Abstract
Members of racial/ethnic minority groups are less likely than Caucasians to access mental health services despite recent evidence of more favorable attitudes regarding treatment effectiveness. The present study explored this discrepancy by examining racial differences in beliefs about how the natural course and seriousness of mental illnesses relate to perceived treatment effectiveness. The analysis is based on a nationally representative sample of 583 Caucasian and 82 African American participants in a vignette experiment about people living with mental illness. While African Americans were more likely than Caucasians to believe that mental health professionals could help individuals with schizophrenia and major depression, they were also more likely to believe mental health problems would improve on their own. This belief was unrelated to beliefs about treatment effectiveness. These findings suggest that a belief in treatment effectiveness may not increase service utilization among African Americans who are more likely to believe treatment is unnecessary.
Similar content being viewed by others
References
Allison, P. D. (2002). Missing data. Thousand Oaks, California: Sage Publications.
Anglin, D. M., Link, B. G., & Phelan, J. (2006). Racial differences in stigmatizing attitudes about people with mental illness: Extending the literature. Psychiatric Services, 57, 857–862.
Babbie, E. (2007). The practice of social research (11th ed.). Belmont, CA: Wadsworth.
Blank, M. B., Mahmood, M., Fox, J. C., & Guterbock, T. (2002). Alternative mental health services: The Role of the Black church in the South. American Journal of Public Health, 92, 1668–1672.
Boyd-Franklin, N. (2003). Black families in therapy: Understanding the African American Experience (2nd ed.). New York, NY: Guilford Press.
Cauce, A. M., Domenech-Rodriguez, M., Paradise, M., Cochran, B. N., Shea, J. M., Srebnik, D., et al. (2002). Cultural and contextual influences in mental health help seeking: A focus on ethnic minority youth. Journal of Consulting and Clinical Psychology, 70, 44–55.
Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Mahwah, NJ: Erblaum.
Cooper-Patrick, L., Powe, N. R., Jenckes, M. W., Gonzales, J. J., Levine, D. M., & Ford, D. E. (1997). Identification of patient attitudes and preferences regarding treatment of depression. Journal of General Internal Medicine, 12, 431–438.
Cooper-Patrick, L., Gallo, J. J., Gonzales, J. J., Vu, H. T., Powe, N. R., Nelson, C., et al. (1999). Race, gender, and partnership in the patient–physician relationship. Journal of the American Medical Association, 282, 583–589.
Council of American Survey Research Organizations. (1982). On the definition of response rates. A Special Report of the CASRO Task Force on Completion Rates. New York: CASRO.
Diala, C., Muntaner, C., Walrath, C., Nickerson, K. J., LaVeist, T. A., & Leaf, P. J. (2000). Racial differences in attitudes towards professional mental health care and in the use of services. American Journal of Orthopsychiatry, 70, 455–464.
Diala, C. C., Muntaner, C., Walrath, C., Nickerson, K., LaVeist, T., & Leaf, P. (2001). Racial/ethnic differences in attitudes toward seeking professional mental health services. American Journal of Public Health, 91, 805–807.
Jones, J. H. (1981). Bad blood: The Tuskegee Syphilis experiment. New York: The Free Press.
Kessler, R. C., McGonagle, K. A., Zhao, S., Nelson, C. B., Hughes, M., Eshleman, S., et al. (1994). Lifetime and 12-month prevalence of DSM-IIIR disorders in the United States. Archives of General Psychiatry, 51, 8–19.
Kessler, R. C., Nelson, C. B., McGonagle, K. A., Edlund, M. J., Frank, R. G., & Leaf, P. J. (1996). The 12-month prevalence and correlates of serious mental illness (SMI). In R. W. Manderscheid & M. A. Sonnenschein (Eds.), Mental health, United States. Rockville, MD: Center for Mental Health Services.
Mojtabai, R., Olfson, M., & Mechanic, D. (2002). Perceived need and help-seeking in adults with mood, anxiety, or substance use disorders. Archives of General Psychiatry, 59, 77–84.
