Abstract
The current review aimed to understand Latinx caregivers’ barriers to mental health service and help-seeking behaviors for their youth and identify caregivers’ facilitators for mental health help-seeking and mental health service use for their Latinx youth. We identified 27 peer-reviewed articles (70% were quantitative, 19% were qualitative, and 11% were mixed methods) that met the inclusion criteria for the current review. Seven themes related to barriers emerged from the review: cultural factors and characteristics, logistical, systemic and societal, problem recognition and identification, fears about seeking therapy, parental and familial behaviors and thoughts, and stigma and judgment. Additionally, seven themes related to facilitators emerged from the review: family social support, positive thinking and outlook, history and familiarity with therapy, parental and child-related factors, demographic and logistical characteristics, school-related and cultural factors. Implications and future directions are discussed.
Highlights
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Guided by the Youth Help-Seeking and Service Utilization Model, as well as the Model for Mental Health Help-Seeking, the current scoping review focused on identifying barriers and facilitators that impact Latinx caregivers’ mental health help-seeking behavior for their children.
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The review identified seven themes related to barriers, which included cultural factors and characteristics, logistical, systemic and societal, problem recognition and identification, fears about seeking therapy, parental and familial behaviors and thoughts, and stigma and judgment.
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The review identified seven themes related to facilitators, which included family social support, positive thinking and outlook, history and familiarity with therapy, parental and child-related factors, demographic and logistical characteristics, school-related and cultural factors.
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References
Alegria, M., Robles, R., Freeman, D. H., Vera, M., Jimenez, A. L., Rios, C. & Rios, R. (1991). Patterns of mental health utilization among island Puerto Rican poor. American Journal of Public Health (1971), 81(7), 875–879. https://doi.org/10.2105/AJPH.81.7.875.
Alegria, M., Canino, G., Lai, S., Ramirez, R. R., Chavez, L., Rusch, D., Shrout, P. E., Alegría, M., Canino, G., Lai, S., Ramirez, R. R., Chavez, L., Rusch, D., & Shrout, P. E. (2004). Understanding caregivers’ help-seeking for Latino children’s mental health care use. Medical Care, 42(5), 447–455. https://doi.org/10.1097/01.mlr.0000124248.64190.56.
Anderson, E. R., & Mayes, L. C. (2010). Race/ethnicity and internalizing disorders in youth: A review. Clinical Psychology Review, 30(3), 338–348. https://doi.org/10.1016/j.cpr.2009.12.008.
Araujo, E. A., Pfiffner, L., & Haack, L. M. (2017). Emotional, social and cultural experiences of Latino children with ADHD symptoms and their families. Journal of Child and Family Studies, 26(12), 3512–3524. https://doi.org/10.1007/s10826-017-0842-1.
Arcia, E., & Fernández, M. C. (2003). From awareness to acknowledgment: The development of concern among Latina mothers of children with disruptive behaviors. Journal of Attention Disorders, 6(4), 163–175. https://doi.org/10.1177/108705470300600403.
Arcia, E., Sánchez-LaCay, A., & Fernández, M. C. (2002). When worlds collide: Dominican mothers and their Latina clinicians. Transcultural Psychiatry, 39(1), 74 https://doi.org/10.1177/136346150203900103.
Arksey, H., & O’Malley, L. (2005). Scoping studies: Towards a methodological framework. International Journal of Social Research Methodology: Theory & Practice, 8(1), 19–32. https://doi.org/10.1080/1364557032000119616.
Banta, J. E., James, S., Haviland, M. G., & Andersen, R. M. (2013). Race/ethnicity, parent-identified emotional difficulties, and mental health visits among California children. Journal of Behavioral Health Services & Research, 40(1), 5–19. https://doi.org/10.1007/s11414-012-9298-7.
Barnett, M. L., Gonzalez, A., Miranda, J., Chavira, D. A., & Lau, A. S. (2018). Mobilizing community health workers to address mental health disparities for underserved populations: A systematic review. Administration and Policy in Mental Health and Mental Health Services Research, 45(2), 195–211. https://doi.org/10.1007/s10488-017-0815-0.
