The Lancet Psychiatry Commission: transforming mental health implementation research

The Lancet Psychiatry, Journal Year: 2024, Volume and Issue: 11(5), P. 368 - 396

Published: March 26, 2024

Language: Английский

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Social determinants of mental health in major depressive disorder: Umbrella review of 26 meta-analyses and systematic reviews

Psychiatry Research, Journal Year: 2024, Volume and Issue: 335, P. 115854 - 115854

Published: March 11, 2024

Language: Английский

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Bioethical and Critical Consciousness in Clinical Translational Neuroscience

Journal of Clinical and Translational Science, Journal Year: 2025, Volume and Issue: unknown, P. 1 - 27

Published: Jan. 22, 2025

Clinical translational neuroscience (CTN) is positioned to generate novel discoveries for advancing treatments mental health disorders, but it held back today by the siloing of bioethical considerations from critical consciousness. In this article, we suggest that and consciousness can be paired intersect with structures power within which science clinical practice are conducted. We examine barriers adoption findings in perspective, especially context current collective attention widespread disparities access outcomes services, lack representation marginalized populations relevant sectors workforce, importance knowledge draws upon multicultural perspectives. provide 10 actionable solutions confront these CTN research, as informed existing frameworks such structural competency, adaptive calibration models, community-based participatory research. By integrating considerations, believe practitioners will better benefit cutting-edge research biological social sciences than past, alert biases equipped mitigate them, poised shepherd a robust generation future therapies practitioners.

Language: Английский

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Multidimensional Approach to Exploring Neighborhood Determinants and Symptom Severity Among Individuals With Psychosis

JAMA Network Open, Journal Year: 2024, Volume and Issue: 7(5), P. e2410269 - e2410269

Published: May 15, 2024

Importance The impact of cumulative exposure to neighborhood factors on psychosis, depression, and anxiety symptom severity prior specialized services for psychosis is unknown. Objective To identify latent profiles based unique combinations social, economic, environmental factors, validate by examining differences in among individuals with first episode (FEP). Design, Setting, Participants This cohort study used demographic data health outcome US FEP receiving between January 2017 August 2022. Eligible participants were ages 14 40 years enrolled a state-level coordinated specialty care network. A 2-step approach was characterize using census-tract link mental outcomes. Data analyzed March 2023 through October 2023. Exposures Economic social determinants health; housing conditions; land use; urbanization; walkability; access transportation, outdoor space, groceries, care; outcomes; exposure. Main Outcomes Measures Community Assessment Psychic Experiences 15-item, Patient Health Questionnaire 9-item, Generalized Anxiety Disorder 7-item scale. Results total sample included 225 aged 36 (mean [SD] age, 20.7 [4.0] years; 152 men [69.1%]; 9 American Indian or Alaska Native [4.2%], 13 Asian Pacific Islander [6.0%], 19 Black [8.9%], 118 White [55.1%]; 55 Hispanic ethnicity [26.2%]). Of the 3 distinct identified, nearly half (112 residents [49.8%]) lived urban high-risk neighborhoods, 56 (24.9%) low-risk 57 (25.3%) rural neighborhoods. After controlling individual characteristics, compared residing estimate [SE], 0.17 [0.07]; P = .01) neighborhoods 0.25 [0.12]; .04) presented more severe psychotic symptoms. Individuals reported depression 1.97 [0.79]; 1.12 [0.53]; than those Conclusions Relevance found that FEP, baseline differed multidimensional associated where reside. Exploring effect improves our understanding impacts symptoms risk which could potentially treatment

Language: Английский

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Camouflaging, internalized stigma, and mental health in the general population

International Journal of Social Psychiatry, Journal Year: 2024, Volume and Issue: 70(7), P. 1239 - 1253

Published: Aug. 11, 2024

Camouflaging, the strategies that some autistic people use to hide their differences, has been hypothesized trigger mental health ramifications. Camouflaging might reflect ubiquitous impression management experiences are not unique and similarly impact of non-autistic people.

Language: Английский

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Structural Violence and the Social Determinants of Mental Health: Exploring the Experiences of Participants on the Ontario Basic Income Pilot in Ontario, Canada

Health & Social Care in the Community, Journal Year: 2025, Volume and Issue: 2025(1)

Published: Jan. 1, 2025

Introduction: In 2017, a provincial Liberal government launched the Ontario Basic Income Pilot (OBIP) to assess promising approach poverty reduction in Ontario, Canada. It was prematurely canceled by subsequent Conservative government, despite election promises assuring that it would continue. The cancelation affected 4000 OBIP recipients. Objective: This study explored how participants’ lives were on compared their before and after pilot project using social determinants of mental health (SDoMH) as key lens. Study Design Data Collection: Semistructured interview data, gathered 2019, collected from sample 46 participants three sites, viewed through lenses structural violence SDoMH, analyzed reflexive thematic analysis. Findings: We identified eight themes all which pointed positive impacts SDoMH participants. These included expanded opportunities for education employment, improved housing stability, enhanced inclusion (including an escape denigrations receiving charity), sense security health, wherewithal eschew “crappy foods” favor healthier options, freedom live one’s life one chooses. All these threatened or reversed Pilot’s cancelation. Conclusions Implications: discontinuation OBIP, benefit appeared be improving well‐being participants, can act leaders. contributes growing evidence showing cash transfer programs, such basic income, alleviate psychological distress improve people living poverty. A groundswell mobilized citizens, public practitioners specifically, must hold governments accountable acts readily addressed policies eradicate

Language: Английский

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“What I do not see and others see in me”: mutual aid for suicide recovery in Colombia

International Journal of Qualitative Studies on Health and Well-Being, Journal Year: 2025, Volume and Issue: 20(1)

Published: Feb. 1, 2025

Purpose In response to the rise in suicidal behaviour and strategies address it, community actions represent a comprehensive approach factors influencing this situation. The aim of study was analyse influence mutual support on recovery individuals who experienced attended mental health groups.

Language: Английский

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What can be done to Improve the Mental Health of University Students? Identifying Determinants of Psychological Distress at an Australian University

Published: Feb. 11, 2025

Background: Mental health problems are common among university students. This study examined associations between determinants of mental and psychological distress students with the aim identifying priorities for policy practice action. Methods: cross-sectional included 3,581 (response rate: 7.1%) who completed an anonymous online survey. Individual socio-demographics financial, housing, employment status. Community (university) were social inclusion, acceptance, overall satisfaction. Psychological distress, measured using six-item Kessler Distress Scale, was modelled (as outcome) multiple linear regression. Results: Mutually-adjusted individual-level age (β [95% CI]: -0.50 [-0.60, -0.41]), LGBTQI+ identity (0.96 [0.52, 1.40]), having a current condition (3.23 [2.85, 3.60]), being carer (0.68 [0.04, 1.32]), country birth other than Australia (1.19 [0.84, 1.54]), financial stress (2.43 [1.99, 2.86]), satisfied housing (-0.84 [-1.18, -0.51]), full-time (-0.49 [-0.99, 0.00]). inclusion (-0.97 [-1.34, -0.59]), acceptance (-0.82 [-1.32, -0.33]), satisfaction (-1.74 [-2.21, -1.28]) at university. Conclusion: Results suggest that interventions this could beneficially target stress, satisfaction, status For maximum benefit, programs prioritise or be tailored to younger students, carers, those born outside Australia, identify as have condition.

Language: Английский

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Going Grander: Behavioral Health as a Crosscutting Theme for Social Work

Social Work, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 29, 2025

Journal Article Going Grander: Behavioral Health as a Crosscutting Theme for Social Work Get access Lisa de Saxe Zerden, Zerden PhD, MSW, is associate professor and director of interprofessional education practice, School Work, deputy director, Workforce Research Center, Cecil G. Sheps Center Services Research, University North Carolina at Chapel Hill, 325 Pittsboro Street, CB 3550, NC 27599-3550, USA email: [email protected]. Search other works by this author on: Oxford Academic PubMed Google Scholar Brianna M Lombardi, Lombardi M. assistant professor, Medicine; research Work; NC, Ron Manderscheid, Manderscheid principal adjunct instructor, Associates, Potomac, MD, Zachary Cooper, Cooper LCSW, PhD candidate graduate assistant, Georgia, Athens, GA, Danya K Krueger K. Krueger, MBA, doctoral student, swaf007, https://doi.org/10.1093/sw/swaf007 Published: 13 February 2025 history Accepted: 28 January

Language: Английский

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The Role of Social Determinants in Racial and Ethnic Mental Health Disparities: Getting It Right

Harvard Review of Psychiatry, Journal Year: 2025, Volume and Issue: 33(2), P. 67 - 77

Published: March 1, 2025

Abstract Despite increased research on and attention to mental health, significant racial ethnic disparities in this area persist. We propose that health should be examined through the lens of social determinants (SDoMH). In perspective article, we review current definitions frameworks SDoMH, discuss their strengths shortcomings, provide recommendations for a framework better capture causal pathways racially ethnically minoritized populations. also efforts address focusing policy-level SDoMH interventions, progress challenges integrating approaches into care.

Language: Английский

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