Mental Health Perspectives Among Black Americans Receiving Services From a Church-Affiliated Mental Health Clinic.

Black Americans face substantial barriers to mental health services that are due, in part, to historical and contemporary issues of anti-Black racism. Identifying novel models of care that increase access and engagement in mental health services is important. One such model was developed by a predominantly Black church in Harlem, New York City, which built a free mental health clinic to serve the surrounding community. However, treatment barriers and facilitators of this care model have not been reported. Therefore, the authors conducted a qualitative study to identify Black Americans' (N=15) perspectives of their experiences seeking and receiving care from this church-affiliated mental health clinic and the role of the church in promoting mental health service utilization. Treatment facilitators included health care that was free of charge, services affiliated with a trusted institution, and access to culturally competent care that integrated their faith perspectives. Participants perceived the churches as having the potential to provide psychoeducation, destigmatization, and connection to mental health services. The perspectives shared suggest that this novel model of care may address several barriers to mental health care faced by some Black American populations.

Black Children and the Pressing Need for Antiracism in Child Psychiatry.

The COVID-19 pandemic abruptly upended American children's lives as schools, libraries, daycare centers, and parks closed to prevent further viral spread. The effects of the pandemic were not distributed equally. Data from the Centers for Disease Control and Prevention demonstrated COVID-19's disproportionate impact on Black communities in terms of both infection rates and mortality.1 Further, generations of structural racism in the housing, financial, educational, and occupational systems fueled unequal consequences for the social determinants of mental health.

Mental Health Equity in the Twenty-First Century: Setting the Stage.

Significant mental health disparities persist in screening, diagnosis, and treatment for racial and ethnic minorities compared with non-Latinx white people. Reducing mental health disparities, and ultimately achieving mental health equity, requires understanding the wide range of factors that influence health outcomes at multiple levels. Components of an effective strategy to achieve mental health equity include increasing population-based care; increasing community-based health care services; addressing the social determinants of health; engaging the community; enhancing the pipeline; and supporting a diverse, structurally competent workforce.