Abstract
Problem Identification: Driven by systemic challenges such as stigma, racial discrimination, and limited access to culturally competent care, African immigrants in Northern California experience significant mental health concerns, including anxiety, depression, and PTSD. Cultural stigma, supernatural beliefs, language barriers, and mistrust in the healthcare system contribute to low help-seeking behaviors and high rates of untreated mental illness. These issues result in elevated risks for chronic diseases, suicide, and a reduced quality of life. Analysis: This capstone utilizes data from the CDC, Sacramento County, peer-reviewed studies, and immigrant health literature to explore behavioral, structural, and cultural factors influencing mental health outcomes. Guided by the Social Ecological Model and the Causal Chain framework, the analysis examines personal, interpersonal, community, organizational, and societal-level determinants that impact care access and coping mechanisms within this population.
Intervention Proposal: A multi-level, culturally tailored intervention is proposed. Core components include mobile mental health clinics, peer-led support, and mental health education delivered through trusted community venues. Collaborations with faith-based organizations and immigrant service providers aim to reduce stigma and enhance access to linguistically and culturally appropriate care.
Implementation and Evaluation: Implementation involves a phased rollout led by trained cultural liaisons, supported by policy advocacy and strong community partnerships. Evaluation will assess increases in mental health literacy, reductions in stigma, and greater service utilization. Sustainability will rely on continued stakeholder engagement and integration with existing local services. This approach offers a scalable, community-driven model for advancing mental health equity among African immigrants in Northern California.