“…The combination of depression and toxic stress contribute to the deterioration of individuals' mental and physical health and well-being (Hatchel et al, 2018). Other investigators indicate that the experience and negative outcome of depression (including suicide rates) for persons in community settings intensifies when persons are poor, female, bullied, and are racially and/ or ethnically diverse (Banzhaf & Kunes-Connell, 2019;Hong, Peguero, & Espelage, 2018;Jadhav & Weir, 2018;Murphy et al, 2018;Patterson, Abu-Hassan, Vakili, & King, 2018;Romere et al, 2018;Skoog, Hallstr€ om, & Berggren, 2017;Steinbrenner, 2010;Shern et al, 2014; The Lancet Psychiatry, 2019; U.S. Department of Health and Human Services (USDHHS), 2011; Vancampfort et al, 2018). Issues regarding increasing access to care for children, adolescents, and adults from racially and ethnically diverse population is another component to consider regarding healthcare implications for providers (USDHHS, 2001(USDHHS, , 2011.…”