Image: A black woman sits on the floor, leaning against a sofa, in a low-lit room. Her head is in her hands, obscuring her face. Courtesy of pixabay, Pixabay License.

Originally published April 1, 2021

Recent sociological research documents a broad-based increase in mental health treatment-seeking in the United States. Access to such care remains unequal, however, presenting  real and persistent challenges to those in need. Sociologists, and other social scientists, offer important information about these inequalities and the barriers to equitable mental health care.

Over the past few decades there has been growing concern that people are being “overtreated” for mental health issues given increasing rates of mental health treatment and diagnosis in the population. Nevertheless, there are still many people with mental health conditions who are being “undertreated.” Specifically, there are large gaps between the number of people who have a diagnosable disorder and the number of people who actually receive treatment, particularly for serious mental health issues such as schizophrenia or substance abuse disorder.

Research in the sociology of mental health has often focused on the stigma around seeking or receiving mental health care, particularly for marginalized racial or ethnic groups. In fact, white men may be the most likely to have negative perceptions of care when compared to other demographic groups, as Ojeda and Bergstresser report. As the stigma related to mental illness decreases overall, additional research is needed to examine how, why, and for whom this stigma persists.

Access to mental health care is also limited by mental health practitioners and the mental health care system. In a recent experimental audit study, Heather Kugelmass found that patients with less education and black patients were less likely to receive a response when they sought help from a mental health care provider. In addition, Lincoln and colleagues found that patients with lower levels of literacy found it more challenging to navigate the mental health care system, struggling to fill out paperwork and make health-care decisions along with their care provider. Both the structure of mental health care, and the actions of mental health care providers, can create inequality for patients even after they have decided to seek care.

More people are accessing mental health care now than ever before. As the stigma around care decreases, and more people are seeking care, it is particularly important to ensure equitable access. By shedding light on how factors like disability, class, and race affect mental health care, social scientists can ultimately play a role in addressing inequities and alleviating mental distress.