Community Partnering for Behavioral Health Equity: Public Agency and Community Leaders’ Views of its Promise and Challenge

Bromley, Elizabeth; Figueroa, Chantal; Castillo, Enrico G.; Kadkhoda, Farbod; Chung, Bowen; Miranda, Jeanne; Menon, Kumar; Whittington, Yolanda; Jones, Felica; Wells, Kenneth B.; Kataoka, Sheryl H.

doi:10.18865/ed.28.s2.397

Cited by 25 publications

(28 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Involving community stakeholders in equitable arrangements for interventions and research requires the necessary time and processes to develop effective partnerships. The expertise of community leaders and other stakeholders can be integrated equitably with that of researchers with trust, respect, and two-way knowledge exchange [ 134 , 135 ]. Community-based organizations, social services, and healthcare agencies also have different funding streams and incentives.…”

Section: Ethical Considerationsmentioning

confidence: 99%

Community Interventions to Promote Mental Health and Social Equity

Castillo

Ijadi-Maghsoodi

Shadravan³

et al. 2019

Curr Psychiatry Rep

Self Cite

186

108

View full text Add to dashboard Cite

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, schoolbased 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. Keywords 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

show abstract

Section: Ethical Considerationsmentioning

confidence: 99%

Community Interventions to Promote Mental Health and Social Equity

Castillo

Ijadi-Maghsoodi

Shadravan³

et al. 2019

Curr Psychiatry Rep

Self Cite

186

108

View full text Add to dashboard Cite

show abstract

“…However, these terms have distinct implications, making it problematic to use them interchangeably. The term "consumer" tended to reference users of healthcare services [17][18][19][20][21][22][23][24] or those with lived experience [25]. The term "community" tended to reference groups of people in a bounded geographical location.…”

Section: Community and Consumer Voicementioning

confidence: 99%

“…Notably, complicated power dynamics are likely to remain even when community members are empowered. For example, community members can be discouraged from participation in decisionmaking processes by the use of technical language and jargon [18,23]. Addressing such dynamics may require activities such as developing a shared language between collaborators and community members [16].…”

Section: Active Engagementmentioning

confidence: 99%

“…Such positions help connect other community members to services and have been shown to improve community health outcomes [22]. Embedding community members also helps organizations and communities build trust, which has been cited many times in the literature as an important step in engaging community voice in collaborations more broadly [18,23,31,34].…”

Section: Active Engagementmentioning

confidence: 99%

See 1 more Smart Citation

Community Voice in Cross-Sector Alignment: Concepts and Strategies from a Scoping Review of the Health Collaboration Literature

Petiwala

Lanford

Landers

et al. 2020

Preprint

View full text Add to dashboard Cite

BackgroundHealth care access is an important driver of population health, and factors beyond health care also drive health outcomes. Recognizing the importance of the social determinants of health (SDOH), different actors in the health care, public health, and social service sectors are increasingly collaborating to improve health outcomes in communities. To support such collaboration, the Robert Wood Johnson Foundation recently developed the cross-sector alignment theory of change. According to the cross-sector alignment theory of change, community voice is critical for helping collaboratives address community health needs. Yet research on health collaboratives offers little guidance on how community voice should be understood, or which community voice strategies are most effective.MethodsThis study addresses a gap in the literature with a systematic scoping review of research on health-oriented collaboration and community voice. By scanning key academic journals, searching three academic databases, and obtaining documents from across our professional networks, we identified 36 documents that address community voice in health collaboratives. The review reveals several concepts of community voice and a range of community voice strategies.ResultsWe find that community voice strategies fall into two broad approaches: active and passive. These vary in the level of engagement required from the community and in the level of power shared between communities and collaborators, and this in turn has implications for community health outcomes. We also find that while most strategies are discussed in the context of short-term collaboration, many also lend themselves to adoption in the context of sustainable collaboration and, ultimately, cross-sector alignment.ConclusionThis review provides a characterization and conceptualization of community voice in health-oriented collaborations that provides a new theoretical basis for future research. Passive and active community voice strategies can be studied in more detail for their expected impact on health outcomes and disparities. The increased attention to active community voice can help practitioners achieve improved health outcomes and researchers understand the pathways to health improvement through collaboration.

show abstract

“…Among the identified factors are a history of collaboration, mutual trust and respect, shared ownership of the partnership and its outcomes, and strong leadership (Cobb, Haisman‐Smith, & Jordan‐Daus, ; Jones & Barry, ; Mattessich & Monsey, ; Warburton et al, ; Weiss, Anderson, & Lasker, ). Many of these factors overlap with tenets of multi‐sector collaborations and community‐based participatory research (Bromley et al, ; Wallerstein, Duran, Oetzel, & Minkler, ). While a list of factors can aid our understanding of foundational elements of partnership, the focus on a set of distinct and seemingly static characteristics can obscure the ways partnerships actually unfold in practice.…”

Section: Introductionmentioning

confidence: 99%

Complexity in partnerships: A qualitative examination of collaborative depression care in primary care clinics and community‐based organisations in California, United States

Henderson

Wagner

Gosdin

et al. 2020

Health Soc Care Community

View full text Add to dashboard Cite

This is an open access article under the terms of the Creat ive Commo ns Attri butio n-NonCo mmerc ial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made. AbstractPartnering across health clinics and community organisations, while worthwhile for improving health and well-being, is challenging and time consuming. Even partnerships that have essential elements for success in place face inevitable challenges. To better understand how cross-organisational partnerships work in practice, this paper examines collaborations between six primary care clinics and community-based organisations in the United States that were part of an initiative to address late-life depression using an enhanced collaborative care model (Archstone Foundation Care Partners Project). As part of an evaluation of the Care Partners Project, 54 key informant interviews and 10 focus groups were conducted from 2015 to 2017.Additionally, more than 80 project-related documents were reviewed. Qualitative thematic analysis was used to code the transcripts and identify prominent themes in the data. Examining clinic and community organisation partnerships in practice highlighted their inherent complexity. The partnerships were fluid and constantly evolving, shaped by a multiplicity of perspectives and values, and vulnerable to unpredictability. Care Partners sites negotiated the complexity of their partnerships drawing upon three main strategies: adaptation (allowing for flexibility and rapid change); integration (providing opportunities for multi-level partnerships within and across organisations) and cultivation (fostering a commitment to the partnership and its value). These strategies provided opportunities for Care Partners collaborators to work with the inherent complexity of partnering. Intentionally acknowledging and embracing such complexity rather than trying to reduce or avoid it, may allow clinic and community collaborators to strengthen and sustain their partnerships. K E Y W O R D S collaborative care, depression, evaluating complex interventions, multi-sector collaborations, older adults, qualitative research

show abstract

Community Partnering for Behavioral Health Equity: Public Agency and Community Leaders’ Views of its Promise and Challenge

Abstract: Leaders described improving procedural justice in public agencies' relationships with communities as key to effective partnering for health equity.

Cited by 25 publications

References 28 publications

Community Interventions to Promote Mental Health and Social Equity

Community Interventions to Promote Mental Health and Social Equity

Community Voice in Cross-Sector Alignment: Concepts and Strategies from a Scoping Review of the Health Collaboration Literature

Complexity in partnerships: A qualitative examination of collaborative depression care in primary care clinics and community‐based organisations in California, United States

Contact Info

Product

Resources

About