Behavioral Health Innovations during COVID in Black and Hispanic Communities

Research Findings of a Community Engagement Project

Authors

DOI:

https://doi.org/10.33043/ax7qdxcd

Keywords:

COVID, Behavioral Health, Black and Hispanic, community, Innovative strategies

Abstract

In an effort to address behavioral health disparities, authors conducted a community engagement research study to identify innovative practices that behavioral health agencies utilized in Black and Hispanic communities during COVID-19. Research methods included community agency input, a targeted survey of 15 behavioral health agencies, and focus groups. Authors identified innovative practices in eight areas of physical safety, emotional safety, accessibility through technology, accessibility for face-to-face counseling, affordability, leveraging resources, availability, and changes in procedures. Authors discuss recommendations and implications for social justice action to decrease behavioral health disparities.

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References

Alsan, M., Wanamaker, M., & Hardeman, R. (2019). The Tuskegee study of untreated syphilis: A case study in peripheral trauma with implications for health professionals. Journal of General Internal Medicine, 25(1), 322-325.

American Counseling Association. (2014). 2014 ACA code of ethics: As approved by the ACA governing council. https://www.counseling/org

ATLAS.ti Scientific Software Development GmbH. (2023). ATLAS.ti Web (version 5.8.0) [Qualitative data analysis software]. https://atlasti.com

Benkert, R., Cuevas, A., Thompson, H. S., Dove-Medows, E., & Knuckles, D. (2019). Ubiquitous yet unclear: a systematic review of medical mistrust. Behavioral Medicine, 45(2), 86- 101.

Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101.

Ho, I. K., Sheldon, T. A., & Botelho, E. (2022). Medical mistrust among women with intersecting marginalized identities: A scoping review. Ethnicity & Health, 27(8), 1733-1751.

Johnson-Agbakwu, C. E., Ali, N. S., Oxford, C. M., Wingo, S., Manin, E., & Coonrod, D. V. (2022). Racism, COVID-19, and health inequity in the USA: A call to action. Journal of Racial and Ethnic Health Disparities, 9(1), 52–58. https://doi.org/10.1007/s40615-020-00928-y

Kahn, K. B., & Money, E. E. (2022). (Un) masking threat: Racial minorities experience race-based social identity threat wearing face masks during COVID-19. Group processes & Intergroup Relations, 25(4), 871-891.

Krueger, R. A., & Casey, M. A. (2014). Focus Groups: A Practical Guide for Applied Research. Sage Publications.

Lewis, J. A., Arnold, M. S., House, R., & Toporek, R. L. (2003). ACA advocacy competencies. https://www.counseling.org/resources/competencies/advocacy_competencies.pdf

Liu, S. R., & Modir, S. (2020). The outbreak that was always here: Racial trauma in the context of COVID-19 and implications for mental health providers. Psychological Trauma: Theory, Research, Practice, and Policy, 12(5), 439–442. https://doi.org/10.1037/tra0000784

Maffly-Kipp, J., Eisenbeck, N., Carreno, D. F., & Hicks, J. (2021). Mental health inequalities increase as a function of COVID-19 pandemic severity levels. Social Science & Medicine, 285, Article 114275. https://doi.org/10.1016/j.socscimed.2021.114275

Moran, B., Longo, J., & Gaston, J. E. (2022, August 15). Digitally transformed community health. Healthcare Information and Management Systems Society. https://www.himss.org/resources/digitally-transformed-community-health

Moreno, C., Wykes, T., Galderisi, S., Nordentoft, M., Crossley, N., Jones, N., Cannon, M., Correll, C. U., Byrne, L., Carr, S., Chen, E., Gorwood, P., Johnson, S., Kärkkäinen, H., Krystal, J. H., Lee, J., Lieberman, J., López-Jaramillo, C., Männikkö, M., Phillips, M. R., . . . Arango, C. (2020). How mental health care should change as a consequence of the COVID-19 pandemic. The Lancet Psychiatry, 7(9), 813–824. https://doi.org/10.1016/S2215-0366(20)30307-2

Office of the Assistant Secretary for Planning and Evaluation. (2022, May). Impact of the COVID-19 pandemic on the hospital and outpatient clinician workforce: Challenges and policy responses (Issue Brief No. HP-2022-13). U.S. Department of Health and Human Services.

Ratts, M. J., Singh, A. A., Nassar-McMillan, S., Butler, S. K., & Rafferty McCullough, J. (2015). Multicultural and Social Justice Counseling Competencies. American Counseling Association. Available at https://www.counseling.org/resources/competencies

Ruprecht, M. M., Xinzi, W., Johnson, A. K., Xu, J., Dylan, F., Siobhan, I., Stonehouse, P., Curry, C. W., DeBroux, C., Costa, D., & Phillips, I. G. (2021). Evidence of Social and Structural COVID-19 Disparities by Sexual Orientation, Gender Identity, and Race/Ethnicity in an Urban Environment. Journal of Urban Health, 98(1), 27-40. https://doi.org/10.1007/s11524-020-00497-9

Sinclair, V. M., La Guardia, A. C., Saunders, R. M., & Tichavakunda, A. A. (2024). Counselors as Social Justice Advocates: Experiences Addressing Systemic Marginalization. Journal for Social Action in Counseling and Psychology, 16(1), 19–42. https://doi.org/10.33043/y6594b8924

Sullivan, A. L., Harris, B., Miller, F. G., Fallon, L. M., Weeks, M. R., Malone, C. M., Kulkarni, T., Proctor, S. L., Johnson, A. H., Rossen, E., Nguyen, T., & Shaver, E. (2021). A call to action for school psychology to address COVID-19 health disparities and advance social justice. School Psychology, 36(5), 410–421. https://doi.org/10.1037/spq0000463.supp (Supplemental).

Thomeer, M. B., Moody, M. D., & Yahirun, J. (2023). Racial and ethnic disparities in mental health and mental health care during the COVID-19 pandemic. Journal of Racial and Ethnic Health Disparities, 10(2), 961-976. doi:https://doi.org/10.1007/s40615-022-01284-9

Timans, R., Wouters, P., & Heilbron, J. (2019). Mixed methods research: What it is and what it could be. Theory and Society, 48(2), 193–216. https://doi.org/10.1007/s11186-019-09345-5

Whittemore, R., Chase, S. K., & Mandle, C. L. (2001). Validity in qualitative research. Qualitative Health Research, 11(4), 522-537. https://doi.org/10.1177/104973201129119299

Wood, D (2021, June 25). Healthcare best practices beyond COVID-19. AMN Healthcare. https://www.amnhealthcare.com/amn-insights/covid/blog/healthcare-best-practices-beyond-covid-19/

Ye, S., Kronish, I., Fleck, E., Fleischut, P., Homma, S., Masini, D., & Moise, N. (2021) Telemedicine expansion during the COVID-19 pandemic and the potential for technology-driven disparities. Journal of General Internal Medicine, 36(1), 256-258. https://doi.org/10.1007/s11606-020-06322-y

Published

2025-07-24

How to Cite

Baggerly, J., Bore, S., Lacy, C., Sanders, C., & Pouncie, E. (2025). Behavioral Health Innovations during COVID in Black and Hispanic Communities: Research Findings of a Community Engagement Project. Journal for Social Action in Counseling & Psychology, 17(1), 66–81. https://doi.org/10.33043/ax7qdxcd