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GMJ News > GMJ Briefs > Three Critical Barriers to Autism Care in South Asian Families—and How Providers Can Help

Three Critical Barriers to Autism Care in South Asian Families—and How Providers Can Help

GMJ
Last updated: 02/08/2026 18:43
By
Prof. Giorgi Pkhakadze, MD, MPH, PhD
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Healthcare provider counseling diverse family about autism support services
Cultural stigma in South Asian American families creates unique barriers to autism care access. Psychiatrist highlights how family crisis responses can delay necessary interventions. — "British medics help earthquake-hit hospital in Kathmandu, Nepal" by DFID - UK Department for International Development is licensed under CC BY 2.0. To view a copy of this license, visit https://creativecommons.org/licenses/by/2.0/. (CC BY 2.0)
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1 min read|149 words

Healthcare providers working with South Asian American families need to understand three primary barriers to autism care. First, cultural stigma drives families to keep diagnoses secret, preventing children from accessing necessary support systems and interventions. Second, autism diagnoses often trigger family crises centered on reputation and achievement expectations, leading families to delay or refuse recommended treatments. Third, the secrecy surrounding diagnoses compounds access challenges, limiting children’s opportunities for early therapeutic intervention when outcomes are most favorable. Psychiatrist Dr. Ritu Goel emphasizes that culturally sensitive healthcare approaches are essential to address these barriers. Providers should engage families in dialogue about cultural values, explain how early intervention supports child success, and help reframe autism diagnosis as an opportunity for tailored support rather than family shame. Building trust and cultural competency can transform family responses and improve outcomes for South Asian American children with autism. Read the full article on GMJ Newsroom.

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ByProf. Giorgi Pkhakadze, MD, MPH, PhD
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MD, MPH, PhD. Editor-in-Chief, Georgian Medical Journal (GMJ). Professor and Head, School of Public Health, David Tvildiani Medical University (DTMU), Tbilisi, Georgia. Chair, Public Health Institute of Georgia (PHIG). President, Accréditation Sans Frontières (ASF), Paris. Secretary/Treasurer, UEMS Section of Public Health. WHO Consultant, Health and Migration, Geneva. Former Member, UN Secretary-General's Independent Accountability Panel for Every Woman, Every Child, Every Adolescent (IAP-EWEC, 2016–2021). ORCID: 0000-0001-7609-4515.

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