University of Phoenix
Cultural Diversity
BSHS 421
Special People/Special Needs
Mental illness is a special need within itself; couple that with being a minority, specifically an African American, and the problem increases. The following paper will display examples and data portraying the difficulty that African Americans face when seeking mental health services, particularly for schizophrenia. Also included will be assessment techniques, intervention strategies and treatment planning.
According to the NAMI Multicultural Action Center (Medline Plus, 2004), “African Americans in the United States are less likely to receive diagnoses and treatment for their mental illnesses than Caucasian Americans.” This can be due to many factors,
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Psychosocial intervention uses behavioral modification, coaching, and modeling among others. When performing psychosocial intervention there are other interventions used such as group therapy, vocational training, social skills training and leisure management skills. Social skills training involve the individual learning the symptoms of the disease. Learning the symptoms is important because this can help with a relapse and a checklist is usually given to the individual and their family members. Daily living skills are also learned during this time. Daily living skills consist of bathing, cleaning, and decision making of important matters. Vocational training is important and there are steps that need to be taken. The steps are deciding what kind of work is suitable for the individual, having and help them apply for the job, and having and helping them follow up on the job. The development of intellectual skills such as lapse of attention, concentration, reason and problem solving can affect the individual’s performance of the job. The setting the individual lives can help then with intervention and therapy. There are many different living settings that are used based on the level of functioning and capability. Day-care is where the individuals go during working hours to get vocational training and intervention strategies. Residential rehabilitation consists of a short stay. Some factors of having to live in a residential program
Mental illness is and has always been a serious topic. But it has not always been taken as serious in the black community. From my research, scholars and medical professionals in the field of mental health spoke on the fact that mental illness is a stigma in the black community and the conversation of this is not happening. There are many factors that contributed to this. Factors such as the distrust of medical professionals, mis-diagnosis, socio-economical factors and so much more contribute to the reason the black community is missed when it comes to mental health. I also discovered the inside factors that were culture, religion, mis-education, and family reliance. This also becomes why it is a stigma or why it’s not talked about amongst everyone in the community.
When I sat down with Dr. Verdi Lethermon (Director of the Psychological Services Division for Houston Police Department and owner of Lethermon & Associates), she said that Black men are reluctant to get mental health help because "Black men have been historically misunderstood, misjudged, and oppressed. Black
The internal wall that often keeps black men away from psychotherapy goes along with external barriers built just as high, if not higher. Mental health practitioners are overwhelmingly white, with the proportion of black psychiatrists, psychologists, and psychoanalysts estimated at less than three percent of the nation 's total. This would mean that even if black men were to break through the self-imposed barriers and seek professional help for mental issues, it may be difficult to find someone with whom they can build a rapport, and whom they feel can relate to them, and they can trust. This feeling of comfort is what allows a patient to reveal his most intimate secrets. As Dr. Richard Mouzon, a prominent black clinical psychologist puts it, "Many of us grow up feeling that it is dangerous to give up too much of yourself to the white man." There 's no denying that access to mental health care is restricted for Americans in general. In private health insurance policies and government medical assistance programs, psychotherapy is too often considered a luxury rather than a necessity. It has been said often times that the only people with a guaranteed
This article is a great article that relates to African Americans seeking mental health treatment at lower rates than whites. The article states that this disparity can be attributed to attitudes toward services, alternate coping, and differences in care. This article also illuminates biases in counseling.
The Diagnostic Statistical Manual is used to diagnosis persons that are getting assessed with mental health disorders. The manual contains criteria the clinician can use to diagnosis a client. If the client meets a certain number of markers then they are given a diagnosis of a particular disorder. But, what if it’s not that easy? For African Americans, there has been a history of getting misdiagnosis by clinicians which has led to some mistrust. The cultural differences between African Americans and their white clinicians can possibly lead to the misdiagnosis of the clients. An article on clinician race states, “African Americans are less likely to be diagnosed with mood disorders and more likely to be be diagnosed with schizophrenia” (Adebimpe, 1981; Neighbors, 1997). Within this review, we will explore research conducted by scholars that examine the relationships between the diagnoses of African Americans by White Clinicians.
A mental illness is one one of many different disorders or conditions that affect one's mood thinking and behavior. Approximately 1 in 5 U.S. adults reports suffering from some form of mental illness. ANd about 20% of us youth are affected by some type of mental illness in their life. African Americans are 20% more likely to report significant mental distress but less likely than white counterparts to seek mental health care. For black people mental illness is surrounded by a stigma of weakness and religious disconnect.
