Racial equity in mental health requires more than diversity initiatives—it demands a fundamental reimagining of how we approach care, advocacy, and community partnership. In this thoughtful conversation with therapist Joanna Rosa, we unpack the complex interplay between public health perspectives and mental health outcomes in communities of color.
"As a Black woman, I know I'm impacted similarly," Joanna shares, reflecting on how social determinants of health—housing insecurity, transportation barriers, food access—create chronic distress that traditional therapeutic approaches often fail to address. Her background in psychology and co-occurring counseling, combined with her current doctoral studies in public health, offers a unique lens through which to examine these intersections.
The conversation delves into what meaningful advocacy looks like in challenging times. Joanna emphasizes the importance of understanding your bandwidth, following your passion, and knowing your lane—wisdom particularly valuable for Black professionals navigating systems not designed with them in mind. "Your advocacy doesn't always have to be large," she notes, reminding listeners that smaller wins are equally important and that sometimes the quietest voices make the most significant impact.
For clinicians serving diverse communities, the path forward requires both professional development and personal growth. "You need to understand where your discomfort is," Joanna advises, highlighting how providers must learn to sit with discomfort rather than taking clients' experiences of racial trauma personally. This self-awareness forms the foundation for truly equitable care.
Perhaps most powerfully, the discussion explores how community-driven approaches offer alternatives to top-down mental health systems. By collaborating with grassroots organizations and centering community voices, providers can help create services that genuinely meet people where they are. As Joanna puts it, "Understanding what the community wants and needs, not what we're thinking they want and need as clinicians" is essential to building trust and delivering effective care.
What small step can you take today to advance equity in mental health? Whether you're a provider, community member, or simply someone who cares, your voice matters and has the power to create meaningful change.

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