As with minority groups internationally, Pacific peoples in New Zealand (Pasifika) experience higher rates of mental health problems than the general population, and are less likely to access mental health services. This study investigated the barriers and supports for Pasifika accessing and using mental health services with participation of 25 Pasifika (10 service-providers, 11 ex-service-users, and 4 ex-service-users/providers) in order to gain their key informant perspectives. A Pasifika-appropriate Talanoa approach was used to guide the data-collection process and the qualitative data were analyzed using thematic analysis. Barriers included stigma among Pasifika regarding mental health problems, commitment to finding solutions within the family, and both mistrust and lack of knowledge of services. Within the services, non-Pasifika providers often lacked understanding of the collectivist cultural values and practices of Pasifika, including spiritual beliefs. They were more likely to use services if the providers were respectful of Pasifika practices and paid attention to developing relationships in a culturally appropriate way. This included involvement of the Pasifika family, when possible. Service-users often benefited from contact with Pasifika providers within mainstream services. These results support previous cross-cultural research that indicates the importance of offering evaluation and intervention services grounded in an understanding and respect for the cultural significance and meaning of mental health problems for the person, the family, and their community. While efforts are made to address these issues in New Zealand, change is slow and ongoing cultural training for service-providers along with psychoeducation for Pasifika about mental health services is strongly desirable.

与国际上的少数群体一样，新西兰太平洋岛民（太平洋岛民）的心理健康问题发生率高于一般人群，并且不太可能获得心理健康服务。本研究调查了太平洋岛民获得和使用心理健康服务的障碍和支持，有 25 名太平洋岛民（10 名服务提供者、11 名前服务用户和 4 名前服务用户/提供者）参与，以获得他们的关键线人观点。使用适合太平洋岛国的 Talanoa 方法来指导数据收集过程，并使用主题分析对定性数据进行分析。障碍包括太平洋岛民对心理健康问题的污名化、在家庭中寻求解决方案的承诺以及对服务的不信任和缺乏知识。在服务范围内，非太平洋岛民提供者往往缺乏对太平洋岛民集体主义文化价值观和实践的了解，包括精神信仰。如果提供者尊重太平洋岛民的做法并注意以文化上适当的方式发展关系，他们就更有可能使用服务。在可能的情况下，这包括太平洋岛民家庭的参与。服务用户通常受益于与主流服务中的太平洋岛民供应商的联系。这些结果支持了之前的跨文化研究，这些研究表明提供基于理解和尊重心理健康问题对个人、家庭和社区的文化意义和意义的评估和干预服务的重要性。在新西兰努力解决这些问题的同时，