Addressing the Social Determinants of Mental Health: If Not Now, When? If Not Us, Who?

Psychiatric Services : a Journal of the American Psychiatric Association
Ruth S Shim, Michael T Compton

Abstract

In public health, recognition of the importance of the social determinants of health has led to significant shifts in practice and research. Psychiatry is making great progress in developing evidence-based, high-fidelity treatments that improve outcomes for patients who have access to high-quality mental health care. But for the less fortunate, acting further upstream, long before these mental health problems occur, is just as important as advancing new treatments. "Treating" the social determinants of mental health involves focusing more on policies than on medication, therapy, and neurobiological innovation. It entails creating public policies that improve these issues and changing social norms to place greater value on giving everyone an equal chance at living a fulfilling and healthy life. Local, state, and federal governments set policies, and the psychiatric field has considerable power in influencing those policies and shaping the social norms that inform them. This new column offers a forum to discuss these issues.

Citations

Jan 15, 2020·American Journal of Health Promotion : AJHP·Michael T Compton, Ruth S Shim
Jan 15, 2020·American Journal of Health Promotion : AJHP·Sara S JohnsonAshley Weigl
Mar 4, 2020·Community Mental Health Journal·Bevin Croft
Sep 2, 2020·Psychiatric Services : a Journal of the American Psychiatric Association·Michael T Compton, Ruth S Shim
Sep 16, 2020·World Psychiatry : Official Journal of the World Psychiatric Association (WPA)·Louise M Howard, Hind Khalifeh
Feb 13, 2020·Focus : Journal of Life Long Learning in Psychiatry·Ruth S Shim, Michael T Compton
Jun 20, 2019·JAMA Psychiatry·Laura Shields-ZeemanLaura Gottlieb
Jan 21, 2019·Current Psychiatry Reports·Parashar RamanujHarold Alan Pincus
Sep 11, 2020·Community Mental Health Journal·Mark S Salzer, Nirit Karni-Vizer
Feb 14, 2021·Academic Psychiatry : the Journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry·Adam M BrennerAlan K Louie
Oct 17, 2021·Nursing Open·Roosa-Maria SavelaTarja Välimäki
Dec 17, 2021·Psychiatric Services : a Journal of the American Psychiatric Association·Noah S TriplettKristen Sievert

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