Evidence map›Paper›PMID 35599537›Full record

ReviewThe American journal of psychiatry2022

A New Agenda for Optimizing Investments in Community Mental Health and Reducing Disparities.

Margarita Alegría, Jenny Zhen-Duan, Isabel Shaheen O'Malley, Karissa DiMarzio

Abstract readReview
In one paragraph

Review in The American journal of psychiatry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed.

  1. Article
  2. Review
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  6. Review
  7. Review
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  17. Primary Mental Health Care in a New Era.Healthcare (Basel, Switzerland) · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Margarita AlegríaDisparities Research Unit, Massachusetts General Hospital, Boston (Alegría, Zhen-Duan, O'Malley); Department of Medicine (Alegría, Zhen-Duan) and Department of Psychiatry (Alegría), Harvard Medical School, Boston; Department of Psychology, Florida International University, Miami (DiMarzio).
Jenny Zhen-DuanDisparities Research Unit, Massachusetts General Hospital, Boston (Alegría, Zhen-Duan, O'Malley); Department of Medicine (Alegría, Zhen-Duan) and Department of Psychiatry (Alegría), Harvard Medical School, Boston; Department of Psychology, Florida International University, Miami (DiMarzio).
Isabel Shaheen O'MalleyDisparities Research Unit, Massachusetts General Hospital, Boston (Alegría, Zhen-Duan, O'Malley); Department of Medicine (Alegría, Zhen-Duan) and Department of Psychiatry (Alegría), Harvard Medical School, Boston; Department of Psychology, Florida International University, Miami (DiMarzio).
Karissa DiMarzioDisparities Research Unit, Massachusetts General Hospital, Boston (Alegría, Zhen-Duan, O'Malley); Department of Medicine (Alegría, Zhen-Duan) and Department of Psychiatry (Alegría), Harvard Medical School, Boston; Department of Psychology, Florida International University, Miami (DiMarzio).

Funding

UCLA Implementation Science and Substance Use Research and Education (ISSURE) ProgramR25DA035692 · NIDA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI TIMOTHY W FONG, GAIL E. WYATT · 2013 to 2026
$3.9M
Latino Youths Coping with Discrimination: A Multi-Level Investigation in Micro- and Macro-Time admin supplementR01MD014737 · NIMHD · MASSACHUSETTS GENERAL HOSPITAL · PI ALEGRIA, MARGARITA · 2020 to 2024
$3.4M
Adverse childhood experiences and alcohol misuse in Latino adolescents: testing biopsychosocial and cultural mechanisms supplementK08AA029150 · NIAAA · MASSACHUSETTS GENERAL HOSPITAL · PI Jenny Zhen-Duan · 2022 to 2026
$957k
A dimensional approach to understanding emotional neglect and its impact on children's psychosocial development: A mixed methods studyF31HD106768 · NICHD · FLORIDA INTERNATIONAL UNIVERSITY · PI DIMARZIO, KARISSA A · 2021 to 2022
$74k
NIAAA NIH HHS K08 AA029150NICHD NIH HHS F31 HD106768NIDA NIH HHS R25 DA035692NIMHD NIH HHS R01 MD014737
6 · The paper itself

Abstract

The Biden-Harris Administration's FY22 budget includes $1.6 billion for the Community Mental Health Services Block Grant program, more than double the FY21 allocation, given the rising mental health crises observed across the nation. This is timely since there have been two interrelated paradigm shifts: one giving attention to the role of the environmental context as central in mental health outcomes, the other moving upstream to earlier mental health interventions at the community level rather than only at the individual level. An opportunity to reimagine and redesign the agenda of mental health research and service delivery with marginalized communities opens the door to more community-based care interventions. This involves establishing multisector partnerships to address the social and psychological needs that can be addressed at the community level rather than the clinical level. This will require a shift in training, delivery systems, and reimbursement models. The authors describe the scientific evidence justifying these programs and elaborate on opportunities to target investments in community mental health that can reduce disparities and improve well-being for all. They select levers where there is some evidence that such approaches matter substantially, are modifiable, and advance the science and public policy practice. They conclude with specific recommendations and the logistical steps needed to support this transformational shift.

Indexed as

Mental HealthPublic PolicyHumansCommunity Integration and Recovery-Oriented CareEnvironmental Risk FactorsMental Health Care/Service Delivery SystemsMinority Issues and Cross-Cultural Psychiatry

Identifiers

PMID35599537
PMCPMC9205621

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.