Mental Health Stigma in Minority Communities: Understanding Cultural Perceptions and Access to Care
DOI:
https://doi.org/10.47941/ijhss.1784Keywords:
Mental Health Stigma, Minority Communities, Cultural Perceptions, Access to Care, Community Engagement, Education, Policy Changes, IntersectionalityAbstract
Purpose: The general purpose of this study was to understand how cultural perceptions and beliefs about mental health in minority communities influence their access to mental health care services.
Methodology: The study adopted a desktop research methodology. Desk research refers to secondary data or that which can be collected without fieldwork. Desk research is basically involved in collecting data from existing resources hence it is often considered a low cost technique as compared to field research, as the main cost is involved in executive's time, telephone charges and directories. Thus, the study relied on already published studies, reports and statistics. This secondary data was easily accessed through the online journals and library.
Findings: The findings reveal that there exists a contextual and methodological gap relating to mental health stigma in minority communities. Preliminary empirical review revealed that cultural perceptions heavily influenced access to care. It emphasized the necessity of cultural competence in mental health advocacy and intervention, stressing the importance of engaging community leaders. The research identified significant barriers to care, including language barriers and distrust of mainstream healthcare systems. Recommendations included increasing diversity among mental health professionals and implementing policies to address disparities. Overall, the study highlighted the need for comprehensive, culturally sensitive approaches to destigmatize mental health and improve access to care in minority communities.
Unique Contribution to Theory, Practice and Policy: The Social Cognitive theory, Intersectionality theory and Cultural Adaptation theory may be used to anchor future studies on mental health stigma in minority communities. The study on "Mental Health Stigma in Minority Communities" offered recommendations that contributed significantly to theory, practice, and policy. It emphasized the importance of culturally sensitive interventions, community engagement, education, policy changes, research, and intersectionality in addressing mental health stigma. By advocating for tailored approaches, collaborative efforts, awareness-raising campaigns, systemic reforms, and inclusive strategies, the study aimed to reduce barriers to mental health care access and promote a more supportive environment for individuals within minority communities.
Downloads
References
Alegria, M., Alvarez, K., & DiMarzio, K. (2019). Understanding and addressing mental health needs of Latino immigrants: A community-based approach. Journal of Immigrant and Minority Health, 21(6), 1317-1325. https://doi.org/10.1007/s10903-019-00882-7
Bandura, A. (1986). Social foundations of thought and action: A social cognitive theory. Prentice-Hall, Inc.
Berry, J. W. (1997). Immigration, acculturation, and adaptation. Applied Psychology, 46(1), 5-68.
Care Quality Commission. (2019). Survey of mental health inpatient services. Retrieved from https://www.cqc.org.uk/sites/default/files/20191017_laa_survey2018_mh_report.pdf
Chen, F. P., & Mak, W. W. S. (2018). Between mental health and interpersonal relationships: negative emotional symptoms in Chinese male patients. Journal of Men's Health, 15(3), e25-e33. https://doi.org/10.1016/j.jomh.2018.06.005
Cheng, H. L., Mallinckrodt, B., Ransford, H. E., & Abdul-Kabir, S. (2015). Asian international students' mental health: Examining the effects of stigma and coping strategies. Journal of Multicultural Counseling and Development, 43(1), 2-17. https://doi.org/10.1002/j.2161-1912.2015.00063.x
Chu, J. P., Goldblum, P., Floyd, R., & Bongar, B. (2017). The cultural theory and model of suicide. Applied and Preventive Psychology, 19(1), 63-78. https://doi.org/10.1016/j.appsy.2017.05.001
Crenshaw, K. (1989). Demarginalizing the intersection of race and sex: A black feminist critique of antidiscrimination doctrine, feminist theory, and antiracist politics. University of Chicago Legal Forum, 140, 139-167.