Blanche, E. I., Diaz, J., Barretto, T., & Cermak, S. A. (2015). Caregiving experiences of Latino families with children with autism spectrum disorder. American Journal of Occupational Therapy, 69(5), 1–11. https://doi.org/10.5014/ajot.2015.017848.
Cabrera, N. J., Shannon, J. D., & Jolley-Mitchell, S. (2013). Coparenting in Latino families. Gender roles in immigrant families, 9–25, Springer, New York, NY.
Cauce, A. M., Domenech-Rodríguez, M., Paradise, M., Cochran, B. N., Shea, J. M., Srebnik, D., & Baydar, N. (2002). Cultural and contextual influences in mental health help seeking: A focus on ethnic minority youth. Journal of Consulting and Clinical Psychology, 70(1), 44–55. https://doi.org/10.1037/0022-006x.70.1.44.
Centers for Disease Control and Prevention (2021). What is children’s mental health? Retrieved from https://www.cdc.gov/childrensmentalhealth/basics.html.
Chavira, D. A., Bantados, B., Rapp, A., Firpo-Perretti, Y. M., Escovar, E., Dixon, L., Drahota, A., & Palinkas, L. A. (2017). Parent-reported stigma and child anxiety: A mixed methods research study. Children & Youth Services Review, 76, 237–242. https://doi.org/10.1016/j.childyouth.2017.03.013.
Danielson, M. L., Bitsko, R. H., Ghandour, R. M., Holbrook, J. R., Kogan, M. D., & Blumberg, S. J. (2018). Prevalence of parent-reported ADHD diagnosis and associated treatment among U.S. Children and adolescents, 2016. Journal of Clinical Child and Adolescent Psychology, 47(2), 199–212. https://doi.org/10.1080/15374416.2017.1417860.
De Silva, L. E. D., Ponting, C., Ramos, G., Guevara, M. V. C., & Chavira, D. A. (2020). Urban latinx parents’ attitudes towards mental health: Mental health literacy and service use. Children and Youth Services Review, 109. https://doi.org/10.1016/j.childyouth.2019.104719.
Derlan, C. L., Umaña-Taylor, A. J., Updegraff, K. A., & Jahromi, L. B. (2018). Mother-grandmother and mother-father coparenting across time among Mexican-origin adolescent mothers and families. Journal of Marriage and Family, 80(2), 349–366. https://doi.org/10.1111/jomf.12462.
Finno-Velasquez, M., Cardoso, J. B., Dettlaff, A. J., & Hurlburt, M. S. (2016). Effects of parent immigration status on mental health service use among Latino children referred to child welfare. Psychiatric Services, 67(2), 192–198. https://doi.org/10.1176/appi.ps.201400444.
Flores, I., Consoli, A. J., Gonzalez, J. C., Luis Sanchez, E., & Barnett, M. L. (2022). “Todo se hace de corazón:” An examination of role and identity among Latina promotoras de salud. Journal of Latinx Psychology, 10(1), 5–24. https://doi-org.proxy.library.vcu.edu/10.1037/lat0000194.
Galvan, T., & Gudiño, O. G. (2021). Understanding Latinx youth mental health disparities by problem type: The role of caregiver culture. Psychological Services, 18(1), 116–123. https://doi.org/10.1037/ser0000365.
Galvan, T., & Gudiño, O. G. (2020). Impact of youth problem type on specific dimensions of caregiver strain in Latino families. In Child & Youth Care Forum 49, (5), 759–767. https://doi.org/10.1007/s10566-020-09554-5.
Garcia, D., Barnett, M. L., Rothenberg, W. A., Tonarely, N. A., Perez, C., Espinosa, N., … & Jent, J. F. (2022). A natural helper intervention to address disparities in parent child-interaction therapy: A randomized pilot study. Journal of Clinical Child & Adolescent Psychology, 1-17. https://doi.org/10.1080/15374416.2022.2148255.
