“The System isn’t Set up for Us”: Stories of young Black women’s mental health journey

Abstract

Background: Black women are too often overlooked and underserved by the mental health system, resulting in disparities in their access to care and services provided. Little attention has been given to understanding the mental health experiences of Black women or to the development of culturally responsive, effective interventions that promote equitable access and services for these women. Objectives: This study provides an opportunity to understand the lived experiences of young Black women with mental health challenges and their engagement with mental health services. Design: A descriptive phenomenological approach was used to understand the lived experiences of young Black women with mental health challenges and their engagement with mental health services. Methods: Using a descriptive phenomenological approach, loosely structured interviews with 15 Black women, ages 18–30 years, experiencing mental health challenges were conducted. Results: A thematic analysis revealed five overarching themes: (1) the “Strong Black Woman” persona as a barrier to seeking care, (2) impact of mental health stigma in the Black community, (3) intergenerational mental health trauma among Black women, (4) lack of culturally responsive practitioners, and (5) the impact of COVID-19 on mental health. Conclusion: The findings suggest practitioners need to consider the intersecting identities of Black women when developing culturally responsive interventions. Additionally, concepts such as identity shifting, identity centrality, and radical healing should be considered when addressing the unique experiences of young Black women.