ministers in the help seeking of African Americans for serious emotional problems. The authors explore which demographic characteristics and psychosocial factors are related to contacting Black clergy for help, whether certain types ofpersonal problems increase the likelihood ofclergy contact, and whether those who go to ministers are also likely to seek help from other professional help sources. Results indicate that women are more likely than men to seek help from ministers. People with economic problems are less likely to contact clergy, while those with death or bereavement problems are more likely to seek help from the clergy. Regardless of the type or severity ofthe problem, those who contact clergy first are less likely to seek help from other professionals. It is recommended that African American clergy and mental health professionals engage in a mutual exchange of information to increase access to professional care among African Americans with serious personal problems.National epidemiologic estimates show that while variations exist for some disorders, the prevalence of serious mental illness in African Americans is roughly equivalent to that ofWhites."2 With the exceptions of schizophrenia and phobias, the Epidemiologic Catchment Area (ECA) Program found roughly comparable rates of mental disorders for Blacks and Whites.3 For example, age-adjusted analyses by sex showed no Black-White differences in the prevalence (lifetime and 6-month) of depression.4 Findings from the more recent National Comorbidity Survey (NCS) also show no significant Black-White differences in the 12-month prevalence of serious mental illness.5" The NCS does reveal, *Results from the National Comorbidity Study (NCS) show that African American rates for some disorders were below those of Whites, particularly depression and substance abuse disorders.2,6 The exception was for phobias, where blacks had higher rates of agoraphobia.7 The NCS also revealed that Black women had higher current rates of agoraphobia and simple phobia than White women. White males had rates of simple and social phobia that were higher than those of Black males.8Harold W.