Forget all the stereotypes of mental illness. It has no face. It has no particular victim. Mental illness can affect an individual from any background and the black community is no exception. African Americans sometimes experience even more severe forms of mental health conditions because of unmet needs and barriers to treatment. According to the Office of Minority Health, African Americans are 20 percent more likely to experience serious mental health problems than the general population. That’s why UGA third year Majenneh Sengbe is taking action as the co-founder of her upcoming organization Black Minds Daily.
Health care for mental illness is an issue in the African American community for Men, Women and Adolescents due to the underserving and lack of mental healthcare providers, the cultural stigma of having mental illness and
Depression is a major issue in the United States, yet some people still have to suffer. They suffer because the issue of depression is not taken serious and they have no help or support to get through their hard times. People of color are usually the ones to suffer. Mental health is stigmatized in the black community. Depression can impact all kinds of people that come from different paths of life, but it is expressed and addressed differently in the black community. According to the Center for Disease Control, in 2011, 7.6% of African-Americans sought treatment for depression compared to 13.6% of the general population (Mental Health: Culture, Race, and Ethnicity: A Supplement to Mental Health: A Report of the Surgeon General 2011). Why
Per Vaterlaus, Skogrand, & Chaney (2015) studies have shown that African Americans reaching out for mental health services are perceived to be powerless or weak, and are often humiliated and feel embarrassed. In a study performed by (Ward, Wiltshire, Detry & Brown (2013) African Americans were found to be hesitant to confess any mental health problems and were more likely to cope using religious practices. In my opinion, African Americans are connected to
Across the country, a steady increase has been noted in the number of patients presenting to emergency departments for psychiatric complaints (Zun, 2014). Patients also attempt to use their primary care doctors to treat their mental illnesses. The mental health care options for these patients are extremely limited, especially for minority populations such as African Americans and Hispanics. One out of four adults in America suffers from some form of mental illness, yet only one out of three of those affected receives treatment (Safran, 2009). Furthermore, patients are routinely misdiagnosed, receive poor quality of care, receive care from providers who have no understanding of their cultures and values, or are not even able to receive care in the first place (Sanchez, 2012).
The major underrepresented minority in this instance is people of color, who were shown in much higher numbers in the documentary than white inmates. An organization called Mental Health America compiled a list of statistics on African Americans, in particular, in relation to mental diseases. Unfortunately, solid statistics were difficult to obtain from self-identified African Americans because too many of them were unreachable due to homelessness or incarceration, which is very telling. The organization believes that there is no biological correlation between being black and having a mental disorder, but that stereotypes in our society and racism increase the likelihood of a black person developing a disorder. Further, only 34% stated that they
Historically, Black Americans have been reluctant to pursue mental health treatment. Bean (2007) details how cultural tensions, Black religiosity, gender role dynamics, and African American history with mental health has lead to current negative perceptions of counseling and psychological services in African American communities. Bean (2007) conducted this study by sampling 194 African American students of Tennessee State University and an additional 94 Black residents of a neighboring community of Nashville, TN. The author’s participants completed tests measuring Cultural Mistrust Inventory (CMI), Religious Orientation Scale (ROS), Gender Role Conflict Scale (GCRS) and Attitudes toward Seeking Professional Psychological Help Scale (ATSPPH). Ultimately, gender roles did significantly correlate to informing
When experiencing a mental illness, African Americans face obstacles “related to understanding the problem or situation and limitation in awareness of possible solutions, strategies remedies and resources” (Hines-Martin, Malone, Kim, & Brown-Piper, 2003). In a study by Hines-Martin (2003), participants verbalized that they did not think they were “crazy” and therefore did not need mental health services. In this instance participants showed a lack of knowledge about what mental health illness looks like. They identified mental illness as dichotomous states (Hines-Martin et al., 2003). A study by Mental Health America found similar results. In this study, a majority of African Americans surveyed believed that depression was a “health problem” and in some cases “normal” (MHA, 2012). Talking about mental illness is taboo for African Americans, and as a result they possess little knowledge about specific mental health problems or available treatments (Alvidrez et al., 2008). For African Americans, stigma serves as an impediment to problem recognition. Because they have a misconstrued idea of what mental illness is, they are less likely to contemplate that they have such problems. Alvidrez (2008) found that stigma prevented 65% of their survey respondents from contemplating that they had such problems. Because many African Americans are uninformed about what mental illness is and how it
Conversations regarding mental health can often be a difficult topic to discuss openly. The Huffington Post provided readers with the opportunity to understand mental illness and intersectionality in the article, 4 Black Women Writers Get Honest About Mental Illness and Race. This article provides a different perspective on mental health as it looks at mental illness through the intersectionality of race and gender. In the article, four black women participate in an interview to discuss their experience with depression, bi-polar disorder, and ADHD and how it affects their lives as both black and woman identified beings. Discussions of mental health in the black community are rare as there is a negative view of mental illness. Hearing