The Utilization of Psychotherapy Among African Americans in the Black Church: A Needs Assessment

To better gauge the utilization of professional psychological and mental health services among African Americans in Black churches of the greater Los Angeles area, the study implemented a needs assessment survey. The objective of this study was not intended to remedy or bridge any identified gap, but rather to document them for further research and study. This work displays the potential for positive changes in the attitudes of African American communities in the greater Los Angeles area; particularly in Black churches, as it relates to the utilization of professional mental health care. Though the research showed a positive shift in the African American community from the former resistance to seeking and utilizing mental health services, it is also necessary to consider the barriers and obstacles to receiving services, which is vital in planning and development moving forward. It is important to highlight that it appears that some reluctance or hesitation still remains. This study has found that 34% of respondents identified their primary barrier for not seeking professional mental help as a lack of available resources at church. Other issues of hindrances included embarrassment and social stigma (23%), preference for relying on one's direct relationships with God (14%) and cost (4%). The primary needs for assistance and referrals for professional health include, depression, family, marriage and other relational problems, anxiety and stress, death, grief and loss, as well as help dealing with a traumatic experience.