Insights from Albanian University Students in the Balkans

Mental health awareness is gaining traction worldwide, yet cultural stigma and limited resources remain significant barriers to care—especially among university students in underrepresented regions. A recent qualitative study, Mental health awareness, stigma, and help-seeking attitudes among Albanian university students in the Western Balkans (Hyseni Duraku et al., 2023), provides critical insights into these challenges within Kosovo, North Macedonia, and Albania. The findings shed light on the socio-cultural dynamics shaping mental health awareness and help-seeking behaviors among Albanian students and propose strategies to improve access to care.

Understanding the Context: Mental Health Awareness and Stigma

The study reveals moderate levels of mental health awareness among students, highlighting an ongoing need for education. Despite this awareness, stigma—rooted in cultural norms and traditional beliefs—continues to obstruct open dialogue and professional help-seeking. Families and communities often view mental health issues as taboo, perpetuating silence and isolation for those struggling. This stigma creates a ripple effect, discouraging students from accessing vital resources and exacerbating mental health challenges.

The Role of Universities: Missed Opportunities

Higher education institutions in the Balkans emerge as a critical yet underutilized platform for mental health support. Only 20% of students reported having their mental health needs met by their universities. Participants noted the absence of affordable, confidential counseling services, empathetic faculty interactions, and a supportive campus environment. These gaps indicate a pressing need for universities to prioritize mental health, not only as a well-being issue but also as a factor in academic success and personal growth.

Socio-Ecological Insights: A Multi-Layered Challenge

Using the socio-ecological model, the study underscores how individual, interpersonal, organizational, and societal factors intersect to influence mental health outcomes. At the individual level, students often internalize societal stigma, leading to self-doubt and reluctance to seek help. Interpersonally, familial attitudes play a pivotal role; for many, discussing mental health issues at home remains challenging. Organizationally, universities fail to provide adequate resources, and at the societal level, cultural narratives around mental health perpetuate stigma. Addressing these interconnected layers requires a holistic approach.

Pathways to Change: Recommendations

The study’s authors advocate for culturally sensitive interventions tailored to the unique socio-cultural fabric of the Balkans. Key recommendations include:

  1. Enhancing Mental Health Literacy: Educational campaigns, similar to the ones we aim for at ACHM, aimed at dismantling myths and fostering a deeper understanding of mental health.

  2. Reducing Stigma: Community-based initiatives to challenge traditional beliefs and normalize mental health discussions.

  3. Strengthening University Support Systems: Expanding access to counseling, training faculty to provide empathetic and culturally sensitive support, and creating inclusive campus environments.

  4. Advocating for Policy Changes: Governments in Albania and Kosovo must prioritize mental health through supportive legislation, funding, and programs designed to meet the needs of young adults.

Why This Matters for Albanian-Canadian Communities

For Albanian-Canadians, the findings from this study resonate deeply. Many in the diaspora share cultural ties to the Balkans, where traditional beliefs about mental health remain influential. Raising awareness and addressing stigma within Albanian-Canadian communities can be informed by these insights, fostering a more open and supportive environment for mental health care.

As mental health gains recognition as a cornerstone of well-being, integrating culturally informed strategies into both local and diaspora communities is essential. By learning from the experiences of Albanian students in the Balkans, we can take meaningful steps toward breaking down barriers and building a brighter, stigma-free future for all.

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Understanding Shame: Role, Impact and Relevance on Mental Health

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Breaking the Stigma: Conversations About Mental Health in Albanian Families