Published in:
Open Access
01-05-2019 | Public Policy and Public Health (G Norquist, Section Editor)
Community Interventions to Promote Mental Health and Social Equity
Authors:
Enrico G. Castillo, Roya Ijadi-Maghsoodi, Sonya Shadravan, Elizabeth Moore, Michael O. Mensah III, Mary Docherty, Maria Gabriela Aguilera Nunez, Nicolás Barcelo, Nichole Goodsmith, Laura E. Halpin, Isabella Morton, Joseph Mango, Alanna E. Montero, Sara Rahmanian Koushkaki, Elizabeth Bromley, Bowen Chung, Felica Jones, Sonya Gabrielian, Lillian Gelberg, Jared M. Greenberg, Ippolytos Kalofonos, Sheryl H. Kataoka, Jeanne Miranda, Harold A. Pincus, Bonnie T. Zima, Kenneth B. Wells
Published in:
Current Psychiatry Reports
|
Issue 5/2019
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Abstract
Purpose of Review
We review recent community interventions to promote mental health and social equity. We define community interventions as those that involve multi-sector partnerships, emphasize community members as integral to the intervention, and/or deliver services in community settings. We examine literature in seven topic areas: collaborative care, early psychosis, school-based interventions, homelessness, criminal justice, global mental health, and mental health promotion/prevention. We adapt the social-ecological model for health promotion and provide a framework for understanding the actions of community interventions.
Recent Findings
There are recent examples of effective interventions in each topic area. The majority of interventions focus on individual, family/interpersonal, and program/institutional social-ecological levels, with few intervening on whole communities or involving multiple non-healthcare sectors. Findings from many studies reinforce the interplay among mental health, interpersonal relationships, and social determinants of health.
Summary
There is evidence for the effectiveness of community interventions for improving mental health and some social outcomes across social-ecological levels. Studies indicate the importance of ongoing resources and training to maintain long-term outcomes, explicit attention to ethics and processes to foster equitable partnerships, and policy reform to support sustainable healthcare-community collaborations.