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Tosha Owens APCC #7607 2/1/23 Tosha Owens APCC #7607 2/1/23

Black History & Black Mental Health

February is Black History Month. It is a time dedicated to honoring and celebrating the essential contributions of Black people in America. National and local events and online celebrations will

take place throughout the month to focus attention on Black people's achievements and history and it is truly a time for everyone to celebrate. Black history is important because Black history is American history. It is not a separate matter. So today, we dedicate an entire month to recognize the meaningful impact that Black people have made to enrich American culture, expand our national footprint, strengthen families, and make a better society for all.

The National Alliance on Mental Illness (NAMI) website states, “According to the Health and Human Services Office of Minority Health, African Americans are 20 percent more likely to experience serious mental health problems than the general population.” They also go on to explain that while 40% of whites seek care for mental health issues, only 25% of African Americans reach out for help.

While the Black community has had a history of tackling social, racial, and economic justice, and there has been much progress made. What remains to be seen is why is there such a significant strain in the community on Black Mental Health. Addressing this prevailing issue will have an immediate impact on the long-term effects on the health of the Black community.

“What remains to be seen is why is there such a significant strain in the community on Black Mental Health. ”

Shame and stigma of mental health

The shame from family often stems from a greater cultural stigma that impacts mental health in the Black community. Messages about going to therapy can be viewed as a sign of weakness and something to be ashamed of. A lot of Black people don't think of therapy as a realistic or viable option for help and mental health isn't seen as something to focus on, improve, or get professional help for, so people who really need the help are often made to feel “wrong” for seeking help outside of their family or the church. Frequently, individuals are told to pray more, and things will get better. Additionally, blacks hold beliefs related to psychological openness, and help-seeking, which in turn affects their coping behaviors.

Answer: Family support is crucial and having a spiritual life is also important, but there is a sense of relief one gets when talking to someone who is unbiased and who can just listen without offering their advice. So, it’s important to begin to challenge the status quo. Get the help you deserve.

Access to Black and culturally sensitive therapists

Numerous people in the Black community state that they would prefer having a Black therapist. They want someone who understands the cultural nuances and recognizes the nonverbal cues that only a Black therapist can understand.

Answer: Black, Indigenous, and People of Color (BIPOC) therapists are growing in numbers. Also, there are more therapists being required to learn about and exhibit cultural sensitivity with their clients. Additionally, the message for Black people can be supported by these therapists to remind Black clients that therapy is about putting yourself first. So, someone who has been through trauma, has shame, struggles with depression or anxiety, and work issues should know that it is important and worth discussing these with someone who wants to help them. Also, Mental health therapy is one of the best self-care activities a person can do for themselves and BIPOC clinicians can help their clients with that.

High Costs of Mental Health

Mental health therapy can be costly. In some cases, private insurance companies will cover most of the cost of a visit, but a co-pay is still due at the time of service to the therapist. If a person doesn’t have insurance, they would have to pay out-of-pocket for sessions. Out-of-pocket sessions are not an option for many people, therefore the discussion of the affordability of therapy services continues to be an important topic.

Answer: There are numerous affordable options available to clients who are seeking help who may not have enough financial resources. These include Medicare, Sliding Scale Fees at Private Practice companies based upon the clients income, Non-Profit organizations, and Community Health Centers. Many clients were unaware of these sources and have come to believe mental health was unthinkable. Clients often experience some relief, personal growth, and begin to use the tools to manage their problems within a short period of beginning.

Supporting mental health in the Black community and decreasing the stigma about mental health services and making mental health more accessible is a wonderful place to start.

What can we do?

Additionally, creating resources, having healthier conversation about Black Mental Health and teaching, and encouraging Black people to learn it is appropriate to ask for help. Ideas include the following:

Black people should consider sharing and being more open about mental health challenges to normalize them for others in the community.
Follow Black therapists on social media who are talking about a variety of mental health challenges impacting the Black community and provide resources to support black mental health.
Talk to trusted friends and family about their positive experiences in therapy.
Understand that therapists are bound to confidentiality, which means the things that are discussed with their therapist will remain between the two of them, unless there are significant safety concerns.
Remember that prioritizing one’s own needs and self-care is not considered being selfish, it is actually healthy. Talking to someone who is safe, exercising, healthy eating, positive behaviors and social activities are essential for managing stress, especially for individuals who are used to being told that their own emotional and health needs are not important.

