Does culture play a role? A pilot study on Western services for a Chinese-Canadian family with children with Autism spectrum disorder

Abstract

Purpose Autism spectrum disorder (ASD) affects one in 66 children in Canada, and its symptoms may be particularly challenging for parents from a Chinese background. Further, when working with Chinese families, Western-educated service providers may experience difficulty in applying culturally relevant and family-centered care. This study examined the experiences of one Chinese-Canadian family as they receive intervention services for their two children with ASD. Materials and methods This pilot, single-case design, qualitative case study included semi-structured interviews with the parents, grandparents, as well as three service providers’ views. Results Three major themes emerged from the data in the form of tensions: (1) within the family members; (2) within the therapeutic relationships, and (3) in addressing culture in therapy. Conclusions Results suggested that although the family identified key cultural differences, service providers did not sufficiently address these within the therapeutic relationship, and the need for culturally-relevant and family-centered care was not fulfilled.