ACHMA 2012 Summit Healthy Supports, Healthy Communities: Improving the Health of Communities Through Social Supports

Charleston, South Carolina

Changing Gears and Focus  Micro to Macro  Individual to Community  Problem Solving to Creative Inventing

Transitions, Transformations and Compelling Questions

Compelling Questions What is the best restaurant for seafood? What is the best thing to buy at the market? Where do the locals go to hang out? Where is the best bar? Why do those sweetgrass baskets cost so much?

Compelling Questions What impact do social supports have on the health of a community? How can these supports change a community’s social determinants of health? What are the implications of these changes for the prevention, treatment, and recovery of people with behavioral health problems?

Social Determinants of Health ‘The conditions in which people are born, grow, live, work and age, including the health system. These circumstances are shaped by the distribution of money, power and resources at global, national and local levels, which are themselves influenced by policy choices. The social determinants of health are mostly responsible for health inequities – the unfair and avoidable differences in health status seen within and between countries.’ World Health Organization (WHO)

Determinants of Health Factors that contribute to a person's current state of health. These factors may be biological, socioeconomic, psychosocial, behavioral, or social in nature. Scientists generally recognize five determinants of health of a population: Biology and genetics. Examples: sex and age Individual behavior. Examples: alcohol use, injection drug use (needles), unprotected sex, and smoking Social environment. Examples: discrimination, income, and gender Physical environment. Examples: where a person lives and crowding conditions Health services. Examples: Access to quality health care and having or not having health insurance

A climate that respects and protects basic civil, political, socio-economic and cultural rights is fundamental to mental health promotion. Without the security and freedom provided by these rights, it is very difficult to maintain a high level of mental health. National mental health policies should not be solely concerned with mental disorders, but should also recognize and address the broader issues which promote mental health. This includes mainstreaming mental health promotion into policies and programs in government and business sectors including education, labor, justice, transport, environment, housing, and welfare, as well as the health sector.

Primary Determinants of Health

Promoting mental health depends largely on intersectoral strategies. Specific ways to promote mental health include: Early childhood interventions (e.g. home visits for pregnant women, pre- school psycho-social activities, combined nutritional and psycho-social help for disadvantaged populations) Support to children (e.g. skills building programs, child and youth development programs) Socio-economic empowerment of women (e.g. improving access to education and microcredit schemes) Social support for elderly populations (e.g. befriending initiatives, community and day centers for the aged) Programs targeted at vulnerable groups, including minorities, indigenous people, migrants and people affected by conflicts and disasters (e.g. psycho-social interventions after disasters)

Promoting mental health depends largely on intersectoral strategies. Specific ways to promote mental health include: Mental health promotional activities in schools (e.g. programs supporting ecological changes in schools and child-friendly schools) Mental health interventions at work (e.g. stress prevention programs) Housing policies (e.g. housing improvement) Violence prevention programs (e.g. community policing initiatives); Community development programs (e.g. 'Communities That Care' initiatives, integrated rural development)