Saturday, September 12, 2020

Black Women’s Mental Health Needs an Intervention

 


There’s no time like the present to talk about mental health. We’re in the middle of one of the biggest pandemics in modern human history and experts are worried that prolonged shelter-in-place orders and uncertainty may lead to more depression, anxiety, and stress. Stay-home orders also mean it’s harder to visit your therapist, psychiatrist, or other mental health-care professional, and that is doubly true for Black women, who already faced barriers to mental health care pre-Coronavirus. In fact, in a 2016 study, researchers found that Black patients were less likely to even receive a call back from potential therapists to schedule an appointment. Rather it be money, time, or stigma, there are still barriers standing in the way of Black women accessing adequate mental health care. So the question stands: How can Black women make their mental health a priority and access mental health care?


Your location impacts mental health care


We know there are barriers to mental healthcare for BIPOC (Black, Indigenous, and people of color)—there have been numerous studies sharing the many different ways Black and brown women miss out on crucial care. But when you stop and think about it, even something as seemingly innocuous as an address makes a difference. To Charmaine Williams, PhD, Vice-Dean of Students at the School of Graduate Studies, University of Toronto, location could be a deterrent for Black women accessing care. “I did a study and the travel times that people [Black women and women of color] were undertaking to get to help were astonishing,” says Dr. Williams. In a 2018 study, 46 percent of respondents had to drive an hour round trip or more to access mental health services. Systematically racist policies such as gerrymandering and redlining negatively impact access to mental health services for people of color. Additionally, Dr. Williams says we have to look at the professions of potential patients and how restrictive traditional therapist’s office hours are. A potential patient may be unable to leave work and meet a practitioner in the middle of the day; and many offices close at 5 p.m.

These obstacles can make the case for telemedicine, says Tichianaa Armah, MD, Medical Director and Vice President of Behavioral Health at Community Health Center, Inc. “I’ve been very much a proponent of telehealth, even before Covid-19 happened,” Dr. Armah says. “Some of my patients would have to take two or three buses before they can get here, so we [the Community Health Center] had actually been piloting this for several months already.”

Due to Coronavirus, there may be more opportunities to engage with telehealth, or some of the digital mental health providers, like Talkspace or Cerebral. These services are also significantly less expensive than traditional therapy, which can be anywhere between $50 to $250+ per private session.

The Black community still has stigmas we need to break through

There is this idea that millennials are the “therapy generation,” and that we’re more open about attending therapy, but that’s not necessarily the case for BIPOC millennials. “We need more black people sharing their [mental health] experience,” Dr. Armah laments. “People are suffering and they get care and then they feel better—while all of that’s happening, largely people don’t know about it. You never find that with my white patients—they’re sharing that info with each other.” Talking about therapy and mental health remains a taboo in so many BIPOC communities, and the National Alliance on Mental Illness (NAMI) says this stigma may stem from personal shame, and can even be familial stigma passed down through generations. Black people in particular are hesitant to “air family business,” aka share these issues with an outside party, and you may carry that notion with you far into adulthood.

Breaking away from those beliefs can be a major turning point for Black women seeking mental health care. In turn, you may be helping others. “Being open [about mental health care], can help you relate to a friend or family member; that really speaks volumes that we can be more open about pursuing help, “ says Dr. Armah.

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