Religiosity And Mental Health Services : An Exploratory Study

The Latino community, from immigrating to United States born Latinos are often known to be depressed. Depression is a medical illness that causes a constant feeling of sadness and lack of interest, it affects how the person feels, behaves and thinks. Many Latinos rely on their extended family, community, traditional healers, or churches for help during a health crisis. As a result, many Latinos with mental illnesses often go without professional mental treatment. But why is it that Latinos are so reluctant to receiving help? Sheila Dichoso states that, “there are only 29 Latino mental-health professionals for every 100,000 Latinos in the United States, compared to 173 non-Hispanic white providers

McMinn (1996) states, a Christian counselor’s “spiritual life spills over in interactions with everyone, including clients” (p. 13). A few other challenges that McMinn (1996) identifies are as follows: the necessity for a scientific basis, the need for ethical standards, and challenging the dominant models of mental health. While evaluating each religious intervention, McMinn (1996) poses three questions to ponder that consist of asking the reader if the intervention will establish a healthy sense of self, sense of need, and establish a healing

In the United States, the Latino American population has risen by over 40% within the past decade and accounts for over 17.1% of the Nations society. In 2050, the Latino Community is expected to make up nearly one-fourth of the population and 2/3 of the U.S. Hispanics are from the Mexican-American Subgroup. In the United States, there has been extensive research examining the prevalence of varying psychiatric disorders among the Latino Hispanic Communities. There are many deeply rooted and socioeconomic factors that may contribute to the diagnosis, treatment, and outcome of psychiatric disorders. Example factors, such as reception of immigrations, history of immigration, experiences involving discrimination, and strength of an ethnic community, are just to name a few. Due to the expansion of the Latino and Hispanic minorities in the United States, this has become a major challenge for today’s healthcare system.

The benefits of religious counselling is it’s proven efficacy Nathaniel (2005) that illustrates clients as experiencing a greater feeling of closeness within the

These religious and spiritual influences play a major role in the Hispanics health, illness and daily life. In much a similar manner, the Native American Indian family adopts the cultural beliefs to associate with illness and health. They believe that a person’s state of exists when he or she exists in harmony with nature and sickness occurs when an imbalance between the natural or supernatural forces and the sick individual exists (Askim-Lovseth & Aldana, 2010). Traditional health believes and practices involving healing ceremonies and rituals restore balance when illness happens. “These can be conducted by their traditional medicine men or women, who are thought to have compelling powers, the ability to read minds, and know-how in concocting medicine, drugs and poisons.” For the white young family, the cultural belief of invincibility and youth are the driving force behind health prevention (Askim-Lovseth & Aldana, 2010). “Focus on the temporary is regularised, while thinking about health is assigned to an adult person where family accountabilities pertain.” Protecting against illness or disease does not feature into their daily lives. Disease or illness is something that is insubstantial and distant, and unimaginable to their young, resilient bodies and thus irrelevant (Edelman & Mandle, 2010).

There are a lot of young and old Christians that practice their religion and attend churches often. But many studies have found that regardless of the religion practiced, many older men and women become more “spiritual” as they age and become older (Levin, J. S., & Chatters, L. M. (1998). As one gets old and closer to the “end” of life, philosophical thoughts about death, creation and life after death begin to linger. No wonder then that many older Americans become more practicing of their religions. Many scholars have said that this is for two main reasons. One is that they want to get closer to their God, to be happy and be sure that they will attain the pleasure of God instead of the wrath. The second is this general benefit to health. Religiosity seems to have medicinal value and is practiced by those that are hospitalized and the elderly. Honest spirituality (or intrinsic religiosity) reduces many stress factors and diseases like depression (University of Oklahoma, Medicine and Spirituality

Latinos have a strong culture, as well as a religious culture. Some believe many problems may be fixed with prayer as well as with traditional healers (Alegria et al. 2008a; Berenzon-Gorn 2006; Espin 1987 as cited in Lorenzo-Blanco, & Delva, 2012). They have a lot of faith in religious ceremonies and home remedies before seeking professional help. Latinos seek help with family members before anyone professional (Bermúdez, Kirkpatrick, Hecker, & Torres-Robles, 2010). Latinos most of the time have a big family size, and are always really close. Seeking help with family members, they believe will be more help if the family member has had a similar situation, and they believe their advice can help. Although Latinos don’t always seek professional help, they prefer family therapy (Szapocznik et al. 1989 as cited in Bermúdez, Kirkpatrick, Hecker, & Torres-Robles, 2010). Some prefer to work out their issue together as a family. Overall, when Latinos ask for help, they go to priests, psychiatrists, counselor, and therapists (Bermúdez, Kirkpatrick, Hecker, & Torres-Robles, 2010).

