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Black Church Leaders’ Attitudes About Mental Health Services: Role of Racial Discrimination

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Abstract

Black church leaders are often first responders to mental health issues in the Black community, yet few researchers have examined their attitudes about seeking outside mental health services. In order to fill this gap, we surveyed 112 church leaders in a northeastern urban Baptist Black mega-church (22 associate pastors, 34 deacons, and 56 congregation care givers) using The National Survey of American Life. Findings suggest church leaders more often relied on the church community and alternative health services, leaders who attended church more often tended to report not receiving any outside mental health treatment, the closer church leaders felt to all Black people, the less satisfied they were with help received from formal mental health services, and leaders who experienced more racial discrimination tended to report worse overall mental and physical health. Clinical providers and Black churches should develop collaborative partnerships to better meet the needs of this community.

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References

  • Aaron, K. F., Levine, D., & Burstin, H. R. (2003). African American church participation and health care practices. Journal of General Internal Medicine, 18, 908–913. doi:10.1046/j.1525-1497.2003.20936.

    Article  PubMed Central  Google Scholar 

  • Adksion-Bradley, C., Johnson, D., Sanders, J. L., Duncan, L., & Holcomb-McCoy, C. (2005). Forging a collaborative relationship between the Black church and the counseling profession. Counseling and Values, 49(2), 147–154. doi:10.1002/j.2161-007X.2005.tb00261.

    Article  Google Scholar 

  • Author, (2008). Engaging African Americans in therapy: Integrating a public policy and family therapy perspective. Contemporary Family Therapy, 30, 31–47. doi:10.1007/s10591-007-9053-z.

    Article  Google Scholar 

  • Author, et al. (2010). Being examples to the flock: The role of church leaders and African American families seeking mental health care services. Contemporary Family Therapy, 32(2), 117–134. doi:10.1007/s10591-009-9108-4.

    Article  Google Scholar 

  • Awosan, C. I., Sandberg, J. G., & Hall, C. A. (2011). Understanding the experience of Black clients in marriage and family therapy. Journal of Marital and Family therapy, 37(2), 153–168. doi:10.1111/j.1752-0606.2009.00166.

    Article  PubMed  Google Scholar 

  • Banks, K. H., Kohn-Wood, L. P., & Spencer, M. (2006). An examination of the African American experience of everyday discrimination and symptoms of psychological distress. Community Mental Health Journal, 42(6), 555–570. doi:10.1007/s10597-006-9052-9.

    Article  PubMed  Google Scholar 

  • Bean, R. A., Perry, B. J., & Bedell, T. M. (2002). Developing culturally competent marriage and family therapists: Treatment guidelines for non-African-American therapists working with African-American families. Journal of Marital and Family Therapy, 28(2), 153–164. doi:10.1111/j.1752-0606.2002.tb0035.

    Article  PubMed  Google Scholar 

  • Blank, M. B., Manhood, M., Jeanne, C. F., & Guterbock, T. (2002). Alternative mental health services: The role of the Black Church in the South. American Journal of Public Health, 92, 1668–1672. doi:10.2105/AJPH.92.10.1668.

    Article  PubMed  PubMed Central  Google Scholar 

  • Bonilla-Silva, E. (2014). Racism without racists: Color-blind racism and the persistence of racial inequality in the United States (4th ed.). Lanham, MD: Rowman & Littlefield Publishers, Inc. doi:10.2307/40264552.

    Google Scholar 

  • Buser, J. K. (2009). Treatment-seeking disparity between African Americans and Whites: Attitudes toward treatment, coping resources, and racism. Journal of Multicultural Counseling and Development, 37(2), 94–104. doi:10.1002/j.2161-1912.2009.tb00094.

    Article  Google Scholar 

  • Cabral, R. R., & Smith, T. B. (2011). Racial/ethnic matching of clients and therapists in mental health services: A meta-analytic review of preferences, perceptions, and outcomes. Journal of Counseling Psychology, 58(4), 537. doi:10.1037/a0025266.

