© 2017 Taylor & Francis. Service delivery challenges persist for African American youth who are impacted by mental health conditions. Along with access, of primary concern is the absence of an Afrocentric perspective that can be used to honor the cultural uniqueness, personal strengths, and interconnectedness of those receiving services. The African-centered philosophy, a system based on holistic values and ways of living, is encouraged as a standard framework in mental health service delivery. Nguzo Saba principles, also rooted in the Afrocentric paradigm, can be essential in improving mental health practices by countering the conventional pathological approach and promoting a commitment to augment service delivery for the individual and strengthen access in the community. This article discusses the historical and cultural significance of the African-centered philosophy in mental health practice and utilizes a case study narrative to demonstrate its usefulness in mental health service delivery.