This article explores the role the Black Church could play in facilitating spiritually sensitive, culturally relevant and gender-specific services to address the mental health and well-being of Black males. The help-seeking behaviors of Black men are examined as the authors offer two theories: the body, mind, spirit, environment, social, transcendent, and health, illness, men, and masculinities that may assist the Black Church in functioning as an effective support networks for healthy Black male mental health. Next, the authors discuss implications for practice, research, and education, and lastly, eight recommendations for Black Church leadership, social workers, and mental health professionals are also discussed.
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Alegría, M., Chatterji, P., Wells, K., Cao, Z., Chen, C., Takeuchi, D., et al. (2008). Disparity in depression treatment among racial and ethnic minority populations in the United States. Psychiatric Services (Washington, D.C.), 59(11), 1264–1272. https://doi.org/10.1176/appi.ps.59.11.1264.
Allen, A., Davey, M., & Davey, A. (2010). Being examples to the Flock: The role of church leaders and African American families seeking mental health care services. Contemporary Family Therapy: An International Journal, 32(2), 117–134.
Allen, J. D., Kennedy, M., Wilson-Glover, A., & Gilligan, T. D. (2007). African-American men’s perceptions about prostate cancer: Implications for designing educational interventions. Social Science and Medicine, 64, 2189–2200.
Anandarajah, G. (2008). The 3 H and BMSEST models for spirituality in multicultural whole-person medicine. The Annals of Family Medicine, 6(5), 448–458.
Anandarajah, G., Craigie, F., Jr., Hatch, R., Kliewer, S., Marchand, L., King, D., et al. (2010). Toward competency-based curricula in patient-centered spiritual care: Recommended competencies for family medicine resident education. Academic Medicine, 85(12), 1897–1904.
Anglin, D. M., Alberti, P. M., Link, B. G., & Phelan, J. C. (2008). Racial differences in beliefs about the effectiveness and necessity of mental health treatment. American Journal of Community Psychology, 42, 17–24.
Anthony, J. S., Johnson, A., & Schafer, J. (2015). African American clergy and depression: What they know; What they want to know. Journal of Cultural Diversity, 22(4), 118–126.
Ayalon, L., & Young, M. A. (2005). Racial group differences in help-seeking behaviors. Journal of Social Psychology, 145(4), 391–403.
Ayalon, L., & Young, M. A. (2009). Using the SCL-90-R to assess distress in African Americans and Caucasian Americans. Journal of Black Studies, 39(3), 420–433.
Banks, A. (2015). Black churches bucking the trend of decline. Retrieved from http://religionnews.com/2015/08/13/black-churches-bucking-trend-decline/.
Bergin, A. E. (1983). Religiosity and mental health: A critical reevaluation and meta-analysis. Professional Psychology: Research and Practice, 14(2), 170.
Bergin, A. E. (1991). Values and religious issues in psychotherapy and mental health. American Psychologist, 46(4), 394.
Bond, M. J., & Herman, A. A. (2016). Lagging life expectancy for Black Men: A public health imperative. American Journal of Public Health, 106(7), 1167–1169.
Brown, D. R., & Gary, L. E. (1987). Stressful life events, social support networks, and the physical and mental health of urban black adults. Journal of Human Stress, 13(4), 165–174.
Brown, D. R., & Gary, L. E. (1994). Religious involvement and health status among African-American males. Journal of the National Medical Association, 86(11), 825.
Brown, D. R., Ndubuisi, S. C., & Gary, L. E. (1990). Religiosity and psychological distress among blacks. Journal of Religion and Health, 29(1), 55–68.
Brown, R. K., & Brown, R. E. (2003). Faith and works: Church-based social capital resources And African American political activism. Social Forces, 82(2), 617–641.
Campbell, R. D., & Long, L. A. (2014). Culture as a social determinant of mental and behavioral health: A Look at culturally shaped beliefs and their impact on help-seeking behaviors and service use patterns of Black Americans with depression. Best Practice in Mental Health, 10(2), 48–62.
Cannon, M. S., & Locke, B. Z. (1977). Being Black is detrimental to one’s mental health: Myth or reality? Phylon, 38(4), 408–428.
Chandra, A., Copen, C. E., & Mosher, W. D. (2013). Sexual behavior, sexual attraction, and sexual identity in the United States: Data from the 2006–2010 National Survey of Family Growth. In A. K. Baumle (Ed.), International handbook on the demography of sexuality (pp. 45–66). Dordrecht: Springer.