    Article  PubMed  Google Scholar 

  • Carpenter-Song, E., Whitley, R., Lawson, W., Quimby, E., & Drake, R. E. (2011). Reducing disparities in mental health care: Suggestions from the Dartmouth–Howard collaboration. Community Mental Health Journal, 47(1), 1–13. doi:10.1007/s10597-009-9233-4.

    Article  PubMed  Google Scholar 

  • Carr-Copeland, V. (2005). African American disparities in health care access and utilization. Health and Social Work, 30, 265–270. doi:10.1093/hsw/30.3.265.

    Article  Google Scholar 

  • Chao, R. C. L., Longo, J., Wang, C., Dasgupta, D., & Fear, J. (2014). Perceived racism as moderator between self-esteem/shyness and psychological distress among African Americans. Journal of Counseling and Development, 92(3), 259–269. doi:10.1002/j.1556-6676.2014.00154.

    Article  Google Scholar 

  • Constantine, M. G., Lewis, E. L., Conner, L. C., & Sanchez, D. (2000). Addressing spiritual and religious issues in counseling African Americans: Implications for counselor training and practice. Counseling and Values, 45(1), 28–38. doi:10.1002/j.2161-007X.2000.tb00180.

    Article  Google Scholar 

  • Dana, R. H. (2002). Mental health services for African Americans: A cultural/racial perspective. Cultural Diversity and Ethnic Minority Psychology, 8, 3–18. doi:10.1037/1099-9809.8.1.3.

    Article  PubMed  Google Scholar 

  • Eyerman, R. (2002). Intellectuals and the construction of an African American identity: outline of a generational approach. Generational Consciousness, Narrative, and Politics, 1, 51–74.

  • Galloway, A. (2003). Psychology at work inside and outside the Church: Bridging the gaps between emotional, physical, and spiritual health. Journal of Psychology and Christianity, 22, 343–347.

    Google Scholar 

  • Hall, C. A., & Sandberg, J. G. (2012). “We Shall Overcome”: A qualitative exploratory study of the experiences of African Americans who overcame barriers to engage in family therapy. The American Journal of Family Therapy, 40(5), 445–458. doi:10.1080/01926187.2011.637486.

    Article  Google Scholar 

  • Holden, K. B., & Xanthos, C. (2009). Disadvantages in mental health care among African Americans. Journal of Health Care for the Poor and Underserved, 20(2A), 17–23. doi:10.1353/hpu.0.0155.

    Article  PubMed  Google Scholar 

  • Jackson, J. S., Torres, M., Caldwell, C. H., Neighbors, H. W., Nesse, R. M., Taylor, R. J., & Williams, D. R. (2004). The National Survey of American Life: A study of racial, ethnic and cultural influences on mental disorders and mental health. International journal of methods in psychiatric research, 13(4), 196–207. doi:10.1002/mpr.177.

    Article  PubMed  Google Scholar 

  • Jimenez, D. E., Bartels, S. J., Cardenas, V., Dhaliwal, S. S., & Alegria, M. (2012). Cultural beliefs and mental health treatment preferences of ethnically diverse older adult consumers in primary care. The American Journal of Geriatric Psychiatry, 20(6), 533–542. doi:10.1097/JGP.0b013e318227f876.

    Article  PubMed  PubMed Central  Google Scholar 

  • Kwate, N. O. A., & Goodman, M. S. (2015). Cross-sectional and longitudinal effects of racism on mental health among residents of Black neighborhoods in New York City. American Journal of Public Health, 105(4), 711–718. doi:10.2105/AJPH.2014.302243.

    Article  PubMed  PubMed Central  Google Scholar 

  • Lo, C. C., Cheng, T. C., & Howell, R. J. (2014). Access to and utilization of health services as pathway to racial disparities in serious mental illness. Community Mental Health Journal, 50(3), 251–257. doi:10.1007/s10597-013-9593-7.

