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(-045Instituting an organizational mission and visionthat affirms cross-cultural competency requires amultilevel approach that is integrated throughout theagency infrastructure. This process includesdeveloping relevant administrative and programmaticdesign, policies, and evaluation. In this context,organizations that have programs dedicated totreatment intervention for Asians and PacificIslanders must first define the structure and hierarchyin which the program operates. Logistically, theprogram must be accessible to community members,and the organization and its program must have apositive presence within the community.Organizational credibility and accessibility includesrecruiting the active participation of community-based individuals and leaders in initial developmentof the program and on its board of directors. Boardmembership should include individuals withtreatment experience, people in recovery, communityleaders and providers, and family members of clientsand individuals in recovery. The agency's policiesshould include and address the diverse needs oftheir clientele.Several CSAT demonstration projects haveattested to the importance of considering all theelements discussed above when implementingtreatment programs. For example, the UnitedCambodian Community program demonstrated therelevance of providing multiple services in a culturalcompetent setting under one roof. As previouslymentioned, ties with the community of racial/ethnicgroups and recruitment of recovering para-professionals to work along professionals tend tofacilitate the delivery of effective treatment. VariousCSAT demonstration projects (The Asian AmericanResidential Recovery Services program, MicronesiaBound, Inc., Pohnpei Community Action Agency ,Asian American Drug Abuse Program) effectivelyused those strategies, among others, in the implemen-tation of treatment interventions. Others, such asHo' omau Ke Ola, in Wai' anae, Hawai' i, have suc-cessfully combined traditional cultural concepts andEastern techniques with the aforementioned compo-nents in the treatment they provide to their clients.The Asian American Residential RecoveryServices (AARRS) in San Francisco has useddifferent sources of motivation to bring potentialclients to treatment (Ja and Aoki, 1993). A struc-tured treatment approach in which the potential clientis given clear guidelines and procedures, preferablyin writing, so a message of stability is delivered at theoutset of the first encounter with the treatmentprogram is recommended.
As mentioned earlier, the experiences precedingthe arrival of Southeast Asians in the United Statesoften include war related trauma which compoundtheir process of adapting to the new socioculturalenvironment. Recent times have witnessed anincrease in mental health problems with co-occurringsubstance abuse problems among South East Asians(O'Hare and Tran, 1998). Based upon theexperiences of members of this group, suggestionshave been made about how to assess and address