Date of Award


Document Type


Degree Name



Graduate School of Professional Psychology

First Advisor

Fernand Lubuguin, Ph.D.

Second Advisor

Michael Karson, Ph.D.

Third Advisor

Nai Chieh (Geri) Tien, Ph.D.


Asian, Asian American, Therapeutic alliance, Mental health, Person-centered therapy, Influential factor, Utilization

Publication Statement

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Copyright Statement / License for Reuse

Creative Commons Attribution-No Derivative Works 4.0 International License
This work is licensed under a Creative Commons Attribution-No Derivative Works 4.0 International License.


While the Asian population in the United States is growing vastly and there is an abundance of literature regarding barriers to utilization of psychological services for this population, there remains minimal research on positive or facilitative factors for those who do utilize services and do not prematurely terminate treatment. The purpose of this study was to explore possible factors that promote clients' utilization and commitment to mental health services, as reported by Asian clinicians working with an Asian American population. This study was performed through a descriptive qualitative approach consisting of semi-structured interviews with four clinicians providing mental health services in an integrative community mental health agency in Colorado. Results revealed that the therapeutic alliance and a person­-centered therapeutic approach were meaningfully related to clients' long-term utilization of mental health services, despite barriers to engaging in mental health services including personal and cultural values, and beliefs and attitudes toward mental health and mental health services.


37 pages