIVE REFLECTIONS 12 Historical Perspective of the Asian American/Pacific Islanders Mental Health Movement: My Two Decades at NIMH Freda Cheung, Ph.D. For this commemorative article, I am pleased to have an opportunity as a former staff at the National Institute of Mental Health (NIMH) to provide an overview of the national mental health movement of the Asian Americans and Pacific Islanders (AAPIs) vis-a-vis the Minority Research Resources Branch (MRRB) at the NIMH during 1971 to 1991, a period when I worked there. It is my desire that the readers of this article will continue the momentum and push forward this movement, so that people with mental illness along with their family members will find hope in their tortuous search for effective treatment to cure the illness and/or improve their quality of life. I will identify some significant events which took place at the Federal level that were efforts to meet the identified needs and advance the mental health program of AAPIs. Launching of AAPI Mental Health Programs Since the immigration reforms of the 1960s, the AAPI population has increased rapidly, reaching 10,243,396 or 3.7 percent of the total U.S. population by 2000 as indicated by U.S. Bureau of Census. It is projected that this growth phenomenon will continue well into the 21st century. While the numerical growth is highly visible, an often overlooked but important factor is the broad historical, social, cultural and linguistic diversity of this population group. They represent many countries and regions, including the People’s Republic of China, Taiwan, Hong Kong, Japan, Korea, Philippines, Vietnam, Cambodia, Laos, Hmong, Thailand, Malaysia, Singapore, India, Pakistan, Hawaii, Samoa, Guam, Tonga and others. Unlike the Hispanics and African Americans, AAPIs speak different languages and dialects. They represent different levels of socioeconomic status. Some are highly educated and affluent professionals, while many are illiterate, holding menial jobs. There is a considerable degree of intergroup and intragroup differences among them. A. First National Conference on Asian American Mental Health In 1971, the Center for Minority Group Mental Health Programs (CMGMPH) was established by Congressional mandate to serve as the focal point, stimulator and coordinator for NIMH programmatic efforts to improve the mental health of ethnic minority groups nationwide. In response to the demand of leaders in the AAPI communities, the NIMH, through the Center, convened the First National Conference on Asian American Mental Health in April of 1972 in San Francisco. This Conference was a result of collaborative efforts between the Center and Asian American mental health leaders. While only 81 participants were invited initially, over 600 attended the Conference. This Conference was of special significance in that it spearheaded a coordinated national approach/movement to meeting the mental health concerns of AAPIs. The scope and nature of the problems that were identified as impacting their lives included: underemployment and unemployment; high school dropouts and low levels of academic achievement; drug abuse; delinquent activities among ghetto youth; substandard housing;
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