Research demonstrates that Black youth in the United States America experience mental health disparities at a disproportionate rate in areas of both service access and utilization. This study aimed to understand the barriers and facilitators that contribute to these disparities by providing historical context demonstrating how the Black community has been marginalized in physical health and mental health fields and how the systemic oppression they experience impacts their present ability to receive and engage in culturally appropriate mental health services. A literature review was conducted and the content was analyzed using a behavioral model targeted toward vulnerable populations. The results of this research indicated that there is a plethora of predisposing factors that serve as both barriers and facilitators to mental health service access and utilization for Black youth. The enabling and need domain factors possessed by this community are much more limited, which guides necessary interventions for mental health professionals to serve the Black community better.