The future of Black Mental Health is certainly more promising as we discuss the issues and have identified several solutions. Making Black Mental Health a priority through accessibility, changing the stigma, and awareness within the Black community of how mental health services can be life giving, is a step in the right direction. Now that, is worthy of a celebration during Black History Month!

Written by Tosha Owens, APCC

Sherry Shockey-Pope 2/4/22 Sherry Shockey-Pope 2/4/22

Appreciating & Celebrating Black History Month

Black history is rich and vast; it does not solely belong to blacks but has universal significance.

Did you know February is Black History Month?

Black History Month is an annual celebration of achievements by Black/African Americans and a time for recognizing their central role in U.S. history. Also known as African American History Month. Since 1976, every U.S. president has officially designated the month of February as Black History Month. Other countries around the world, including Canada and the United Kingdom, also devote a month to celebrating Black history. While it is an annual observance that originated in the United States, many people wonder why it is so important. I often used to think it was about celebrating just simply being a Black/African American, but I have discovered it is so much more than that.

Black history is rich and vast; it does not solely belong to blacks but has universal significance. Many of our American traditions and culture has been based upon the societal influences of Black/African American people which includes music, science, sports, literature, yet also has been affected by a long history of social injustices and inequalities. Therefore, as February comes around and we celebrate Black history it should also serve as a time for our nation to reflect and be introspective about our successes, but yet recognize the work and the journey is far from over.

As we have learned, while there has been significant progression and numerous accolades and advances in the Black/African American story, many issues remain to be addressed and one significant concern facing this community is in the area of mental health. According to the Substance Abuse and Mental Health Services Administration (SAMHSA) 2018 National Survey on Drug Use and Health, entitled Black/African American Communities and Mental Health, shows that African Americans/Blacks represent approximately Thirteen percent (13.4 %) of the U.S. population, however only Sixteen percent (16%) of Black and African American people reported having a mental illness, and over twenty-two percent (22.4%) of those reported a serious mental illness over the past year.

Overall, mental health conditions occur in Black/African American people in America at about the same or less frequency than in White Americans. However, the historical Black/African American experience in America has and continues to be characterized by trauma and violence more often than for their White counterparts and impacts emotional and mental health of both youth and adults.

Historical adversity, which includes slavery, and race-based exclusion from health, educational, social, and economic resources, translates into socioeconomic disparities experienced by Black and African American people today. Socioeconomic status, in turn, is linked to mental health: people who are impoverished, homeless, incarcerated, or have substance use problems are at higher risk for poor mental health.

Additionally, despite progress made over the years, racism continues to have an impact on the mental health of Black/ African American people. Negative stereotypes and attitudes of rejection have decreased, but continue to occur with measurable, adverse consequences. Historical and contemporary instances of negative treatment have led to a mistrust of authorities, many of whom are not seen as having the best interests of Black and African Americans in mind.

Why should our society care about Black/African American mental health?

We need to recognize mental health is a societal issue not one solely based upon culture, skin color, socioeconomic status, or ethnicity. However, because of the issues stated earlier, the prevalence of mental health in Black/African American communities is likely to impact most of our families in a significant way. Therefore, this blog is intended to be a resource, serve as a form of education and well as to offer hope to people in our society.

What are some of the barriers to Black/African Americans getting help with mental health?

Attitudes

There are stereotypes, misconceptions, and a stigma in our community that being mentally ill is worse than having physical ailments.
Black and African Americans hold uninformed beliefs and lack psychological openness, and help-seeking, which in turn affects our coping behaviors. Many of which are simply rooted in not having an understanding of mental health, where it comes from, and cultural myths such as being labeled “crazy”.
Often in Black and African American communities the Church is placed in such high regard for providing help to for familial problems, mental health challenges, and therefore people are less likely to be open to seeking mental health services.
Black and African American men are particularly concerned about stigma and there are so many challenges against them, that on top of everything else they are not wanting to succumb to another negative label.

