Mental Health Service Utilization of Somali Adolescents: Religion, Community, and School as Gateways to Healing
Abstract
This mixed-method study examines the utility of the Gateway Provider Model (GPM) in understanding service utilization and pathways to help for Somali refugee adolescents. Somali adolescents living in the Northeastern United States, and their caregivers, were interviewed. Results revealed low rates of use of mental health services. However other sources of help, such as religious and school personnel, were accessed more frequently. The GPM provides a helpful model for understanding refugee youth access to services, and an elaborated model is presented showing how existing pathways to help could be built upon to improve refugee youth access to services.
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Somali refugees experience barriers in accessing services that include distrust of authorities, stigma around mental health services, and linguistic or cultural barriers.
“Somali refugees experience barriers in accessing services that include distrust of authorities, stigma around mental health services, and linguistic or cultural barriers 11 .”
From Addressing Behavioral Health Disparities for Somali Immigrants Through Group Cognitive Behavioral Therapy Led by Community Health Workers (2017) · cites this paper as [11]
Despite the many documented barriers in the Somali community to accessing mental health services, this study found there was a great level of enthusiasm for engaging in this evidence-based intervention once it was provided in a format that met the needs of the community.
“Despite the many documented barriers in the Somali community to accessing mental health services 3,4,11 , this study found there was a great level of enthusiasm for engaging in this evidence-based intervention once it was provided in a format that met the needs of the community.”
From Addressing Behavioral Health Disparities for Somali Immigrants Through Group Cognitive Behavioral Therapy Led by Community Health Workers (2017) · cites this paper as [11]
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Self-citation
- Authors
- Ellis, B. H., Lincoln, A. K., Charney, M. E., Ford-Paz, R., Benson, M., & Strunin, L.
- Affiliations
- Boston Children's Hospital (US)
- Northeastern University (US)
- Harvard University (US)
- Children's Memorial Hospital, Chicago
- Boston University (US)
- Corresponding author
- Ellis, B. Heidi
- Venue
- Transcultural Psychiatry
- Publisher
- SAGE Publications
- Published
- 2010-11
- Volume
- 47
- Issue
- 5
- Pages
- 789-811
- ISSN
- 1363-4615 (ISSN-L)
- 1461-7471
- OpenAlex
- W2008870541
- Cited by
- 181
- References
- 41
- Citations by year
- 2026: 6 · 2025: 5 · 2024: 9 · 2023: 9 · 2022: 13 · 2021: 17 · 2020: 35 · 2019: 9 · 2018: 22 · 2017: 10 · 2016: 7 · 2015: 13 · 2014: 10 · 2013: 3 · 2012: 10
- FWCI
- 5.61
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Transcultural Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Mental Health (R21 MH70261, R21MH070261)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Education › Education and experiences of immigrants and refugees
- Keywords
- mental health service utilization, school-based support, community support, refugee youth, access to mental health care, caregivers
- MeSH terms
- Adolescent, Mental Disorders, Female, Health Services Accessibility, Humans, Male, Mental Healing, Mental Health Services, Refugees, Religion and Psychology, Residence Characteristics, Schools, Somalia, United States, Utilization Review, Emigrants and Immigrants, Community-Based Participatory Research
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