Obstructed Use: Reconceptualizing the Mental Health (Help-Seeking) Experiences of Black Americans

Burkett, Christopher Ashley

doi:10.1177/0095798417691381

Cited by 29 publications

(29 citation statements)

References 67 publications

(99 reference statements)

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“…Burkett et al [15] have proposed the theoretical construct of "obstructed use" to highlight structural and institutional barriers to accessing mental healthcare. While it is certainly important to consider the structural obstacles that SA university students face to accessing mental healthcare, it is also important to remember that even in environments with universal access to free short-term psychotherapy and basic health services, most students with mental health problems do not receive treatment [12].…”

Section: Discussionmentioning

confidence: 99%

“…Marked ethnic and racial inequalities in mental health utilisation are well documented. Studies in the general population of the US suggest that Black Americans seek mental health services at much lower rates than White Americans; the reasons for this difference include sociocultural barriers to care (such as stigma, lack of culturally relevant treatment models, and attitudes toward mental health services) as well as systemic structural barriers (such as systematic oppression, institutionalized racism, and structural disparities) [15]. Similar patterns promote mental healthcare utilisation by first-year students in South Africa, especially among male and Black students and first-generation students with atypical sexual orientations.…”

Section: Sociodemographic Determinants Of Mental Healthcare Utilisationmentioning

confidence: 99%

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Inequality and mental healthcare utilisation among first-year university students in South Africa

Bantjes

Saal

Löchner

et al. 2020

Int J Ment Health Syst

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Background: Addressing inequalities in mental healthcare utilisation among university students is important for socio-political transformation, particularly in countries with a history of educational exclusion. Methods: As part of the WHO World Mental Health International College Student Initiative, we investigated inequalities in mental healthcare utilisation among first-year students at two historically "White" universities in South Africa. Data were collected via a web-based survey from first-year university students (n = 1402) to assess 12-month mental healthcare utilisation, common mental disorders, and suicidality. Multivariate logistic regression models were used to estimate associations between sociodemographic variables and mental healthcare utilisation, controlling for common mental disorders and suicidality. Results: A total of 18.1% of students utilised mental healthcare in the past 12 months, with only 28.9% of students with mental disorders receiving treatment (ranging from 28.1% for ADHD to 64.3% for bipolar spectrum disorder). Of those receiving treatment, 52.0% used psychotropic medication, 47.3% received psychotherapy, and 5.4% consulted a traditional healer. Treatment rates for suicidal ideation, plan and attempt were 25.4%, 41.6% and 52.9%, respectively. In multivariate regression models that control for the main effects of mental health variables and all possible joint effects of sociodemographic variables, the likelihood of treatment was lower among males (aOR = 0.57) and Black students (aOR = 0.52). An interaction was observed between sexual orientation and first generation status; among second-generation students, the odds of treatment were higher for students reporting an atypical sexual orientation (aOR = 1.55), while among students with atypical sexual orientations, the likelihood of mental healthcare utilisation was lower for first-generation students (aOR = 0.29). Odds of treatment were significantly elevated among students with major depressive disorder (aOR = 1.88), generalised anxiety disorder (aOR = 2.34), bipolar spectrum disorder (aOR = 4.07), drug use disorder (aOR = 3.45), suicidal ideation (without plan or attempt) (aOR = 2.00), suicide plan (without attempt) (aOR = 3.64) and suicide attempt (aOR = 4.57). Likelihood of treatment increased with level of suicidality, but not number of mental disorders. Conclusion: We found very low mental healthcare treatment utilisation among first-year university students in South Africa, with enduring disparities among historically marginalised groups. Campus-based interventions are needed to

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Section: Discussionmentioning

confidence: 99%

Section: Sociodemographic Determinants Of Mental Healthcare Utilisationmentioning

confidence: 99%

Inequality and mental healthcare utilisation among first-year university students in South Africa

Bantjes

Saal

Löchner

et al. 2020

Int J Ment Health Syst

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“…First, at the core of community healing is justice; a guiding principle that is both a condition of and outcome of community healing (Myers et al, 2018;Prilleltensky, 2012). Second, culturally syntonic processes working in tandem, such as storytelling and resistance, may facilitate the renarrating of trauma and serve as motivating factors that bring behaviors into focus and ideas into action (Burkett, 2017;Harrell, 2015;Myers, 2013). Finally, community healing consists of three key psychological dimensions: connectedness, collective memory, and critical consciousness.…”

Section: Community Healingmentioning

confidence: 99%

“…Defiance allowed for intentional planning to achieve more adaptive conditions that may ensure the realization of (individual and collective) self-determined goals (Gordon, 2004). The review of the literature on culturally syntonic processes, considered together, has demonstrated that storytelling about and resistance to obstructive or destructive systems of oppression is a healthy response that cultivates opportunities for community healing (Burkett, 2017).…”

Section: Storytellingmentioning

confidence: 99%

“…Systems of oppression, rooted in historical trauma —massive violence with the intent to impair and/or kill a group of people that cumulatively manifests as chronic psychological wounding across surviving generations—undermine the well-being of Africana communities (Burkett, 2017; Karlsen et al, 2005; Pieterse et al, 2012; Reitz & Banerjee, 2007). An ongoing consequence of historical trauma is racial trauma, which has deleterious effects on its victims.…”

mentioning

confidence: 99%

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Community Healing and Resistance Through Storytelling: A Framework to Address Racial Trauma in Africana Communities

Chioneso

Hunter

Gobin

et al. 2020

Journal of Black Psychology

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Racial trauma, an ongoing consequence of historical trauma, has deleterious effects on the well-being of Africana communities. The psychological literature primarily reflects individual processes in the relationship between racial trauma and healing. Going beyond individualistic approaches, we present a community healing framework informed by multidisciplinary scholarship: Community Healing and Resistance Through Storytelling ( C-HeARTS). Three major components of the framework are delineated: (a) justice as both a condition of and an outcome of community healing; (b) culturally syntonic processes (i.e., storytelling and resistance) that direct the renarrating of trauma and act as conduits for transformation; and (c) psychological dimensions (i.e., connectedness, collective memory, and critical consciousness) that promote justice-informed outcomes. In the C-HeARTS framework, community is advanced as an agent of change while centering justice and the important role of cultural practices to facilitate community healing.

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Addressing Suicide Among Black Youths

2021

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In conclusion, we believe that the 2020 neonatal resuscitation guidelines 1 are very important and their authors deserve our gratitude, but the recommendation against UCM in infants of less than 28 weeks' gestational age is not supported by evidence and should be moderated, because there are studies which suggest that UCM can have beneficial associations with neonatal outcomes in comparison with ECC when DCC is infeasible. From this point of view, previous neonatal resuscitation guidelines, which have advised against the routine use of UCM and encouraged more randomized clinical trials involving infants born at less than 29 weeks' gestation, are more balanced and constructive than the latest version. 1 Therefore, we believe that scientific societies should take these considerations into account and reevaluate their statements on UCM, acknowledging that there is a great need for in-depth study of umbilical cord management in infants born preterm, which should be favored by guidelines.

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Obstructed Use: Reconceptualizing the Mental Health (Help-Seeking) Experiences of Black Americans

Cited by 29 publications

References 67 publications

Inequality and mental healthcare utilisation among first-year university students in South Africa

Inequality and mental healthcare utilisation among first-year university students in South Africa

Community Healing and Resistance Through Storytelling: A Framework to Address Racial Trauma in Africana Communities

Addressing Suicide Among Black Youths

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