Muntaner, C. (1999). Teaching social inequalities in health: barriers and opportunities. Scandinavia Journal of Public Health, 27, 161–165.
Neal, A. M., & Turner, S. M. (1991). Anxiety disorders research with African Americans: Current status. Psychological Bulletin, 109, 400–410.
Neighbors, H. W. (1988). The help-seeking behavior of Black Americans. A summary of findings from the National Survey of Black Americans. Journal of the National Medical Association, 80, 1009–1012.
Nickerson, K. J., Helms, J. E., & Terrell, F. (1994). Cultural mistrust, opinions about mental illness, and Black students’ attitudes toward seeking psychological help from White counselors. Journal of Counseling Psychology, 41, 378–385.
Reiger, D. A., Narrow, W. E., Rae, D. S., Manderscheid, R. W., Locke, B. Z., & Goodwin, F. K. (1993). The de Facto U.S. mental and addictive disorders service system. Epidemiological Catchment Area prospective 1-Year prevalence rates of disorders and services. Archives of General Psychiatry, 50, 85–94.
Sanders Thomson, V. L., Bazile, A., & Akbar, M. (2004). African American’s perceptions of psychotherapy and psychotherapists. Professional Psychology: Research and Practice, 35, 19–26.
Schnittker, J., Freese, J., & Powell, B. (2000). Nature, nurture, neither, nor: Black-White differences in beliefs about the cause and appropriate treatment of mental illness. Social Forces, 78, 1101–1132.
Schnittker, J., Pescosolido, B. A., & Croghan, T. W. (2005). Are African Americans really less willing to use health care? Social Problems, 52, 255–271.
Smedly, B. D., Stith, A. Y., & Nelson, A. R. (Eds.). (2003). Unequal treatment: Confronting racial and ethnic disparities in health care. I.o.M. Committee on understanding and eliminating racial and ethnic disparities in health care. Washington, DC: National Academies Press.
Snowden, L. R. (1999). African American service use for mental health problems. Journal of Community Psychology, 27, 303–313.
Sussman, L. K., Robins, L. N., & Earls, F. (1987). Treatment seeking for depression by Black and White Americans. Social Science and Medicine, 24, 187–196.
Terrell, F., & Terrell, S. (1984). Race of counselor, client sex, cultural mistrust level, and premature termination from counseling among Black clients. Journal of Counseling Psychology, 31, 371–375.
Wang, P. S., Berglund, P., & Kessler, R. C. (2000). Recent care of common mental disorders in the United States: Prevalence and conformance with evidence-based recommendations. Journal of General Internal Medicine, 15, 284–292.
Wang, P. S., Lane, M., Olfson, M., Pincus, H. A., Wells, K. B., & Kessler, R. C. (2005). Twelve-month use of mental health services in the United States: Results from the National Comorbidity Survey Replication. Archives of General Psychiatry, 62, 629–640.
Watkins, C. E., & Terrell, F. (1988). Mistrust level and its effects on counseling expectations in Black client-White counselor relationships: An analogue study. Journal of Counseling Psychology, 35, 94–97.
Wetherell, J. L., Kaplan, R. M., Kallenberg, G., Dresselhaus, T. R., Sieber, W. J., & Lang, A. J. (2004). Mental health treatment preferences of older and younger primary care patients. International Journal of Psychiatry Medicine, 34, 219–233.
Whaley, A. L. (2001a). Cultural mistrust: An important psychological construct for diagnosis and treatment of African Americans. Professional Psychology: Research and Practice, 32, 555–562.
Whaley, A. L. (2001b). Cultural mistrust and mental health services for African- Americans: A Review and meta-analysis. The Counseling Psychologist, 29, 513–531.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Anglin, D.M., Alberti, P.M., Link, B.G. et al. Racial Differences in Beliefs About the Effectiveness and Necessity of Mental Health Treatment. Am J Community Psychol 42, 17–24 (2008). https://doi.org/10.1007/s10464-008-9189-5
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10464-008-9189-5