This analysis finds acculturative stress worsens mental health outcomes in immigrant families, indicating a need for improved access to care solutions.
North Carolina’s immigrant communities face mental health challenges driven by restrictive policies, structural barriers, and acculturative stress. These forces reduce access to care and worsen outcomes, particularly in mixed-status families. Community-embedded, culturally responsive models, including stepped care with Community Mental Health Workers, improve engagement, expand access, and support scalable mental health equity statewide.
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Smith et al. (2026) studied this question.
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