Mental health services utilization is low across the nation, but a major growing concern for Indians living in America, as they have the lowest rate of utilization among all ethnic groups. Seeking professional help has shown to improve mental health outcomes and enhance overall quality of life, with untreated mental health conditions leading to loss of employment, strained relationships, and even suicide. Previous studies have shown the possible association between Indian culture and decreased help-seeking behavior due to Indians’ strong sense of cultural and ethnic identity and the presence of a severe mental health stigma in Indian society. This rapid systematic review aimed to investigate that possible association by determining the effect of culture on mental health services utilization among Indians in the United States. In consultation with a research librarian, we searched two online databases, PubMed and PsycInfo, for primary studies examining how Indian culture impact the use of mental health services. We initially screened 243 titles and abstracts, however, nine studies were identified to meet the inclusion criteria of U.S. based studies and study populations of Indians legally residing in the country. The studies highlighted the following aspects of culture as potential influences of help-seeking behavior: cultural stigma, religious beliefs, gender roles, and acculturation. The findings of this review have several implications for future patient-provider interactions and are important to inform community-based interventions designed to decrease stigma and increase mental health services utilization in the Indian community.
Recommended CitationRamolia, MPH(c), Shivani; Leader, DrPH, MPH, Amy; and Frasso, PhD, CPH, Rosemary, "Examining Culture and Mental Health Services Utilization among Indians: A Rapid Systematic Review" (2020). Master of Public Health Thesis and Capstone Presentations. Presentation 349.