When the Poetry No Longer Rhymes: Mental Health Issues Among Somali Immigrants in the USA
Abstract
To identify and explore cultural dynamics influencing the psychiatric care of immigrant Somalis in the USA, we reviewed demographic data from Minnesota Departments of Human Services, and interviewed health professionals, exploring community perceptions of medical/psychiatric needs, cultural characteristics, barriers to care, and potential solutions. An informal survey of 37 members of the Mayo Clinic Department of Psychiatry and Psychology, to determine caregiver perceptions of care of Somali patients, cited language barriers (74%), and cultural misperceptions (68%) as the most frequent obstacles. Difficulties working within the patriarchal family structure, limited community resources, poor compliance, and financial issues ranged between 18 and 8%. Additional barriers mentioned were problems working with interpreters from `warring clan factions,' patients' fears of being labeled `crazy,' difficulties viewing illness within an emotional framework, and the need to address mental health from a physical framework through a focus on somatic symptoms. Somalis rarely acknowledge psychiatric problems and common traditional treatments have become ineffective in the new context. Recommendations include alternative health care approaches utilizing family values, `bargaining,' and educational approaches to acculturation.
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It is of critical importance to assess the acceptability of psychological treatments in refugee populations, particularly due to the stigma surrounding mental illness.
“it is of critical importance to assess the acceptability of psychological treatments in refugee populations, particularly due to the stigma surrounding mental illness [38, 39].”
From Examining cognitive behavioral therapy interventions for unaccompanied minors: a systematic review and qualitative research synthesis. (2025) · cites this paper as [39]
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- Authors
- Scuglik, D. L., Alarcón, R. D., Lapeyre, A. C., Williams, M. D., & Logan, K. M.
- Affiliations
- Mayo Clinic (US)
- Mayo Clinic College of Medicine
- Corresponding author
- Scuglik, Deborah L.
- ORCID
- Alarcón, Renato D.
- Venue
- Transcultural Psychiatry
- Publisher
- SAGE Publications
- Published
- 2007-12
- Volume
- 44
- Issue
- 4
- Pages
- 581-595
- ISSN
- 1363-4615 (ISSN-L)
- 1461-7471
- OpenAlex
- W2043072184
- Cited by
- 82
- References
- 7
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 8 · 2023: 2 · 2022: 1 · 2021: 3 · 2020: 4 · 2019: 5 · 2018: 7 · 2017: 5 · 2016: 5 · 2015: 4 · 2014: 5 · 2013: 7 · 2012: 5
- FWCI
- 4.73
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Transcultural Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Minnesota Department of Health
- Topics
- Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
- Social Sciences › Sociology and Political Science › Cultural Competency in Health Care
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Keywords
- Somali immigrants, mental health services, barriers to mental health care, language barriers, patriarchal family, somatic symptoms, traditional medicine, acculturation, caregiver perceptions, interpreters
- MeSH terms
- Acculturation, Adaptation, Psychological, Attitude to Health, Mental Disorders, Humans, Sick Role, Somalia, United States, Emigrants and Immigrants
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