An Evaluation of a Foundation's Community-wide Initiative to Impact Mental Health Outcomes

An Evaluation of a Foundation's Community-wide Initiative to Impact Mental Health Outcomes
Author: Diane Peltier
Publisher:
Total Pages: 155
Release: 2011
Genre: Electronic dissertations
ISBN:

This exploratory study was focused on mental health, broadly defined, as part of a larger community assessment research project. The primary goals of this study were to determine how a mental health initiative impacted the perceived care provided by the mental health-serving organizations and also to identify promising practices of grantees. Because the goal of this study was illumination and understanding, as opposed to prediction or causal determination, the data collected were qualitative, coming from open-ended questions and archival data obtained from the agencies. Organizations reported many strengths and successes, such as improved client outcomes, partnerships and collaboration among agencies and community members, as well as having a committed board, staff, administrators, and volunteers. Challenges for organizations included measuring outcomes, securing adequate staffing levels, and securing adequate funding. Overall, mental health-serving organizations reported positive changes in the community, but could benefit from longer granting periods, capacity building activities, improved client access to services, greater community awareness and reduced stigma associated with mental illness.

Communities in Action

Communities in Action
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
Total Pages: 583
Release: 2017-04-27
Genre: Medical
ISBN: 0309452961

In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.

Improving Health in the Community

Improving Health in the Community
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 497
Release: 1997-05-21
Genre: Medical
ISBN: 0309055342

How do communities protect and improve the health of their populations? Health care is part of the answer but so are environmental protections, social and educational services, adequate nutrition, and a host of other activities. With concern over funding constraints, making sure such activities are efficient and effective is becoming a high priority. Improving Health in the Community explains how population-based performance monitoring programs can help communities point their efforts in the right direction. Within a broad definition of community health, the committee addresses factors surrounding the implementation of performance monitoring and explores the "why" and "how to" of establishing mechanisms to monitor the performance of those who can influence community health. The book offers a policy framework, applies a multidimensional model of the determinants of health, and provides sets of prototype performance indicators for specific health issues. Improving Health in the Community presents an attainable vision of a process that can achieve community-wide health benefits.

Community Programs for Mental Health

Community Programs for Mental Health
Author: Ruth Kotinsky
Publisher:
Total Pages: 394
Release: 1955
Genre: Medical
ISBN:

This book provides an overall view of mental health promotion--its underlying theory, typical practice, and problems of evaluation. Each of the papers focuses from its own vantage point on current efforts to maintain the mental health of all at an optimum level on a community-wide basis.

The Social Determinants of Mental Health

The Social Determinants of Mental Health
Author: Michael T. Compton
Publisher: American Psychiatric Pub
Total Pages: 296
Release: 2015-04-01
Genre: Medical
ISBN: 1585625175

The Social Determinants of Mental Health aims to fill the gap that exists in the psychiatric, scholarly, and policy-related literature on the social determinants of mental health: those factors stemming from where we learn, play, live, work, and age that impact our overall mental health and well-being. The editors and an impressive roster of chapter authors from diverse scholarly backgrounds provide detailed information on topics such as discrimination and social exclusion; adverse early life experiences; poor education; unemployment, underemployment, and job insecurity; income inequality, poverty, and neighborhood deprivation; food insecurity; poor housing quality and housing instability; adverse features of the built environment; and poor access to mental health care. This thought-provoking book offers many beneficial features for clinicians and public health professionals: Clinical vignettes are included, designed to make the content accessible to readers who are primarily clinicians and also to demonstrate the practical, individual-level applicability of the subject matter for those who typically work at the public health, population, and/or policy level. Policy implications are discussed throughout, designed to make the content accessible to readers who work primarily at the public health or population level and also to demonstrate the policy relevance of the subject matter for those who typically work at the clinical level. All chapters include five to six key points that focus on the most important content, helping to both prepare the reader with a brief overview of the chapter's main points and reinforce the "take-away" messages afterward. In addition to the main body of the book, which focuses on selected individual social determinants of mental health, the volume includes an in-depth overview that summarizes the editors' and their colleagues' conceptualization, as well as a final chapter coauthored by Dr. David Satcher, 16th Surgeon General of the United States, that serves as a "Call to Action," offering specific actions that can be taken by both clinicians and policymakers to address the social determinants of mental health. The editors have succeeded in the difficult task of balancing the individual/clinical/patient perspective and the population/public health/community point of view, while underscoring the need for both groups to work in a unified way to address the inequities in twenty-first century America. The Social Determinants of Mental Health gives readers the tools to understand and act to improve mental health and reduce risk for mental illnesses for individuals and communities. Students preparing for the Medical College Admission Test (MCAT) will also benefit from this book, as the MCAT in 2015 will test applicants' knowledge of social determinants of health. The social determinants of mental health are not distinct from the social determinants of physical health, although they deserve special emphasis given the prevalence and burden of poor mental health.