Chatters, L. M., Taylor, R. J., & Lincoln, K. D. (1999). African American religious participation: A multi-sample comparison. Journal for the Scientific Study of Religion, 38, 132–145.
Cheng, T. C., & Robinson, M. A. (2013). Factors leading African Americans and Caribbean Blacks to use social work services for treating mental and substance use disorders. Health and Social Work, 38(2), 99–109. https://doi.org/10.1093/hsw/hlt002.
Clark, W. H. (1958). How do social scientists define religion? The Journal of Social Psychology, 47(1), 143–147.
Collins, W., & Perry, A. (2015). Black Men’s perspectives on the role of the Black church in healthy relationship promotion and family stability. Social Work & Christianity, 42(4), 430–448.
Cooperman, A. (2015). Racial and ethnic composition among adults who attend services weekly or more. Pew Research Center, 50, 52, 60. Retrieved from http://www.pewforum.org/religious-landscape-study/racial-and-ethnic-composition/among/attendance-at-religious-services/at-least-once-a-week/.
Corrigan, P., McCorkle, B., Schell, B., & Kidder, K. (2003). Religion and spirituality in the lives of people with serious mental illness. Community Mental Health Journal, 39(6), 487–499.
Davis, J. A. (2004). General Social Survey. Retrieved from http://www.thearda.com/.
Elder, K., & Griffith, D. M. (2016). Men’s health: Beyond masculinity. American Journal of Public Health, 106(7), 1157.
Ellis, A. (1980). Psychotherapy and atheistic values: A response to AE Bergin’s” Psychotherapy and religious values”. Journal of Consulting and Clinical Psychology, 48(5), 635.
Evans, J., Frank, B., Oliffe, J. L., & Gregory, D. (2011). Health, illness, men and masculinities (HIMM): A theoretical framework for understanding men and their health. Journal of Men’s Health, 8(1), 7–15.
Fish, J. A., Prichard, I., Ettridge, K., Grunfeld, E. A., & Wilson, C. (2015). Psychosocial factors that influence men’s help-seeking for cancer symptoms: A systematic synthesis of mixed methods research. Psycho-Oncology, 24(10), 1222–1232.
Fisher, F., Reitzel, L., Nga, N., Savoy, E., Advani, P., Cuevas, A., et al. (2014). Loneliness and self-rated health among Church-Attending African Americans. American Journal of Health Behavior, 38(4), 481–491.
Flaskerud, J. H. (2014). Depression in men: Issues for practice and research. Issues in Mental Health Nursing, 35(8), 635–639.
Ford, M. E., Vernon, S. W., Havstad, S. L., Thomas, S. A., & Davis, S. D. (2006). Factors influencing behavioral intention regarding prostate cancer screening among older African-American men. Journal of the National Medical Association, 98, 505–514.
Freud, S. (1961). A religious experience. In The standard edition of the complete psychological works of Sigmund Freud, Volume XXI (1927–1931): The future of an illusion, civilization and its discontents, and other works (pp. 167–172).
Fulton, B. (2011). Black churches and HIV/AIDS: Factors influencing congregations’ responsiveness to social issues. Journal for the Scientific Study of Religion, 50(3), 617–630. Retrieved May 17, 2012 from http://web.ebscohost.com.libdata.lib.ua.edu/ehost/detail?sid=6aac2155-e16e-44d9-aee9-8ba174c9c17f%40sessionmgr114&vid=5&hid=122.
Gilbert, K. L., Ray, R., Siddiqi, A., Shetty, S., Baker, E. A., Elder, K., et al. (2016). Visible and Invisible Trends in Black Men’s Health: Pitfalls and Promises for Addressing Racial, Ethnic, and Gender Inequities in Health. Annual Review of Public Health, 37, 295.
Griffith, D. M. (2015). “I AM a Man”: Manhood, Minority Men’s Health and Health Equity. Ethnicity and Disease, 25(3), 287–293.
Griffith, D. M., Mason, M. A., Rodela, M., Matthews, D. D., Tran, A., Royster, M., et al. (2007). A structural approach to examining prostate cancer risk for rural southern African American men. Journal of Health Care for the Poor and Underserved, 18, 73–101.
Hammond, W. P. (2010). Psychosocial correlates of medical mistrust among African American men. American Journal of Community Psychology, 45(1–2), 87–106.
