Latiné Emerging Adults’ Insights on Expanding Mental Health Supports That Go Beyond Access to Care

Abstract

Structural and social determinants of health (DOH) significantly impact the mental wellbeing of Latiné communities. This study explores how structural and social DOH shape the perceived needs for mental health supports that extend beyond traditional services among first- and second-generation Latiné emerging adults. Incorporating their perspectives is essential, as they are underrepresented populations in mental health research and navigate complex cultural experiences. Using qualitative, semi-structured interviews (n = 21, aged 18–26), we captured firsthand insights into services and supports required to attend to their communities’ diverse mental health needs. Framework analysis revealed that addressing Latiné mental health requires enhancing access to flexible resources related to social DOH, such as education, economic stability, healthcare, the built environment, and social/community context. Participants emphasized that targeting social DOH directly could reduce stress, improve social mobility, foster mental wellbeing, and build stronger social connections. Furthermore, they called for policy and social norm reforms to tackle structural barriers and achieve mental health equity among immigrant communities. By highlighting community-driven priorities and strategies, this study underscores the importance of multilevel interventions and systemic changes that directly transform structural and social DOH to improve mental health outcomes in Latiné communities.