Access

Resources to healthcare and related resources are often limited to Black/African American families, thus this community is less likely to be aware of what resources are available.
Disparities in access to care and treatment for Black and African American people have also persisted over time.
Black/African Americans often receive poorer quality of mental health care and lack access to culturally competent care

Knowledge and Education

There is a need to acknowledge, inform, and provide solutions to the myriad of issues surrounding Black/African American mental health.
Assumptions are made that mental illness equals crazy which equals hospitalization and medication as a requirement for treatment. Alternative methods are not often known.

Treatment

Black and African American people with mental health conditions, specifically those involving psychosis, are more likely to be in jail or prison than people of other races.
Blacks and African Americans believe that mild depression or anxiety would be considered “crazy” in their social circles. Furthermore, many believe that discussions about mental illness would not be appropriate even among family.

What are the ways Blacks/African Americans can tackle mental illness?

Compared to white adults, African Americans are only half as likely to use mental health services, and roughly 15 percent lack health insurance.

The implications of untreated mental illness can be significant. Mental illness is the leading cause of disability, and can cause severe emotional, behavioral and physical health problems. If you or someone you know suffers from mental illness, getting early treatment can significantly improve your health and combat the trend of undertreatment in our community. Here are four things we can do to make mental health a priority.

There are several important ways to address these challenges:

Do away with the mental health stigmas. Many African Americans believe mild depression or anxiety is considered “crazy” in their social circles, which creates a reluctance to talk about mental illness, even among family. Only 30% of African Americans believe mental illness is a legitimate health issue, and 60% mistakenly see depression as a personal weakness. These misconceptions are dangerous. Just like diabetes or high blood pressure, mental illness is a real health problem that can be diagnosed and treated. Left unchecked, mental illness can have serious consequences.

Find a provider that can be trusted. This can be difficult for African Americans looking for cultural solidarity. Less than 2% of American Psychological Association members are African American, which leads to a perceived cultural gap in treatment, but there are providers who are trained and available to help. A simple interview can help clients decide whether a provider is culturally sensitive and right for them. Keep shopping just as a client would in finding the right doctor. There are many amazing therapists available to this community. Please check out our website at CCS.net for several providers who are culturally sensitive and experienced in working with Black/African American clients.

Know the difference between physical and emotional symptoms. Many African Americans would rather be considered sick than crazy, and as a result, they are more inclined to talk about physical symptoms like headaches or digestive problems without addressing underlying causes like sadness or anxiety. Mental health begins with self-awareness and is contingent on the ability to talk candidly with a provider. Take stock in how you feel and make an appointment to discuss any red flags that are present notice. Treating minor problems today will help avoid more serious problems down the road.

Break the silence. Mental illness affects one in five adults, yet we still have a hard time talking about it. This irony is especially relevant for African Americans, who are 20% more likely to experience mental illness. Sadly, many are just as inclined to disregard mental illness as they are to treat it. Talking openly about mental health issues is a critical first step in normalizing problems, and this begins at home, in church and around the neighborhood. Shedding mental health stigmas is a community effort, and it needs to happen one conversation at a time.

Let us strive to live in a world where treating mental illness is just as important as treating heart disease, Covid or cancer. We need to work together to encourage a better understanding of mental health in the Black/African American community, and in the process, to embrace a culture of understanding and support for those who suffer. By identifying warning signs and seeking treatment, millions can improve their quality of life, and you can be one of them.

Effective mental health care for African Americans requires understanding, empathy, and confidence in what it specifically means to live as an African American in America, and in celebrating Black/African American history this month. As a Black/African American Counselor I have hope for our future and look forward to the day that more of our community obtain help with mental health issues and in the coming years there will be a changing narrative on how all Americans view mental illness.

~Tosha, Associate Professional Clinical Counselor #7607

Black History & Black Mental Health