Community Partnering for Behavioral Health Equity: Public Agency and Community Leaders’ Views of its Promise and Challenge
Open accessAbstract
Objective: To understand potential for multi-sector partnerships among community-based organizations and publicly funded health systems to implement health improvement strategies that advance health equity.Setting: In 2014, the Los Angeles County (LAC) Board of Supervisors approved the Health Neighborhood Initiative (HNI) that aims to: 1) improve coordination of health services for behavioral health clients across safety-net providers within neighborhoods; and 2) address social determinants of health through community-driven, public agency sponsored partnerships with community-based organizations.Design: Key stakeholder interviewing during HNI planning and early implementation to elicit perceptions of multi-sector partnerships and innovations required for partnerships to achieve system transformation and health equity.Participants: Twenty-five semi-structured interviews with 49 leaders from LAC health systems, community-based organizations; and payers.Main Outcomes Means: Grounded thematic analysis of interview data.Results: Leaders perceived partnerships within and beyond health systems as transformative in their potential to: improve access, value, and efficiency; align priorities of safety-net systems and communities; and harness the power of communities to impact health. Leaders identified trust as critical to success in partnerships but named lack of time for relationship-building, limitations in service capacity, and questions about sustainability as barriers to trust-building. Leaders described the need for procedural innovations within health systems that would support equitable partnerships including innovations that would increase transparency and normalize information exchange, share agenda-setting and decision-making power with partners, and institutionalize partnering through training and accountability.Conclusions: Leaders described improving procedural justice in public agencies’ relationships with communities as key to effective partnering for health equity.Ethn Dis.2018;28(Suppl 2):397-406; doi:10.18865/ed.28.S2.397.
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- Authors
- Bromley, E., Figueroa, C., Castillo, E. G., Kadkhoda, F., Chung, B., Miranda, J., Menon, K., Whittington, Y., Jones, F., Wells, K. B., & Kataoka, S. H.
- Affiliations
- University of California, Los Angeles (US)
- RAND Corporation (US)
- Los Angeles County Department of Mental Health (US)
- Healthy African American Families II (US)
- ORCID
- Venue
- Ethnicity & Disease
- Publisher
- Ethnicity and Disease Inc
- Published
- 2018-09-06
- Volume
- 28
- Issue
- Supp
- Pages
- 397-406
- ISSN
- 1049-510X (ISSN-L)
- 1945-0826
- PMC
- PMC6128347
- OpenAlex
- W2889874513
- Cited by
- 33
- References
- 25
- Citations by year
- 2025: 3 · 2024: 10 · 2023: 3 · 2022: 6 · 2021: 5 · 2020: 4 · 2019: 1 · 2018: 1
- FWCI
- 4.20
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Ethnicity & Disease (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- National Institute of Mental Health (R01MH061570, R01MH078853)
- National Institute on Minority Health and Health Disparities (R01MD007721)
- Topics
- Health Sciences › Health Professions › General Health Professions › Community Health and Development
- Health Sciences › Health Professions › General Health Professions › Public Health Policies and Education
- Social Sciences › Education › Service-Learning and Community Engagement
- Keywords
- health equity, intersectoral collaboration, behavioral health, safety-net health system, community organizations, public agencies, Los Angeles County, social determinants of health, trust building, procedural justice, stakeholder perspectives, health system transformation
- MeSH terms
- Health Equity, Intersectoral Collaboration, Humans, Mental Health, Residence Characteristics, Social Justice, United States, Quality Improvement, Social Determinants of Health
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