Fortuna, L. R., Porche, M. V., & Alegria, M. (2018). Political violence, psychosocial trauma, and the context of mental health services use among immigrant Latinos in the United States. Ethnicity & Health, 23(5), 532-547. https://doi.org/10.1080/13557858.2017.1337630
Gureje, O., Lasebikan, V. O., Ephraim-Oluwanuga, O., Olley, B. O., & Kola, L. (2015). Community study of knowledge of and attitude to mental illness in Nigeria. The British Journal of Psychiatry, 186(5), 436-441. https://doi.org/10.1192/bjp.bp.114.147868
Kim, B. S. K., Li, L. C., & Liang, C. T. H. (2014). Effects of Asian American clients' attribution and coping styles on their perceptions of the quality of their counseling sessions: A replication and extension. Cultural Diversity and Ethnic Minority Psychology, 20(2), 175-186. https://doi.org/10.1037/a0034500
Matsubayashi, T., Sawada, Y., Ueda, M., & Kondo, N. (2019). Stigma toward mental illness among Japanese individuals who have not been diagnosed with mental disorder: A latent class analysis. International Journal of Social Psychiatry, 65(4), 290-297. https://doi.org/10.1177/0020764019831561
Mental Health Foundation. (2020). Mental health inequalities. Retrieved from https://www.mentalhealth.org.uk/a-to-z/m/mental-health-inequalities
National Institute of Mental Health. (2021). Mental illness. Retrieved from https://www.nimh.nih.gov/health/statistics/mental-illness.shtml
Neighbors, H. W., Caldwell, C., Williams, D. R., Nesse, R., Taylor, R. J., Bullard, K. M., & Torres, M. (2011). Race, ethnicity, and the use of services for mental disorders: results from the National Survey of American Life. American Journal of Public Health, 101(6), 1114-1121. https://doi.org/10.2105/AJPH.2011.300077
Okazaki, S., Yoo, H. C., & Kurasaki, K. S. (2016). Cultural influences on mental health stigma: Examining Japanese American beliefs and attitudes. Asian American Journal of Psychology, 7(2), 139-147. https://doi.org/10.1037/aap0000043
Organista, K. C., Muñoz, R. F., & Gonzalez, G. (2013). Cognitive-behavioral therapy for depression in low-income and minority medical patients: Description of a program and exploratory analyses. Cognitive and Behavioral Practice, 20(3), 291-302. https://doi.org/10.1016/j.cbpra.2012.07.002
Patel, V., Saxena, S., Lund, C., Thornicroft, G., Baingana, F., Bolton, P., & Chisholm, D. (2018). The Lancet Commission on global mental health and sustainable development. The Lancet, 392(10157), 1553-1598. https://doi.org/10.1016/S0140-6736(18)31612-X
Purtle, J. (2020). COVID-19 and mental health equity in the United States. Social Psychiatry and Psychiatric Epidemiology, 55(8), 969-971. https://doi.org/10.1007/s00127-020-01907-1
Seedat, S., Williams, D. R., Herman, A. A., Moomal, H., & Williams, S. L. (2019). Mental health service use among South Africans for mood, anxiety and substance use disorders. South African Medical Journal, 109(9), 688-694. https://doi.org/10.7196/SAMJ.2019.v109i9.13926
Singh, S. P., Wright, C., Burns, T., & Rathod, S. (2019). Struggling for acknowledgment: Experiences of African-Caribbean service users in UK mental health services. Social Psychiatry and Psychiatric Epidemiology, 54(11), 1369-1377. https://doi.org/10.1007/s00127-019-01683-2
Smedley, B. D., Stith, A. Y., & Nelson, A. R. (Eds.). (2012). Unequal treatment: confronting racial and ethnic disparities in health care. National Academies Press.
Snowden, L. R. (2015). Barriers to effective mental health services for African Americans. Mental Health Services Research, 17(3), 201-214. https://doi.org/10.1007/s11020-014-9444-0
Substance Abuse and Mental Health Services Administration. (2020). Key substance use and mental health indicators in the United States: Results from the 2019 National Survey on Drug Use and Health (HHS Publication No. PEP20-07-01-001, NSDUH Series H-55). Rockville, MD: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration.
Takada, M., & Hirai, M. (2019). The development and challenges of community mental health care in Japan. International Journal of Mental Health Systems, 13(1), 50. https://doi.org/10.1186/s13033-019-0301-5
Trinh, N., Chang, T. E., Liao, Y., & Sheu, H. (2018). Cultural influences on mental health stigma and help-seeking behavior among Vietnamese Americans. Journal of Immigrant and Minority Health, 20(5), 1104-1111. https://doi.org/10.1007/s10903-017-0599-0
Wang, Y. P., Reis, G. L., & Carmo, T. A. (2017). Cultural perceptions of mental health and stigma among Chinese Americans: Implications for service delivery. Journal of Community Psychology, 45(4), 490-503. https://doi.org/10.1002/jcop.21871
Wang, Y. P., Reis, G. L., & Carmo, T. A. (2020). Access to mental health services in Brazil, 2013-2015. Epidemiologia e Serviços de Saúde, 29(3), e2020144. https://doi.org/10.5123/S1679-49742020000300005
Whitbeck, L. B., Adams, G. W., Hoyt, D. R., & Chen, X. (2014). Conceptualizing and measuring historical trauma among American Indian people. American Journal of Community Psychology, 54(3-4), 274-281. https://doi.org/10.1007/s10464-014-9640-5
World Health Organization. (2021). Mental health atlas 2020. Retrieved from https://www.who.int/publications/i/item/9789240020485
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Ken Adams
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution (CC-BY) 4.0 License that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal.