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Mental Health in the Black Community: Are the Numbers Lying to Us?

Let’s be honest, most of us don’t walk around saying we have a “mental health problem.” But did you know that Black adults are 20% MORE likely than white adults to experience serious issues like depression or anxiety? On top of that, even when we’re struggling, we’re less likely to actually seek help or get the proper care. What’s the deal with that?

Breaking it Down: Mental Health Disparities This fancy term simply means that when it comes to mental health, the system isn’t set up equally for everyone. For Black communities, this includes:

  • Barriers to Treatment: Not enough therapists who understand our experiences, not having insurance, or plain ol’ not knowing where to start looking for help.
  • Quality of Care: Sometimes when we do find mental health professionals, they might not be culturally sensitive, leading to misdiagnosis or treatments that just don’t feel right for us.

“Feeling Off” Isn’t Just Weakness Think about these, because sometimes they get written off as just “life”:

  • You’ve been feeling down, unmotivated, and burnt out for way too long.
  • Financial anxieties make it hard to sleep at night or enjoy anything, no matter how hard you hustle.
  • Traumatic events – police harassment, witnessing violence, loss – make it impossible to move on, making you hypervigilant, or leading to angry outbursts.

Why Focus on the Black Community? This isn’t a competition about who has it worse. But let’s face it, on top of everyday stressors, the Black community carries the weight of historical trauma, the constant fight for equity, and a sense of always having to “be strong” no matter what. This takes a toll.

Not Just in our Heads So no, you aren’t crazy if you feel like something’s wrong, and it’s NOT just about personal weakness. There are bigger forces at play that make it harder for Black folks to thrive mentally. Recognizing this is the first step towards change.

Next Up The question isn’t IF there’s a mental health disparity problem, it’s WHY it exists and what we can do about it. Keep following this series as we unpack the complex reasons behind the statistics and find those paths to better mental health together.

Let’s Connect! Have these struggles hit home for you or someone you know? Share your thoughts in the comments, or just drop an emoji if you’re feeling seen 👇🏾

Sources

  • NAMI – National Alliance on Mental Illness (https://nami.org)
    • Use For: Main statistic on race-based mental health struggles
  • CDC – Centers for Disease Control and Prevention (https://www.cdc.gov)
  • The AAKOMA Project (https://aakomaproject.org/)
    • Use For: Providing that culturally competent perspective missing from many mainstream mental health sites. Has insightful articles on navigating therapy specifically as a Black person.
  • Mental Health America (https://www.mhanational.org/)
    • Use For: Similar to NAMI, good for finding stats, but they highlight advocacy –

The Pygmalion Effect and Our Community: A Self-Fulfilling Prophecy

At Black Health Compass, we explore all aspects of wellness—mind, body, and spirit. This includes understanding the powerful psychological forces that shape our lives and health outcomes. Today, we’re diving into a concept known as the Pygmalion effect, and how it uniquely impacts the Black community.

The Pygmalion effect is a psychological phenomenon where high expectations lead to improved performance. It’s a type of self-fulfilling prophecy: when someone believes in our potential, their subtle cues and actions can empower us to rise and meet that belief. Conversely, low expectations can just as powerfully limit our potential, a phenomenon sometimes called the Golem effect.

This dynamic has been observed everywhere from classrooms, where a teacher’s belief in a student’s intelligence can boost their grades, to the workplace, where a manager’s confidence can unlock an employee’s productivity. It’s a powerful reminder that what others expect of us—and what we expect of ourselves—can become our reality.

The Pygmalion Effect in Our Community

For Black people, the Pygmalion effect is not just a psychological theory; it’s often a lived reality, deeply intertwined with the social and political determinants of health we discuss frequently. Our communities and individuals often face environments—be it in education, healthcare, or employment—that operate with negative or low expectations.

Think of the healthcare system: as mentioned in our focus groups, many of us have felt unheard or dismissed by doctors. This can be a form of the Golem effect, where a provider’s low expectations about our health literacy or ability to manage our health can lead to less thorough care. When a patient feels they won’t be taken seriously, they may delay seeking treatment, confirming the provider’s initial low expectation.

Similarly, in larger society, we often navigate spaces where our potential is questioned and our successes are viewed as exceptions. This can be a heavy burden. The constant fight against stereotypes and the pressure to over-perform to prove our worth can lead to chronic stress, which directly impacts our physical and mental health.

The key takeaway is that our environment can either lift us up or hold us back. It’s crucial to recognize these forces and actively seek out spaces and people that have high, positive expectations for us.

Finding Your “High Expectation” Tribe

The people you surround yourself with are vital. Your “village” can be a powerful antidote to low expectations and a strong catalyst for the Pygmalion effect in your own life.

  • Seek out positive influences. Find friends, family, mentors, and community leaders who believe in your dreams and potential, and who actively encourage your growth. These individuals can be sources of strength and resilience.
  • Engage with empowering organizations. Connect with groups like those in the Black Health Resource Directory that are dedicated to our upliftment. These organizations, often led by people with shared experiences, operate from a place of high expectations for our community’s success.
  • Use shared language. In a world that often misinterprets or dismisses us, communicating with people who understand your lived experience can be profoundly healing and validating.

What to Do When Expectations Are Low at Home

Sometimes, the people closest to us—including our spouses—may not have the high expectations we need, whether due to their own past experiences or ingrained beliefs. This can be particularly painful. If you’re in a relationship where you feel your spouse or partner is not supporting your potential, here are some steps you can take:

  1. Communicate Openly and Calmly: Express how their words or actions make you feel using “I” statements. Instead of saying, “You never believe in me,” try, “I feel discouraged when I hear that, because it’s something I’m passionate about.” This shifts the focus from blame to your emotions.
  2. Set Clear Boundaries: Gently but firmly set a boundary about what you need. For example, “I need you to support me on this, even if you don’t fully understand it. If you can’t, I ask that you not talk about it.”
  3. Find External Validation: Seek support from your “high expectation” tribe—your close friends, family, or a mentor who believes in you. This doesn’t mean hiding your pursuits from your spouse, but rather ensuring you have sources of encouragement that don’t depend solely on them.
  4. Show, Don’t Just Tell: Demonstrate your commitment and progress through action. Let your hard work and achievements speak for themselves. Seeing your passion and success firsthand may shift their perspective over time.
  5. Re-center on Self-Belief: The Pygmalion effect is powerful, but it’s a self-fulfilling prophecy that ultimately begins with you. Nurture your own self-belief and conviction. When you hold high expectations for yourself, you become your own most powerful advocate and can inspire others to rise to meet you.

The Pygmalion effect reminds us that our potential is not fixed; it is often shaped by the beliefs and expectations that surround us. By being mindful of this force and intentionally building a supportive network, we can create a powerful cycle of success and well-being for ourselves and our entire community.

The Pygmalion Effect and Our Community: A Self-Fulfilling Prophecy

At Black Health Compass, we explore all aspects of wellness—mind, body, and spirit. This includes understanding the powerful psychological forces that shape our lives and health outcomes. Today, we’re diving into a concept known as the Pygmalion effect, and how it uniquely impacts the Black community.

The Pygmalion effect is a psychological phenomenon where high expectations lead to improved performance. It’s a type of self-fulfilling prophecy: when someone believes in our potential, their subtle cues and actions can empower us to rise and meet that belief. Conversely, low expectations can just as powerfully limit our potential, a phenomenon sometimes called the Golem effect.

This dynamic has been observed everywhere from classrooms, where a teacher’s belief in a student’s intelligence can boost their grades, to the workplace, where a manager’s confidence can unlock an employee’s productivity. It’s a powerful reminder that what others expect of us—and what we expect of ourselves—can become our reality.

The Pygmalion Effect in Our Community

For Black people, the Pygmalion effect is not just a psychological theory; it’s often a lived reality, deeply intertwined with the social and political determinants of health we discuss frequently. Our communities and individuals often face environments—be it in education, healthcare, or employment—that operate with negative or low expectations.

Think of the healthcare system: as mentioned in our focus groups, many of us have felt unheard or dismissed by doctors. This can be a form of the Golem effect, where a provider’s low expectations about our health literacy or ability to manage our health can lead to less thorough care. When a patient feels they won’t be taken seriously, they may delay seeking treatment, confirming the provider’s initial low expectation.

Similarly, in larger society, we often navigate spaces where our potential is questioned and our successes are viewed as exceptions. This can be a heavy burden. The constant fight against stereotypes and the pressure to over-perform to prove our worth can lead to chronic stress, which directly impacts our physical and mental health.

The key takeaway is that our environment can either lift us up or hold us back. It’s crucial to recognize these forces and actively seek out spaces and people that have high, positive expectations for us.

Finding Your “High Expectation” Tribe

The people you surround yourself with are vital. Your “village” can be a powerful antidote to low expectations and a strong catalyst for the Pygmalion effect in your own life.

  • Seek out positive influences. Find friends, family, mentors, and community leaders who believe in your dreams and potential, and who actively encourage your growth. These individuals can be sources of strength and resilience.
  • Engage with empowering organizations. Connect with groups like those in the Black Health Resource Directory that are dedicated to our upliftment. These organizations, often led by people with shared experiences, operate from a place of high expectations for our community’s success.
  • Use shared language. In a world that often misinterprets or dismisses us, communicating with people who understand your lived experience can be profoundly healing and validating.

What to Do When Expectations Are Low at Home

Sometimes, the people closest to us—including our spouses—may not have the high expectations we need, whether due to their own past experiences or ingrained beliefs. This can be particularly painful. If you’re in a relationship where you feel your spouse or partner is not supporting your potential, here are some steps you can take:

  1. Communicate Openly and Calmly: Express how their words or actions make you feel using “I” statements. Instead of saying, “You never believe in me,” try, “I feel discouraged when I hear that, because it’s something I’m passionate about.” This shifts the focus from blame to your emotions.
  2. Set Clear Boundaries: Gently but firmly set a boundary about what you need. For example, “I need you to support me on this, even if you don’t fully understand it. If you can’t, I ask that you not talk about it.”
  3. Find External Validation: Seek support from your “high expectation” tribe—your close friends, family, or a mentor who believes in you. This doesn’t mean hiding your pursuits from your spouse, but rather ensuring you have sources of encouragement that don’t depend solely on them.
  4. Show, Don’t Just Tell: Demonstrate your commitment and progress through action. Let your hard work and achievements speak for themselves. Seeing your passion and success firsthand may shift their perspective over time.
  5. Re-center on Self-Belief: The Pygmalion effect is powerful, but it’s a self-fulfilling prophecy that ultimately begins with you. Nurture your own self-belief and conviction. When you hold high expectations for yourself, you become your own most powerful advocate and can inspire others to rise to meet you.

