The Social Determinants of Health and Mental Health: Global Foundations for Improving Child and Family Mental Health

2010 ◽  
Vol 23 (3) ◽  
pp. 196-197
Author(s):  
Edilma L. Yearwood
Keyword(s):  
Mental Health ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Determinants Of Health ◽  
The Social ◽  
Family Mental Health

Social Determinants of Psychiatric Illness

2019 ◽  
pp. 69-86
Author(s):  
Kristen Nishimi ◽  
Esther Howe ◽  
Erin C. Dunn
Keyword(s):  
Public Health ◽  
Mental Health ◽  
Clinical Practice ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Psychiatric Illness ◽  
Childhood Adversity ◽  
Determinants Of Health ◽  
Individual Level ◽  
The Social

The social determinants of health refer to the ways in which societal conditions impact the etiology, course, and treatment of health outcomes. This chapter summarizes four main topics related to the social determinants of mental health in order to provide a framework for clinicians to understand the major social determinants of mental illness and help them incorporate insights about the social determinants of health into their clinical practice. First, we demonstrate how social determinants are related to the field of public health and population health frameworks. Second, we describe how knowledge of social determinants can inform psychiatric clinical practice. Third, we summarize research on four major social determinants—gender, socioeconomic status, childhood adversity, and school and neighborhood environments—with respect to depression risk. Last, we show how information about social determinants can be integrated with more individual-level factors, including genetic variation.

Narrative review of affinities and differences between the social determinants of oral and general health in Canada: establishing a common agenda

2018 ◽  
Vol 41 (3) ◽  
pp. e218-e225
Author(s):  
Dennis Raphael
Keyword(s):  
Mental Health ◽  
Oral Health ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Dental Care ◽  
General Health ◽  
Determinants Of Health ◽  
Physical And Mental Health ◽  
Health Literature ◽  
The Social

Abstract Background This article overviews Canadian work on the social determinants of oral and general health noting their affinities and differences. Methods A literature search identified Canadian journal articles addressing the social determinants of oral health and/or oral health inequalities. Analysis identified affinities and differences with six themes in the general social determinants of health literature. Results While most Canadian social determinants activity focuses on physical and mental health there is a growing literature on oral health—literature reviews, empirical studies and policy analyses—with many affinities to the broader literature. In addition, since Canada provides physical and mental health services on a universal basis, but does not do so for dental care, there is a special concern with the reasons behind, and the health effects—oral, physical and mental—of the absence of publicly financed dental care. Conclusions The affinities between the social determinants of oral health and the broader social determinants of health literature suggests the value of establishing a common research and action agenda. This would involve collaborative research into common social determinants of oral and general health and combined policy advocacy efforts to improve Canadians’ living and working conditions as means of achieving health for all.

scholarly journals Mental health of African asylum-seekers and refugees in Hong Kong: using the social determinants of health framework

2017 ◽  
Vol 17 (1) ◽  
Author(s):  
William Chi Wai Wong ◽  
Sealing Cheung ◽  
Heidi Yin Hai Miu ◽  
Julie Chen ◽  
Kelley Ann Loper ◽  
...  
Keyword(s):  
Mental Health ◽  
Hong Kong ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Asylum Seekers ◽  
Determinants Of Health ◽  
The Social ◽  
Asylum Seekers And Refugees

scholarly journals P111: The social determinants of health in adults presenting to the ED with a mental health complaint

CJEM ◽  
2017 ◽  
Vol 19 (S1) ◽  
pp. S115-S116
Author(s):  
Q. Salehmohamed ◽  
D. Barbic ◽  
W.G. MacEwan ◽  
B. Kim ◽  
V. Mernoush ◽  
...  
Keyword(s):  
Mental Health ◽  
Drinking Water ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Determinants Of Health ◽  
Considerable Proportion ◽  
Health Complaint ◽  
The Social ◽  
Clean Drinking Water ◽  
Marginally Housed

