 BIPOC youth and young adults often face systemic barriers to mental health and substance use care, including lack of access, cultural stigma, and experiences of discrimination. These disparities begin early—Black women, for example, face alarming inequities in wellness through pregnancy and delivery, with higher rates of complications and limited access to culturally responsive perinatal mental health care.
Yet, research shows that community-based, culturally grounded approaches make a meaningful difference. From perinatal mental health support for BIPOC parents to youth-led mental wellness programs and peer support services in colleges, Washington communities are finding strength in shared identity and belonging.
Strength in Community
Perinatal and Maternal Mental Health for BIPOC Families
Perinatal Support Washington has tailored programs that support BIPOC birthing people including a free Warm line staffed by trained volunteers with lived experience. Ayan Maternity provides culturally relevant perinatal support services to East African immigrants and refugees in King County, including doula services and early parenting support.
Youth Mental Health Peer Supports
Culturally rooted youth programs across Washington are engaging BIPOC teens and young adults through storytelling, art, and peer mentoring, creating safe spaces where identity is seen as a strength. Kids Mental Health Pierce County connects families with mental health resources for youth and teens, including referral services and support tailored to BIPOC youth.
Indigenous Healing Practices
In Washington, Tribal communities are weaving traditional healing into behavioral health care honoring intergenerational wisdom to support whole-person wellness. The Native and Strong Lifeline, part of the 988 Suicide & Crisis Lifeline, is the first in the nation staffed by Native counselors, offering culturally informed crisis support 24/7.
Across the state, Tribes are tailoring care to their communities: the Cowlitz Indian Tribe offers culturally responsive behavioral health services that integrate traditional practices and values to promote healing and resilience. The NATIVE Project in Spokane centers culture, wellness, and prevention for Indigenous community members. Their youth programs include regular community wellness nights, leadership camps, and a summer program packed with mentoring, traditional teachings, fitness, nutrition, and academic support all designed to build resilience and divert youth from substance use.
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