Mental health has received more attention and stigma associated with it has decreased over time in the United States. However, subpopulations have differing views on mental illness since cultural factors can shape perceptions of and influence access to mental health information. Previous studies have investigated such cultural factors among Sunni Muslims (the majority sect of Islam) and less so among Shia Muslims (the minority sect). To address this gap, two research questions were investigated in this project: (1) What are the mental health attitudes among Shia Muslim adults in the United States, and (2) How much mental health knowledge or literacy do Shia Muslim adults in the United States have? A survey was created to assess Shia Muslim mental health attitudes (including stigma) and knowledge. Using snowball sampling, 256 responses were collected. Analysis showed Shia Muslims believe biological, sinful, spiritual, and external factors contribute to mental illness and have low social stigma towards the mentally ill. They also have high mental health knowledge/literacy. Barriers to care reported include cost, time, mistrust of the mental healthcare system, social/self-stigma, and lack of culturally competent care.

Despite increasing mental health concerns, individuals from the Pacific Islands largely do not utilize the resources available to them (National Survey of Drug Use and Health, 2020). This is of particular concern among male adolescents within the population who are more at risk of mental health concerns. An interpretative phenomenological analysis focus group study was conducted in person with male adolescent Pacific Islanders (PI; ages 14–16) residing in one Western state (n = 3). Male adolescents reported that admitting to mental health concerns would greatly limit their academic, career, and personal ambitions due to the stigma attached. They also discussed religiosity as a protective factor and gave a number of individuals within their lives that could potentially be helpful to them in this area. In terms of stigma and perception, some participants described situations in which they discussed their mental health concerns to others within their community and their feelings were dismissed as being invalid or unimportant. In addition, several participants discussed the familial shame they would experience if they were to utilize mental health services. With regard to the cultural fit between practitioners and students, many students explained they felt uncomfortable being vulnerable with therapists outside their ethnic community. They felt that being open with their mental health concerns would give a poor impression of their PI community to therapists outside of their community. More research is needed to discover which groups to target within the community to impact the largest change in perception of mental health services across the community.