were more likely to agree that doctors listened to everything they had to say, compared with Asian American patients. Lastly, many beliefs bar access to proper medical care. For example, many believe that blood is not replenished, and are therefore reluctant to have their blood drawn. Substance abuse treatment There is a rather low representation of Asian Americans as clients in the mental health system, particularly in substance abuse treatment. Many Asian Americans are first-time clients at substance abuse treatment facilities. More Asian Americans are presenting treatment for the first time than they have since the last 10 years. This has led to an increase in the number of Asian Americans seeking enrollment for treatment. The AAPIs that do enroll are contributing to a larger healthcare disparity between those that say they need the treatment versus those who are present at the treatment. According to American Psychological Association, Asian Americans regard familial and social circles as their main support for life problems and view institutions as the last option for support. As a result, treatment facilities may be accustomed to needs of the majority of non-Asian clients that take part in the programs. Considering the abundance of ethnic groups under Asian American population, lack of exposure to Asian American clients can be problematic as the system may not be culturally aware of or empathetic towards this diverse population's needs. Relationship with drugs Exploring the relationship Asian Americans have with drugs may help with understanding how to prevent and potentially redefine warning signs for drug abuse in this community. In more recent years, there has been attempts to explore the Asian American perceptions on drugs. Reasons for why people use substances vary depending on the ethnic subgroup and many other factors. Although research on this topic is limited, a study was done at music festival scenes where Asian Americans reported using drugs as means to express their identities or lifestyle tastes. In terms of alcohol misuse, cultural identity struggles, language barriers, and acculturation may correlate with likelihood of alcohol misuse as a means of coping. Each ethnic subgroup has unique life circumstances that impact how Asian Americans make decisions relating to drug use. Improving health and healthcare delivery Policy approaches Up to the 1990s, there was very little research into Asian American health. Until 2003, the 23 federal health surveys available aggregated data under the label Asian or Pacific Islander, making