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journal article Apr 08, 2026

Conduits or Alternative Providers? Christian Ministers’ as Gateway Providers in an Age of Polarization

Brian Wilson Haggard ORCID
Society and Mental Health · SAGE Publications
View at Publisher Save 10.1177/21568693261435387
Abstract
Amid America's mental health crisis, Christian ministers serve as intermediaries between congregants and professional care. Drawing on the Gateway Provider Model, this study uses nationally representative data from the National Survey of Religious Leaders (
N
= 752) to explore three competing explanations for variation in ministers’ referral behavior: biblical belief, racial identity, and political identity. Findings show that most ministers (79 percent) function as Conduits, referring congregants to mental health professionals at least once yearly. Among the 21 percent who did not refer, Alternative Providers (6 percent) engage with congregants’ mental health needs but make no professional referrals, while Inactive Ministers (15 percent) neither report being approached nor make referrals. Ministers holding dogmatic biblical beliefs show significantly higher odds of being Alternative Providers. These findings emphasize the importance of ministers’ theological orientation shaping their behavior as gateway providers in their congregant communities.
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References
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[6]
Bledsoe T. S., Setterlund K., Adams C. J., Fok-Trela A., Connolly M. 2013. “Addressing Pastoral Knowledge and Attitudes about Clergy/Mental Health Practitioner Collaboration.”Social Work & Christianity 40:23–45.
[14]
Chaves Mark, Holleman Anna, Roso Joseph, Hawkins Mary. 2022. National Survey of Religious Leaders. Data File and Codebook. Durham, NC: Duke University, Department of Sociology.
[22]
Ellison C. G., Vaaler M. L., Flannelly K. J., Weaver A. J. 2006. “The Clergy as a Source of Mental Health Assistance: What Americans Believe.”Review of Religious Research 48:190–211.
[24]
Figuereo Victor, Calvo Rocío. 2018. “Latinx Use of Traditional Health Care: The Social Network Effect.”Health & Social Work 43:217–25.
[27]
Gallup. 2024. “Church Attendance Has Declined in Most U.S. Religious Groups.”Gallup.com February 22. Retrieved March 12 2025 (https://news.gallup.com/poll/642548/church-attendance-declined-religious-groups.aspx).
[31]
Hardy K. 2014. “Which Way Did They Go? Uncovering the Preferred Source of Help-seeking among African-American Christians.”Social Work and Christianity 41:3–15.
[33]
Religious attributions pertaining to the causes and cures of mental illness

Kristine Hartog, Kathryn M. Gow

Mental Health, Religion & Culture 10.1080/13674670412331304339
[34]
Hays Krystal. 2015. “Black Churches’ Capacity to Respond to the Mental Health Needs of African Americans.” Social Work & Christianity 42(3):296–312.

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Published
Apr 08, 2026
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Brian Wilson Haggard

Cornell University, Ithaca, NY, USA

Cite This Article
Brian Wilson Haggard (2026). Conduits or Alternative Providers? Christian Ministers’ as Gateway Providers in an Age of Polarization. Society and Mental Health. https://doi.org/10.1177/21568693261435387
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