Mental Health Service Engagement Among Canadian-Born Chinese University Students: What Helps and What Hinders
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Abstract
Mental health service (MHS) underutilization remains a significant issue for students on Canadian post-secondary campuses. Further, Chinese Canadians have reported among the poorest self-rated mental health, yet the lowest rates of MHS utilization of various ethnic groups within Canada. However, barriers and facilitators to mental health service engagement (MHSE) remain unexplored among Canadian-born Chinese (CBC) university students. As such, the aims of this study were to identify and explore helping and hindering factors related to CBC university students’ experiences of engaging with MHSs and the cultural context in which they do so. Seven CBC university students participated in semi-structured interviews about their experiences of MHSE, including the processes of recognizing and defining a problem requiring the support of mental health professionals, seeking MHSs, accessing MHSs, and utilizing MHSs. Data were analyzed using the Enhanced Critical Incident Technique, a qualitative research method which focuses on identifying helping and/or hindering critical incidents (CIs) and wish list (WL) items. Findings included themes related to the cultural context in which participants engaged with MHSs and categories of CIs and WL items related to what helped, hindered, and/or might have helped participants in MHSE. Implications for mental health promotion, counselling, and future research are discussed. This study provides unique perspectives that may inform culturally appropriate ways for university stakeholders, counsellors, and other allied professionals to promote successful MHSE among CBC university students.