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Grant N. Marshall, PhD, S. Megan Berthold, PhD, Terry L. Schell, PhD, Marc N. Elliott, PhD, Chi-Ah Chun, PhD and Katrin Hambarsoomians, MS

Grant N. Marshall, S. Megan Berthold, Terry L. Schell, Marc N. Elliott and Katrin Hambarsoomians are with the RAND Corporation, Santa Monica, Calif. Chi-Ah Chun is with the Department of Psychology, California State University, Long Beach.

Correspondence: Requests for reprints should be sent to Grant N. Marshall, PhD, RAND Corporation, 1776 Main St, Santa Monica, CA 90407 (e-mail: grantm{at}rand.org).

Objectives. We assessed the rates and correlates of seeking mental health services among a probability sample of Cambodian refugees who needed such services.

Methods. Interviewers conducted face-to-face interviews with a representative sample drawn from the largest US community of Cambodian refugees. The analytic sample included 339 persons who met past 12-month criteria for posttraumatic stress disorder, major depression disorder, or alcohol use disorder. Respondents described contact with service providers for psychological problems during the preceding 12 months. We examined bivariate and multivariate predictors of seeking services.

Results. Respondents reported high rates of contact with both medical care providers (70%) and mental health care providers (46%). Seeking services from both types of providers was associated with lack of English-speaking proficiency, unemployment, 3 or fewer years of preimmigration education, and being retired or disabled. Women, individuals with health insurance, and persons receiving government assistance also were more likely to seek services.

Conclusions. Cambodian refugees with mental health problems had high rates of seeking service for psychological problems during the preceding 12 months. Research is needed to examine the effectiveness of services received by Cambodian refugees.