scholarly journals Untapped potential? Action by non-governmental organisations on the social determinants of mental health in high-income countries: an integrative review

2020 ◽  
Author(s):  
Johanna Cresswell-Smith ◽  
Anna K. Macintyre ◽  
Kristian Wahlbeck
Keyword(s):  
Mental Health ◽  
Civil Society ◽  
Social Determinants ◽  
Grey Literature ◽  
Relevant Literature ◽  
Bibliographic Databases ◽  
Relevant Evidence ◽  
The Social ◽  
History Of ◽  
Taking Action

Civil society in general is widely recognised as having an important role in addressing the social determinants of health. Non-governmental organisations (NGOs) have a long history of mental health actions, ranging from mental health promotion and advocacy to volunteer work and service provision. An explicit focus on the social determinants of mental health is a more recent development. In this article we review relevant literature on NGO actions on key social determinants of mental health: family; friends and communities; education and skills; good work; money and resources; housing; and surroundings. Searching of relevant bibliographic databases was combined with searching for relevant grey literature to identify relevant evidence and practice on the work of NGOs in this field. We reflect on the inherent tensions involved in understanding the role of NGOs in taking action on the social determinants of mental health and the critical questions raised as a result. Our review highlights a lack of documented evidence of NGO actions, and underscores the significant untapped potential of civil society to contribute to the Mental Health in All Policies (MHiAP) agenda.

600 Social Determinants and Their Impact on Burn Surgery Outcomes

2021 ◽  
Vol 42 (Supplement_1) ◽  
pp. S151-S152
Author(s):  
Luis H Quiroga ◽  
Tomer Lagziel ◽  
Mohammed Asif ◽  
Raymond Fang ◽  
Grace F Rozycki ◽  
...  
Keyword(s):  
Mental Health ◽  
Diabetes Mellitus ◽  
Social Determinants Of Health ◽  
Population Health ◽  
Social Determinants ◽  
Determinants Of Health ◽  
Hospital Charges ◽  
Burn Patients ◽  
Increased Risk ◽  
History Of

Abstract Introduction To our knowledge, no studies have been conducted assessing the social determinants of health and the impact on the outcomes for burn patients. Such studies are needed considering burn injuries are associated with high costs, severe psychological impact, and a high burden placed on the healthcare systems. The burden is hypothesized to be aggravated by the increasing amount of diabetes and obesity seen in the general population which put patients at increased risk for developing chronic wounds. Studies have shown that several socioeconomic status (SES) factors are associated with increased risk of burns, but none have documented the outcomes of burn patients based on their social determinants of health. In our study, we will be comparing patients in the burn ICU (BICU) to patients in the surgical ICU (SICU). The purpose of this comparison is to evaluate whether the same social determinants of health have similar influences in both groups. Methods We performed a retrospective analysis of population group data from patients admitted to the BICU and SICU from January 1, 2016, to November 18, 2019. The primary outcomes were length-of-stay (LOS), mortality, 30-day-readmission, and hospital charges. Pearson’s chi-square test for categorical variables and t-test for continuous variables were used to compare population health groups. Results We analyzed a total of 487 burn and 510 surgical patients. When comparing BICU and SICU patients, we observed significantly higher mean hospital charges and LOS in burn patients with a history of mental health (mean difference: $42,756.04, p=0.013 and 7.12 days, p=0.0085), ESRD ($57,8124.7, p=0.0047 and 78.62 days, p=0.0104), sepsis ($168,825.19, p=< 0.001 and 20.68 days, p=0.0043), and VTE ($63,9924.1, p=< 0.001 and 72.9 days, p=0.002). Also, higher mortality was observed in burn patients with ESRD, STEMI, sepsis, VTE, and diabetes mellitus. Burn patients with a history of mental health, drug dependence, heart failure, and diabetes mellitus also had greater 30-day-readmissions rates. Conclusions This study sheds new knowledge on the considerable variability that exists between the different population health groups in terms of outcomes for each cohort of critically ill patients. It demonstrates the impacts of population health group on outcomes. These population groups and social determinants have different effects on BICU versus SICU patients and this study provides supporting evidence for the need to identify and develop new strategies to decrease overspending in healthcare. Further research to develop relevant and timely interventions that can improve these outcomes.

The Social Determinants of Mental Health

2021 ◽  
Vol 26 (5) ◽  
pp. 224-241
Author(s):  
Ellen Fink-Samnick
Keyword(s):  
Mental Health ◽  
Social Determinants ◽  
The Social

Neighborhood Disorder, Urban Stressors, and Street Codes: A Model for Exploring Social Determinants of Life-Course Trajectories

2017 ◽  
Vol 1 (2) ◽  
pp. 89-103 ◽  
Author(s):  
M. Daniel Bennett
Keyword(s):  
Life Course ◽  
Social Determinants ◽  
Relevant Literature ◽  
African American Youth ◽  
Developmental Outcomes ◽  
Neighborhood Disorder ◽  
Proposed Model ◽  
The Social ◽  
Youth And Young Adults ◽  
Health Model

This article reviews relevant literature and proposes a theoretically grounded conceptual model by which to inform, and potentially advance, the exploratory study of the effects of neighborhood disorder on the psychosocial, emotional, and cultural pathways that are thought to influence social and developmental outcomes for African American youth and young adults. Similar to the social determinants of health model which asserts that the distribution of social and economic resources across populations influences differences in health status, the proposed model posits that environment determines social and developmental outcomes and hence life-course trajectories.

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