Addressing Disparities in Access and Utilization of Mental Health and Substance Use Services

CLICK HERE TO READ MORE  

As one of the AABHCOE’s national partners, the National Council for Mental Wellbeing has developed the following white paper to assist the public in better understanding the health disparities that exist in the access, engagement, utilization and outcomes for B/AAs seeking specialty mental health and substance use treatment services. Additionally, this report will highlight solutions and promising practices derived from mental health and substance use treatment providers to effectively meet the needs of B/AAs seeking mental health and substance use treatment services. METHODOLOGY This paper provides a brief literature review of recent research related to disparities in access, delivery and outcomes for B/AA in need of mental health and substance use treatment services. The National Council conducted searches of relevant medical, psychological and public health databases, including PubMed, EBSCOhost and PsycInfo as well as recent editorials and other supplemental materials from key mental health and substance use agencies and associations (e.g., SAMHSA, APA, etc.). This is not an exhaustive review but rather seeks to help the reader understand the current range of issues and concerns that affect access, outcomes and utilization of mental health and substance use services. To supplement findings from the literature review, the National Council conducted four key informant interviews and one focus group. Key informants provided perspectives related to clinical practice, advocacy, funding, leadership, service delivery and receipt of mental health/substance use services. The focus group participants were a convenient sample of providers who have significant experience working with the population and providing services. These conversations offered context for understanding the literature as well as providing solutions from the field to better address gaps in service and improve outcomes. The discussions were guided by a set of questions (see appendix) that centered on various themes such as engagement strategies, finance, trauma, workforce, access and utilization of services.