Firstly, barriers related to the use of existing mental health information and services are emphasized (2015, p. 1897). One aspect of this barrier includes the lack of awareness of mental health issues and the services available. For example, certain ethnic immigrant groups have difficulty recognizing mental health problems (lack of depression literacy), resulting in underutilization of existing services (2015, 1897). An additional aspect of this barrier includes cultural barriers. Ethnic immigrant groups may fear cultural incompatibility with health care providers, deterring them from seeking professional assistance (2015, 1897). The stigma associated with mental health also prevents treatment-seeking; a common barrier for immigrant seniors and women (2015, 1897).
Secondly, barriers posed by the immigration settlement process are also acknowledged (2015, p. 1898). New immigrants and refugees to Canada experience periods of low income and social exclusion (2015, p. 1898). Low income translates into lower socio-economic status, which can be a precursor for mental health issues (2015, p. 1898). Likewise, lower income contributes to service accessibility issues (i.e. being able to afford transportation to and from appointments) (2015, p. 1898). A lack of social support can lead to feelings of social isolation, negatively impacting the mental health of immigrants and refugees whom may not have access to their usual social support circle (2015, p. 1989).
Lastly, barriers
Depression and the Struggle for Survival. (2005, April 20).Immigration. Retrieved August 10, 2008, from The Library of
With the increasing immigrant population a third barrier affecting access to health care is a cultural barrier. Culture barriers can include values and beliefs, language and race and ethnicity. Health beliefs and behavior can become a barrier when patients decide not to seek medical treatment and instead turn to home remedies and healers when treating illnesses. Approximately 10% of Americans speak a language other than English and can be classified ad being limited in their proficiency. For these patients language becomes a barrier and they are less likely to receive optimal medical treatment (Flores, 2006). Horton and Johnson (2010) stress the importance of communication in reducing disparities and increasing the trust of patients in the health care system. As reported by the American College of Physicians, evidence reveals that racial and ethnic minorities are more likely to receive inferior care when compared with non-minorities. This occurs even when minorities have access to insurance and adequate income (Racial and ethnic disparities in health care, 2010).
In Canada, the issue of immigration poverty is at its verge of time. Over the past decade, times have worsened the once thought to be a simple task of immigrating to a prosperous, foreign country like Canada. Has developed into a much more difficult task that few immigrants have the opportunity to pursue. The inflammation of price along with everyday necessities for a family to survive and thrive upon has become ever so challenging and scarce. Unfortunately, this has become the dire reality for many demoralized immigrants in Canada. Poverty in Canada is a very profound political issue for oncoming emigrants or new immigrants. The adverse effects of poverty within Canadian society has ceased the development of immigrants and imposed them on
Asian ethnicity, an ethnic group growing faster than any other in this country today (Lee, Martins, & Lee, 2015). Unfortunately, many Asian Americans perceive a mental illness diagnosis as shameful (Cheon and Chiao, 2012). As a result, many who suffer from mental illness in this community are often sequestered and do not receive mental health care services (Cheon and Chiao, 2012). As there are many different subgroups within Asian American culture, stigma, use of mental health services, access to care, and compliance rates tend to vary (Purnell, 2013). For instance, Chinese Americans view mental illness as more of a
Mental health counseling was not the career path in which I envisioned myself embarking on. Becoming a mental health counselor has many challenges and benefits. Along my career path I have had the pleasure of getting to know a variety of positions within mental health. Finding the definition of a mental health counselor can be defined as having compassion, being inquisitive, and having the need to help the mentally ill. Mental health counselors must have in place the right tools in order to properly aid those who are seeking mental health counseling. Mental health counselors
One of the biggest contributors for poor healthcare is the stigma against mental health. This stigma allows healthcare providers to view those with a mental illness as having low relevance, thus creating disinclination towards providing adequate resources and/or care. This negative stance, based on misinformation and prejudice creates those that have a mental illness to lose their self confidence. Because of this loss, people with mental illness decide not to contribute to their health or livelihood. In the past fifty years, many advances have been made in mental healthcare. However, with the attached stigma, many people choose to not seek out treatment.
The lack of mental health care services for minorities is a long-standing problem in the United States. The first time the issue received attention was in 1985, when the U.S. Department of Health and Human Services released a report that described serious health discrepancies that minority populations were enduring. In 1986, because of this report, the Office of Minority Health was formed to assist in the reduction of the health care shortages for
According to Spencer et al. Asian Americans often stigmatize mental health. As a result many individuals forgo taking advantage of mental health services because it promotes cultural feelings of shame or embarrassment.2 The article analyzed the connection between discrimination and the usage of mental health services on a national sample of Asian Americans.