Gerdes, A. C., Lawton, K. E., Haack, L. M., & Schneider, B. W. (2014). Latino parental help-seeking for childhood ADHD. Administration and Policy in Mental Health and Mental Health Services Research, 41(4), 503–513. https://doi.org/10.1007/s10488-013-0487-3.
Ginsburg, G. S., Becker, E. M., Keeton, C. P., Sakolsky, D., Piacentini, J., Albano, A. M., Compton, S. N., Iyengar, S., Sullivan, K., Caporino, N., Peris, T., Birmaher, B., Rynn, M., March, J., & Kendall, P. C. (2014). Naturalistic follow-up of youths treated for pediatric anxiety disorders. JAMA Psychiatry, 71(3), 310–318. https://doi.org/10.1001/jamapsychiatry.2013.4186.
Gudiño, O. G., Lau, A. S., Yeh, M., McCabe, K. M., & Hough, R. L. (2009). Understanding racial/ethnic disparities in youth mental health services: Do disparities vary by problem type. Journal of Emotional and Behavioral Disorders, 17(1), 3–16. https://doi.org/10.1177/1063426608317710.
Gulliver, A., Griffiths, K. M., & Christensen, H. (2010). Perceived barriers and facilitators to mental health help-seeking in young people: A systematic review. BMC Psychiatry, 10. https://doi.org/10.1186/1471-244X-10-113.
Gustafson, E. L., Lakind, D., Walden, A. L., Rusch, D., & Atkins, M. S. (2021). Engaging parents in mental health services: A qualitative study of community health workers’ strategies in high poverty urban communities. Administration and Policy in Mental Health and Mental Health Services Research, 48(6), 1019–1033. https://doi.org/10.1007/s10488-021-01124-8.
Ho, J., Yeh, M., McCabe, K., & Hough, R. L. (2007). Parental cultural affiliation and youth mental health service use. Journal of Youth and Adolescence, 36(4), 529–542. https://doi.org/10.1007/s10964-006-9114-x.
Kapke, T. L., Grace, M. A., Castro, A., & Gerdes, A. C. (2019). Examining Latino family participation in treatment for childhood ADHD: The role of parental cultural factors and perceptions. Child & Family Behavior Therapy, 41(2), 84–109. https://doi.org/10.1080/07317107.2019.1599260.
Kataoka, S. H., Zhang, L. & Wells, K. B. (2002). Unmet need for mental health care among U.S. children: Variation by ethnicity and insurance status. The American Journal of Psychiatry, 159(9), 1548–1555. https://doi.org/10.1176/appi.ajp.159.9.1548.
Kessler, R. C., Berglund, P., Demler, O., Jin, R., Merikangas, K. R. & Walters, E. E. (2005). Lifetime Prevalence and Age-of-Onset Distributions of DSM-IV Disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62(6), 593–602. https://doi.org/10.1001/archpsyc.62.6.593.
Kouyoumdjian, H., Zamboanga, B. L., & Hansen, D. J. (2003). Barriers to community mental health services for Latinos: Treatment considerations. Clinical Psychology: Science and Practice, 10(4), 394–422. https://doi.org/10.1093/clipsy.bpg041.
Kuhn, E. S., & Laird, R. D. (2014). Family support programs and adolescent mental health: review of evidence. Adolescent Health, Medicine and Therapeutics, (5), 127–142. https://doi.org/10.2147/AHMT.S48057
Lawton, K. E., Kapke, T. L., & Gerdes, A. C. (2016). Understanding parental locus of control in Latino parents: Examination of cultural influences and help-seeking intentions for childhood ADHD. Cultural Diversity and Ethnic Minority Psychology, 22(2), 288–298. https://doi.org/10.1037/cdp0000022.