The Pygmalion effect reminds us that our potential is not fixed; it is often shaped by the beliefs and expectations that surround us. By being mindful of this force and intentionally building a supportive network, we can create a powerful cycle of success and well-being for ourselves and our entire community.

Fighting for Your Health Coverage: Governor Polis Urges Congress to Stop Insurance Hikes

At Black Health Compass, we know that affordable health insurance is not just a convenience – it’s a necessity for our community’s well-being. Many of you have shared your struggles with navigating complex plans and managing out-of-pocket costs. That’s why recent news from Governor Jared Polis regarding potential health insurance premium increases is particularly important for every Black Coloradan.

Governor Polis is actively urging Congress to take action to prevent a significant hike in health insurance premiums that could impact thousands of working families across our state. Without congressional intervention, we could see premiums rise by 28% or more starting January 1, 2025.

What’s at Stake for Colorado Families?

A jump of nearly 30% in health insurance costs would place an immense burden on household budgets already stretched thin. For many, such an increase could mean being forced to choose between essential health coverage and other basic necessities. This directly threatens the progress we’ve made in expanding access to care.

Governor Polis emphasized that extending existing tax credits is the key to limiting these increases to a much more manageable 2% to 5%, which aligns with historical premium adjustments. This is about ensuring that health coverage remains within reach for those who need it most.

Impact on Medicaid and Undocumented Communities

The Governor’s concerns extend beyond the general marketplace. He also highlighted:

  • Medicaid Coverage: Hundreds of thousands of Coloradans could lose their Medicaid coverage due to new work requirements, further exacerbating the challenge of access for vulnerable populations.
  • OmniSalud Program: While Colorado’s OmniSalud program, which provides coverage to individuals without immigration status, will continue, its users would also face these potential premium increases without federal action on tax credits.

These potential changes underscore the interconnectedness of policy decisions and everyday health realities. They highlight how crucial it is for our community to stay informed about legislative actions that directly affect our ability to access and afford healthcare.

Why This Matters to Black Health Compass

This issue goes to the heart of our mission at Black Health Compass:

  • Affordability: We constantly hear about the financial strain of healthcare. Preventing these hikes is vital for ensuring our community can maintain consistent coverage.
  • Access: When costs rise, access diminishes. We advocate for policies that remove barriers, not create new ones.
  • Advocacy: Governor Polis’s plea is a powerful example of advocacy in action. It reminds us that our collective voice and engagement with policy can drive meaningful change.

We encourage you to stay informed about these developments. Black Health Compass will continue to monitor this situation and provide updates on how these policies might affect your health insurance options.

Unpacking Health Disparities: Data & Insights for Black Coloradans

Infographic: Health Disparities in Colorado’s Black Community

Health Equity in Focus

Unpacking the reality of health disparities for Black Coloradans and the path toward a healthier, more equitable future.

The Coverage Gap

A higher percentage of Black Coloradans lack health insurance, creating a significant barrier to accessing preventative and necessary medical care.

Barriers to Care

Concerns about unfair treatment lead a notable portion of the community to skip needed medical care, highlighting a critical trust gap.

Kidney Disease Risk

Black Americans are

4x

more likely to develop end-stage kidney disease.

Diabetes and high blood pressure are the leading causes, making preventative care and management crucial.

The Root Causes: Beyond the Clinic

Health outcomes are shaped by more than just healthcare. Social and political factors create systemic barriers that profoundly impact the well-being of our community.

1

Systemic “Isms” & Policy

Historical policies and ongoing discrimination in areas like housing lead to environmental disparities, such as higher pollution in Black neighborhoods, which contributes to increased rates of conditions like asthma.

2

Access to Resources

Limited access to quality healthcare, healthy food (food deserts), safe housing, and transportation creates significant health challenges and financial strain.

3

Trust and Communication

A history of medical mistreatment and experiences of being dismissed by providers leads to a deep-seated mistrust, often causing delayed care and poorer health outcomes.

Empowerment Through Action: A Path Forward

Creating change requires a collective effort. Here’s how we can work together to build a healthier, more equitable future for Black Coloradans.

👤

Individual Action

Prioritize your health with regular check-ups. Manage chronic conditions proactively and be prepared to discuss your needs honestly with your healthcare providers.

🤝

Community Action

Engage with local health organizations. Participate in health fairs, workshops, and advocacy efforts to support community-wide wellness and share trusted resources.

🏛️

Policy Advocacy

Support leaders and policies that aim to dismantle systemic injustices, improve health equity, and ensure all Coloradans have access to quality, affordable care.

Presented by Black Health Compass

Data sourced from the 2024 Colorado Black Health Resource Directory, CDPHE, and Colorado Health Institute.

At Black Health Compass, our mission is to empower the Black community in Colorado with knowledge and resources to achieve optimal health. A crucial part of this empowerment involves understanding the landscape of health disparities that disproportionately affect us. It’s not just about individual choices; it’s about the broader social and political factors that shape our well-being.

As highlighted in the 2024 Colorado Black Health Resource Directory, and reinforced by discussions in our community focus groups, systemic issues play a significant role in health outcomes. Let’s dive into some key data and insights that underscore these challenges and illuminate the path forward.

