A Qualitative Analysis Of The Mental Health Experiences Of Black Appalachian Residents

There is a dearth of research on the mental health of Black residents of rural Appalachia despite a significant historical and cultural presence within the region and a currently growing population. Research on ethnic minorities living in rural areas indicates greater risk of severe mental health issues and less access to quality of care, leaving rural Black Appalachian residents in a precarious position and with limited research to guide appropriate care. Five Black women who were raised in Central and Southern rural Appalachian counties were identified through purposive sampling and subsequently interviewed about their experiences with mental health and mental health treatment. Grounded theory guided the interpretations of the interviews and triangulation was utilized during analysis. Analysis revealed themes of personal responsibility, self-reliance, and shame in interviewee’s experiences and understandings of mental health. Furthermore, religion was identified as a major source of support for interviewees and their families through both prayer and engaging in Church services and community. Instrumental and emotional support were differentially provided to the interviewees and their loved ones struggling with mental illness. Suggested areas for community intervention include workshops and implementing integrated health care.