In-depth interviews reveal motivations and systemic challenges faced by Black men, suggesting reforms for improved representation in mental health.
Black men remain severely underrepresented in the mental health workforce. This study explored how sociocultural and racialized barriers influence their motivations to pursue mental health careers and the challenges they encounter. Using purposive sampling, we conducted in-depth, semi-structured interviews with 34 self-identified Black men working in counseling, social work, or psychology. They represented various stages of professional training and licensure across these mental health fields. Guided by critical race theory and social cognitive career theory, data were analyzed using reflexive thematic analysis; two core categories and four themes were identified. Within the Motivation category, Purpose and Support emerged as key motivators, reflecting personal fulfillment, community responsibility, and mentorship. The second category, Barriers, included the themes of Stigma and Systemic Inequalities, encompassing cultural norms around masculinity, financial hardship, biased licensure, and limited early exposure to the field. Despite these challenges, participants expressed a strong commitment to improving access and representation. The findings support the need for targeted recruitment strategies, structural reforms, and culturally grounded career pathways.
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Mallory et al. (2025) studied this question.
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