The Reality: Health Disparities in Colorado’s Black Community

The data from the Colorado Department of Public Health and Environment (CDPHE) paints a clear picture:

  • Health Insurance Coverage: While the overall average of uninsured adults (18-64) in Colorado is around 11.1%, 12.9% of Black/African Americans in Colorado lack health insurance coverage. This gap directly impacts access to preventative care and necessary treatments, as many of you shared in our focus groups about periods without insurance or struggles with affordability.
  • Leading Causes of Death: Specific health conditions disproportionately affect Black Coloradans:
    • Heart Disease & Hypertension: African Americans often experience higher rates of hypertension (high blood pressure) and related complications, contributing to a higher incidence of heart disease.
    • Kidney Disease: This is a “silent killer,” with Black people being 4 times more likely to develop end-stage kidney disease than white Americans. Diabetes and high blood pressure are the top causes.
    • Cancer: African American women, for example, face higher death rates from breast cancer despite lower incidence rates, highlighting disparities in diagnosis, treatment, or outcomes.
    • Stroke: There’s a higher risk and often worse outcomes, partly due to elevated rates of hypertension and diabetes.
  • Skipped Care Due to Unfair Treatment: A concerning statistic from the Colorado Health Institute reveals that 5.4% of Black/African American Coloradans skipped care due to concerns of being treated unfairly. This speaks directly to the critical need for culturally competent and trustworthy providers, a sentiment strongly echoed by many in our focus groups who emphasized the importance of feeling “comfortable,” “heard,” and “respected” by their doctors.

Beyond the Numbers: Social & Political Determinants of Health

The “Key to Improving Health” article in the directory rightly points out that non-medical factors—the social and political determinants of health—play the most significant role in our well-being. These are the conditions in which we are born, grow, live, work, and age.

  • Systemic “Isms”: Racism, sexism, and other forms of systemic discrimination, whether intentional or unintentional, are often embedded in laws and decisions. These can disproportionately impact the health of communities of color. For instance, historical housing discrimination has led to Black communities living in areas with higher pollution, contributing to higher rates of conditions like asthma.
  • Access to Resources: Factors like access to quality healthcare, healthy food (food deserts), safe housing, transportation, and employment opportunities directly influence health. Our focus groups highlighted the financial strain of healthcare costs and the need for accessible services.
  • Trust and Communication: Historical abuses and ongoing experiences of being unheard or dismissed by healthcare providers contribute to a deep-seated mistrust. This can lead to delayed treatment and poorer outcomes, as shared by many who only seek care when issues are “forced.”

Empowerment Through Knowledge and Action

Understanding these disparities is the first step towards creating change. Black Health Compass is committed to providing you with the data you need to advocate for yourself, your family, and your community.

  • Individual Action: Prioritize your health by seeking regular check-ups, managing chronic conditions, and exploring holistic practices that support your well-being. Be prepared to discuss your needs honestly with your healthcare providers.
  • Community Action: Engage with organizations like the Colorado Black Health Collaborative, the Center for African American Health, and the Colorado Sickle Cell Association, who are actively working to address these disparities. Participate in health fairs, workshops, and advocacy efforts.
  • Policy Advocacy: Support leaders and policies that aim to improve health equity, address systemic injustices, and ensure equitable access to quality care for all Coloradans.

By shining a light on these disparities and understanding their root causes, we can collectively work towards a healthier, more equitable future for Black Coloradans. Your health, your voice, your community – together, we can drive meaningful change.

Beyond the Surface: How Community Spaces Boost Black Mental Well-being in Denver

Life in the city can be a beautiful journey, full of energy and opportunity. But let’s be real, it also comes with its own set of pressures – navigating daily life, career moves, relationships, and for us, the added weight of systemic challenges. It’s a lot. Sometimes, the most significant support doesn’t come from a formal setting, but from finding your people, your space, your community.

For Black young adults in the Denver Metro Area, finding spaces that truly see, understand, and uplift is crucial for mental health and well-being. These aren’t just hangouts; they are vital hubs for resilience, healing, and joy. Let’s dive into how connecting with community in Denver goes “beyond the surface” and nourishes your spirit.

The Foundation: Why Black Community Spaces Matter for Mental Health

Mental health is deeply connected to feeling safe, seen, and supported. For Black individuals, historical trauma, ongoing discrimination, and cultural nuances can impact well-being in unique ways. Community spaces offer a crucial buffer and balm against these stressors. They provide:

Shared Understanding and Reduced Isolation

In spaces where you’re surrounded by people who share similar experiences, you feel less alone. There’s an unspoken understanding of the daily realities of being Black in America, which can significantly reduce feelings of isolation and validation deficit often experienced in majority-white spaces.

Cultural Affirmation and Identity Strength

These spaces celebrate Black culture, history, and identity. Being in an environment where your language, traditions, and perspectives are not just accepted but celebrated strengthens your sense of self and pride, which is fundamental to positive mental well-being.

Safety and Trust

Authentic community spaces offer a sense of physical and emotional safety often hard to find elsewhere. This trust allows for vulnerability, open conversation about struggles, and genuine support without fear of judgment or misunderstanding.

