Some Ingredients for Mental Health

When the body is ailing the mind is soon impaired. Good health practices contribute to longer and better life. A balanced life of work-rest-play is necessary to human health.Psychosocial stresses at any period of life may impair morale and productivity and increase the likelihood of physical or mental disease. Bereavement, separation, divorce, loss of friendship, retirement, loss of self-esteem and symbolic losses contribute significantly to mental and physical ill health. Social and psychological support systems are vital to mental health maintenance.Mature persons evolve principles, values, moral and ethical tenets, philosophic and religious ideals and special codes of conduct to give meaning to their lives. The basic needs of survival and procreation must be integrated with moral precepts relating to interindividual behavior so as to give a person a feeling of self-worth, which is an indispensable element in mental health.     

The Quality of Mental Health Care for African Americans

In response to the Surgeon General's request for more research on racial disparities in mental health care, especially research that includes high-need populations (e.g., the homeless, incarcerated, children in foster care, and substance abusers), we examined racial disparities in the provision of mental health counseling, psychotherapy, and pharmacotherapy in hospital outpatient settings using nationally representative data from the 1997 National Hospital Ambulatory Medical Care Survey (NHAMCS). After controlling for diagnosis and other factors, we found that African Americans were less likely than whites to receive mental health counseling and psychotherapy, but more likely than whites to receive pharmacotherapy. We also found that substance abuse clinics were more likely than primary care and specialty mental health clinics to provide mental health counseling and psychotherapy. However, specialty mental health clinics were the only clinics to provide pharmacotherapy. Future research should examine racial disparities in a variety of settings, controlling for diagnosis as well as other factors.