Community Mental Health Journal

, Volume 21, Issue 3, pp 156–166 | Cite as

Seeking professional help for personal problems: Black American's use of health and mental health services

  • Harold W. Neighbors
Articles

Abstract

This article explored the use of health and mental health services for serious personal problems in a national sample of adult black Americans. The results indicated low usage of the mental health sector in response to problems. Only 9% of the respondents who sought professional help contacted a community mental health center, psychiatrist or psychologist. Mental health usage was low even among respondents who felt their problem brought them to the point of a nervous breakdown and among respondents who conceptualized their distress in “emotional” terms. The traditional health care sector (doctors, hospitals) and ministers were used more often by blacks in distress. When the use of professional help only is considered, there appeared to be a large pocket of unmet need in the black community. When the use of informal help is taken into consideration, however, the percentage of respondents who did not receive help was considerably lower. The implications of these findings for professional service delivery are discussed.

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References

  1. Broman, C. Race differences in professional help seeking. Unpublished manuscript, University of Michigan 1984.Google Scholar
  2. Cannon, M. & Locke, B. Being black is detrimental to one's mental health: Myth or reality?Phylon, 1977,38, 408–428.Google Scholar
  3. Fischer, J. Negroes and whites and rates of mental illness: Reconsideration of z myth.Psychiatry, 1969,32, 428–446.Google Scholar
  4. Fried, M. Social differences in mental health. In: J. Kosa & I. Zola (Eds.),Poverty and health (2nd ed.). Cambridge, MA: Harvard University Press, 1975.Google Scholar
  5. Frumkin, R. Race and major mental disorders.Journal of Negro Education; 1954,23, 97–98.Google Scholar
  6. Jackson, J., Tucker, M.B., Bowman, P.J. Conceptual and methodological problems in survey research on black Americans. In W. Liu (Ed.),Methodological problems in minority research. Pacific/Asian American Mental Health Research Center, 1982.Google Scholar
  7. Gurin, G., Veroff, J., Feld, S.Americans view their mental health. New York: Basic Books, Inc., 1960.Google Scholar
  8. Kramer, M., Rosen, B., Willis, E. Definitions and distributions of mental disorders in a racist society. In C. Willie, B. Kramer, B. Brown (Eds.),Racism and mental health. Pittsburgh: University of Pittsburgh Press, 1973.Google Scholar
  9. Malzberg, B. Mental disease among Negroes in New York state, 1934–41.Mental Hygiene, 1953,37, 450–476.Google Scholar
  10. Mechanic, D.Symptoms, illness behavior, and help seeking. New York: Prodist, 1983.Google Scholar
  11. Neighbors, H., Jackson, J., Bowman, P. & Gurin, G.: Stress, coping and black mental health: Preliminary findings from a national study.Prevention in Human Services, 1983,2, 5–29.Google Scholar
  12. Neighbors, H. & Jackson, J. The use of informal and formal help: Four patterns of illness behavior in the black community.American Journal of Community Psychology. In press.Google Scholar
  13. Neighbors, H.Socioeconomic status and the use of professional help: A national study of black illness behavior. Unpublished doctoral dissertation, University of Michigan, 1982.Google Scholar
  14. Regier, D., Goldberg, I., Taube, C. The de facto U.S. mental health services system: A public health perspective.Archives of General Psychiatry, 1978,35, 685–693.Google Scholar
  15. Snowden, L.Reaching the underserved: Mental health needs of neglected populations. Beverly Hills: Sage Publications, 1982.Google Scholar
  16. Thomas, A. & Sillen, S. The pitfalls of epidemiology. In A. Thomas & S. Sillen (Eds.),Racism and Psychiatry. New York: Brunner/Mazel, 1972.Google Scholar
  17. Veroff, J., Kulka, R., Douvan, E..Mental health in America: Patterns of help seeking from 1957 to 1976. New York: Basic Books, 1981.Google Scholar

Copyright information

© Human Sciences Press 1985

Authors and Affiliations

  • Harold W. Neighbors
    • 1
  1. 1.Institute for Social ResearchUniversity of MichiganAnn Arbor

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