Community Interventions to Promote Mental Health and Social Equity

doi:10.1007/s11920-019-1017-0

Review

. 2019 Mar 29;21(5):35.

doi: 10.1007/s11920-019-1017-0.

Community Interventions to Promote Mental Health and Social Equity

Enrico G Castillo^{1

2

3}, Roya Ijadi-Maghsoodi^{4

5

6}, Sonya Shadravan⁴, Elizabeth Moore⁴, Michael O Mensah 3rd⁴, Mary Docherty⁷, Maria Gabriela Aguilera Nunez⁴, Nicolás Barcelo⁴, Nichole Goodsmith⁴, Laura E Halpin⁴, Isabella Morton⁴, Joseph Mango^{4

8}, Alanna E Montero^{4

8}, Sara Rahmanian Koushkaki^{4

8}, Elizabeth Bromley^{4

8

9

10

11}, Bowen Chung^{4

8

10

12

13}, Felica Jones¹³, Sonya Gabrielian^{4

6}, Lillian Gelberg^{11

14

15}, Jared M Greenberg^{4

6}, Ippolytos Kalofonos^{4

16

17}, Sheryl H Kataoka^{4

8

18}, Jeanne Miranda^{4

8

15}, Harold A Pincus^{10

19}, Bonnie T Zima^{4

8

18}, Kenneth B Wells^{4

8

10

15}

Affiliations

¹ Jane and Terry Semel Institute for Neuroscience and Human Behavior at UCLA, Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine, UCLA, Los Angeles, CA, USA. egcastillo@mednet.ucla.edu.
² Center for Social Medicine and Humanities, UCLA, Los Angeles, CA, USA. egcastillo@mednet.ucla.edu.
³ Los Angeles County Department of Mental Health, Los Angeles, CA, USA. egcastillo@mednet.ucla.edu.
⁴ Jane and Terry Semel Institute for Neuroscience and Human Behavior at UCLA, Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine, UCLA, Los Angeles, CA, USA.
⁵ Division of Population Behavioral Health, Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine, UCLA, Los Angeles, CA, USA.
⁶ VA Health Service Research and Development Center for the Study of Healthcare Innovation, Implementation, and Policy, VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA.
⁷ Harkness Fellow in Healthcare Policy and Practice, New York State Psychiatric Institute, Columbia University, New York, NY, USA.
⁸ Center for Health Services and Society, UCLA, Los Angeles, CA, USA.
⁹ UCLA Department of Anthropology, Los Angeles, CA, USA.
¹⁰ Rand Corporation, Santa Monica, CA, USA.
¹¹ VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA.
¹² Los Angeles Biomedical Research Institute, Los Angeles, CA, USA.
¹³ Healthy African American Families II, Los Angeles, CA, USA.
¹⁴ Department of Family Medicine, David Geffen School of Medicine, UCLA, Los Angeles, CA, USA.
¹⁵ UCLA Jonathan Fielding School of Public Health, Los Angeles, CA, USA.
¹⁶ Center for Social Medicine and Humanities, UCLA, Los Angeles, CA, USA.
¹⁷ UCLA International Institute, Los Angeles, CA, USA.
¹⁸ Division of Child and Adolescent Psychiatry, UCLA, Los Angeles, CA, USA.
¹⁹ Department of Psychiatry, Columbia University Medical Center, New York State Psychiatric Institute, NewYork-Presbyterian Hospital, Irving Institute for Clinical and Translational Research, New York, NY, USA.

PMID: 30927093
PMCID: PMC6440941
DOI: 10.1007/s11920-019-1017-0

Review

Community Interventions to Promote Mental Health and Social Equity

Enrico G Castillo et al. Curr Psychiatry Rep. 2019.

. 2019 Mar 29;21(5):35.

doi: 10.1007/s11920-019-1017-0.

Authors

Affiliations

¹ Jane and Terry Semel Institute for Neuroscience and Human Behavior at UCLA, Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine, UCLA, Los Angeles, CA, USA. egcastillo@mednet.ucla.edu.
² Center for Social Medicine and Humanities, UCLA, Los Angeles, CA, USA. egcastillo@mednet.ucla.edu.
³ Los Angeles County Department of Mental Health, Los Angeles, CA, USA. egcastillo@mednet.ucla.edu.
⁴ Jane and Terry Semel Institute for Neuroscience and Human Behavior at UCLA, Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine, UCLA, Los Angeles, CA, USA.
⁵ Division of Population Behavioral Health, Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine, UCLA, Los Angeles, CA, USA.
⁶ VA Health Service Research and Development Center for the Study of Healthcare Innovation, Implementation, and Policy, VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA.
⁷ Harkness Fellow in Healthcare Policy and Practice, New York State Psychiatric Institute, Columbia University, New York, NY, USA.
⁸ Center for Health Services and Society, UCLA, Los Angeles, CA, USA.
⁹ UCLA Department of Anthropology, Los Angeles, CA, USA.
¹⁰ Rand Corporation, Santa Monica, CA, USA.
¹¹ VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA.
¹² Los Angeles Biomedical Research Institute, Los Angeles, CA, USA.
¹³ Healthy African American Families II, Los Angeles, CA, USA.
¹⁴ Department of Family Medicine, David Geffen School of Medicine, UCLA, Los Angeles, CA, USA.
¹⁵ UCLA Jonathan Fielding School of Public Health, Los Angeles, CA, USA.
¹⁶ Center for Social Medicine and Humanities, UCLA, Los Angeles, CA, USA.
¹⁷ UCLA International Institute, Los Angeles, CA, USA.
¹⁸ Division of Child and Adolescent Psychiatry, UCLA, Los Angeles, CA, USA.
¹⁹ Department of Psychiatry, Columbia University Medical Center, New York State Psychiatric Institute, NewYork-Presbyterian Hospital, Irving Institute for Clinical and Translational Research, New York, NY, USA.

PMID: 30927093
PMCID: PMC6440941
DOI: 10.1007/s11920-019-1017-0

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. 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: Community interventions (MeSH); Community networks (MeSH); Community-based interventions (MeSH); Health disparities; Mental health (MeSH); Mental health equity; Mental health intervention (MeSH); Multi-sector interventions; Social determinants of health; Social problems (MeSH).

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Conflict of interest statement

Grant Support

Grant Support By the National Institute on Minority Health and Health Disparities (award R01MD00721), the Patient-centered Outcomes Research Institute (award 1501-26518), and the National Institute on Drug Abuse of the National Institutes of Health (award K12DA000357). The content and views expressed in this article are those of the authors and do not necessarily reflect the position or policy of the US Department of Veterans Affairs the National Institutes of Health or the United States Government.

Conflict of Interest

Enrico G. Castillo is employed by UCLA and Los Angeles Department of Mental Health and reports grants pending from UCLA CTSI and School of Medicine Seed Grant Program. Dr. Castillo has received travel reimbursement from the American Psychiatric Association.

Roya Ijadi-Maghsoodi is employed by the VA Greater Los Angeles Healthcare System and receives funding from the National Institute on Drug Abuse of the National Institutes of Health under Award Number K12DA000357.

Nicolás Barcelo reports a Minority Fellowship Award from the APA/SAMHSA.

Joseph Mango reports a grant from the National Institute of Minority Health and Health Disparities (NIMHD).

Alanna E. Montero reports grants pending from the NIMHD.

Sara Rahmanian Koushkaki reports a grant from the NIMHD.

Bowen Chung is a consultant for the Center for Law and Social Policy and on the advisory board for a Medicaid mental health project. Dr. Chung is a full-time employee of County of Los Angeles Department of Mental Health. Dr. Chung reports a grant pending from NIHMH R01 and a grant from PCORI (Award No. 1501-26518) and has received payment for technical assistance training from Baton Rouge Area Foundation and Maimonides Medical Center (contract to RAND Corporation for CIPIC implementation). Dr. Chung has received travel reimbursement from the City of New York Mayor’s Office and PCORI.

Jeanne Miranda reports honoraria from Annapolis Coalition and Baymark Health Services and is employed by UCLA Psychiatry. Dr. Miranda reports grants from NIH/NIMH, SAMHSA, NIMH, NIMHD, and PCORI.

Bonnie T. Zima is employed by UCLA and reports grants from Illinois Children’s Healthcare Foundation, PCORI, SAMHSA, California DHCS, and MHSOAC.

Kenneth B. Wells reports a grant from the National Institute of Minority Health and Health Disparities (NIMHD) and potential dissemination grants related to effective community interventions.

Sonya Shadravan, Michael O. Mensah, III, Mary Docherty, Maria Gabriela Aguilera Nunez, Nichole Goodsmith, Isabella Morton, Elizabeth Bromley, Felica Jones, Sonya Gabrielian, Lillian Gelberg, Jared M. Greenberg, Ippolytos Kalofonos, Sheryl H. Kataoka, and Harold A. Pincus each declare no potential conflicts of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

Figures

**Fig. 1**
Overview of community intervention processes by social-ecological level (adapted from McElroy, KR, Bibeau D, Steckler A, Glanz K. An ecological perspective on health promotion programs. Health Educ Q. 1988;15:351–377)

See this image and copyright information in PMC

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References

1. World Health Organization. Preamble to the Constitution of the World Health Organization, as adopted by the International Health Conference, New York, 19–22 June 1946; signed on 22 July 1946 by the representatives of 61 States (Official Records of the World Health Organization, no. 2, p. 100) and entered into force on 7 April 1948. WHO, Geneva. 1948.
1. Anderson LM, Adeney KL, Shinn C, Safranek S, Buckner-Brown J, Krause LK. Community coalition-driven interventions to reduce health disparities among racial and ethnic minority populations. Cochrane Database Syst Rev. 2015;6:CD009905. - PubMed
1. McLeroy KR, Bibeau D, Steckler A, Glanz K. An ecological perspective on health promotion programs. Health Educ Q. 1988;15:351–377. - PubMed
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[1] World Health Organization. Preamble to the Constitution of the World Health Organization, as adopted by the International Health Conference, New York, 19–22 June 1946; signed on 22 July 1946 by the representatives of 61 States (Official Records of the World Health Organization, no. 2, p. 100) and entered into force on 7 April 1948. WHO, Geneva. 1948.

[2] World Health Organization. Preamble to the Constitution of the World Health Organization, as adopted by the International Health Conference, New York, 19–22 June 1946; signed on 22 July 1946 by the representatives of 61 States (Official Records of the World Health Organization, no. 2, p. 100) and entered into force on 7 April 1948. WHO, Geneva. 1948.

[3] Anderson LM, Adeney KL, Shinn C, Safranek S, Buckner-Brown J, Krause LK. Community coalition-driven interventions to reduce health disparities among racial and ethnic minority populations. Cochrane Database Syst Rev. 2015;6:CD009905. - PubMed

[4] Anderson LM, Adeney KL, Shinn C, Safranek S, Buckner-Brown J, Krause LK. Community coalition-driven interventions to reduce health disparities among racial and ethnic minority populations. Cochrane Database Syst Rev. 2015;6:CD009905. - PubMed

[5] McLeroy KR, Bibeau D, Steckler A, Glanz K. An ecological perspective on health promotion programs. Health Educ Q. 1988;15:351–377. - PubMed

[6] McLeroy KR, Bibeau D, Steckler A, Glanz K. An ecological perspective on health promotion programs. Health Educ Q. 1988;15:351–377. - PubMed

[7] Wagner EH. Chronic disease management: what will it take to improve care for chronic illness. Eff Clin Pract. 1998;1(1):2–4. - PubMed

[8] Wagner EH. Chronic disease management: what will it take to improve care for chronic illness. Eff Clin Pract. 1998;1(1):2–4. - PubMed

[9] Katon W, Unutzer J, Wells KB, Jones L. Collaborative depression care: history, evolution and ways to enhance dissemination and sustainability. Gen Hosp Psychiatry. 2010;32:456–464. - PMC - PubMed

[10] Katon W, Unutzer J, Wells KB, Jones L. Collaborative depression care: history, evolution and ways to enhance dissemination and sustainability. Gen Hosp Psychiatry. 2010;32:456–464. - PMC - PubMed

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Community Interventions to Promote Mental Health and Social Equity

Affiliations

Community Interventions to Promote Mental Health and Social Equity

Authors

Affiliations

Abstract

Conflict of interest statement

Grant Support

Conflict of Interest

Human and Animal Rights and Informed Consent

Figures

Similar articles

Cited by

References

Publication types

MeSH terms

Grants and funding

LinkOut - more resources

Full Text Sources

Medical

Research Materials

Abstract

Conflict of interest statement

Grant Support

Conflict of Interest

Human and Animal Rights and Informed Consent

Figures

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Cited by

References

Publication types

MeSH terms

Related information

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