Hankerson, S. H., Lee, Y. A., Brawley, D. K., Braswell, K., Wickramaratne, P. J., & Weissman, M. M. (2015a). Screening for depression in African-American Churches. American Journal of Preventive Medicine, 49(4), 526–533. https://doi.org/10.1016/j.amepre.2015.03.039.
Hankerson, S. H., Suite, D., & Bailey, R. K. (2015b). Treatment disparities among African American Men with depression: Implications for clinical practice. Journal of Health Care for the Poor and Underserved, 26(1), 21.
Hays, K. (2015). Black churches’ capacity to respond to the mental health needs of African Americans. Social Work & Christianity, 42(3), 296–312.
Hays, K., & Aranda, M. P. (2015). Faith-based mental health Interventions with African Americans: A review. Research on Social Work Practice. https://doi.org/10.1177/1049731515569356.
Heron, M. (2016). Death leading causes for 2013. National Vital Statistics Report, 65(2), 34–36.
Hill, P. C., & Pargament, K. I. (2003). Advances in the conceptualization and measurement of religion and spirituality. Implications for physical and mental health research. The American Psychologist, 58(1), 64–74.
Hill, P. C., Pargament, K. I., Hood, R. W., McCullough, M. E., Jr., Swyers, J. P., Larson, D. B., et al. (2000). Conceptualizing religion and spirituality: Points of commonality, points of departure. Journal for the Theory of Social Behaviour, 30(1), 51–77.
Hooker, S. P., Wilcox, S., Burroughs, E. L., Rheaume, C. E., & Courtenay, W. (2012). The potential influence of masculine identity on health-improving behavior in midlife and older African American men. Journal of Men’s Health, 9(2), 79–88.
Ivtzan, I., Chan, C. P., Gardner, H. E., & Prashar, K. (2013). Linking religion and spirituality with psychological well-being: Examining self-actualisation, meaning in life, and personal growth initiative. Journal of Religion and Health, 52(3), 915–929.
Jacobs, C. F. (1990). Healing and prophecy in the black spiritual churches: A need for re-examination. Medical Anthropology, 12(4), 349–370.
Jones, S. L. (1994). A constructive relationship for religion with the science and profession of psychology: Perhaps the boldest model yet. American Psychologist, 49(3), 184.
Keyes, C. L. (2009). The Black-White paradox in health: Flourishing in the face of social inequality and discrimination. Journal of Personality, 77(6), 1677–1706.
Koenig, H. G. (2009). Research on religion, spirituality, and mental health: A review. The Canadian Journal of Psychiatry, 54(5), 283–291.
Koenig, H. G. (2012). Religion, spirituality, and health: The research and clinical implications. ISRN Psychiatry, 2012. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3671693/.
Koenig, H. G., & Larson, D. B. (2001). Religion and mental health: Evidence for an association. International Review of Psychiatry, 13(2), 67–78.
Krause, N., Ellison, C. G., Shaw, B. A., Marcum, J. P., & Boardman, J. D. (2001). Church-based social support and religious coping. Journal for the Scientific Study of Religion, 40(4), 637–656.
Lancaster, K. J., Schoenthaler, A. M., Midberry, S. A., Watts, S. O., Nulty, M. R., Cole, H. V., et al. (2014). Rationale and design of faith-based approaches in the treatment of hypertension (FAITH), a lifestyle intervention targeting blood pressure control among black church members. American Heart Journal, 167(3), 301–307. https://doi.org/10.1016/j.ahj.2013.10.026.
Levin, J., Chatters, L. M., & Taylor, R. J. (2005). Religion, health and medicine in African Americans: Implications for physicians. Journal of the National Medical Association, 97(2), 237.
Lewis, T. T., Cogburn, C. D., & Williams, D. R. (2015). Self-reported experiences of discrimination and health: Scientific advances, ongoing controversies, and emerging issues. Annual Review of Clinical Psychology, 11, 407–440.
Lincoln, C. E. (1989). Knowing the Black Church: What it is and why? The State of Black America (pp. 137–150). National Urban League.
Lincoln, C., & Mamiya, L. (1990). The black church in the African American experience. Durham, NC: Duke University Press.
Lindner, E. (Ed.) (2012). Yearbook of American & Canadian Churches 2012 (80th ed.). Nashville: Abingdon Press.
Maslow, A. H. (1964). Religions, values, and peak-experiences (Vol. 35). Columbus: Ohio State University Press.
