Date of Conferral

4-21-2025

Date of Award

April 2025

Degree

Doctor of Psychology (Psy.D.)

School

Psychology

Advisor

Yoly Zentella

Abstract

Mental disorders are a major cause of disability in the United States, disproportionately affecting African Americans (AAs) since the Post-Civil War era (1865-1877). Despite prior studies on racial disparities in mental health care, evidence-based delivery protocols for racial and ethnic minority groups remain underdeveloped. The purpose of this study was to explore the lived experiences of AA when accessing culturally appropriate mental health services, using qualitative, phenomenological research methods. The theoretical framework for this investigation was based on social stress theory, which explored individual experiences and community change. Six AA males and females, from Gregg County, Texas, and the Louisiana area, ages 18-65, who had received or sought mental health services, were interviewed. This study explored the following research question: What are the lived experiences of AAs in accessing culturally appropriate mental health services? A thematic analysis approach was employed to examine the data from participants’ perspectives. Results revealed three common themes: cultural connection, awakening to the need for help, and empowerment through support. The implications for social change include enhancing clinicians’ understanding, increasing resource awareness, and guiding mental healthcare policies. This can be achieved through culturally competent clinician training, which aims to reduce disparities and improve outcomes for diverse populations. Greater community awareness of mental health resources can help reduce stigma and promote help-seeking behavior. Tailored interventions addressing specific needs will lead to more effective care, ultimately improving health outcomes and well-being for marginalized communities.

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