The Social Determinants of Mental Health

Fink-Samnick, Ellen

doi:10.1097/ncm.0000000000000497

Cited by 8 publications

(5 citation statements)

References 42 publications

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“…In parallel at the social level, stigma, which compromises service quality worldwide, has been categorised as one of the most notable factors that prevent accessing mental health services in Colombia [23]. According to Campo-Arias, Oviedo and Herazo (2014) [24,25] the most common sources of stigma are the surrounding community, family, employees and colleagues, and media.…”

Section: Settingmentioning

confidence: 99%

Mental health services implementation in Colombia–A systematic review

Alarcón Garavito,

Burgess,

Dedios Sanguinetti

et al. 2023

PLOS Glob Public Health

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Colombia’s mental health services have a complex history shaped by 60 years of armed conflict, a predominantly clinical approach to mental health, and social factors such as inequities and stigma. The 1990 Caracas declaration proposed a shift towards decentralised community mental health services and interventions based on the recovery approach and emphasis on social determinants of mental health in the Americas. Colombia has adopted these approaches in its legal and practical framework in recent years, but implementation has been uneven. This systematic review aims to contribute to mental health services understanding in Colombia by examining the barriers and facilitators to the implementation of mental health services in Colombia. A search was conducted to explore available peer-reviewed studies on Colombian mental health services across five databases (Medline, PubMed, Scopus, Scielo and BVS) on quantitative and qualitative research papers published in the last ten years and without language restrictions. The Consolidated Framework for Implementation Research (CFIR) was used to structure the analysis and identify barriers and facilitators during the implementation of mental health services. We adapted the CFIR to attend to gender, race and age informed by the Socio-Political Economy of Global Mental Health framework, given the importance of these factors to the Colombian health landscape. Finally, narrative synthesis was used to summarise the data. 1 530 records were identified, and 12 articles met all inclusion criteria and were included in the analysis. 8 papers described substance use disorders services, 11 involved multidisciplinary healthcare professionals, and 7 were implemented at a local scale. The primary barriers to implementation were the lack of coordination, high workloads, and low funding. Facilitators included the use of protocols, and the involvement of communities, stakeholders, users, and external champions. Findings suggest the continued importance of community and recovery approaches and efforts to improve coordination between multi-sector actors involved in the mental health spaces (e.g., public, and private organisations, users and their families).

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Section: Settingmentioning

confidence: 99%

Mental health services implementation in Colombia–A systematic review

Alarcón Garavito,

Burgess,

Dedios Sanguinetti

et al. 2023

PLOS Glob Public Health

View full text Add to dashboard Cite

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“…The theme of mental illness stigma between racial minorities and majorities was extensively researched by Eylem et al (2020); the authors completed a systematic review and meta-analysis that summarized the evidence of 29 studies with 193,418 participants ( N = 35,836 in racial minorities). The impact of the assorted types of stigma on racial and ethnic groups, as discussed in the Part 1 article (e.g., experienced, anticipated, perceived), impacted how readily these populations accessed mental health care (Eylem et al, 2020; Fink-Samnick, 2021) The conclusions were emphatic: Mental health stigma is far higher among minority groups, with “anti-stigma” strategies a must to enhance successful linkage and engagement in outreach treatment (Eylem et al, 2020).…”

Section: Treatment Inequities and Mental Healthmentioning

confidence: 99%

“…Unconscious, implicit, and explicit bias impacts patient engagement, treatment, and ultimately outcomes, as discussed in Part 1 (Fink-Samnick, 2021). Yet, a rapidly emerging body of research is focused on the disparity of treatment outcomes from culturally or racially discordant versus concordant care: having a shared identity between patient and practitioner versus differing (racial, ethnic, cultural) identities.…”

Section: Treatment Inequities and Mental Healthmentioning

confidence: 99%

“…Health and mental health are forever intertwined, influencing each aspect of how populations are born, grow, live, age, learn, work, worship, and ultimately die. In response, the entire workforce, especially case management professionals, must assess patients from a fresh perspective that encompasses a wholistic health triad (Fink-Samnick, 2021).…”

mentioning

confidence: 99%

“…Part 1 of this article series (Fink-Samnick, 2021) provided a comprehensive foundation of the SDoMH, from key definitions and population health evidence to implications of systematic racism through provider shortages, reimbursement, and lack of mental health parity. Part 2 renders strategic recommendations to enhance professional practice encompassing assessment tools, interventions, and expansion of the Triple/Quadruple Aim.…”

mentioning

confidence: 99%

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The Social Determinants of Mental Health

Fink-Samnick¹

2021

Professional Case Management

Self Cite

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The social determinants of mental health (SDoMH) continue to exert their fierce presence around the globe. The factors known to influence health outcomes equally impact mental health. A global mental health chasm has widened courtesy of COVID-19's intersection with every psychosocial aspect of functioning, inclusive of how people are born, live, learn, work, socialize, worship, and die. Racial, ethnic, and cultural inequities across the diversity, equity, and inclusion space have led to rising morbidity and mortality across every population. Part 2 of this article series is dedicated to assessment and intervention tools for the workforce.A key fifth or Quintile Aim of wholistic health equity is also presented to advance the industry's seminal quality compass, the Triple Aim, for the future. Learning Outcomes: After reading this article, learners will be able to:• Explore recent population-based data; • Apply dedicated assessment tools toward behavioral health management; • Identify short-term counseling interventions; and • Examine the fifth or Quintile Aim of wholistic health equity. Finding/Conclusion: Access to quality wholistic health care encompasses pathophysiology, psychopathology, and psychosocial circumstances and remains a challenge across populations. Mental health, along with health disparities, has been fueled by systematic racism that has facilitated inadequate funding, poor reimbursement, decreased treatment options, and pervasive stigma across the cultural divide (e.g., race, ethnicity, gender, sexual orientation, familial status, disability, socioeconomic status). The SDoMH mandate a fresh lens by health and behavioral health professionals, and particularly case management, to ensure a more proactive and comprehensive approach to care. To achieve the successful outcomes mandated by this approach, the industry's quality compass, the Triple/Quadruple Aim, must be expanded to include a Quintile Aim of wholistic health equity. Implications for Case Management Practice: Case management's unique transdisciplinary composition has the workforce well positioned to effect grand change in population health perspectives. Wider attention to clinical and fiscal outcomes for health and mental health inequities mandates innovative approaches to patient care, which encompasses a wholistic health triad of pathophysiology, psychopathology, and psychosocial circumstances.

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Culturally Responsive Reproductive Mental Health Practice: Pitfalls and Possibilities

Kaplan

2024

Cultural Responsiveness in Assisted Reproductive Technology

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The Social Determinants of Mental Health

Cited by 8 publications

References 42 publications

Mental health services implementation in Colombia–A systematic review

Mental health services implementation in Colombia–A systematic review

The Social Determinants of Mental Health

Culturally Responsive Reproductive Mental Health Practice: Pitfalls and Possibilities

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