What are the major barriers preventing Asian populations from seeking mental health services?

Research Question
This project aims to answer the following research question: What are the major barriers
preventing Asian populations from seeking mental health services?

Significance of the Study

According to data and findings collected from the Substance Abuse and Mental Health Services Administration (SAMHSA), the Social Security Administration, and the National Comorbidity Survey – Replication (NCS-R), the National Institute of Mental Health (NIMH) estimates an excess of $300 billion of total annual expenses are related to serious mental illness
which affects about 6% of the adult population. Furthermore, the approximate total amount spent on all items associated with mental illness is rooted from the direct expenditures (e.g., treatment, mental health services), as well as indirect expenditures consisting of losses resulting from disability related to the mental condition (e.g., lost earnings, disability support) (NIMH, 2016).
Lost earnings alone for serious mental illness costs the U.S. about $193.2 billion per year (Insel, 2008). The objectives of this systematic literature review are to analyze a collection of numerous studies published in the past 11 years, identifying barriers hindering Asian populations in the U.S. and Canada from receiving mental health care services and to highlight the trending barriers
found among individual Asian subgroups.
Assumptions
The systematic literature review was conducted by a single author; therefore, the assumption is that the validity of the results may be affected as there is a risk of bias during the assessment of studies. It is further assumed that production of generalize results can be found as majority of the research studies involved quantitative methodology involving large populations.
Lastly, the review can be replicated as it follows a step-by-step systematic process of collecting, examining, and synthesizing data from research studies.
Limitations
The review consisted exclusively of peer-reviewed articles published within an 11-year timeframe. Credible online resources and books were not included as they posed potential complications with coding and issues with data analysis. Due to these limitations, the review may have not examined all pertinent articles. Although, there is certainty that the results may not have differed significantly if there were more articles included. The majority of the studies were conducted in the U.S. and a few from Canada. The review itself uncovered commonalities in barriers to mental health services (e.g., stigma, strong cultural adherence among older immigrants) between both Asian Americans and Asian Canadians which contributed more knowledge of the Asian subgroups found in developed countries. Unfortunately, it does not
reflect all barriers found in populations located in other developed nations within North America.
In addition, bias may have occurred during the article selection process (e.g., setting of inclusion and exclusion criteria) and the reviewing stages (e.g., coding) due to the examination being conducted by one author