Mental illness does not discriminate based on race, ethnicity, gender, or identity, with approximately 53 million Americans reporting any mental illness in a year (NSDUH, 2020). Despite the prevalence, less than half of individuals report receiving mental health services. Minority groups often experience disparities in mental health equity and often face unique challenges and barriers in accessing mental health care. There are multiple strategies that can be implemented to achieve mental health equity such as increasing crisis and community-based services, developing mental health awareness and anti-stigma campaigns, and increasing access to culturally appropriate services.

Toolkits and Guides:

• Training Guide on Structural Competency for Peer Specialists - Structural competency is a term used in health education to describe the ability of health care providers to appreciate how symptoms, clinical problems, diseases and their own attitudes toward their patients are influenced by the social determinants of health. This guide provides a framework for incorporating structural competency into provider interactions with certified peer specialists and into their interactions with the populations that they serve.

• Crisis Care Guide: Mental Health Equity in Underserved Populations - As the future of crisis care in the United States is on the cusp of being transformed, it is important to keep under-served and marginalized populations in mind when championing the changes and improvements to those services. This brief guide highlights the unique struggles and barriers that many marginalized communities experience when trying to access crisis services.

Interactive Data Maps:

• Southeast Mental Health Data: Asian Communities - Interactive map presenting countries of origin, cultural elements, and mental health facilities providing linguistically appropriate services for Asian communities.
• Southeast Mental Health Data: Hispanic Communities - Interactive map presenting countries of origin, cultural elements, and mental health facilities providing services in Spanish.

On-demand Recordings:

Equity:

• Mental Health & Equity in the Southeast - In this webinar recording, Dr. Holden reviews the needs of and equity barriers experienced by underserved and underrepresented populations in the Southeast. She discusses potential strategies to promote wellness, access to healing and resilience among ethnically and culturally diverse individuals.
• Understanding and Addressing Race-Related Stress & Trauma for Black Americans - In this webinar recording, Dr. Sierra Carter provides an overview of the field of racism-related stress and trauma among Black Americans. Developmental considerations are discussed as well as challenges and clinical issues that arise with identifying racism-related stress or racial trauma symptoms. Methods to identify, process, and heal from racism-related stress and trauma are also explored.

Cultural Humility:

• Addressing Immigrant Culture, Language, Diversity and Inclusion - In this recorded presentation, Pierluigi Mancini, PhD, addresses the immigrant culture and language and presents strategies to provide access and eliminate health disparities in mental health services.
• From Cultural Competence to Structural Competence - In this webinar recording, Dr. Shim reframes the issue via a journey from cultural competence to structural competence (through cultural humility), addresses new trends in research in the field, and offers innovative solutions.

Stigma:

• Eliminating Mental Health Stigma for Boys and Men of Color - An important step in reducing disparities and expanding access to care is to train educators and mental health professionals to understand the cultural and racial support that men of color need. Another is by leveraging relationships in the community, in particular barbers, to help de-stigmatize the conversation about mental health in a setting men may feel more comfortable talking. In this on-demand recording, Lorenzo Lewis shares about the important work of The Confess Project and their efforts to teach barbers how to be active listeners, how to validate clients' responses, and how to eliminate mental health stigma by using positive language.
  • Confess Project Promising Practice Fact Sheet - The Confess Project of America, which trains community leaders such as barbers and beauticians to offer support and bridge the gap between unmet mental health needs in African American communities, is one emerging practice that may hold promise.
• Stigma and Identity in Severe Mental Illness: Negative Consequences and Ways to Counter - Public mental health stigma is pervasive and has many negative impacts. One consequence is that it can lead to self-stigma among mental health service users, including people with severe mental illness. In this webinar, Evan Myers, MS, discusses how self-stigma can impact identity development of service users and shares ways that mental health staff can help combat mental health stigma.
  • Self-Stigma and Identity in Severe Mental Illness - This infographic discusses how self-stigma can impact identity development of service users and shares ways that mental health staff can help combat mental health stigma.

Infographics:

• Cultural & Structural Competency: Mental Health Equity - This infographic explains the differences between mental health disparities and mental health inequities, and explores how things like structural racism and inequality contribute to mental health inequities.
• Race-Based Mental Health Equity in the Southeast - This infographic summarizes recommendations for eliminating mental health disparities from the American Psychological Association (APA), describes promising practices in the Southeast (HHS Region IV), and lists additional resources.

MHTTC Network

• MHTTC Cultural Responsiveness Resources and Products

SAMHSA

• Office of Behavioral Health Equity - Develops and promotes behavioral health equity policy initiatives that strengthen the impact of SAMHSA programs for all, especially, for under-resourced populations.
• African American Behavioral Health Center of Excellence - Through collaboration, training, and technical assistance, the Center is working to transform behavioral health services for African Americans, making them: Safer, More effective, More accessible, More inclusive More welcoming, More engaging, and More culturally appropriate and responsive.