Bridging cultural sensitivity and ethical practice: Expert narratives on child and adolescent mental health in Kuwait.

AimsThis study examines the influence of cultural factors on mental health perceptions and practices in Kuwait, with a specific focus on mental health professionals working with children and adolescents. Employing the ETHICA-4P toolkit, the study aims to evaluate and promote ethical and culturally sensitive approaches in research and clinical interventions.MethodsA qualitative research design was used, involving semi-structured interviews with mental health professionals to explore their experiences and approaches to culturally sensitive practice.ResultsFindings indicate that cultural factors, such as family dynamics, religious beliefs, and societal stigma, strongly influence help-seeking behaviours and therapeutic outcomes. Despite available mental health services, cultural stigma and fear of social repercussions remain significant barriers in Kuwait, including concerns about family reputation, judgment from the community, and potential impacts on marriage prospects or social standing.ConclusionETHICA-4P can act as a model to integrate cultural competence into clinical practice and improve mental health outcomes for children and youth. Findings also highlight the urgent need for education campaigns directed at therapists, parents, educators, and the general public to reduce stigma and increase mental health awareness.