Levac, D., Colquhoun, H., & O'Brien, K. K. (2010). Scoping studies: advancing the methodology. Implementation Science, 5(1), 69–69. https://doi.org/10.1186/1748-5908-5-69.
Martinez, J. I., & Lau, A. S. (2011). Do social networks push families toward or away from youth mental health services?: A national study of families in child welfare. Journal of Emotional and Behavioral Disorders, 19(3), 169–181. https://doi.org/10.1177/1063426610377898.
Maternal and Child Health Bureau (MCHB, 2020) National Survey of Children’s Health. Retrieved from https://mchb.hrsa.gov/data/national-surveys
Perez, V., Ruderman, M., Kussman, M., Waterman, J., & Langley, A. (2023). Mental health engagement among foster and adopted youth: the transition from in-person to telemental health services. Social Work in Mental Health, 21(2), 203–221. https://doi.org/10.1080/15332985.2022.2123728.
Pew Research Center (2020). Key facts about U.S. Latinos for National Hispanic Heritage Month. Retrieved from https://www.pewresearch.org/fact-tank/2020/09/10/key-facts-about-u-s-latinos-for-national-hispanic-heritage-month/.
Pine, D. S., Cohen, P., Gurley, D., Brook, J. & Ma, Y. (1998). The risk for early-adulthood anxiety and depressive disorders in adolescents with anxiety and depressive disorders. Archives of General Psychiatry, 55(1), 56–64. https://doi.org/10.1001/archpsyc.55.1.56.
Planey, A. M., Smith, S. M., Moore, S., & Walker, T. D. (2019). Barriers and facilitators to mental health help-seeking among African American youth and their families: A systematic review study. Children and Youth Services Review, 101, 190–200. https://doi.org/10.1016/j.childyouth.2019.04.001.
Reardon, T., Harvey, K., Baranowska, M., O’Brien, D., Smith, L., & Creswell, C. (2017). What do parents perceive are the barriers and facilitators to accessing psychological treatment for mental health problems in children and adolescents? A systematic review of qualitative and quantitative studies. European Child & Adolescent Psychiatry, 26(6), 623–647. https://doi.org/10.1007/s00787-016-0930-6.
Rickwood, D. & Thomas, K. (2012). Conceptual measurement framework for help-seeking for mental health problems. Psychology research and behavior management, 5, 173–183. https://doi.org/10.2147/PRBM.S38707.
Roberts, R. E., Alegría, M., Roberts, C. R., & Chen, I. G. (2005). Mental health problems of adolescents as reported by their caregivers: A comparison of European, African, and Latino Americans. The Journal of Behavioral Health Services & Research, 32(1), 1–13. https://doi.org/10.1007/BF02287324.
Srebnik, D., Cauce, A. M., & Baydar, N. (1996). Help-seeking pathways for children and adolescents. Journal of Emotional and Behavioral Disorders, 4(4), 210–220. https://doi.org/10.1177/106342669600400402.
Stein, G. L., Gonzalez, L. M., Cupito, A. M. & Kiang, L. (2015). The Protective Role of Familism in the Lives of Latino Adolescents. Journal of Family Issues, 36(10), 1255–1273. https://doi.org/10.1177/0192513X13502480.
Stiffman, A. R., Pescosolido, B., & Cabassa, L. J. (2004). Building a model to understand youth service access: The gateway provider model. Mental Health Services Research, 6(4), 189–198. https://doi.org/10.1023/B:MHSR.0000044745.09952.33.
Stiles, A. A., Galvan, T., Zundel, C., Flournoy, J., & Gudiño, O. G. (2019). Stakeholder perspectives on eliminating disparities in mental health service use for Latinx youth: A qualitative study. Evidence-Based Practice in Child and Adolescent Mental Health, 4(4), 328–343. https://doi.org/10.1080/23794925.2019.1674225.
Toomey, R. B., Umaña-Taylor, A. J., Williams, D. R., Harvey-Mendoza, E. & Jahromi, L. B. (2014). Impact of Arizona’s SB 1070 immigration law on utilization of health care and public assistance among Mexican-origin adolescent mothers and their mother figures. American Journal of Public Health, 104(S1), S28–S34. https://doi.org/10.2105/AJPH.2013.301655.
