INS NYC 2024 Program

Symposium

Symposia 11 Program Schedule

02/16/2024
01:45 pm - 03:15 pm
Room: Broadway Ballroom

Symposia 11: Asian Neuropsychologists: Global Insights on Training, Education, Barriers, and Future Directions


Simposium #3

Barriers, Needs, and Future Directions in Neuropsychological Training and Practice for Serving Chinese Populations Outside of Asia

Wen-Yu Cheng, Private Practice, Phoenix, United States
George Lin, Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Palo Alto, United States
Emily Sinyi Zhou, Department of Health Psychology, University of Missouri, Columbia, United States
Yu-Ling Chang, Department of Psychology, National Taiwan University, Taipei City, Taiwan
Esther Chin, NeuroMind Inc., Palatine, United States

Category: Inclusion and Diversity/Multiculturalism

Keyword 1: diversity
Keyword 2: multiculturalism
Keyword 3: minority issues

Objective:

The current study aims to examine the trajectories of Chinese-speaking neuropsychologists’ training and practice, and to identify barriers and needs for serving Chinese populations in the U.S. or areas outside of primarily Chinese-speaking regions. We will discuss current action plans under the Chinese Special Interest Group (SIG) of the Asian Neuropsychological Association (ANA) and future directions for developing neuropsychology to serve Chinese populations.

Participants and Methods:

The current preliminary study was conducted with mixed methods, including a survey and qualitative analysis of interviews. Chinese-speaking neuropsychologists and neuropsychologists in training residing in the U.S. and areas outside of primarily Chinese-speaking regions completed a survey to provide information related to their training and current practice for serving Chinese-speaking patients. The barriers, needs, and resources for enhancing clinical competency were examined through mixed methods. The survey data was briefly reviewed to provide an understanding of the possible cultural influences in neuropsychological evaluation.

Results:

Based on the survey, over 70% of Chinese-speaking neuropsychologists completed related training in the U.S. Primary practices include a combination of neuropsychological evaluations, research, and teaching. Over 50 % of clinicians provided adult-focused neuropsychological services. Languages utilized to serve Chinese-speaking populations are primarily Mandarin and Cantonese. The proportion of Chinese-speaking services in their practice is less than 20%. Chinese neuropsychologists voiced the need to develop Chinese tests with appropriate psychometric properties; access test resources; conduct research related to Chinese neuropsychology; and understand cultural differences for Chinese of different descents and regions. Providing consultation and mentorship related to a culturally informed approach in assessment and neurorehabilitation, selecting appropriate tests, and working through complex cases were highly desired. The ANA has been dedicated to forming the Chinese SIG and International Liaison Task Force to address these needs. Additionally, research discovered cultural differences in cognitive and emotional processing, which are crucial to improving the validity and quality of neuropsychological services.

Conclusions:

Current findings highlight the importance of ongoing discussions and collaboration to further research, training, and practice in Chinese neuropsychology between regions and institutions. This is crucial for neuropsychologists, Chinese-speaking or not, to continue to explore in the context of the ever-changing migration of Chinese populations, cultural neuropsychology, and issues related to diversity, equity, and inclusion (DEI).