Patrick W. Corrigan

Family members often play a central role in healthcare decision‐making for older immigrant adults, particularly when language barriers, cultural differences, and caregiving responsibilities intersect. Family‐centered decision making (FCDM) has been proposed as an alternative to shared decision‐making (SDM), a key framework in person‐centered care. However, little is known about how 1.5‐and second‐generation Korean American adult children perceive and navigate family involvement in healthcare decisions for aging family members. The purpose of this study is to explore how Korean American adult children understand family participation in healthcare decision‐making and the factors shaping their involvement in decision‐making process. Semi‐structured interviews were conducted with 12 Korean American adults who had experience supporting older family members in healthcare contexts. Participants were recruited through Midwestern Korean community service organizations and social media networks. A semi‐structured interview protocol was developed in collaboration with a community‐based participatory research team including aging Korean immigrants with chronic health conditions. The protocol focused on participants’ belief about SDM, FCDM, and cultural factors influencing healthcare decision‐making and responses to a vignette depicting family involvement in chronic illness management. Interview data were analyzed using thematic analysis. Five interrelated themes characterized FCDM among Korean American adults: (a) family as the primary decision‐making context, (b) context‐dependent family participation, (c) negotiated authority in family‐centered care, (d) cultural and generational moderators of FCDM, and (e) communication as a condition of family participation. Participants did not describe family involvement as uniformly collectivist or obligatory. Instead, they perceived FCDM as a flexible and relational process that varied based on illness severity, family relationships, generational positioning, and broader sociocultural and structural contexts. Adult children often assumed linguistic, cultural, and healthcare navigation responsibilities for aging parents, while decision‐making authority and caregiving responsibilities were distributed within the family system. Although participants valued collaborative discussions with providers, many described deferring to medical authority when structural or relational dynamics such as power imbalances and role expectations among patients, family members, and providers limited their full participation. These finding conceptualize FCDM as a dynamic process shaped by immigration experiences, intergenerational relationships, cultural values, and healthcare system factors. Healthcare model that center decision‐making solely within the individual patient‐provider relationship may overlook how family relationships, cultural values, and intergenerational dynamics shape healthcare decision‐making in immigrant families. Healthcare practices should support flexible family engagement based on patients’ preferences, recognize relational autonomy, and address structural barriers affecting family caregiving and healthcare navigation to promote health equity for aging Asian immigrant populations.

Peer-provided services play a crucial role in healthcare delivery across health care issues. This study describes the process of implementing a peer naviga

Food and nutrition insecurity are major sources of higher morbidity and mortality among people with serious mental illness. Government and nongovernmental organizations have produced multiple strategies to promote food and nutrition security, including the Supplemental Nutrition Assistance Program, food-as-medicine prescriptions, direct-to-consumer food provision, and individualized services that help people learn to use government benefits. The cognitive and social (i.e., diminished interpersonal and problem-solving skills) disabilities of people with serious mental illness, as well as social determinants, are major barriers to engaging in these supports. Research suggests that education and navigation help people to better use these programs and interventions.

Summary: Recent attention to diversity, equity and inclusion (DEI) has led to positionality wherein investigators and authors disclose their identity and social position, allowing readers to interpret findings through the lens of authors’ biases. This article describes positionality via meanings of identity and impact of positionality on readers and authors themselves.

Purpose: This study evaluates the efficacy of the expanded coming out proud (ECOP) group intervention in mitigating self-stigma among individuals with schizophrenia in Hong Kong. Methods: Eighty participants in recovery from mental illness were recruited and randomly assigned to the treatment and control group using a single-blind, multi-center randomized controlled trial. The treatment group underwent a 12-session ECOP intervention alongside their treatment as usual (TAU), while the control group received only TAU. Data were collected at pre-treatment, post-treatment, and at a 3-month follow-up. Results: The treatment group experienced significant reductions in self-stigma and notable improvements in self-empowerment and community empowerment, with medium to large effect sizes. These benefits persisted at the 3-month follow-up. Discussion: The findings suggest that the ECOP intervention is an effective method for reducing self-stigma and depression and enhancing empowerment among individuals with schizophrenia in Hong Kong. The study recommends further research and practice to focus on reducing self-stigma.

Voices of people with lived experience led to a recovery-based revolution in rehabilitation practices and principles. Hence, these same voices must be included as partners in the research enterprise meant to evaluate ongoing developments in this area. Community-based participatory research (CBPR) is the one way to do this. CBPR is not really new to the rehabilitation arena; Rogers and Palmer-Erbs highlighted the paradigm shift in rehabilitation research calling for participatory action research (PAR). PAR is action-oriented and rooted in partnerships between people with lived experience, service providers, and intervention researchers. This special section briefly highlights important topics that highlight the continued need for CBPR in our research enterprise. (PsycInfo Database Record (c) 2023 APA, all rights reserved).