    Article  PubMed  Google Scholar 

  • Mattis, J. S., Mitchell, N., Zapata, A., Taylor, R. J., Chatters, L. M., Neighbors, H. W., et al. (2007). Uses of ministerial support by African Americans: A focus group study. American Journal of Orthopsychiatry, 77, 249–258. doi:10.1037/0002-9432.77.2.249.

    Article  PubMed  Google Scholar 

  • McCray, C. R., Grant, C. M., & Beachum, F. D. (2010). Pedagogy of self-development: The role the Black church can have on African American students. The Journal of Negro Education, 79(3), 233–248.

    Google Scholar 

  • Mishra, S. I., Lucksted, A., Gioia, D., Barnet, B., & Baquet, C. R. (2009). Needs and preferences for receiving mental health information in an African American focus group sample. Community Mental Health Journal, 45(2), 117–126. doi:10.1007/s10597-008-9157-4.

    Article  PubMed  PubMed Central  Google Scholar 

  • Murphy, M. J., Park, J., & Lonsdale, N. J. (2006). Marriage and family therapy students’ change in multicultural counseling competencies after a diversity course. Contemporary Family Therapy, 28(3), 303–311. doi:10.1007/s10591-006-9009-8.

    Article  Google Scholar 

  • Neighbors, H. W., Musick, M. A., & Williams, D. R. (1998). The African American Minister as a source of help for serious personal crisis: Bridge or barrier to mental health care? Health Education and Behavior, 25, 759–777. doi:10.1177/109019819802500606.

    Article  PubMed  Google Scholar 

  • Noh, S., & Kaspar, V. (2003). Perceived discrimination and depression: Moderating effects of coping, acculturation, and ethnic support. American Journal of Public Health, 93(2), 232–238. doi:10.2105/AJPH.93.2.232.

    Article  PubMed  PubMed Central  Google Scholar 

  • Oppenheimer, J. E., Flannelly, K. J., & Weaver, A. J. (2004). A comparative analysis of the psychological literature on collaboration between clergy and mental-health professionals—Perspectives from secular and religious journals: 1970–1999. Pastoral Psychology, 53(2), 153–162. doi:10.1023/B:PASP.0000046826.29719.8d.

    Article  Google Scholar 

  • Outten, H. R., Schmitt, M. T., Garcia, D. M., & Branscombe, N. R. (2009). Coping options: Missing links between minority group identification and psychological well-being. Applied Psychology, 58(1), 146–170. doi:10.1111/j.1464-0597.2008.00386.

    Article  Google Scholar 

  • Payne, J. S. (2009). Variations in pastors’ perceptions of the etiology of depression by race and religious affiliation. Community Mental Health Journal, 45(5), 355–365. doi:10.1007/s10597-009-9210-y.

    Article  PubMed  PubMed Central  Google Scholar 

  • Payne, J. (2012). Influence of race and symptom expression on clinicians’ depressive disorder identification in African American men. Journal of the Society for Social Work and Research, 3(3), 162–177. doi:10.5243/jsswr.2012.11.

    Article  Google Scholar 

  • Pittman, C. T. (2011). Getting mad but ending up sad: The mental health consequences for African Americans using anger to cope with racism. Journal of Black Studies, 42(7), 1106–1124. doi:10.1177/0021934711401737.

    Article  PubMed  Google Scholar 

  • Sanders Thomson, V. L., Bazile, A., & Akbar, M. (2004). African Americans’ perception of psychotherapy and psychotherapists. Professional Psychology: Research and Practice, 35, 19–26. doi:10.1037/0735-7028.35.1.19.

    Article  Google Scholar 

  • Schraufnagel, T. J., Wagner, A. W., Miranda, J., & Roy-Byrne, P. P. (2006). Treating minority patients with depression and anxiety: What does the evidence tell us? General Hospital Psychiatry, 28(1), 27–36. doi:10.1016/j.genhosppsych.2005.07.002.