Masters, K. S., & Bergin, A. E. (1992). Religious orientation and mental health. Religion and Mental Health, 221–232.
Masuda, A., Anderson, P. L., Twohig, M. P., Feinstein, A. B., Chou, Y. Y., Wendell, J. W., et al. (2009). Help-seeking experiences and attitudes among African American, Asian American, and European American college students. International Journal for the Advancement of Counselling, 31(3), 168–180.
Mattis, J. S. (2002). Religion and spirituality in the meaning–making and coping experiences of African American women: A qualitative analysis. Psychology of Women Quarterly, 26(4), 309–321.
Mattis, J. S., Eubanks, S., Zapata, A., Belkin, M., Grayman, N., Mitchell, N., et al. (2004). Factors influencing religious non-involvement among African American men. Review of Religious Research, 45(4), 386–403.
Mattis, J., Mitchell, N., Zapata, A., Taylor, R., Chatters, L., Neighbors, H., et al. (2007). Uses of ministerial support by African Americans: A focus group study. American Journal of Orthopsychiatry, 77, 249–258.
McKether, W. (2011). Roots of Civil Rights politics in Northern churches: Black migration to Saginaw, Michigan 1915 to 1960. Critical Sociology (Sage Publications, Ltd.), 37(5), 689–707.
Miller, W. R., & Thoresen, C. E. (2003). Spirituality, religion, and health: An emerging research field. American Psychologist, 58(1), 24.
Möller-Leimkühler, A. M. (2002). Barriers to help-seeking by men: A review of sociocultural and clinical literature with particular reference to depression. Journal of Affective Disorders, 71(1), 1–9.
Moore, S. E. (2011). African American megachurches and community empowerment: Fostering life in dry places. Journal of African American Studies, 15(2), 129–132.
Moore, S. E., Robinson, M. A., & Adedoyin, A. C. (2016). Introduction to the special issue on police shooting of unarmed African American males: Implications for the individual, the family, and the community. Journal of Human Behavior in the Social Environment, 26(3–4), 247–250.
Neighbors, H. W., Caldwell, C., Williams, D. R., Nesse, R., Taylor, R. J., Bullard, K. M., et al. (2007). Race, ethnicity, and the use of services for mental disorders: Results from the National Survey of American Life. Archives of General Psychiatry, 64(4), 485–494.
Neighbors, H. W., Jackson, J. S., Bowman, P. J., & Gurin, G. (1983). Stress, coping, and black mental health: Preliminary findings from a national study. Prevention in Human Services, 2(3), 5–29.
Newlin, K., Melkus, G. D., Tappen, R., Chyun, D., & Koenig, H. G. (2008). Relationships of religion and spirituality to glycemic control in Black women with type 2 diabetes. Nursing Research, 57(5), 331–339.
Olafsdottir, S., & Pescosolido, B. A. (2009). Drawing the line: The cultural cartography of utilization recommendations for mental health problems. Journal of Health and Social Behavior, 50, 228–244.
Pew Research Center (2015). U.S. public becoming less religious. Retrieved from http://www.pewforum.org/2015/11/03/u-s-public-becoming-less-religious/.
Phillips, A. G. (2002). John Dewey and his religious critics. Religion and Education, 29(1), 31–40.
Powell, W., Adams, L. B., Cole-Lewis, Y., Agyemang, A., & Upton, R. D. (2016). Masculinity and race-related factors as barriers to health help-seeking among African American men. Behavioral Medicine, 42(3), 150–163.
Ravenell, J. E., Whitaker, E. E., & Johnson, W. E. (2008). According to him: Barriers to healthcare among African-American men. Journal of the National Medical Association, 100, 1153–1160.
Robinson, M. A., & Cheng, T. C. (2014). Exploring African Americans’ physical health: A social determinants model. Journal of Human Behavior in the Social Environment, 24(8), 899–909. https://doi.org/10.1080/10911359.2014.914993.
Robinson, M. A., Perry, A. R., Alexander, R., & Moore, S. E. (2011). Beyond the myth: Addressing suicide among African American males. In A. J. Lemelle Jr., W. Reed, & S. Taylor (Eds.), Handbook of African American health: Social and behavioral interventions. Springer Science + Business Media: Berlin, Germany.
Rosenfield, S. (2012). Triple jeopardy? Mental health at the intersection of gender, race, and class. Social Science and Medicine, 74(11), 1791–1801.