Toppelberg, C. O., Hollinshead, M. O., Collins, B. A. & Nieto-Castañon, A. (2013). Cross sectional study of unmet mental health need in 5- to 7-year old Latino children in the United States: Do teachers and parents make a difference in service utilization? School Mental Health:A Multidisciplinary Research and Practice Journal, 5(2), 59–69. https://doi.org/10.1007/s12310-012-9089-6.
Turner, E. A., & Liew, J. (2010). Children’s adjustment and child mental health service use: The role of parents’ attitudes and personal service use in an upper middle class sample. Community Mental Health Journal, 46(3), 231–240. https://doi.org/10.1007/s10597-009-9221-8.
Turner, E. A., Plitt, C., Gamez, Y., & Godfrey, C. (2020). Therapy fears and help-seeking behaviors among mothers: Examining racial differences in mental health services. Community Mental Health Journal, 57(5), 808–813. https://doi.org/10.1007/s10597-020-00711-7.
Umaña-Taylor, A. J., Updegraff, K. A., & Gonzales-Backen, M. A. (2011). Mexican-origin adolescent mothers’ stressors and psychosocial functioning: Examining ethnic identity affirmation and familism as moderators. Journal of Youth and Adolescence, 40(2), 140–157. https://doi.org/10.1007/s10964-010-9511-z.
Vázquez, A. L., Navarro Flores, C. M., Alvarez, M. C., & Domenech Rodríguez, M. M. (2021). Latinx caregivers’ perceived need for and utilization of youth telepsychology services during the Coronavirus pandemic. Journal of Latinx Psychology, 9(4), 284–298. https://doi.org/10.1037/lat0000192.
Vázquez, A. L., Alvarez, M. C., Navarro Flores, C. M., González Vera, J. M., Barrett, T. S., & Domenech Rodríguez, M. M. (2021). Youth mental health service preferences and utilization patterns among Latinx caregivers. Children and Youth Services Review, 131, 106258 https://doi.org/10.1016/j.childyouth.2021.106258.
Villatoro, A. P., DuPont-Reyes, M. J., Phelan, J. C., Painter, K., & Link, B. G. (2018). Parental recognition of preadolescent mental health problems: Does stigma matter. Social Science & Medicine, 216, 88–96. https://doi.org/10.1016/j.socscimed.2018.09.040.
Wang, M. & Sheikh, K. S. (2014). Does parental involvement matter for student achievement and mental health in high school? Child Development, 85(2), 610–625. https://doi.org/10.1111/cdev.12153.
Woodward, L. J. & Fergusson, D. M. (2001). Life-course outcomes of young people with anxiety disorders in adolescence. Journal of the American Academy of Child & Adolescent Psychiatry, 40(9), 1086–1093. https://doi.org/10.1097/00004583-200109000-00018.
Young, A. S., & Rabiner, D. (2015). Racial/ethnic differences in parent-reported barriers to accessing children’s health services. Psychological Services, 12(3), 267–273.
Zerr, A. A., & Pina, A. A. (2014). Predictors of initial engagement in child anxiety mental health specialty services. Child & Youth Care Forum, 43(2), 151–164. https://doi.org/10.1007/s10566-013-9230-1.
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C.D.W. and O.M.’s efforts on this article were partially supported by Virginia Commonwealth University’s Institute for Inclusion, Inquiry & Innovation (iCubed).
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Santana, A., Williams, C.D., Winter, M. et al. A Scoping Review of Barriers and Facilitators to Latinx Caregivers’ Help-Seeking for Their Children’s Mental Health Symptoms and Disorders. J Child Fam Stud 32, 3908–3925 (2023). https://doi.org/10.1007/s10826-023-02715-9
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DOI: https://doi.org/10.1007/s10826-023-02715-9