Obstacles to receiving mental health services among African American youth have been associated with stigma and shame, child-related factors, treatment affordability, availability, and accessibility, clinician and therapeutic factors, the school system, religion/spirituality, and social networks. When examining the prevalence rates of African American youth that have experienced cognitive and behavioral challenges, the underutilization of mental health services is startling. The National Comorbidity Survey-Adolescent Supplement revealed that 46.8% of African Americans under 18-years-old may have a mental health disorder. Additionally, African American children between the ages of five- and twelve-years old commit suicide at approximately double the rate of their White counterparts. Further