Kamesha Spates

Studies show Black women exhibit distinct depression symptoms and treatment experiences compared to other groups, often facing underdiagnosis and inadequate care. Unfortunately, knowledge about Black women with depression has been underexplored. Therefore, the purpose of this study is to gain a better understanding of Black women’s experiences living with clinical depression. To address this objective, we conducted a survey among 28 Black women aged 18 years and older (mean age = 35) residing in the United States, utilizing open-ended questions administered through Qualtrics. The data was analyzed using a thematic analytical approach to identify emerging themes. Three primary themes emerged from the analysis (1) The Legacy of Scientific Racism, (2) Profiling and Underdiagnosis in Healthcare Settings, and (3) Stigma at the Crossroads of Community and Care. These results indicate a pressing need for healthcare providers to offer culturally appropriate services and to focus on eliminating racism and discrimination within patient care.

The term “dual pandemics” refers to the intersection of the COVID-19 pandemic and ongoing systemic racism faced by Black Americans, highlighted by police killings during COVID-19. This study aimed to understand how these dual pandemics impacted Black college students’ mental health. Data from 102 participants over 18 years of age was collected via an open-ended qualitative question on Qualtrics and analyzed using thematic analysis. Three themes emerged: 1) Cognitive, emotional, and physiological reactions to the killings, 2) Increased awareness of racial insensitivity and cruelty, and 3) Increased distrust of systems. The findings provide insight into how the dual pandemics exacerbate existing disparities, systemic trauma, and stress for Black college students, underscoring the urgent need for systemic change. We advocate for racial trauma-informed mental health support in response to police violence.

The present study aimed to provide Congolese refugee women with an opportunity to narrate firsthand experiences coping with resettlement challenges in the United States. Translator-assisted, face-to-face semi-structured individual interviews were conducted with newly resettled Congolese refugee women (n = 20) aged 18 and older who arrived in the United States between 2011 and 2018. All participants were receiving assistance from a resettlement agency, located in the Midwestern US, at the time of the study. Data were analyzed using descriptive coding and thematic analysis. Three overarching themes were developed, indicating that Congolese refugee women adopt three main coping mechanisms to deal with challenges they face after resettling in the United States: (1) use of social support, (2) acceptance of the situation, and (3) spirituality. Resettlement support services, such as those provided by resettlement agencies, mental health providers, and community-based organizations, should integrate both economic and cultural dimensions into their services to address the complex physiological, mental, and emotional impacts of resettlement. These services should prioritize culturally and spiritually sensitive techniques that are linguistically accessible.

Background/Objectives: The persistent health disparities affecting Black men in the US healthcare system reflect systemic inequities that impact their health outcomes. This qualitative study employs thematic analysis to examine how Black men’s interactions with medical providers shape their healthcare experiences and to identify key factors influencing their quality of care. Methods: Through in-depth interviews with 25 Black men throughout the United States, our thematic analysis identified patterns in their reported healthcare experiences. Results: Our analysis revealed four main themes: (1) inadequate clinician communication and information, (2) clinician dismissiveness and failure to listen, (3) experiences of interpersonal racial bias in healthcare interactions, and (4) facilitators of positive, patient-centered healthcare encounters. Black men’s narratives illuminate how communication barriers, dismissive treatment, and racial bias manifest in healthcare settings, while also highlighting elements that facilitate successful patient–clinician relationships. Conclusions: The findings suggest specific approaches for improving these interactions, including clinician active listening and bias training, anti-racism medical education, accountability policies, increased clinician diversity, and patient self-advocacy strategies to address systemic factors affecting Black men’s healthcare experiences and outcomes.

Communities need to be ready to address increased suicide among Black Americans. The Community Readiness Model (CRM) provides an established assessment for marginalized communities facing suicide. CRM assessment of the Northeast Ohio Black community involved interviews with 25 representatives, analysis using rating scales, co-scoring, and calculation. Results include a marginal overall score and low to average scores for five dimensions: knowledge of efforts to address suicide, leadership, community climate, knowledge of suicide, and resources. The vague awareness readiness stage indicates the community is unclear about what can be done to address suicide and has not taken ownership of the issue. We highlight implications for mental health practice, prevention and funding campaigns, and consultation with community leadership for culturally informed prevention strategies targeting areas of lowest readiness. Future research should use expanded designs to examine readiness changes from intervention in this and other Black communities.

Research suggests that bibliotherapy can help children cope with life's challenges through age‐appropriate reading and storytelling. Bibliotherapy has been employed to assist children in dealing with grief, divorce, adoption and other stressors. However, limited studies have investigated how this approach can support young children with incarcerated parents. Utilizing bibliotherapy as a framework, this study conducts a thematic analysis of children's picture books published between 1977 and 2014, featuring children of incarcerated parents as main characters to better understand the challenges they face. The study aims to explore the challenges depicted among child characters in picture books addressing parental incarceration for a young reading audience over almost 50 years. Our findings reveal that child characters grapple with various emotional, psychological and social challenges related to the sudden separation from their loved ones. We discuss the implications of each finding in greater detail.

Conflict-displaced refugees have increased significantly globally. The Democratic Republic of Congo is the leading country with refugees in the United States, where many resettle in Ohio. Women refugees are highly vulnerable, yet little literature has focused on them. Furthermore, maintaining cultural traditions can provide comfort during the tumultuous resettlement process. Therefore, this study used mixed methods to understand the perceptions of Congolese refugee women on maintaining cultural traditions during resettlement in Ohio. Translator-assisted, orally administered demographic survey and face-to-face interviews were conducted among resettled Congolese refugee women (n = 20) 18 and older, who arrived in the United States from 2011 to 2018, and were currently receiving Ohio resettlement agency assistance. Researchers applied descriptive coding and thematic analysis to identify themes and subthemes. Three themes were identified among the resettled Congolese refugee women regarding maintaining cultural traditions in the United States. The three themes comprised (1) clothing and dressing, (2) food, and (3) parenting style. Our work examined resettled refugee Congolese women’s perceptions of maintaining their culture after resettling in Ohio. These study findings could assist community engagers with insights and practical recommendations on supportive services for resettled Congolese women and a deeper understanding of complex acculturative situations facing them during resettlement.

Rates of suicide within the Black community are increasing. Rising rates, coupled with institutional racism, impacts how Black perceive suicide as a problem in their communities. This paper examines the misconceptions that Black Americans hold about the topic of suicide. The current project included data from 25 self-identifying Black adults living in Northeast Ohio. We used a thematic analysis approach to data analysis. Through in-depth interviews, we identified five themes that highlight prominent misconceptions about suicide in Northeast Ohio’s Black community: (1) suicide is related to personal inadequacies; (2) suicide is not a pressing issue in the Black community; (3) clashing perceptions of Blackness and the mentally ill; (4) mentally ill and hopeless; and (5) suicidal thoughts are crazy and will pass. These findings and implications for professionals and for community leaders and members are discussed in detail.