Abstract
This study explores how shamans’ level of acculturation and demographics influence their recommendations in health services to clients who have symptoms related to a mental health disorder. Seventy-eight participants were identified through the snowball non-probability technique to complete surveys that measured their level of acculturation, demographics, and recommendations of health treatment. Through quantitative data analysis, their level of acculturation, specifically language and media, had a higher influence in their recommendation of medical treatment. However, demographics did not make a significant difference, except their age. This study demonstrates the need to provide more outreach to shamans so they understand mental health and when to recommend them to clients.