According to the popular media report issued by CNN, latinos in general, have been struggling to find help for mental health issues amongst their ever growing population (Rodriguez, 2013). Even though Obamacare ensures affordable healthcare for 6 million latinos, it’s still not enough for the hispanic community who are suffering from mental illness to seek help (Rodriguez, 2013). The major fear in the latino community is the fact of being stigmatized when obtaining help from mental institutions and services (Rodriguez, 2013). Therefore, many community members refuse to seek help and the mental illnesses go unnoticed. And even when the mental illness are acknowledged, latinos are known for asking extended family members, the community, church leaders, and spiritual healers for help and treatment instead of admitting themselves at hospitals (Rodriguez, 2013). Many latinos feel apprehensive towards mental illnesses and therefore, searching for help seems like such a taboo in the community. Moreover, according to the National Resource Center for Hispanic Mental Health, Hispanics are a high-risk group for depression, substance abuse and anxiety. About 1 in every 7 Latinos has attempted suicide (Rodriguez, 2013). Therefore, this puts them more at risk because of the lack of efficient treatment and care for people suffering with mental illnesses in their community especially in this generation. Furthemore, many elderly Latinos in the population find this acculturation overwhelming
Latino culture sees mental illness as weakness (Abdullah & Brown, 2001). This becomes a barrier since Latinos fear the stigma associated with mental health treatment (Vega, Rodriguez and Ang, 2010). According to Dr balbaskdjfdks, “Latinos usually seek help when the problem has reached a head and feel they have no other choice.” (personal communication). She also reported that “Latinos face many barriers to seeking mental health services. They fear the stigma associated with going to a mental health provider. They lack the insurance to get treatment. They also lack the knowledge for seeking mental health treatment.” (personal communication) According to one study, the most commonly reported barriers were lack of awareness of available mental health services, lack of knowledge, and lack of awareness of location of services (Aguilar-Gaxiola, Zelexny, Garcia, Edmondson, Alejo-Garcia, & Vega, 2002). According to the same study 58% of participants did not know where to obtain mental health services. Research shows that a key factor in seeking treatment is knowledge of where to find it (Ortega and Alegria,
Underutilization and early termination of mental health services for Latinos in the U.S continues to be a concern for current research and practice in social work. A synthesis of current research demonstrates that there are several factors impacting access and utilization of mental health services for Latinos. According to U.S Department of Health and Human Services (2001), although Latinos are at increased vulnerability for developing mental illness, they continue to be half as likely in comparison to whites to access mental health services. Low rates of utilization of mental health services among the Latino community can be associated to a variety of factors including socioeconomic factors, cultural variables, stigma, psychotherapeutic challenges, client-therapist interaction (Kouyoumdjian, Zamboanga, & Hansen, 2003). Mental health conditions can significantly impact and individual’s ability to function and achieve their highest potential, consideration of these factors is essential in order to address the needs of a vulnerable population, and support Latinos in accessing mental health services when needed. This learning brief will focus on exploring how client system factors specific to Latinos’ resources, culture and worldview are associated with the underutilization of services for Latinos and important implications for practitioners when providing treatment.
Canada has always been recognized as a multicultural country with a diversity of ethnic groups. According to the 2006 census (Statistics Canada, 2006), there was a total of 1,109,980 new immigrants arriving Canada from various countries between 2001 and 2006. The Multiculturalism Act (1988) is adopted to encourage ethnic groups to preserve their own languages and cultural heritages while integrating into the Canadian culture (Minster of Justice, 1984). Despite that, constant barriers remain in immigrants’ experiences of acculturation. Newcomers who failed to acculturate into the host country may experience social exclusion, which could result in a reduction in their health statuses. Although recent immigrants are often healthier than the general Canadian population, their health status tend to converge to the Canadian-born population with increased length of residence; for instance, statistics revealed worsening immigrant health in chronic conditions like diabetes and tuberculosis (Statistics Canada, 2002). This is referred as the “healthy immigrant effect”. Immigrants’ initial healthy status is explained by self-selection reasons, and screenings that are regulated by the Immigration Act (Statistics Canada, 2002). However, it is more crucial to understand the reasons for their deterioration in health over time. In this paper, we will explore a framework that explains the pathway between social exclusion, an important social determinant of health, and the deterioration in the
Access to mental health care is not as good as than other forms of medical services. Some Americans have reduced access to mental health care amenities because they are living in a countryside setting. Others cannot get to treatment for the reason of shortage of transportation or vast work and household tasks. In some areas, when a
This topic and literature review will not encompass a hypothesis due to the purpose of this review which is to determine areas of improvement for the health issues facing this population. The use of this study is to explore and improve the negative stigmas associated with the individuals who are in desperate need of care to other healthcare professionals. Increased tolerance of the nation to cultural differences will improve health statuses for all by eliminating social stigmas and reducing the burden of illness for all.
Culture has a great effect on attitudes toward therapy. According to the National Institution of Mental Health each individual or groups of people bring a variation of beliefs to the therapeutic setting such as communicating what issues to report, types of coping styles, social support, and cultural stigma towards mental health. More often it is culture that bears on whether or not an individual will seek help. For example there is a widespread tendency to stigmatize mental illness in Asian countries. People with mental illness are considered dangerous and create social distance and