Introduction: The social determinants of health (SDoH) can play a significant role in a person’s overall wellbeing. This is especially true for adults with mental illness and mental health disorders. In this study, we describe the SDoH of patients presenting to an academic, inner-city emergency department (ED) with an acute mental health complaint (AMHC). Methods: We prospectively identified and enrolled a convenience sample of patients presenting to an ED with an annual census of 85,000 visits. Participants provided informed written consent, and completed a questionnaire package containing questions related to demographics and SDoH. As well, participants were asked to complete four mental health, quality of life, and recovery validated patient-reported outcome measures. Results: A total 108 participants were enrolled in this study, of which 65% were male, aged 37.5 years (IQR 26.7-50.3), 56% Caucasian, and 22% Aboriginal. Depression was the primary diagnosis reported by 55% of participants, with 58.9% meeting the PhQ-9 cutoff for moderate-severe depression. The highest level of educational achievement for 44% of participants was high school or less, with 75% reporting being unemployed. Almost half (45%) reported engaging in less than two hours of structured activity each week. Thirty eight percent of participants reported living in their own apartment, with 25% reporting being homeless and 17% living in a single-room housing unit. The majority of participants (56%) sampled were not satisfied with their housing, and 67% were actively looking for new housing. Sixty percent of participants reported smoking cigarettes daily and 40% reported weekly cannabis use. A total of 11% of the sample reported that they did not have access to clean drinking water; 35% worried that their food would run out, and 47% reported cutting the size of meals due to a lack of money. Conclusion: This study lends evidence towards the circumstances in which patients presenting to the ED with an AMHC live and work. A considerable proportion of patients reported homelessness or being marginally housed, lack access to clean drinking water and sufficient food, and high rates of unemployment. Mitigating the effects of harmful social determinants is critical for optimal health of this population. Future work is needed to clarify the role of the ED in the surveillance, screening, and intervention of SDoH for this vulnerable patient group.

scholarly journals Establishing Optimal Mental Health Care for Common Mental Disorders in Primary Health Care

2017 ◽  
Vol 6 (1) ◽  
pp. 40-46 ◽  
Author(s):  
Lauren Kennedy
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Primary Health Care ◽  
Mental Health Care ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Determinants Of Health ◽  
Adequate Treatment ◽  
Primary Health ◽  
The Social

Various definitions of health and mental health exist, however there is a generally persistent inclusion and acknowledgement of the importance of holistic elements such as environment and relationships. Integration of the physical, social, and mental aspects of an individual, through the social determinants of health is an important component in establishing the effective delivery of optimal mental health care. With increasing numbers of collaborative care teams, and mental health promotion strategies, primary health care is increasingly building its capacity to help respond to these holistic mental health care needs, with increased and more purposeful attention to the social determinants of health. Despite these steps in the right direction, a gap continues to exist in the delivery of mental health care and many people continue to struggle in accessing adequate treatment. In order to determine how best to proceed, it is important to understand what mental health is, what mental health care in primary health care looks like, what the existing challenges to the delivery of mental health care in primary health care are, and what other models have been successful in integrating the social determinants of health and mental health into the primary health care system.

Addressing the Social Determinants of Health

2019 ◽  
Vol 101 (4) ◽  
pp. 357-395 ◽  
Author(s):  
Saty Satya-Murti ◽  
Jennifer Gutierrez
Keyword(s):  
Twentieth Century ◽  
Los Angeles ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Social Activism ◽  
Determinants Of Health ◽  
Medical Attention ◽  
Community Center ◽  
Early Twentieth Century ◽  
The Social

The Los Angeles Plaza Community Center (PCC), an early twentieth-century Los Angeles community center and clinic, published El Mexicano, a quarterly newsletter, from 1913 to 1925. The newsletter’s reports reveal how the PCC combined walk-in medical visits with broader efforts to address the overall wellness of its attendees. Available records, some with occasional clinical details, reveal the general spectrum of illnesses treated over a twelve-year span. Placed in today’s context, the medical care given at this center was simple and minimal. The social support it provided, however, was multifaceted. The center’s caring extended beyond providing medical attention to helping with education, nutrition, employment, transportation, and moral support. Thus, the social determinants of health (SDH), a prominent concern of present-day public health, was a concept already realized and practiced by these early twentieth-century Los Angeles Plaza community leaders. Such practices, although not yet nominally identified as SDH, had their beginnings in the late nineteenth- and early twentieth-century social activism movement aiming to mitigate the social ills and inequities of emerging industrial nations. The PCC was one of the pioneers in this effort. Its concerns and successes in this area were sophisticated enough to be comparable to our current intentions and aspirations.

Health Disparities and the Social Determinants of Health: Ethical and Social Justice Issues

2019 ◽  
pp. 265-276
Author(s):  
Sridhar Venkatapuram
Keyword(s):  
Health Disparities ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Global Justice ◽  
Social Epidemiology ◽  
Social Groups ◽  
Determinants Of Health ◽  
Housing Conditions ◽  
Early Infant ◽  
The Social

The term health disparities (also called health inequalities) refers to the differences in health outcomes and related events across individuals and social groups. Social determinants of health, meanwhile, refers to certain types of causes of ill health in individuals, including lack of early infant care and stimulation, lack of safe and secure employment, poor housing conditions, discrimination, lack of self-respect, poor personal relationships, low community cohesion, and income inequality. These social determinants stand in contrast to others, such as individual biology, behaviors, and proximate exposures to harmful agents. This chapter presents some of the revolutionary findings of social epidemiology and the science of social determinants of health, and shows how health disparities and social determinants raise profound questions in public health ethics and social/global justice philosophy.

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