More Than Just Places: The Many Forms of Black Community in Denver

When we talk about community spaces supporting Black mental health in Denver, we’re not just talking about one type of location. Community manifests in various forms, all contributing to the fabric of Black well-being:

Cultural Hubs and Centers

Organizations and centers dedicated to Black arts, culture, and history provide spaces for learning, expression, and connection that nourish the soul and reinforce identity. These are powerful anchors for the Denver Black community.

Local Black-Owned Businesses

Barbershops, salons, bookstores, cafes, restaurants – these are often informal community centers where conversations flow, advice is shared, and relationships are built. They are everyday places of connection and support.

Spiritual and Faith-Based Communities

For many, churches or other faith-based groups provide a strong network of support, shared values, and resources, acting as vital pillars of mental and emotional strength within the Black community.

Grassroots Organizations and Meetups

From social justice groups to book clubs, hiking groups, or professional networks focused on Black individuals, these organized gatherings create intentional spaces for connection, shared purpose, and mutual support tailored to specific interests and needs.

Boosting Your Well-being: Tangible Benefits of Connection

Engaging with Black community spaces in Denver offers concrete benefits for your mental and emotional health:

Stress Reduction and Healing

Being in a supportive environment helps buffer stress. Sharing burdens, laughing together, and receiving empathy actively contributes to healing from daily pressures and deeper traumas.

Enhanced Coping Skills and Resilience

Community spaces are places where coping strategies, life wisdom, and resilience are shared person-to-person. Learning from others who have navigated similar challenges equips you with better tools for your own journey.

Access to Resources and Information

Often, community spaces serve as informal networks for sharing information about mental health resources, therapists, job opportunities, housing, and other vital support systems available in the Denver area.

Increased Joy and Belonging

Pure and simple, spending time in spaces where you feel you truly belong and can be authentically yourself brings joy. These moments of connection are essential fuel for overall well-being.

Finding Your Space in Denver

Ready to deepen your connection? Finding your tribe in Denver might start with exploring local Black-owned businesses, checking out events hosted by cultural organizations, looking for interest-based groups online (but grounded in local activity), or visiting local community centers. Ask friends where they feel most connected. Be open to different types of spaces – your community might be waiting where you least expect it.

Connecting with Black community spaces in Denver isn’t just about being social; it’s a powerful act of self-care and resilience. These spaces provide the understanding, affirmation, and support that go “beyond the surface” to nurture your mental well-being. Seeking out and investing in these connections is investing in yourself. You are not alone on this journey in the Mile High City.

Your Voice, Your Health: A Patient Advocacy Guide

At Black Health Compass, we believe that being heard and understood is fundamental to your health journey. We know that navigating the healthcare system can often feel overwhelming, and as many of you shared in our focus groups, it’s crucial to have providers who genuinely listen and respect your background. This is where patient advocacy comes in – empowering you to be an active partner in your care.

Inspired by valuable insights from articles like “The Key to Improving Health” in the Colorado Black Health Resource Directory, we’re here to provide practical advice on how to effectively communicate your needs, prepare for appointments, and truly understand your medical information.

Why Your Voice Matters

The article “The Key to Improving Health” highlights that while seeing a doctor is important, many non-medical factors (social and political determinants of health) profoundly impact our well-being. It also emphasizes a “team-based care approach,” suggesting that social workers, care managers, and patient navigators are vital members of your healthcare team. This reinforces the idea that you don’t have to go it alone, and that your holistic situation needs to be considered.

Crucially, it encourages us to “Don’t hold back! Be honest about your needs.” This is the cornerstone of effective patient advocacy.

Practical Steps to Being Your Own Best Advocate:

1. Prepare for Your Appointment:

  • List Your Concerns: Before your visit, write down all your symptoms, questions, and concerns. Don’t rely on memory, especially if you feel rushed during the appointment. Prioritize the most important questions.
  • Bring a List of Medications: Include all prescriptions, over-the-counter drugs, vitamins, and supplements (including natural remedies and herbal medicines you use). This helps your doctor understand your full health picture.
  • Note Key Details: When did symptoms start? What makes them better or worse? Have you tried anything at home? Be specific.
  • Consider a Support Person: If you feel overwhelmed or want an extra set of ears, bring a trusted family member or friend with you. They can take notes, ask questions you might forget, and help you remember what was said.

2. Communicate Effectively with Your Doctor:

  • Be Honest and Direct: As the directory advises, “Don’t hold back!” Share everything relevant, even if it feels embarrassing or minor. Your doctor can only help you fully if they have all the information.
  • Express Your Feelings: Don’t just state symptoms; explain how your condition impacts your daily life, work, or well-being. This helps your doctor understand the full scope of your experience.
  • Ask for Clarification: If you don’t understand medical terms or treatment plans, ask for clarification. Say, “Can you explain that in simpler terms?” or “Can you draw a picture?” It’s your health, and you have a right to understand.
  • Confirm Next Steps: Before you leave, make sure you understand:
    • What is my diagnosis (if any)?
    • What are my treatment options and why is this one recommended?
    • What are the potential side effects of medication or treatment?
    • What are the next steps (follow-up appointments, tests)?
    • Who should I contact if I have questions or problems before my next appointment?

3. Understand Your Medical Information:

  • Request Summaries: Ask for a printout of your visit summary, treatment plan, and medication instructions.
  • Utilize Patient Portals: Sign up for your clinic’s online patient portal. This is often where you can view test results, communicate with your care team, and access your medical history.
  • Don’t Be Afraid to Get a Second Opinion: If you’re unsure about a diagnosis or treatment plan, it’s perfectly acceptable to seek another medical professional’s opinion.

