The influx of both foreign-born and second generation APIs prompt those in the the social and mental health services an increased level of concern, as they attempt to accommodate the needs of a culture of individuals who generally avoid the use of their services. Development of a culture-specific framework for delivery of services is a matter of ongoing research and strategic implementation. In providing access to a culturally-specific resource, the variety of cultural representations of the API community must be taken into consideration: the differences in faith, educational level, socio-economic status, health condition, political ideology, past or current military background, home language, sexual orientation, gender identity, and generational and acculturation levels. Being lesbian, gay, bisexual, or transgender (LGBT) and/or having an LGBT family member in the API community is not a new phenomenon.

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