scholarly journals Where Would You Go? Race, Religion, and the Limits of Pastor Mental Health Care in Black and Latino Congregations

Religions ◽  
2021 ◽  
Vol 12 (12) ◽  
pp. 1062
Author(s):  
Daniel Bolger ◽  
Pamela J. Prickett

A growing body of literature explores how religious congregations shape attitudes toward mental health in racial/ethnic minority communities. Such research has primarily focused on the views of Black clergy and congregants, limiting our ability to understand how the views of Black Christians might differ from Christians in other racial/ethnic minority communities. We drew on focus groups with 14 pastors and interviews with 20 congregants from Black and Latino churches in Houston, Texas, to examine how church members make decisions about where to seek mental health care or direct others for help. We found that both Black and Latino Christians prefer seeking spiritual resources, like their pastor, when dealing with mental health issues, even though pastors feel limited in their ability to help congregants. The preferences of members of each racial/ethnic group, however, were driven by different logics. While Black Christians in this study sought spiritual resources based on perceived norms within the broader Black community, Latino Christians relied on pastoral care due to norms in their individual congregation. The results shed light on how religious beliefs, race/ethnicity, and social class intersect to shape attitudes toward mental health care in ways that have implications for potential partnerships between churches and mental health care providers.

SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A294-A294
Author(s):  
Ivan Vargas ◽  
Alexandria Muench ◽  
Mark Seewald ◽  
Cecilia Livesey ◽  
Matthew Press ◽  
...  

Abstract Introduction Past epidemiological research indicates that insomnia and depression are both highly prevalent and tend to co-occur in the general population. The present study further assesses this association by estimating: (1) the concurrence rates of insomnia and depression in outpatients referred by their primary care providers for mental health care; and (2) whether the association between depression and insomnia varies by insomnia subtype (initial, middle, and late). Methods Data were collected from 3,174 patients (mean age=42.7; 74% women; 50% Black) who were referred to the integrated care program for assessment of mental health symptoms (2018–2020). All patients completed an Insomnia Severity Index (ISI) and a Patient Health Questionnaire (PHQ-9) during their evaluations. Total scores for the ISI and PHQ-9 were computed. These scores were used to categorize patients into diagnostic groups for insomnia (no-insomnia [ISI < 8], subthreshold-insomnia [ISI 8–14], and clinically-significant-insomnia [ISI>14]) and depression (no-depression [PHQ-914]). Items 1–3 of the ISI were also used to assess the association between depression and subtypes of insomnia. Results Rates of insomnia were as follows: 34.6% for subthreshold-insomnia, 35.5% for clinically-significant insomnia, and 28.9% for mild-depression and 26.9% for clinically-significant-depression. 92% of patients with clinically significant depression reported at least subthreshold levels of insomnia. While the majority of patients with clinical depression reported having insomnia, the proportion of patients that endorsed these symptoms were comparable across insomnia subtypes (percent by subtype: initial insomnia 63%; middle insomnia 61%; late insomnia 59%). Conclusion According to these data, the proportion of outpatients referred for mental health evaluations that endorse treatable levels of insomnia is very high (approximately 70%). This naturally gives rise to at least two questions: how will such symptomatology be addressed (within primary or specialty care) and what affect might targeted treatment for insomnia have on health were it a focus of treatment in general? Support (if any) Vargas: K23HL141581; Perlis: K24AG055602


2013 ◽  
Vol 49 (1) ◽  
pp. 206-229 ◽  
Author(s):  
Benjamin Lê Cook ◽  
Samuel H. Zuvekas ◽  
Nicholas Carson ◽  
Geoffrey Ferris Wayne ◽  
Andrew Vesper ◽  
...  

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