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This qualitative study involved interviewing 40 Chinese Americans residing in Lincoln and Omaha, NE, and Naperville, IL, on their perceptions of family strengths and acculturative stress. Themes related to family strengths include family support leading to achieving a renewed sense of family, contextual support from friends and community, communication among family members, spiritual well-being, and balancing host and heritage cultures. Themes pertaining to acculturative stress are language barriers, loneliness, and loss of social status and identity at the early stage of immigration. New dimensions are being added to the current family strengths model. Implications for health professionals are provided.