Mental Health Service Use Among Immigrants in the United States: A Systematic Review.

OBJECTIVE: Immigrants face stressors unique to the experience of migration that may exacerbate or cause mental health problems but access care at rates far below the general population, leaving them at risk of untreated mental health conditions. This review synthesizes current findings on mental health service utilization among immigrants to inform future research efforts addressing disparities in access to care. METHODS: A systematic literature search of seven databases yielded 62 articles that met inclusion criteria: peer-reviewed reports of empirical studies based in the United States with an explicit focus on immigrant mental health service use. Each article was evaluated, and information was extracted by using a structured abstracting form. RESULTS: Studies have shown that immigrants from Asia, Latin America, and Africa use mental health services at lower rates than nonimmigrants, despite an equal or greater need. Lower usage has been found to be more pronounced among men, the uninsured, and the undocumented. Structural barriers to service use reported included lack of insurance, high cost, and language barriers. Studies have shown that social support is particularly important for immigrants and that those who seek help for mental health concerns tend to turn first to family, friends, or religious leaders. CONCLUSIONS: Important areas for future research on disparities in mental health service use among immigrants include expanding research and analytic design to emphasize understudied groups and the heterogeneity of immigrant experiences over time, studying interventions that foster collaboration between formal and informal service sectors, and examining the role of social support in problem recognition and treatment initiation.

Increasingly mobile: How new technologies can enhance qualitative research.

Advances in technology, such as the growth of smart phones, tablet computing, and improved access to the internet have resulted in many new tools and applications designed to increase efficiency and improve workflow. Some of these tools will assist scholars using qualitative methods with their research processes. We describe emerging technologies for use in data collection, analysis, and dissemination that each offer enhancements to existing research processes. Suggestions for keeping pace with the ever-evolving technological landscape are also offered.

How Do Social Service Providers View Recent Immigrants? Perspectives from Portland, Maine, and Olympia, Washington.

This article explores how social service providers in two small, geographically distinct cities-Portland, Maine, and Olympia, Washington-understand the importance of welcoming and incorporating new immigrants in their cities. We focus on how providers characterize their responsibilities, how they understand the importance of responding to new immigrants, and what they describe as the challenges and opportunities presented by recent immigration to their cities. Despite differences in Portland and Olympia, we find that providers in both cities combine a sense of moral responsibility to help immigrants, with an emphasis on the economic and cultural resources immigrants bring to cities. These insights expand recent immigration scholarship from a focus on immigrants alone to include the perspectives and logics of social service workers who are often their first points of contact in new places.