Rowland, M., & Isaac-Savage, E. (2014). As I See It: A Study of African American Pastors’ Views on Health and Health Education in the Black Church. Journal of Religion and Health, 53(4), 1091–1101.
Schoenthaler, A., Lancaster, K., Midberry, S., Nulty, M., Ige, E., Palfrey, A., et al. (2015). The FAITH trial: Baseline characteristics of a church-based trial to improve blood pressure control in Blacks. Ethnicity and Disease, 25(3), 337–344. https://doi.org/10.18865/ed.25.3.337.
Seybold, K. S. (2007). Physiological mechanisms involved in religiosity/spirituality and health. Journal of Behavioral Medicine, 30(4), 303–309.
Sharma, P., Charak, R., & Sharma, V. (2009). Contemporary perspectives on spirituality and mental health. Indian Journal of Psychological Medicine, 31(1), 16.
Stark, R. (1999). Atheism, faith, and the social scientific study of religion. Journal of Contemporary Religion, 14(1), 41–62.
Stark, R., Iannaccone, L. R., & Finke, R. (1996). Religion, science, and rationality. The American Economic Review, 86(2), 433–437.
Taylor, R., Ellison, C., Chatters, L., Levin, J., & Lincoln, K. (2000). Mental health services in faith communities: The role of clergy in Black churches. Social Work, 45(1), 73–87.
Taylor, R., Woodward, A., Chatters, L., Mattis, J., & Jackson, J. (2011). Seeking help from clergy among black Caribbeans in the United States. Race and Social Problems, 3(4), 241–251.
Thompson, V. L. S., Bazile, A., & Akbar, M. (2004). African Americans’ perceptions of psychotherapy and psychotherapists. Professional Psychology: Research and Practice, 35, 19–26.
Turner, R. P., Lukoff, D., Barnhouse, R. T., & Lu, F. G. (1995). Religious or spiritual problem. A culturally sensitive diagnostic category in the DSM-IV. The Journal of Nervous and Mental Disease, 183(7), 435.
Watkins, D. C., Walker, R. L., & Griffith, D. M. (2009). A meta-study of Black male mental health and well-being. Journal of Black Psychology, 36(3), 303–330.
Wexler, R., Elton, T., Pleister, A., & Feldman, D. (2009). Barriers to blood pressure control as reported by African American patients. Journal of the National Medical Association, 101, 597–603.
Whaley, A. L. (2001). Cultural mistrust and mental health services for African Americans a review and meta-analysis. The Counseling Psychologist, 29(4), 513–531.
Whitley, E. M., Samuels, B. A., Wright, R. A., & Everhart, R. M. (2005). Identification of barriers to healthcare access for underserved men in Denver. Journal of Men’s Health and Gender, 2(4), 421–428.
Williams, D. R. (2003). The health of men: Structured inequalities and opportunities. American Journal of Public Health, 93(5), 724–731.
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.
Williams, D. R., & Williams-Morris, R. (2000). Racism and mental health: The African American experience. Ethnicity & Health, 5(3–4), 243.
World Health Organization. (2014). Mental health: A state of well-being. Retrieved August 2, 2016 from http://www.who.int/features/factfiles/mental_health/en/.
Young, J. L., Griffith, E. E., & Williams, D. R. (2003). The integral role of pastoral counseling by African-American clergy in community mental health. Psychiatric Services, 54(5), 688–692. https://doi.org/10.1176/appi.ps.54.5.688.
Zinnbauer, B. J., Pargament, K. I., Cole, B., Rye, M. S., Butter, E. M., Belavich, T. G., et al. (1997). Religion and spirituality: Unfuzzying the fuzzy. Journal for the Scientific Study of Religion, 36, 549–564.
Zoratti, E. M., Havstad, S., Rodriguez, J., Robens-Paradise, Y., Lafata, J. E., & McCarthy, B. R. (1998). Health service use by African Americans and Caucasians with asthma in a managed care setting. American Journal of Respiratory and Critical Care Medicine, 158(2), 371–377.
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This article does not contain any studies with human participants or animals performed by any of the authors
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Robinson, M.A., Jones-Eversley, S., Moore, S.E. et al. Black Male Mental Health and the Black Church: Advancing a Collaborative Partnership and Research Agenda. J Relig Health 57, 1095–1107 (2018). https://doi.org/10.1007/s10943-018-0570-x
- Black mental health
- Black men
- African American men
- Black Church
- Health disparities
- Help-seeking behaviors