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Challenges and Opportunities to Meet the Mental Health Needs of Underserved and Disenfranchised Populations in the United States
This article investigates the gap in access to and quality of mental health care in the United States. This work first discusses how minority populations are most affected by the treatment gap. It summarizes recent literature on the topic for better understanding the needs of psychiatrically underserved and disenfranchised populations and the causes of mental health disparities. It reviews some of the barriers to behavioral health care, including lack of insurance coverage, lack of community-based interventions, unequal access to evidence-based practices, stigma, mental health workforce shortages, and geographical maldistribution of providers. Second, it reviews opportunities to address these disparities. The article provides examples of effective interventions that researchers worldwide have already implemented to address the gap of mental health services within the collaborative care model and global mental health initiatives. Telepsychiatry and improvements in training of the mental health workforce are also listed as useful implementations to overcome the treatment gap for patients seeking mental health care. -
Trauma-Informed Care and Cultural Humility in the Mental Health Care of People From Minoritized Communities
This article outlines general principles of trauma-informed care and ways to enact it. Because the situations in which trauma arises, the ways in which it is conceptualized, and how patients respond to it are influenced by both culture and individual factors, a cultural humility approach is also described and recommended. Psychiatrists can navigate the complex terrain of cultures and social backgrounds in the clinical encounter and can promote healing when treating patients who have experienced trauma by adopting a trauma-informed care approach and an attitude of cultural humility. -
Treatment for Suicidal Ideation, Self-Harm, and Suicide Attempts Among Youth
The goal of this guide is to provide interventions to treat for suicidal ideation, self-harm, and suicide attempts among youth. It provides research on implementation and examples of the ways that these recommendations can be implemented. -
Creating Cultures of Care: Supporting the Whole Child through Trauma-Informed Practice
This brief offers a framework for how trauma-informed practice complements positive youth development, while illustrating the bridge between theory and practice. You’ll read about the work of two specific communities—one in Oregon and one in Missouri—which are engaged in collaborative, on-the-ground efforts to make healthy schools that support all young people the norm and not the exception. These communities serve as an inspiration to others across the country as they lead the way in creating healthier school environments where every child can thrive -
Responding to Individuals in Behavioral Health Crisis Via Co-Responder Models: The Roles of Cities, Counties, Law Enforcement, and Providers
Details the various co-responder models available to city and county leaders. It reflects the growing interest and experimentation with co-response among jurisdictions that are part of the John D. and Catherine T. MacArthur Foundation’s Safety and Justice Challenge (SJC). In addition, the brief builds upon case studies in NLC’s recent series, Addressing Mental Health, Substance Use, and Homelessness, which explores emergency response and crisis stabilization strategies for cities -
Justice-Involved Youth and Trauma-Informed Interventions
Professionals working in the juvenile justice system must consider the impact of trauma on justice-involved youth when creating interventions and policies. Most youths involved with the justice system have a history of childhood adversity. Juvenile justice service systems should work to implement trauma-informed interventions that address the needs of youth with mental health and trauma related disorders. The adoption of a trauma-informed approach throughout the juvenile justice system and the implementation of interventions for juvenile offenders with a history of trauma exposure has enormous potential benefits for justice-involved youth, the staff who work with them, their families, and the community at large. -
A Trauma-Informed Exploration of the Mental Health and Community Support Experiences of Transgender and Gender-Expansive Adults
This study applied a trauma-informed care (TIC) framework to explore transgender and gender-expansive (TGE) adults’ experiences with mental health and community supports. -
Ring the Alarm: The Crisis of Black Youth Suicide in America
Over the last several years, data has emerged indicating an alarming increase in the suicide rates for Black children and teenagers over the past generation. While research has also shown climbing rates for youth from other racial and ethnic groups, this trend in Black youth runs counter to historical data showing lower rates of suicide among Black Americans. -
Typologies of Adversity in Childhood & Adulthood as Determinants of Mental Health and Substance Use Disorders of Adults Incarcerated in US Prisons
Incarcerated people have disproportionately high rates of adverse experiences, mental health and substance use disorders. This study identifies typologies of adversity among adults incarcerated in US prisons. Typologies are used to predict mental health and substance use disorders. Disparities by gender, race and ethnicity are also examined.Incarcerated people identifying as either women or white experienced higher rates of nearly all types of adverse experiences, as compared to either men or non-white people. Women also had higher rates of mental health and substance use disorders, except for alcohol use disorder. -
Vital Signs: Estimated Proportion of Adult Health Problems Attributable to Adverse Childhood Experiences and Implications for Prevention
Efforts that prevent adverse childhood experiences could also potentially prevent adult chronic conditions, depression, health risk behaviors, and negative socioeconomic outcomes. States can use comprehensive public health approaches derived from the best available evidence to prevent childhood adversity before it begins. By creating the conditions for healthy communities and focusing on primary prevention, it is possible to reduce risk for adverse childhood experiences while also mitigating consequences for those already affected by these experiences