Diversity, Equity, and Inclusion in Mental Health Treatment

The Power of Leadership in DEI Work

In mental health treatment, the work of diversity, equity, and inclusion (DEI) is not just about checking off boxes or meeting quotas—it’s about creating a culture of safety, respect, and belonging for everyone, particularly those who are marginalized or underrepresented. Leaders in the field of mental health, especially those in positions of power, play a crucial role in shaping this culture. It is their responsibility to educate themselves, understand the influence they hold, and mindfully approach how they guide their teams.

Leadership isn’t just about managing tasks or overseeing operations. It’s about fostering a community where everyone feels valued and heard. The way leaders navigate difficult conversations and hold space for marginalized communities can either reinforce oppressive structures or actively work to dismantle them. Unfortunately, too often we see the former.

Personally, I’ve been in spaces where leadership has come from a position of privilege. The disconnect between the privileged and the oppressed has been devastating. The lack of understanding can make it feel as though marginalized individuals are carrying the burden alone. And this is where the real challenge lies—the burden often falls on the shoulders of the oppressed to speak up, to educate those who “don’t know better,” to manage our emotions and even offer empathy to those who do not share our struggles.

It’s an unfair weight to carry. While I’m not asking for the release of these burdens entirely, what I am asking for is acknowledgment. I’m asking leaders to recognize the labor that marginalized individuals undertake and to share in that work by being active, informed allies.

To Those Who Want to Be More Inclusive, Supportive, and an Ally:

1. Listen to understand 

Listening isn’t just about hearing words; it’s about engaging with the experiences of others with genuine curiosity and empathy. Ask questions when appropriate and show a willingness to learn. It’s okay to be curious, but approach your curiosity with humility and a willingness to accept that you won’t always have the answers.

2. Know your limits 

You don’t need to know everything, and it’s okay to admit when you don’t. Being an ally isn’t about always having the right thing to say—it’s about being willing to learn and grow. Understand your role and be mindful of when to step back and when to step up.

3. Do your own homework 

Marginalized communities shouldn’t always be the ones tasked with educating others. Take the initiative to learn about systemic oppression, privilege, and the experiences of others. Read books, attend workshops, follow thought leaders from diverse backgrounds—there are plenty of resources available.

4. Ask for help to better understand 

If you find yourself struggling to fully grasp an issue or concept, it’s okay to ask for help. Reach out to those who have the expertise, whether that’s a colleague, mentor, or a trusted friend who understands the challenges of DEI work.

5. Use your platform to elevate the voices of the voiceless 

Your position of leadership or privilege can be a powerful tool to amplify marginalized voices. Rather than speaking for those who are oppressed, offer them opportunities to speak for themselves. Create spaces where their voices are heard, respected, and taken seriously.

For Those Impacted by the Lack of Inclusion and Equity:

1. Your voice matters 

Don’t let feelings of isolation silence you. Your voice is powerful, and your experiences are valid. Find ways to share your voice in a way that feels comfortable for you, whether that’s through advocacy, creative expression, or speaking up in supportive spaces.

2. Connect to spaces where you don’t feel alone 

There’s strength in community. Seek out spaces where you can connect with others who share your experiences. Building relationships with those who understand can provide support, empowerment, and validation. You don’t have to carry this weight alone.

3. Radically accept the reality we live in 

We exist in a world where marginalized communities are often tasked with carrying burdens that others may never fully understand. While we may not be able to escape these realities, we can learn to navigate them with clarity. Know your limits, define your boundaries, and respect them fiercely. You don’t have to do everything or be everything for everyone.

4. Learn to communicate your needs 

It’s important to advocate for yourself, whether that’s asking for accommodations or speaking up when harm is done. Creating safe spaces where you can express your emotions and experiences is crucial for your well-being. Encouraging others to foster these spaces is equally important.

5. Prioritize your well-being and healing 

Taking care of yourself is not a selfish act—it’s a necessary one. Healing from the trauma and emotional labor of navigating oppressive systems requires attention to your physical, emotional, and mental health. Rest, seek support, and engage in practices that restore your sense of self-worth and balance.

Moving Forward Together

DEI work in mental health treatment is not the sole responsibility of the marginalized. It’s a collective effort that demands the participation of those in power, particularly leaders. Acknowledging the burdens that marginalized communities face is just the first step. True equity requires active engagement, listening, learning, and creating spaces where everyone can thrive. It’s time for leaders to step up, not just as managers or decision-makers, but as allies committed to changing the system.

For those impacted by the lack of inclusion and equity, know that your voice matters, your experiences are valid, and your healing is a priority. Together, we can continue the work of building a mental health system that serves us all.