Ecosocial Work in Community Practice

Ecosocial Work in Community Practice
Author: Komalsingh Rambaree
Publisher: Taylor & Francis
Total Pages: 296
Release: 2022-12-26
Genre: Nature
ISBN: 1000807606

This book focuses on ecosocial work within the context of community practice. It aims to provide insights on understanding key issues, concepts and debates surrounding the mainstreaming of ecosocial work for sustainable community development. Divided into three parts, the first part of the book focuses on ecosocial work and ecosocial change around water, the ecology of coastal communities experiencing climate change, and environmental degradation. The second part includes chapters on ecosocial change and community practice in other kinds of bioregions. Finally, the third part primarily focuses on pedagogical approaches for teaching ecosocial work. This book was originally published as a special issue of the Journal of Community Practice.

Empowerment Evaluation

Empowerment Evaluation
Author: David M. Fetterman
Publisher: SAGE
Total Pages: 428
Release: 1996
Genre: Business & Economics
ISBN: 9780761900252

This outstanding group of evaluators from academia, government, nonprofits, and foundations explores empowerment evaluation, a method for using evaluation concepts, techniques, and findings to foster improvement and self-determination. Empowerment Evaluation begins with an in-depth examination of this type of evaluation as it has been adopted in academic and foundation settings. The book then focuses on the various contexts in which empowerment evaluation is conducted, ranging from resistant environments (in which significant effort is required to move from passive-compliance orientations) to responsive environments (that already have a tradition of self-determination and community organizing). Interesting highlights concerning the role empowerment evaluation has played in the U.S. Department of Health and Human Services' substance abuse prevention programs are detailed throughout the book. The contributors also provide down-to-earth tools and technical assistance needed to conduct empowerment evaluation. This volume concludes with themes that emerge from the chapters and recommendations concerning next steps. This serves to strengthen the links between empowerment evaluation and community capacity building. empow

Federal Evaluations

Federal Evaluations
Author:
Publisher:
Total Pages: 800
Release:
Genre: Evaluation research (Social action programs)
ISBN:

Contains an inventory of evaluation reports produced by and for selected Federal agencies, including GAO evaluation reports that relate to the programs of those agencies.

An Integrated Framework for Assessing the Value of Community-Based Prevention

An Integrated Framework for Assessing the Value of Community-Based Prevention
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 181
Release: 2012-11-29
Genre: Medical
ISBN: 0309263573

During the past century the major causes of morbidity and mortality in the United States have shifted from those related to communicable diseases to those due to chronic diseases. Just as the major causes of morbidity and mortality have changed, so too has the understanding of health and what makes people healthy or ill. Research has documented the importance of the social determinants of health (for example, socioeconomic status and education) that affect health directly as well as through their impact on other health determinants such as risk factors. Targeting interventions toward the conditions associated with today's challenges to living a healthy life requires an increased emphasis on the factors that affect the current cause of morbidity and mortality, factors such as the social determinants of health. Many community-based prevention interventions target such conditions. Community-based prevention interventions offer three distinct strengths. First, because the intervention is implemented population-wide it is inclusive and not dependent on access to a health care system. Second, by directing strategies at an entire population an intervention can reach individuals at all levels of risk. And finally, some lifestyle and behavioral risk factors are shaped by conditions not under an individual's control. For example, encouraging an individual to eat healthy food when none is accessible undermines the potential for successful behavioral change. Community-based prevention interventions can be designed to affect environmental and social conditions that are out of the reach of clinical services. Four foundations - the California Endowment, the de Beaumont Foundation, the W.K. Kellogg Foundation, and the Robert Wood Johnson Foundation - asked the Institute of Medicine to convene an expert committee to develop a framework for assessing the value of community-based, non-clinical prevention policies and wellness strategies, especially those targeting the prevention of long-term, chronic diseases. The charge to the committee was to define community-based, non-clinical prevention policy and wellness strategies; define the value for community-based, non-clinical prevention policies and wellness strategies; and analyze current frameworks used to assess the value of community-based, non-clinical prevention policies and wellness strategies, including the methodologies and measures used and the short- and long-term impacts of such prevention policy and wellness strategies on health care spending and public health. An Integrated Framework for Assessing the Value of Community-Based Prevention summarizes the committee's findings.

Challenges and Successes in Reducing Health Disparities

Challenges and Successes in Reducing Health Disparities
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 210
Release: 2008-06-13
Genre: Medical
ISBN: 030918570X

In early 2007, the Institute of Medicine convened the Roundtable on Health Disparities to increase the visibility of racial and ethnic health disparities as a national problem, to further the development of programs and strategies to reduce disparities, to foster the emergence of leadership on this issue, and to track promising activities and developments in health care that could lead to dramatically reducing or eliminating disparities. The Roundtable's first workshop, Challenges and Successes in Reducing Health Disparities, was held in St. Louis, Missouri, on July 31, 2007, and examined (1) the importance of differences in life expectancy within the United States, (2) the reasons for those differences, and (3) the implications of this information for programs and policy makers.