A theory of change for community-initiated mental health care in the United States
Mental health service delivery needs radical reimagination in the United States where unmet needs for care remain large and most metrics on the burden of mental health problems have worsened, despite significant numbers of mental health professionals, spending on service provision and research. The...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2023-01-01
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| Series: | Cambridge Prisms: Global Mental Health |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S2054425123000493/type/journal_article |
| _version_ | 1797680522376249344 |
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| author | Erica Breuer Angelika Morris Laura Blanke Miriam Pearsall Roxana Rodriguez Benjamin F. Miller John A. Naslund Shekhar Saxena Satchit Balsari Vikram Patel |
| author_facet | Erica Breuer Angelika Morris Laura Blanke Miriam Pearsall Roxana Rodriguez Benjamin F. Miller John A. Naslund Shekhar Saxena Satchit Balsari Vikram Patel |
| author_sort | Erica Breuer |
| collection | DOAJ |
| description | Mental health service delivery needs radical reimagination in the United States where unmet needs for care remain large and most metrics on the burden of mental health problems have worsened, despite significant numbers of mental health professionals, spending on service provision and research. The COVID-19 pandemic has exacerbated the need for mental health care. One path to a radical reimagination is “Community Initiated Care (CIC)” which equips and empowers communities to address by providing brief psychosocial interventions by people in community settings. We co-developed a theory of change (ToC) for CIC with 24 stakeholders including representatives from community-based, advocacy, philanthropic and faith-based organizations to understand how CIC could be developed and adapted for specific contexts. We present a ToC which describes ways in which the CIC initiative can promote and strengthen mental health in communities in the United States with respect to community organization and leadership; community care and inclusion and normalizing mental health. We propose 10 strategies as part of CIC and propose a way forward for implementation and evaluation. This CIC model is a local, tailored approach which can expand the role of community members to strengthen our response to mental health needs in the United States. |
| first_indexed | 2024-03-11T23:31:15Z |
| format | Article |
| id | doaj.art-e7b4cceb0a00468dac134dadcabf2775 |
| institution | Directory Open Access Journal |
| issn | 2054-4251 |
| language | English |
| last_indexed | 2024-03-11T23:31:15Z |
| publishDate | 2023-01-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | Cambridge Prisms: Global Mental Health |
| spelling | doaj.art-e7b4cceb0a00468dac134dadcabf27752023-09-20T09:16:00ZengCambridge University PressCambridge Prisms: Global Mental Health2054-42512023-01-011010.1017/gmh.2023.49A theory of change for community-initiated mental health care in the United StatesErica Breuer0https://orcid.org/0000-0003-0952-6650Angelika Morris1Laura Blanke2https://orcid.org/0000-0001-5170-9632Miriam Pearsall3https://orcid.org/0000-0002-5956-6725Roxana Rodriguez4Benjamin F. Miller5https://orcid.org/0000-0002-5489-7576John A. Naslund6https://orcid.org/0000-0001-6777-0104Shekhar Saxena7https://orcid.org/0000-0001-9385-0212Satchit Balsari8https://orcid.org/0000-0002-5492-1900Vikram Patel9https://orcid.org/0000-0003-1066-8584College of Health, Medicine and Wellbeing, University of Newcastle, Newcastle, NSW, AustraliaDepartment of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USAWell Being Trust, Oakland, CA, USANational Academy for State Health Policy (NASHP), Portland, ME, USAWell Being Trust, Oakland, CA, USADepartment of Psychiatry and Behavioural Sciences, Stanford School of Medicine, Palo Alto, CA, USADepartment of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USADepartment of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USADepartment of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USA Emergency Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USADepartment of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USAMental health service delivery needs radical reimagination in the United States where unmet needs for care remain large and most metrics on the burden of mental health problems have worsened, despite significant numbers of mental health professionals, spending on service provision and research. The COVID-19 pandemic has exacerbated the need for mental health care. One path to a radical reimagination is “Community Initiated Care (CIC)” which equips and empowers communities to address by providing brief psychosocial interventions by people in community settings. We co-developed a theory of change (ToC) for CIC with 24 stakeholders including representatives from community-based, advocacy, philanthropic and faith-based organizations to understand how CIC could be developed and adapted for specific contexts. We present a ToC which describes ways in which the CIC initiative can promote and strengthen mental health in communities in the United States with respect to community organization and leadership; community care and inclusion and normalizing mental health. We propose 10 strategies as part of CIC and propose a way forward for implementation and evaluation. This CIC model is a local, tailored approach which can expand the role of community members to strengthen our response to mental health needs in the United States.https://www.cambridge.org/core/product/identifier/S2054425123000493/type/journal_articlecommunity-initiated carecommunity-based caretask-sharingpsychosocial interventionsmental health |
| spellingShingle | Erica Breuer Angelika Morris Laura Blanke Miriam Pearsall Roxana Rodriguez Benjamin F. Miller John A. Naslund Shekhar Saxena Satchit Balsari Vikram Patel A theory of change for community-initiated mental health care in the United States Cambridge Prisms: Global Mental Health community-initiated care community-based care task-sharing psychosocial interventions mental health |
| title | A theory of change for community-initiated mental health care in the United States |
| title_full | A theory of change for community-initiated mental health care in the United States |
| title_fullStr | A theory of change for community-initiated mental health care in the United States |
| title_full_unstemmed | A theory of change for community-initiated mental health care in the United States |
| title_short | A theory of change for community-initiated mental health care in the United States |
| title_sort | theory of change for community initiated mental health care in the united states |
| topic | community-initiated care community-based care task-sharing psychosocial interventions mental health |
| url | https://www.cambridge.org/core/product/identifier/S2054425123000493/type/journal_article |
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