Immigrant & Refugee
Barriers to Help-Seeking Among Immigrants and Refugees by Elma Kaiser, Ph.D. MSW & Zakia Clay, DSW, LCSW, CPRP
“Mental health issues are also highly stigmatized in some cultures making it difficult for individuals to feel comfortable reaching out for the help they need.”
T
he steady influx of immigrants and refugees seeking opportunities and a better life in the United States has garnered much attention in political and social arenas. Sadly, less consideration is given to the stories and experiences of those who leave their native country. Some immigrants come to the U.S. by choice, while some flee their countries due to fear and violence. Some come here legally with approved and established privileges, while others do not. All these circumstances influence their acceptance and rights in the host country. However, irrespective of their path to the U.S., many immigrants and refugees encounter discrimination while trying to settle and build a new life. The period before and during migration can be traumatic for many immigrants and refugees.
26 | NJFOCUS •January 2022
They may experience physical and sexual violence, have life-threatening encounters, or be threatened with persecution. 1 The deplorable and inhumane conditions at Immigration Customs Enforcement detention centers have been well documented and underscore the trauma that can ensue for some following arrival. In recent years, there has also been an uptick in xenophobia and disparaging political rhetoric that contributes to stress and anxiety among immigrant communities. During resettlement, language barriers, family separation, and changing expectations around gender roles can all become salient determinants of physical and mental health outcomes. 2 Many immigrants and refugees hold on to their culture, religion, and traditions as they provide a sense of identity and security. Yet, continuing to
