Qualitative Analysis Plan

Data Transcription 2

1. Research question

What are barriers to mental healthcare access experienced by West and Central African immigrants in the United States?

2. History of the participant

I: Mr. Phineas tell what part of West/Central Africa you are from, Gender, Interaction with other people and Interaction with the healthcare system

R: I am from Zimbabwe; I am a male gender. I used to go to the hospital for my mental health, but I have not been there for some time now due to language barrier. I felt like people did not understand me.

I: What are the lived experience as a person with mental health disorders or knows someone who does?

R: It was very rough at the beginning. As I said before, I felt like people did not understand me and that was frustrating.

I: Any problems one can define as a culturally based stigma?

R: Yes, cultural stigma is huge. People are afraid to even say they have a mental illness. And when the providers start moving you around rom one counselor to another, it affected my pride.

I: How do you define of mental illnesses?

R: People losing their minds or experiencing psychosis.

I: What are examples that qualify to be mental health illnesses

R: Psychotic behaviors, depression

I: How challenging is it to access medical help?

R: The cost and language barrier

I: How has been the experience when seeking help?

R; Language barrier has been a problem. Cultural beliefs

I: Are there any barriers? Which ones

R: Stigma people afraid to open up, cost, language

3. Current feeling

I: What are your feelings regarding past experiences?

R: Back home was even worse. We hardly talk about our mental health. We do not even have mental health setup. Most people with psychotic disorders are seen to be under some form of spell or witchcraft. It was a taboo.

I: If the same experience happened today, what would be your response

R: Education and interacting with other people have helped me gained some awareness and coping skills.

4. Barriers to access to mental health services among African immigrants

I: Why is it challenging to access mental health services?

R: Cost, stigma, language

I: How does cultural stigma occur for African immigrants when seeking help?

R: People do not want family to know they are struggling mentally. They want to look strong. It is a cultural thing to be strong.

I: What are your experiences with mental health providers or hospitals?

R: it has been very difficult to explain myself to them.

I: How has it been living as a West or Central African immigrant?

R: It has been great living here and being able to support my family back home and having the opportunity to get ahead in life.

I: How did you discover you had developed mental illnesses?

R: I was not able to sleep at night and I was very tried and angry.

I: What efforts have you made to ensure you get mental health-related services? Were they successful?

R: Understanding me and not judging me was very challenging and I had to keep changing counselors and sharing my information with several peoplr which didn’t sit right with me. That was unfair. I should not be explaining my life to more than one person. I do not think it was successful.

I: What would you wish that the federal, state, or local governments do to improve the current situation faced by African immigrants as they struggle to get medical help?

R: I think that they should provide more funding for training for more diverse therapist and counselors.

I: What is your perception regarding the future of African immigrants experiencing mental health services?

R: I think Africans contribute so much to the economy of the United States and they should reduce cost to accommodate immigrants from this population.

I: What is the role of medical providers in increasing the challenges or barriers faced by African immigrants in accessing mental health services?

R: Medical providers are unfair and bias to black seeking mental healthcare. They do not provide enough options for care.