    Article  PubMed  Google Scholar 

  • Schwartz, A. C., Bradley, R. L., Sexton, M., Sherry, A., & Ressler K. J. (2005). Posttraumatic stress disorder among African Americans in an inner city mental health clinic. Psychiatric Services, 56(2), 212–215.

  • Sellers, R. M., & Shelton, J. N. (2003). The role of racial identity in perceived racial discrimination. Journal of Personality and Social Psychology, 84(5), 1079. doi:10.1037/0022-3514.84.5.1079.

    Article  PubMed  Google Scholar 

  • Snowden, L. R. (1999). African American service use for mental health problems. Journal of Community Psychology, 27(3), 303–313. doi:10.1002/(SICI)1520-6629(199905)27:3<303:AID-JCOP5>3.0.CO;2-9.

    Article  Google Scholar 

  • Tucker-Worgs, T. (2001). Get on board, little children, there’s room for many more: The Black megachurch phenomenon. The Journal of the Interdenominational Theological Center, 29(1), 231–241.

    Google Scholar 

  • Vygotsky, L. S. (1986). Thought and language (rev.ed). Cambridge, MA: MIT Press.

    Google Scholar 

  • Ward, E. C., Clark, L. O., & Heidrich, S. (2009). African American Women’s beliefs, coping behaviors, and barriers to seeking mental health services. Qualitative Health Research, 19(11), 1589–1601. doi:10.1177/1049732309350686.

    Article  PubMed  PubMed Central  Google Scholar 

  • Whaley, A. L. (2001). Cultural mistrust and mental health services for African Americans: A review and meta-analysis. Counseling Psychologist, 29, 513–531. doi:10.1177/0011000001294003.

    Article  Google Scholar 

  • Wilkins, E. J., Whiting, J. B., Watson, M. F., Russon, J. M., & Moncrief, A. M. (2013). Residual effects of slavery: What clinicians need to know. Contemporary Family Therapy, 35(1), 14–28. doi:10.1007/s10591-012-9219-1.

    Article  Google Scholar 

  • Williams, D. R., Gonzalez, H. M., Neighbors, H., Nesse, R., Abelson, J. M., Sweetman, J., & Jackson, J. S. (2007). Prevalence and distribution of major depressive disorder in African Americans, Caribbean Blacks, and non-Hispanic Whites: Results from the National Survey of American Life. Archives of General Psychiatry, 64(3), 305–315. doi:10.1001/archpsyc.64.3.305.

    Article  PubMed  Google Scholar 

  • Williams, D. R., Neighbors, H. W., & Jackson, J. S. (2003). Racial/ethnic discrimination and health: Findings from community studies. American Journal of Public Health, 93(2), 200–208. doi:10.2105/AJPH.93.2.200.

    Article  PubMed  PubMed Central  Google Scholar 

  • Williams, D., & Williams-Morris, R. (2000). Racism and mental health: The African American experience. Ethnicity and health, 5(3–4), 243–268. doi:10.1080/713667453.

    Article  PubMed  Google Scholar 

  • Wright, P., Moreau, M., & Haley, G. (2009). The Clergy’s attitudes about mental illness, counselling, and the helping professions. Canadian Journal of Community Mental Health, 1(1), 71–80. doi:10.7870/cjcmh-1982-0006.

    Article  Google Scholar 

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Acknowledgments

We offer our sincere gratitude to all of the church leaders who volunteered for this study.

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Correspondence to Brianna Bilkins.

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Brianna Bilkins and Argie Allen have contributed equally to the development of this manuscript.

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Bilkins, B., Allen, A., Davey, M.P. et al. Black Church Leaders’ Attitudes About Mental Health Services: Role of Racial Discrimination. Contemp Fam Ther 38, 184–197 (2016). https://doi.org/10.1007/s10591-015-9363-5

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