Black psychologists say there are too few of them in Canada and that's a problem

Meghan Stewart hasdealt with mental health challenges since childhood. There have even beenmoments where she considered suicide.

"I have had those moments where it's 'Well, I wonder if anybody would even notice if I was not on this Earth anymore,'" Stewart said.

Stewart began seeking help about10 years ago, when she wasliving in Toronto.As a Black woman, she said it was important to find a mental health professional who was also Black.

"It really comes down to belonging and that deep connection that we all need as human beings," Stewart said. "My therapist could relate race to trauma, or trauma that was from racist experiences or discriminatory experiences."

Though Stewart has sincemoved to Ottawa, she remains with her Toronto-based therapist after strugglingto find another Black mental health professional closer to home.

According to a 2020 studyby Ottawa Public Health, which surveyed and interviewed 130 members of the city's Black population, more than one-third of those surveyed hadtried to access mental health services on behalf of themselves or others.

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Of those who have sought help, the report founda large proportion felt "prejudice or a negative attitude" from doctors or mental health workers who don't look like them or understand their lived experience.

It's a problem that advocates for Black mental health and wellness have been flagging for years:There are not enough racially diverse professionals in the field to meet the needs of people of colour.

Shortage of Black psychologists

The shortage is felt most acutely in the field of psychology, according toOttawa-based psychotherapist Kafui Sawyer.

"We're in a mental health crisis in Canada," Sawyersaid. "Most of the people suffering are racialized people, and these racialized people are not getting the help they need from people who understand them and have the lived experience."

Unlike counsellors and therapists, psychologists undergo more education and have the authority to diagnose patients.

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Meghan Stewart, who has dealt with mental health challenges since childhood, says finding a Black mental health professional who could relate to what she was going through meant getting more helpful and relevant treatment.

In her 12 years working in psychotherapy, Sawyer has met only a handful of other Black people working in the profession, compared to meeting hundreds of whitecolleagues. The number of Indigenous psychologists is even fewer.

"There are so many Black lawyers. I know there are so many Black doctors. I know there are so many Black accountants. I know most professions are diversified in terms of race," she said."But when it comes to the profession of psychology, it's very rare."

Dr. Helen Ofosu, also based in Ottawa, has worked as a psychologist for more than20 years. Shesaid she has met only one other working Black psychologist during her career and just a handful of others working in related fields.

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"I just got used to it," Ofosu said. "I don't really think about it that much until things like George Floyd and the reckoning that came afterward."

Monnica Williams isthe Canada Research Chair for mental health disparities at the University of Ottawa's school of psychology.She said it's difficult to determine exactly how many Black and Indigenous psychologists are in Canada because that information isn't tracked by the Canadian Psychological Association (CPA).But she said"the numbers are abysmally low."

"We know that there are not nearly representative numbers of psychologists of colour in the field, and definitely not enough to meet the needs of communities of colour," Williams said.

Accreditation process is problematic

Sawyer, Ofosu and Williams all say the problem lies in the accreditation process for psychological professionals.

To become an accredited psychologist in Canada, students need to be accepted into a graduate program at a post-secondary institution or an internship program. Getting into a program depends on havinga faculty member agreeto be theirsupervisora requirement that Sawyer said is problematic.

"Faculty is predominantly white and the students they're recruiting or the students they have in [their] program are also predominantly white," she said. "The accreditation process is actually racist."

Sawyer said she herself was rejected from aPhD program at McGill University and instead attendeda private university in British Columbia. Williams went to school in the United States and Ofosu'sparents were academics, which helped her get into a program.

Graduate student Glory Mulera also opted to attend a private university for a variety of reasons. Shewas awareit would be more difficult to get into a public one as a Black student, "which is really disappointing," she said.

The biggest frustration is how much more it costs to attend a private university, Mulera said, sometimes up to $45,000 for a two-year master's program.

Programs approved by CPA

Psychology programs in Canada are accredited by the CPA, which advocates sayhas the power to mandate changes.

Sawyer, Ofosu,Williams and a number of other professionalshavecalled on the CPA to use itspower tohave institutions keep track of just how many Black and Indigenous students they acceptinto graduate-level psychology programs,which would ensure that these groups are better represented.

"There are no checkpoints where people are being supervised or no accountability as to what these programs or institutions are actually doing in their programs," said Sawyer."The problem just perpetuates."

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Ottawa psychotherapist Kafui Sawyer says the process of finding a graduate school supervisor, the majority of whom are white, can alienate applicants of colour.

CBCNews reached out to several post-secondary institutions across Ontario. Only the University of Toronto and Western University in London confirmeddemographic survey initiativesamong students for the purposes of improving equity, diversityand inclusion.

Officials with the CPA said the process for change is complicated andtakes time.While the associationcan advocate for better representation in graduate programs, CPA president Dr. Ada Sinacore said it is "not in a position to require it."

"The CPA recognizes that there is a problem of representation within the profession and that we need to increase representation, as well as literacy about diversity," saidSinacore.

Sinacore pointed to what the association believes are the real barriers for Black, Indigenous and other racially diverse people seeking to enter the professionthe years of education required to become a psychologist, the payand the smallsize of graduate programs.

Accreditation standards being revised

The CPA said it is addressing the issues through advocacy and outreach, including the formation of a human rights and social justice committee and advocacy work. Since 2018, the association says it has also workedto revise accreditation standards.

"While that seems like a long time, for the kinds of robust consultation that we're doing, you need to be able to take that time to do it well," Sinacore said.

The revisions to accreditationstandards will likelybe put before the CPA board for approval in2022, she said.

In terms of collecting race data, as advocates suggest, Sinacore said it's something the CPA is exploring. But "there's some concerns about whether or not we can legally collect that data," she said.

"We are committed to this workand members of the organization have been doing quite a bit of this work for some time. And even though we've been doing the work, it doesn't mean there's not a lot more work to be done," said Sinacore.

But Sawyer anda number of other psychological professionals saythe CPA has not acted quickly enough. In response, they have formed a Black psychology section of the CPA, which will advocate for more diversity in the profession.

"Instead of using this beautiful discipline in a positive way to heal we're actually engaging in more oppression," Sawyer said. "We cannot sit down andjust accept this colonialist way of helping people in Canada."

For more stories about the experiences of Black Canadians from anti-Black racism to success stories within the Black community check out Being Black in Canada, a CBC project Black Canadians can be proud of. You can read more stories here.