TPC Journal-Vol 10- Issue 2-FULL ISSUE

298 The Professional Counselor | Volume 10, Issue 2 the passage of time or because of received or ongoing treatment. Lastly, given the limited number of participants interviewed, more research is needed to understand the mental health needs and experiences of Black adolescents who are experiencing depression. Conclusion In this qualitative study of 10 Black adolescents living in a rural community, the authors provided space for the participants to use their own terms and language to define depression. It is clear through this and other research that contextual factors are often involved in the onset of depression in Black adolescents, and there is not enough active therapeutic and medical treatment for Black adolescents living with depression. There is a stigma associated with mental illness and reluctance to seek treatment within the Black community, particularly in rural areas. As a result, counselors and mental health providers need to become more educated and aware when working with Black adolescents who live in rural communities. Conflict of Interest and Funding Disclosure The authors reported no conflict of interest or funding contributions for the development of this manuscript. References Alegria, M., Vallas, M., & Pumariega, A. J. (2010). Racial and ethnic disparities in pediatric mental health. Child and Adolescent Psychiatric Clinics of North America , 19 (4), 759–774. https://doi.org/10.1016/j.chc.2010.07.001 Al-Khattab, H., Oruche, U., Perkins, D., & Draucker, C. (2016). How African American adolescents manage depression: Being with others. Journal of the American Psychiatric Nurses Association , 22 (5), 387–400. https://doi.org/10.1177/1078390316657391 Auger, R. W. (2005). School-based interventions for students with depressive disorders. Professional School Counseling , 8 (4), 344–352. Breland-Noble, A. M., Burriss, A., & Poole, H. K. (2010). Engaging depressed African American adolescents in treatment: Lessons from the AAKOMA PROJECT. Journal of Clinical Psychology , 66 (8), 868–879. https://doi.org/10.1002/jclp.20708 Brenner, E. (2019). The crisis of youth mental health. Stanford Social Innovation Review . https://ssir.org/articles/ entry/the_crisis_of_youth_mental_health# Bridge, J. A., Horowitz, L. M., Fontanella, C. A., Sheftall, A. H., Greenhouse, J., Kelleher, K. J., & Campo, J. V. (2018). Age-related racial disparity in suicide rates among US youths from 2001 through 2015 . JAMA Pediatrics , 172 (7), 697–699. https://doi.org/10.1001/jamapediatrics.2018.0399 Brody, G. H., Chen, Y.-F., Kogan, S. M., Yu, T., Molgaard, V. K., DiClemente, R. J., & Wingood, G. M. (2012). Family-centered program deters substance use, conduct problems, and depressive symptoms in Black adolescents. Pediatrics , 129 (1), 108–115. https://doi.org /10.1542/peds.2011-0623 Bryant, K., Greer-Williams, N., Willis, N., & Hartwig, M. (2013). Barriers to diagnosis and treatment of depression: Voices from a rural African-American faith community. Journal of National Black Nurses’ Association: JNBNA , 24 (1), 31–38. Choi, H., Meininger, J. C., & Roberts, R. E. (2006). Ethnic differences in adolescents’ mental distress, social stress, and resources. Adolescence , 41 (162), 263–283. Conner, L. C., & Yeh, C. J. (2018). Stress, coping, and depression among Black urban adolescents: Implications for school counseling. Journal of School Counseling , 16 (15), 1–31.