Reports, Publications, and Articles





SAMHSA logoDouble Jeopardy: COVID-19 and Behavioral Health Disparities for Black and Latino Communities in the US

The Office of Behavioral Health Equity

The corona virus (COVID-19) pandemic has revealed deep-seated inequities in health care for communities of color and amplifies social and economic factors that contribute to poor health outcomes. Recent news reports indicate that the pandemic disproportionately impacts communities of color, compounding longstanding racial disparities.

Health Disparities in Racial/Ethnic and Sexual Minority Boys and Men 

American Psychological Association

Explores common, long-standing patterns of social marginalization and stigmatization experiences that have uniquely compromised health, safety and well-being. This executive summary is from the report of the American Psychological Association (APA) Working Group on Health Disparities in Boys and Men and the APA Health Disparities Office. Racial/ethnic and sexual minority males are two of the most persistently unhealthy groups in the United States. 

Mental Health Disparities among Hispanic and Latino Populationsmhttc

Produced by National Hispanic and Latino MHTTC

Disparities in health care and mental health care are more evident than ever. Some areas of concern include limited access to high-quality care and the availability of culturally grounded evidence-based treatment and services for Hispanics and Latinos. To address these disparities, the National Hispanic and Latino MHTTC released this publication in June 2020. It emphasizes the social determinants of health (SDOH), as well as non-medical health-related social needs (HRSN) and their impact on mental health outcomes. This publication also offers recommendations for mental health providers, researchers, and consumers to reduce disparities among Latino communities, including increasing awareness and the importance of being trained in culturally grounded evidence-based interventions. 

Race Matters: Organizational Self-Assessment 

Produced by The Annie E. Casey Foundation

Unintended racial prejudices are deeply rooted in all U.S. institutions. Use this questionnaire to find out if they are part of your organization. The questions use a racial lens to size up staffing and operational aspects. The assessment then offers additional tools and next steps based on how the organization scores. This tool is part of a Race Matters toolkit. For more information visit the Race Matters Institute website.

The Costs and Consequences of Disparities in Behavioral Health Care 

National Conference of State Legislatures

To understand how legislators address behavioral health challenges and disparities in their states, NCSL conducted an analysis of all legislation related to behavioral health disparities that was introduced in 2017. This brief summarizes behavioral health issues and challenges, highlights state actions from the 2017 legislative sessions, and identifies common legislative approaches, as well as emerging strategies, to improve access to behavioral health providers and services.



Fact Sheet: Supporting Native American & Alaska Native Youth in School Settingsmhttc

Created for the Northwest Region by the National American Indian and Alaska Native MHTTC, this fact sheet shares data on the number of Native youth and recognized tribes in Alaska, Idaho, Oregon and Washington and outlines cultural, communication, and classroom-based tips for supporting Native youth.

Mental Health in our Native American Communities Volume 1 Issue 2 Fall 2019mhttc

This beautiful edition of the National American Indian and Alaska Native Mental Health Technology Transfer Center's newsletter, Mental Health in our Native American Communities for Fall 2019 is titled "First Episode and High-Risk Psychosis".

Mental Health in our Native American Communities Volume 1 Issue 3 Spring 2020mhttc

This issue is titled "Suicide, Trauma, and Finding a Way to Heal."

The Opioid Crisis and the Black/African American Population: An Urgent IssueSAMHSA logo

This issue brief presents recent data on prevalence of opioid misuse and death rates in the Black/AA population; contextual factors & challenges to prevention & treatment; innovative outreach & engagement strategies to connect people to evidence-based treatment; and the importance of community voice.



A Systematic Review of Interventions to Improve Initiation of Mental Health Care Among Racial-Ethnic Minority Groups

By Su Yeon Lee-Tauler, John Eun, Dawn Corbett, Pamela Y. Collins

The objective of this systematic review is to identify interventions to improve the initiation of mental health care among racial-ethnic minority groups.

How to Manage When Things Are Not Okay (And Haven’t Been for Centuries)

By The Management Center 

In this article, we share our best thinking on supporting your staff at a time when things are not okay (and haven’t been for a long time). We try to envision a path forward for managers and leaders and create and share tools for managers that honor the humanity of their teammates. 

How Employee Assistance Programs Can Help Your Whole Company Address Racism at Work

By Jodi Jacobson Frey

This articles focuses on the important role that a high quality EAP can play with helping workplaces dismantle systemic racism.

Moving Toward Racial Equity: The Undoing Racism Workshop and Organizational Change 

By Mimi Abramovitz & Lisa V. Blitz, Springer Nature

A study on the lasting impact of Undoing Racism Workshops among social workers and others in the New York City metropolitan area. 

Multifactorial Discrimination as a Fundamental Cause of Mental Health Inequities

By Mariam Khan, Misja Ilcisin and Katherine Saxton. Published by International Journal of Equity in Health, Posted online by BioMed Central, part of Springer Nature

Research report, using baseline data from the Project STRIDE: Stress, Identity, and Mental Health study, the authors examined the health effects of discrimination among individuals who self-identified as lesbian, gay, or bisexual, concluding that multifactorial discrimination is a fundamental cause of mental health inequities and may be an important cause of broad health disparities among populations with intersecting social identities.

Racial/Ethnic Differences in Identity and Mental Health Outcomes Among Young Sexual Minority Women 

By Kimberly F. Balsam, Palo Alto University, National Center for Biotechnology Information, UW Nat'l Library of Medicine

Previous research suggests that sexual minorities are at greater risk for trauma exposure, mental health problems, and substance use. To date, few studies have examined racial/ethnic differences among sexual minorities in relation to health-related behaviors and outcomes. Furthermore, studies of racial/ethnic differences among young adult sexual minority women (SMW) are virtually non-existent. The current study adds to the previous literature by exploring differences in trauma exposure, sexual identity, mental health, and substance use in a non-probability national sample of young adult SMW.

Sexual and Gender Minorities: The Silent Majority in the World of Mental Health

By Natalia Gurevich, Society for Women's Health Research

An article about how mental health issues disproportionately affect sexual and gender minorities, who are affected by more discrimination and stigma throughout their lives than the general population. 

Supporting Black LGBTQ Youth Mental Health 

By Tia Dole, Ph.D., Chief Clinical Operations Officer, The Trevor Project

Black LGBTQ young people hold multiple marginalized identities. Under the minority stress model, experiences of discrimination, rejection, threats, and violence are compounded, and can lead to negative mental health outcomes. This article includes a discussion of common feelings, how people can take care of themselves, and what others can do to support. 

Unpacking the Invisible Knapsack I: White Privilege

By Peggy McIntosh, Associate Director of the Wellesley College Center for Research on Women

This article raises consciousness of the socially constructed perquisites of being deemed White in American society and offers a partial list of such perquisites as a starting point for reflection, conversation, and action.

Unpacking the Invisible Knapsack II: Straight and Cisgender Privilege

By Peggy McIntosh, Associate Director of the Wellesley College Center for Research on Women

In the same vein as the author's article on White privilege, this article draws attention to the socially constructed perquisites of being deemed straight and/or cisgender in American society and offers a partial list of such perquisites as a starting point for reflection, conversation, and action.

We Must Unmute

By American Psychological Association 

This article looks at the racism pandemic with a psychological lens in order to explore how to use anger, pain, and hopelessness in a productive way. At the end of the article are many additional resources and research.