4. Leverage Your Support Network:

  • Ask About Patient Navigators: As highlighted in “The Key to Improving Health,” patient navigators and social workers are incredible resources. Ask your physician or medical specialist if they can assign a staff person to provide support in navigating the system, connecting you with resources for housing, transportation, or financial assistance.
  • Connect with Community: Our community forums are a great place to ask questions, share experiences, and get advice from others who have navigated similar challenges.

Your Health, Your Power

Being an advocate for your own health can feel daunting, but remember: you are the expert on your own body and experiences. By preparing, communicating openly, and leveraging available support, you empower yourself to receive the best possible care.

Disclaimer: Black Health Compass aims to provide culturally relevant health information and resources. This content is for informational purposes only and should not replace professional medical advice. Always consult with a healthcare provider for personalized guidance regarding your health concerns.

Infographic: The Healthcare Experience of Black Coloradans

Infographic: The Healthcare & Insurance Experience for Black Coloradans

A Systemic Divide

Visualizing the Healthcare and Insurance Experiences of Black Coloradans

Based on qualitative data from community focus groups.

1. The Patient Experience: A Search for Trust

This section explores the crucial first point of contact with the healthcare system. For participants, feeling heard, respected, and culturally understood is not a preference—it’s a prerequisite for effective care.

What Matters Most in a Doctor?

Trust and feeling heard are paramount, significantly outweighing other factors. This highlights that for many, the interpersonal connection is as critical as the clinical expertise.

Primary Reasons for Negative Experiences

The most cited reason for poor experiences was feeling dismissed or unheard, a clear indicator of systemic communication failures.

2. The Insurance Maze: A Stressful Puzzle

For many, navigating health insurance is a confusing and costly ordeal. This complexity creates significant barriers to consistent coverage and care.

Top Insurance Barriers

High costs and system complexity were the most significant challenges participants faced when trying to secure and use health insurance.

A Typical Insurance Journey

🏢

Employer Plan

Job Loss / Gap

💻

Marketplace

💸

High Cost Plan

The path to coverage is rarely linear, often involving stressful gaps and difficult transitions that create instability.

3. Community as the Compass: Finding Alternatives

In the face of a complex and sometimes untrustworthy system, the community turns inward, relying on trusted networks and holistic approaches to health.

Most Trusted Source of Information

When seeking advice on healthcare or insurance, participants place overwhelming trust in their immediate community over formal institutions.

Popular Alternative & Preventative Care

Participants actively use alternative methods for prevention and treatment, demonstrating a proactive and holistic approach to their well-being.

4. The Path Forward: Actionable Recommendations

The findings point to clear areas for improvement. Building a more equitable system requires a multi-pronged approach rooted in trust, clarity, and community partnership.

Enhance Provider Training

Fund and implement mandatory, ongoing cultural competency and active listening training. Create a public directory of providers who complete this training and receive positive community feedback.

Promote Navigator Services

Expand access to free, culturally-competent insurance navigators. Launch awareness campaigns through trusted community channels to inform residents that this free help exists.

Create Simple Educational Tools

Develop engaging infographics and videos explaining key insurance concepts (e.g., Deductible vs. Co-pay, Surprise Billing). Distribute widely through community partners.

© DONDRÁE & Burks Comm’s Health Equity Initiative. All rights reserved.

This infographic is a visualization of qualitative research findings and should be interpreted as such.

Interactive Report: The Healthcare Experience for Black Coloradans

The Search for Equitable Healthcare

An interactive analysis of the healthcare and insurance experiences within Colorado’s Black community, based on focus group findings.

The Patient-Provider Relationship

The initial interaction with a healthcare provider sets the tone for a patient’s entire journey. The data reveals that for this community, trust, respect, and cultural understanding are paramount.

What Makes a Good Doctor?

Participants value a doctor who listens and fosters trust above all else. This highlights that the human connection is as critical as the clinical expertise.

Stories of Being Dismissed

Click to cycle through powerful firsthand accounts of feeling unheard in a clinical setting.

The Insurance Challenge

Health insurance is viewed as a necessary shield, but one that is often complex, costly, and riddled with gaps. This section explores the primary frustrations participants face.

Top Barriers to Accessing Care

The sheer cost of insurance and the complexity of the system are the two greatest obstacles, often leading to frustration and avoidance of care.

Most Confusing Insurance Terms

Deductible

Amount paid before insurance pays.

Co-pay

Fixed fee for a service.

Co-insurance

Percentage of costs paid after deductible.

Network

List of covered doctors and hospitals.

Key Issue: Surprise Bills

A recurring pain point was receiving large, unexpected bills for services like labs that participants assumed were covered, eroding trust in the system’s transparency.

Community Response & Alternatives

When formal systems fail to provide adequate care or engender trust, the community turns inward, relying on collective wisdom and holistic, self-directed health practices.

Most Trusted Sources for Health Information

Family and friends are overwhelmingly the most trusted source of information, far surpassing formal institutions and highlighting the power of community networks.

Popular Alternative & Preventative Approaches

Participants actively engage in preventative and alternative care, demonstrating a proactive desire to manage their own health outside the conventional medical system.

The Path Forward

The focus group findings illuminate four key areas for systemic improvement to build a more equitable and responsive healthcare system. Click each card to learn more.

