Students expressed low perceived need because they normalized mental strain as a natural product of their unstable immigration status. Many viewed treatment as futile because it could not address underlying immigration-related issues. They also anticipated stigmas associated with mental illness as well as their own undocumented status.
undocumented immigrants have a higher prevalence of depressive symptoms, poorer self-assessed mental health, and higher rates of major depressive disorders compared to their documented counterparts or the general population
lack of insurance coverage or program ineligibility.