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

African-Americans are likely to be diagnosed with schizophrenia since they are likely to encounter stigma and victimization from clinicians, other African-Americans without mental illnesses, and other races. African-American are likely to avoid psychotherapy. Instead of relying on psychotherapy for treatment of mental illnesses, African-Americans rely on religion and spiritual beliefs to cope with the stressors of life such as depression, anxiety, post-traumatic stress disorder, or diagnosable mental illnesses. African-Americans view the church as an institution to provide them with social, economic and political resources and to relieve them from oppression and discrimination (Plunkett, 2014).

Family life is important to Latino family interests are valued over individual well-being (Latinos, 2014). The structure of the Latino family tends to be patriarchal with great power and responsibility vested in the male head of household. The family is viewed as the focal point of mutual aid in the Latino community, based on the cultural norm of personalismo and the non-familial organizations are not generally trusted. Latinos depend more on the family for services, emotional support and advice than they do professionals. In the Latino culture, la familia (the family) and interdependence among its members are highly valued (Appleby, G.A., Colon, E., & Hamilton, J., 2011).

Family life is important to Latino family interests are valued over individual well-being (Latinos, 2014). The structure of the Latino family tends to be patriarchal with great power and responsibility vested in the male head of household. The family is viewed as the focal point of mutual aid in the Latino community, based on the cultural norm of personalismo and the non-familial organizations are not generally trusted. Latinos depend more on the family for services, emotional support and advice than they do professionals. In the Latino culture, la familia (the family) and interdependence among its members are highly valued (Appleby, G.A., Colon, E., & Hamilton, J., 2011).

Due to the growing Latino population, it is important to understand the challenges that this minority group experiences. For instance, Latino youth and their families continue to face disparities in having access and availability to mental health services (Lawton & Gerdes, 2014). Furthermore, Healthy People 2020, a nationwide program design to implement objectives and

The Latino culture takes a more monistic approach to the mind-body problem. This may affect the ways in which depression is experienced and expressed. For example, studies have found that Latinos are more likely to express psychological distress in somatic terms such as lack of energy, sleep disturbances, and body aches (Martinez Tyson, Castaneda, Porter, Quiroz, & Carrion, 2011). Additionally, studies find that Latinos are more likely to take a holistic approach to healing as evidenced by the principle of “mente sana en cuerpo sano y alma sana’ (healthy mind in healthy body and healthy soul) which communicates the strong connection between mind, body, and soul (Comas-Diaz, 2006). This suggests that a purely physical approach to therapy may not be well-received by the Latino client, and is supported by studies showing Latino patients feel apprehensive towards being treated with anti-depressants even when they have positive attitudes towards receiving treatment for depression (Cabassa, Lester, & Zayas, 2007). Understanding the client’s perception of the self is important in diagnosing and treating depression. Therefore, an effective therapist must be able to understand and incorporate the client’s worldview throughout the therapeutic process.

Cultural History: The patient is a moderately built, English speaking Caucasian female who “sometimes” practice the Baptist religion. She believes that her faith has kept her from losing her mind in desperate times and does not recognize any cultural or religious sways in her mental health care and

A 10-year study from the Journal of Family Practice, “found that 83% of the studies done on spirituality found a positive effect on physical health, 92% showed mental health benefits, 4% showed neither a positive nor negative effect and 4% showed harm” ("Spirituality and prayer," 2012), and in these studies spirituality was measured by participation in a religious ceremony, social support, prayer and belief in a higher power. Research among women diagnosed with breast cancer show that “prayer was associated with improved psychological well-being” ("Spirituality and prayer," 2012) and that high religiosity was linked to much lower levels of depression.