These Black barbers bring mental health care to the styling chair, one client at a time

“We see people at their highest and at their lowest. They reveal everything that goes on with them,” Marichal said. Since joining, he said he’s helped customers with referrals to clinicians and has helped more than a dozen in the program.

Ending a stigma from the barbershop

The August California Health Care Foundation study, “Listening to Black Californians with Mental Health Conditions,” showed how personal mental health struggles are for many Black Californians. Nearly one in four reported a mental health condition. Three in 10 Black women who responded reported mental health conditions, while about 20% of Black men reported a mental health condition.

But many more Black men fail to report their symptoms, reticent to talk about what they’re going through in their lives even as discussing mental health is shedding its taboo in the Black community.

Even when Black Californians seek out care, many leave the doctor feeling ignored, disrespected, disbelieved or blamed for what they were experiencing, the study showed.

Four in 10 with mental health conditions say they avoided care because they felt they would not be treated fairly or with respect and devised strategies to lessen poor treatment.

More troubling, suicide has become the third leading cause of death for Black male teens and young adults, according to the Centers for Disease Control and Prevention.

Black men and boys account for more than 80% of suicides among Black Americans, according to the CDC, while rates of death by suicide among Black men have increased 25% in the past two decades.

Starting the conversations that stem that tide can begin in the barber’s chair, Lewis said.

“This is rooted in building community-based advocates,” who can become active listeners, help to reduce the stigma in the Black community around discussing mental health and to navigate generational trauma, Lewis said.

“When the conversation is about advocates, you’re talking about real people who help these people navigate their (problems),” he continued. “This model is how we’re going to get out in front of the curve.”

The barbershop was formative for Rice growing up and, he said, remains an important refuge for Black men and youth navigating their own struggles.

“The barbershop is somewhere we can grow, where we can understand (how) to be men, to be ourselves — to authentically be ourselves; to not be judged, to open up and have those conversations with our barbers because we know how pivotal the barbershops and salons in our communities have been,” Rice said.

“For me, the barbershop has helped me become a better person, a better advocate and, most of all, a better man.”