An Interactive Health Equity Report

Colorado’s New Sickle Cell Law: A Landmark for Black Health Equity

At Black Health Compass, we believe that informed communities are empowered communities. A crucial part of our mission is to provide clear, concise information on current health policies impacting Black Coloradans, and to champion advocacy for systemic change. Today, we’re highlighting a significant victory for health equity in our state: the new law designed to improve the lives of individuals affected by Sickle Cell Disease (SCD) in Colorado.

As many of us know, Sickle Cell Disease disproportionately impacts Black communities. In fact, nationally, Black Americans represent the largest minority group in need of organ transplants, and are three times more likely than White Americans to experience kidney failure, a common complication of SCD. Despite modern advances in treatment, access remains a critical barrier.

That’s why the recent signing of Senate Bill 24-042 (SB24-042) by Governor Polis is such a landmark moment. This new law, named after Arie Taylor—a pioneering Black politician and advocate—is a testament to sustained advocacy and community effort.

Why is this Law So Important?

Historically, individuals living with Sickle Cell Disease have faced significant healthcare disparities, including inadequate care and support. The Arie Taylor law aims to enhance resources and support for those living with this chronic illness by:

  • Improving Access: Addressing barriers to innovative therapies and new medications that offer hope for managing SCD symptoms and complications.
  • Targeted Support: Recognizing that SCD predominantly affects African Americans, this law is a crucial step towards ensuring our healthcare system serves everyone equally, with a focus on equity and justice.
  • Honoring a Legacy: Naming the law after Arie Taylor, the first Black woman elected to the Denver City Council, underscores the enduring impact of Black leaders in the fight for civil rights and health equity.

As State Senator Janet Buckner emphasized, this legislation is

“crucial to health equity and justice, ensuring that our healthcare system serves everyone equally.”

This policy change helps pave the way for a healthier future for Black Coloradans affected by SCD.

What This Means for Our Community:

This law is more than just legislation; it’s a call to action and a reminder of what we can achieve when we work together. It highlights:

  • The power of advocacy in driving meaningful change.
  • The importance of understanding health policies and their direct impact on our lives.
  • The continued need to support organizations like the Colorado Sickle Cell Association, who have been at the forefront of this fight for 50 years.

Stay Informed & Get Involved!

Policy changes like the Arie Taylor law are vital, but their full impact depends on our community being aware and utilizing the resources available. Black Health Compass is committed to keeping you updated on policies that matter most to our health.

Call to Action:

  • Learn More: Visit the Colorado Sickle Cell Association’s website (cscadenver.godaddysites.com) for more information on SCD and how you can support their work.
  • Advocate: Get involved with local organizations like the Colorado Black Health Collaborative (coloradoblackhealth.org) to participate in future policy discussions and community planning efforts that continue to address health disparities.
  • Share Your Story: Your experiences matter. Connect with us in our community forums to share how health policies, or lack thereof, have impacted you and your family.

Together, we can continue to advocate for policies that create a healthier and more equitable Colorado for all Black individuals.

Wholesome & Hearty: Johnetta Miller’s Mixed Greens for Body & Soul

At Black Health Compass, we believe that true wellness nourishes not just the body, but also the mind and spirit. Our culinary traditions are rich with flavors and stories, and “soul food” holds a special place in our hearts. Today, we’re celebrating how these cherished dishes can be both incredibly tasty and deeply healthy!

Inspired by the wisdom shared in the Colorado Black Health Resource Directory, we’re bringing you a recipe that transforms a classic into a beacon of vibrant health: Johnetta Miller’s Mixed Greens. This dish isn’t just about deliciousness; it’s about connecting with our roots, nourishing our bodies with wholesome ingredients, and embracing preventative care through the food we eat.

As noted by Adrian Miller, the “Soul Food Scholar,” the use of smoked turkey parts instead of traditional ham hocks can offer a flavorful option with less fat, making this a perfect example of adapting our beloved traditions for optimal health. And as Registered Dietitian Jo Ann Pegues reminds us, understanding how the food we eat works in our bodies makes a significant difference in our health journey.

Johnetta Miller’s Mixed Greens

This recipe combines the peppery mustard greens with the more tender turnip greens, creating a symphony of flavors and textures. It’s a true testament to the idea that wholesome eating can be deeply satisfying.

Yields: 8 servings Prep time: 20 minutes Cook time: 30-60 minutes (depending on desired tenderness)

Ingredients:

  • 2 smoked turkey legs or wings (about 1 pound)
  • 1.5 pounds turnip greens (approximately 2 bunches)
  • 1.5 pounds mustard greens (approximately 2 bunches)
  • 1 tablespoon granulated garlic or 2 minced garlic cloves
  • 1 medium onion, sliced in half or chopped into smaller pieces
  • Pinch of crushed red pepper flakes (adjust to your spice preference)
  • Pinch of baking soda (optional, helps tenderize greens and retain color)
  • Pinch of sugar (optional, balances bitterness)
  • Pinch of salt (optional, adjust to taste after cooking)
  • Water (enough to cover ingredients in pot)

Method:

  1. Prepare the Flavor Base: Rinse the smoked turkey well. In a large pot, combine the turkey, onion, garlic, and red pepper flakes. Cover with enough water to fully submerge the ingredients.
  2. Simmer for Flavor: Bring the mixture to a boil, then reduce heat to medium. Cook for about 20-30 minutes, or until the turkey is tender and the cooking liquid (potlikker) is rich and flavorful.
  3. Clean the Greens: While the turkey simmers, prepare your greens. Separate the leaves from the tough stems. Cut or tear the leaves into large, bite-sized pieces. Fill a clean sink or a very large bowl with cold water, add the leaves, and gently swish them around to remove any dirt or grit. Repeat this process until the water is clear. (You can compost or discard the stems; some prefer to add them to the pot for more flavor).
  4. Add the Greens: Once the turkey stock is ready, gradually add the washed greens to the pot. As each batch of leaves wilts down, add more, stirring gently until all the leaves are submerged.
  5. Season and Simmer: If using, add the baking soda, sugar, and salt. Reduce the heat to a simmer. Cook until the greens are tender, typically about 30 minutes. If you prefer a very tender, slow-cooked green, you can simmer for up to an hour or more, adding more water if needed.
  6. Serve & Enjoy: Taste and adjust seasoning as needed. If desired, remove the smoked turkey, shred or cut the meat into bite-sized pieces, and mix back into the greens. Serve hot with your favorite accompaniments!

Variation Tip: This recipe also works wonderfully with collard greens or kale, substituted for or mixed in with the mustard and turnip greens. Just remember that these greens are sturdier and may require a longer simmering time (45 minutes to an hour) to become tender.

Page from the Colorado Black Health Directory

This recipe is more than just food; it’s a connection to our heritage and a step towards a healthier, more vibrant life. We encourage you to try it and share your own family’s adaptations in the comments below!

Disclaimer: Black Health Compass aims to provide culturally relevant health information and resources. Recipes shared here are for informational and culinary purposes and should not replace professional medical or nutritional advice. Always consult with a healthcare professional for personalized guidance.

How Food Impacts Black Mental and Physical Well-being

Hey fam, let’s talk about something real – the food on our plates and how it connects directly to how we feel, both in our minds and our bodies. For us, navigating life, building careers, and nurturing our families in places like the Denver Metro Area comes with its own unique rhythms and pressures. What we eat isn’t just about satisfying hunger; it’s deeply tied to our heritage, our social gatherings, and, significantly, our overall mental and physical well-being.

Understanding this connection is key to unlocking a healthier, more vibrant us. It’s about making informed choices that honor our bodies and minds, moving from just surviving to truly thriving. Let’s dig into how the food you eat directly influences your mood, energy levels, and long-term health, especially as we prioritize Black health and well-being.

Food and Your Mood: The Mind-Body Connection

It might sound simple, but what you eat can seriously shift your mood. Our brains need specific nutrients to function optimally. Think of your gut as your second brain – it produces many of the neurotransmitters, like serotonin (the “feel-good” chemical), that influence mood, sleep, and stress levels. A diet rich in processed foods, high sugar, and unhealthy fats can disrupt this balance, potentially contributing to feelings of fatigue, irritability, and even increasing risks for anxiety and depression.

Nutrients That Support Mental Well-being:

  • **Omega-3 Fatty Acids:** Found in fatty fish, flaxseeds, and walnuts. They’re crucial for brain structure and function.
  • **B Vitamins:** Found in leafy greens, beans, and whole grains. Essential for energy production and nerve function.
  • **Magnesium:** Found in nuts, seeds, and dark chocolate. Helps regulate stress response.
  • **Probiotics:** Found in yogurt, kimchi, and fermented foods. Support gut health and indirectly impact mood.

Making small shifts to include these can make a noticeable difference in managing stress and maintaining a more stable mood throughout your day.

Fueling Your Body for Resilience: Nutrition and Physical Health

Our community has faced specific health challenges, with higher rates of conditions like hypertension, type 2 diabetes, and heart disease. While genetics and socio-economic factors play a role, nutrition is a powerful tool we can use to build resilience and prevent or manage these conditions. The food we eat provides the energy and building blocks our bodies need to perform daily tasks, repair tissues, and fight off illness.

Choosing nutrient-dense foods – fruits, vegetables, lean proteins, whole grains, and healthy fats – helps maintain a healthy weight, regulate blood sugar, lower blood pressure, and reduce inflammation. These choices not only add years to your life but also improve the quality of those years, giving you the energy and vitality to live fully.

Making Healthy Eating Work for You in Denver

Okay, so we know *why* it’s important, but *how* do you actually do it, especially with busy lives and maybe navigating food access challenges in different parts of the Denver Metro Area? It’s not about perfection; it’s about progress and finding what works for *you*.

Start small. Can you add one piece of fruit to your breakfast? Swap sugary drinks for water? Cook one extra healthy meal at home this week? Explore local farmers markets for fresh produce (check out resources in neighborhoods like Five Points or others around the city). Connect with community gardens if that’s an option. Look for culturally relevant healthy recipes that honor your heritage while boosting nutrients. Hydration is also key – water helps everything function better, from your brain to your metabolism.

Remember, this is your journey towards better Black health and well-being. Be patient with yourself, celebrate the small wins, and know that every healthy choice is an investment in your future self.

Ultimately, the relationship between food, nutrition, and your mental and physical well-being is profound. By paying attention to what you eat, you’re not just feeding your body; you’re nourishing your spirit, empowering yourself, and building a foundation for a healthier, happier life. It’s a powerful step in taking control of your health story.