Mental Health Equity for Culturally and Linguistically Diverse Farmers in Hawai'i.

Abstract

This study examines the systemic challenges to accessing culturally and linguistically responsive mental health care among farmers and limited English proficient (LEP) agricultural workers in Hawai'i, with a focus on the role of federally qualified health centers (FQHCs) in addressing these access barriers and service gaps. Using geospatial analysis, document reviews, and interviews with FQHC personnel, this study explored potential gaps in services tailored for agricultural communities. Key findings reveal a misalignment between FQHC locations and farming regions, limited culturally responsive programs, and barriers such as stigma and language accessibility. Recommendations include expanding mobile clinics, integrating cultural practices, and enhancing language support to address the special needs of Hawai'i's diverse farming populations. This study underscores the need for systemic innovation to ensure mental health accessibility and support for the well-being of essential agricultural workers.