Cited by 387Community Health and DevelopmentMental Health Treatment and AccessPsychiatric care and mental health services

The DOI matches its Crossref record; 119 of the 119 references it cites were found in a registry or an index; 2 of the 66 sources its claims cite were checked for support.

Community Interventions to Promote Mental Health and Social Equity

Open access

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.

Overview

AI snapshot

Written from the paper’s full text.

TL;DR

This review synthesizes recent community interventions across seven topic areas and finds evidence for improving mental health and some social outcomes at multiple social-ecological levels. It emphasizes the need for sustained resources and training, equitable community partnerships, and policy reform to support long-term healthcare-community collaborations.

Key findings

  • Multi-sector collaborative care: In Community Partners in Care (CPIC), 95 programs across five sectors served a predominantly under-resourced racial/ethnic minority sample (n = 1018; 46% African American, 41% Latino, 74% below federal poverty level); at 6 months, Community Engagement and Planning vs. Resources for Services improved health-related quality of life, increased physical activity, reduced homelessness risk factors, and reduced behavioral health hospitalizations, though main effects diminished over time.
  • Early psychosis and justice interventions: The Danish OPUS trial showed significant 2-year benefits for assertive early intervention, but most differences dissipated at 10-year follow-up; Forensic Assertive Community Treatment (n = 35 vs. 35) produced fewer convictions (0.4 ± 0.7 vs. 0.9 ± 1.3, p = .023), fewer days in jail (21.5 ± 25.9 vs. 43.5 ± 59.2, p = .025), and more outpatient mental health treatment days (305.5 ± 92.1 vs. 169.4 ± 139.6, p < .001).
  • Housing, global mental health, and prevention: In At Home/Chez Moi (n = 950), Housing First participants entered housing faster (73 vs. 220 days) and retained housing longer (281 vs. 115 days); in Goa, India, the lay-counselor-delivered Healthy Activity Program (n = 495) reduced depression severity, suicidal ideation, disability, days out of work, and intimate partner violence; a South African parenting program (n = 115 dyads) reduced child abuse from 63.0% to 29.5% (p < .001).
  • School and community-level prevention: In the FRIENDS trial (41 schools, n = 1343), health-led FRIENDS was more effective than school-led FRIENDS or PSHE for anxiety outcomes, with no effects on math, reading, or writing test scores; Communities That Care (24 communities, n > 14,000) showed reduced substance use, delinquency, and violence at eighth grade, with some effects persisting to age 21 (n = 4002; e.g., increased lifetime abstinence from alcohol, tobacco, and marijuana use, ARR 1.49, 95% CI 1.03, 2.16).

Methods

  • Narrative review, not a comprehensive systematic review, focusing on interventions published in peer-reviewed medical journals from 2015 to 2018, with additional studies identified through reference mining and expert recommendations.
  • Seven topic areas were selected: multi-sector collaborative care, early psychosis, school-based interventions, homelessness, criminal justice, global mental health, and mental health promotion/prevention; studies were selected for design, outcomes, and/or impact.
  • Community interventions were defined as those involving multi-sector partnerships, including community members as integral to the intervention, and/or delivering services in community settings; the review adapts the social-ecological model for health promotion.

Limitations

  • Stated: The review highlights major developments and trends rather than providing a comprehensive systematic review, and it excludes substance use interventions, which the authors say warrant a separate review.
  • Stated/evident: Most reviewed interventions focused on individual, family/interpersonal, and program/institutional social-ecological levels, with few intervening on whole communities or involving multiple non-healthcare sectors.
  • Evident from the text: Several beneficial effects diminished over time (e.g., CPIC, OPUS), some interventions had negative or unexpected results (e.g., London early intervention service referral study; expedited Medicaid enrollment associated with greater jail/prison days), and the authors note the importance of ongoing resources, training, and policy reform to sustain outcomes.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.1007/s11920-019-1017-0

Cites

119 of 119 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

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)
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)CC BY · PubMed Central

Verification

Claims the paper makes

67 Not checked yet · 10 Own interpretation · 7 No basis given · 3 Own result · 1 Partly supported · accuracy not yet measured

Verify all 64 references — free account

Show all 56 claims

  • It may state two separate claims as one. 27
  • The quote only partly states this claim. 1
  • Probably not a substantial claim. 8
32 of 32
  • The paper relies on this without support.

    The studies selected for this review are representative of recent community interventions in the seven topic areas.

    “We highlight major developments and trends, rather than providing a comprehensive systematic review.”
  • The paper relies on this without support.

    Community-based organizations, social services, and healthcare agencies have different funding streams and incentives.

    “Community-based organizations, social services, and healthcare agencies also have different funding streams and incentives.”
2 of 2

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Citations

Cites

Show all 119 references

Research works printed but not linked: 3

  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. National Academies of Sciences, Engineering, and Medicine. Permanent supportive housing: evaluating the evidence for improving health outcomes among people experiencing chronic homelessness. Washington, D.C.: National Academies Press; 2018.
  3. Bronson J, Berzofsky M. Indicators of mental health problems reported by prisoners and jail inmates, 2011–2012, 1–17. Washington, DC: US Department of Justice; 2017.

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Metadata

Authors
Castillo, E. G., Ijadi-Maghsoodi, R., Shadravan, S., Moore, E., Mensah, M. O., Docherty, M., Aguilera Nunez, M. G., Barcelo, N., Goodsmith, N., Halpin, L. E., Morton, I., Mango, J., Montero, A. E., Rahmanian Koushkaki, S., Bromley, E., Chung, B., Jones, F., Gabrielian, S., Gelberg, L., Greenberg, J. M., Kalofonos, I., Kataoka, S. H., Miranda, J., Pincus, H. A., Zima, B. T., & Wells, K. B.
Affiliations
  • University of California, Los Angeles (US)
  • New York State Psychiatric Institute (US)
  • RAND Corporation (US)
  • Healthy African American Families II (US)
Corresponding author
Castillo, Enrico G.
Venue
Current Psychiatry Reports
Published
2019-03-29
Volume
21
Issue
5
Pages
35-35
ISSN
  • 1523-3812 (ISSN-L)
  • 1535-1645
OpenAlex
W2927051625
Cited by
387
References
119
Citations by year
2026: 53 · 2025: 105 · 2024: 64 · 2023: 61 · 2022: 42 · 2021: 25 · 2020: 18 · 2019: 19
FWCI
4.78
Type
journal article
Language
en
Open access
Locations
  • Current Psychiatry Reports (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • eScholarship (California Digital Library) (submittedVersion, cc-by)
  • eScholarship (California Digital Library) (submittedVersion)
Funders
  • National Institute on Drug Abuse (K12DA000357)
  • National Institute on Minority Health and Health Disparities (R01MD007721)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Community Health and Development
  • Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
  • Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
Keywords
community-based intervention, mental health promotion, social equity, socio-ecological model, intersectoral collaboration, collaborative care, early psychosis, school-based intervention, homelessness, criminal justice, global mental health, social determinants of health, interpersonal relationships, community-based services
MeSH terms
Community Medicine, Health Promotion, Humans, Mental Health, Psychotic Disorders, Schools, Social Environment

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