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Confronting mental health stigma in Haitian Americans suffering from mental health challenges

Marie M Moreau1, Rene A Love, Dany Fanfan

  • 1University of Florida, College of Nursing, Gainesville, Florida.

Journal of the American Association of Nurse Practitioners
|January 25, 2024
PubMed

Insights

Internalized stigma of mental illness (ISMI) affects Haitian Americans, with men experiencing higher levels. A culturally relevant video intervention increased willingness to seek mental health treatment.

Area of Science:

  • Mental Health Disparities
  • Psychiatric Epidemiology
  • Cultural Psychiatry

Background:

  • Haitian Americans face disproportionate mental illness risk factors but underutilize effective treatments.
  • Internalized stigma of mental illness (ISMI) is a significant barrier to care seeking within this community.
  • This project addresses the need for culturally relevant interventions to improve mental health outcomes for Haitian Americans.

Purpose of the Study:

  • To characterize ISMI among Haitian Americans.
  • To examine demographic factors associated with ISMI.
  • To test the impact of a culturally relevant educational video on willingness to seek mental health treatment.

Main Methods:

  • Recruited 20 Haitian Americans with self-reported mental illness from a South Florida clinic.
  • Administered the ISMI scale and a post-intervention survey.
  • Utilized descriptive statistics, correlations, and thematic analyses.

Main Results:

  • 65% reported mild levels of ISMI.
  • Male participants showed significantly higher ISMI levels (r = -0.458, p = .042).
  • The educational video improved ISMI knowledge, with 85% reporting increased willingness to seek treatment.

Conclusions:

  • Nurse practitioners should discuss ISMI with Haitian American patients.
  • Consider gender differences in mental health beliefs and attitudes.
  • Culturally responsive psychoeducational interventions can increase mental health treatment utilization.
Abstract

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