Goal: The long-term goal of the proposed research program is to test the effectiveness of a preventative behavioral intervention and to scale it up for use with broader immigrant populations to reduce stress and mental health disorders. Intervention: This study plan to adapt the World Health Organization developed Problem Management Plus (PMP), an evidence based, multi-component, behavioral intervention including breathing, problem solving, behavioral activation, and social support for immigrants. Hypothesis: Immigrants in the Problem Management Plus for Immigrants (PMP-I) will have significantly lower levels of stress and anxious/depressive symptoms as compared to immigrants in the talk program with Community Support Service pamphlets (CSS). Objective: The current study aims to pilot test the feasibility and acceptability of PMP-I among Bhutanese immigrants 18 years and older living in the Massachusetts.
Inclusion Criteria: * Bhutanese adult 18 years or older resettled in Massachusetts * Have a score of 14 or below on the Patient Health Questionnaire (PHQ-9) Exclusion Criteria: * Have a PHQ-9 score of 15 or above * Clinically diagnosed mental health disorders * Taking psychiatric medications for any mental health problems