Representation Matters: Tackling Minority Mental Health Through Visibility in Medicine

As July comes to a close, we want to acknowledge, Minority Mental Health Month, a national observance dedicated to raising awareness about the unique mental health struggles experienced by communities of color. For Black Americans, mental health disparities remain a persistent challenge—rooted in systemic inequities, limited access to culturally competent care, and a severe lack of representation in the healthcare workforce.

At the American Society of Black Neurosurgeons (ASBN), we recognize that one of the most powerful ways to close these gaps is through representation. When Black patients see Black physicians, trust grows, communication improves, and care outcomes rise. Representation isn't just important—it saves lives.

The Data Speaks: Mental Health Disparities in the Black Community

  • 1 in 3 Black adults who need mental health care receive it.
    (Source: NAMI)

  • Black Americans are less likely to receive guideline-consistent care and more likely to use emergency rooms or primary care rather than mental health specialists.
    (Source: American Psychiatric Association)

  • In 2022, suicide was the third leading cause of death for Black or African Americans ages 10 to 24. (Source: HHS)

  • Despite representing over 13% of the U.S. population, Black physicians make up only 5.7% of active physicians and less than 2% of neurosurgeons.
    (Source: NIH 2023)

This stark underrepresentation affects both the delivery and perception of care. When mental health providers do not reflect the communities they serve, cultural misunderstandings can lead to misdiagnoses, stigma, and inadequate treatment.

Why Representation in Medicine Matters

The presence of Black physicians is directly linked to better health outcomes for Black patients. A 2018 study published in the Stanford Health Policy found that Black men were significantly more likely to consent to preventive services when treated by Black doctors, citing improved trust and communication.

Furthermore, culturally matched care improves patient satisfaction and engagement, particularly in mental health settings where stigma is already a barrier to care.

ASBN’s Role: Inspiring Black Doctors to Lead and Heal

ASBN is on a mission to change the face of neurosurgery and increase the presence of Black voices across the spectrum of brain and spine care. Through initiatives like:

  • NeuroMentoring Pods – pairing medical students with residents and attending neurosurgeons for long-term career support

  • The Brain Trust – providing one-on-one mentorship and office hours for underrepresented students

  • Pipeline Development – offering shadowing opportunities, residency prep, interview coaching, and support for away rotations

ASBN is investing in the next generation of Black neurosurgeons—and ensuring that Black excellence is not the exception, but the norm.

During Minority Mental Health Month, we reaffirm our belief that representation is medicine. By encouraging more Black doctors to take up space, lead with purpose, and serve with empathy, we are not only shaping the future of neurosurgery—we’re improving mental health outcomes for generations to come.

Join the movement. Support the mission. Empower the next.

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Neurosurgeon Highlight: Dr. Ignatius Ngene Esene, MD, PhD, MSc, MPH