The reduced utilization of mental health services by Native Americans may be the result of cultural beliefs that:

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Many Native American cultures believe that illness, including mental illness, is a result of disharmony with one's community, nature, and spiritual world. As a result, seeking help from outside professionals may not align with this cultural belief and could lead to reduced utilization of mental health services. Additionally, many Native American cultures have a history of mistreatment and trauma at the hands of non-Native mental health professionals, which could contribute to a lack of trust in mental health professionals. However, this is not the only reason for reduced utilization of services among Native Americans.

The Reduced Utilization of Mental Health Services by Native Americans