Perceptions and barriers about mental health services among Pacific Islanders: An interpretative phenomenological analysis.

Abstract

Every year, millions of Americans do not receive needed mental health (MH) services. Although Pacific Islanders (PI) have a high need for MH services, this group has the lowest rate of MH care help seeking. This is especially concerning as the rate of suicide has been increasing within the PI community. This study explored how Pacific Islanders think about MH supports, including their attitudes toward and perceptions of barriers to receiving MH services. An interpretative phenomenological analysis focus group study was conducted with cross-generational Pacific Islanders residing in one western state. The findings include (a) PI perceptions that MH help seeking results in family burdensomeness, stigma, and shame; (b) negotiating PI social customs and beliefs related to MH help seeking, care, and support; and (c) PI mistrust of institutional resources. These themes seemed to interact with each other and create perpetuate barriers which prevent help-seeking behaviors. Clinical and research implications will be provided. Public Significance StatementThe findings of this study found that Pacific Islanders face a number of obstacles that may prevent them from both seeking and utilizing mental health care services. Additionally, this study highlights the need to address cultural, educational, and societal barriers to improve Pacific Islanders ease of access and willingness to engage in psychotherapy in their communities.