Community Interventions to Promote Mental Health and Social Equity

被引：179

作者：

Castillo, Enrico G. ^{[1
,2
,3
]}

Ijadi-Maghsoodi, Roya ^{[1
,4
,5
]}

Shadravan, Sonya ^{[1
]}

Moore, Elizabeth ^{[1
]}

Mensah, Michael O., III ^{[1
]}

Docherty, Mary ^{[6
]}

Nunez, Maria Gabriela Aguilera ^{[1
]}

Barcelo, Nicolas ^{[1
]}

Goodsmith, Nichole ^{[1
]}

Halpin, Laura E. ^{[1
]}

Morton, Isabella ^{[1
]}

Mango, Joseph ^{[1
,7
]}

Montero, Alanna E. ^{[1
,7
]}

Koushkaki, Sara Rahmanian ^{[1
,7
]}

Bromley, Elizabeth ^{[1
,7
,8
,9
,10
]}

Chung, Bowen ^{[1
,7
,9
,11
,12
]}

Jones, Felica ^{[12
]}

Gabrielian, Sonya ^{[1
,5
]}

Gelberg, Lillian ^{[10
,13
,14
]}

Greenberg, Jared M. ^{[1
,5
]}

Kalofonos, Ippolytos ^{[1
,2
,15
]}

Kataoka, Sheryl H. ^{[1
,7
,16
]}

Miranda, Jeanne ^{[1
,7
,14
]}

Pincus, Harold A. ^{[9
,17
]}

Zima, Bonnie T. ^{[1
,7
,16
]}

Wells, Kenneth B. ^{[1
,7
,9
,14
]}

机构：

[1] Univ Calif Los Angeles, David Geffen Sch Med, Dept Psychiat & Biobehav Sci, Jane & Terry Semel Inst Neurosci & Human Behav UC, Los Angeles, CA 90095 USA

[2] Univ Calif Los Angeles, Ctr Social Med & Humanities, Los Angeles, CA 90095 USA

[3] Los Angeles Cty Dept Mental Hlth, Los Angeles, CA 90020 USA

[4] Univ Calif Los Angeles, David Geffen Sch Med, Dept Psychiat & Biobehav Sci, Div Populat Behav Hlth, Los Angeles, CA 90095 USA

[5] VA Greater Los Angeles Healthcare Syst, VA Hlth Serv Res & Dev, Ctr Study Healthcare Innovat Implementat & Policy, Los Angeles, CA USA

[6] Columbia Univ, New York State Psychiat Inst, Healthcare Policy & Practice, New York, NY USA

[7] Univ Calif Los Angeles, Ctr Hlth Serv & Soc, Los Angeles, CA USA

[8] Univ Calif Los Angeles, Dept Anthropol, Los Angeles, CA 90024 USA

[9] RAND Corp, Santa Monica, CA USA

[10] VA Greater Los Angeles Healthcare Syst, Los Angeles, CA USA

[11] Los Angeles Biomed Res Inst, Los Angeles, CA USA

[12] Hlth African Amer Families II, Los Angeles, CA USA

[13] Univ Calif Los Angeles, David Geffen Sch Med, Dept Family Med, Los Angeles, CA 90095 USA

[14] Univ Calif Los Angeles, Jonathan Fielding Sch Publ Hlth, Los Angeles, CA USA

[15] Univ Calif Los Angeles, Int Inst, Los Angeles, CA USA

[16] Univ Calif Los Angeles, Div Child & Adolescent Psychiat, Los Angeles, CA USA

[17] Columbia Univ, New York State Psychiat Inst, Irving Inst Clin & Translat Res, NewYork Presbyterian Hosp,Dept Psychiat,Med Ctr, New York, NY USA

来源：

CURRENT PSYCHIATRY REPORTS | 2019年 / 21卷 / 05期

基金：

美国国家卫生研究院;

关键词：

Mental health (MeSH); Mental health intervention (MeSH); Community networks (MeSH); Social problems (MeSH); Community interventions (MeSH); Community-based interventions (MeSH); Social determinants of health; Mental health equity; Health disparities; Multi-sector interventions; RANDOMIZED CONTROLLED-TRIAL; EXPEDITED MEDICAID ENROLLMENT; DEPRESSION COLLABORATIVE CARE; QUALITY IMPROVEMENT; TECHNICAL ASSISTANCE; SUBSTANCE USE; HOUSING; 1ST; RELEASED PRISONERS; 12-MONTH OUTCOMES; HOMELESS PEOPLE;

D O I：

10.1007/s11920-019-1017-0

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

Purpose of ReviewWe 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 FindingsThere 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.SummaryThere 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.

引用

页数：14

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