COPE: Community Outreach & Professional Engagement – a framework to bridge public mental health services with religious organizations

The primary purpose of public mental health is to promote wellbeing. The World Health Organization (WHO) and the Substance Abuse and Mental Health Services Administration (SAMHSA) have found that it is crucial to engage community to improve wellbeing and to support persons at times of stress. The Un...

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Main Authors: Glen Milstein, Joseph M. Currier, Charles Dent, Melissa McKnight, David Eckert, Amy Manierre
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-08-01
Series:Frontiers in Psychiatry
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Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1461804/full
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author Glen Milstein
Joseph M. Currier
Charles Dent
Melissa McKnight
David Eckert
Amy Manierre
author_facet Glen Milstein
Joseph M. Currier
Charles Dent
Melissa McKnight
David Eckert
Amy Manierre
author_sort Glen Milstein
collection DOAJ
description The primary purpose of public mental health is to promote wellbeing. The World Health Organization (WHO) and the Substance Abuse and Mental Health Services Administration (SAMHSA) have found that it is crucial to engage community to improve wellbeing and to support persons at times of stress. The United States Surgeon General has reported on significant debilitation caused by an epidemic of loneliness, contributed to by the loss of social connections through fewer and less vibrant social infrastructures. WHO, SAMHSA and the Surgeon General recognize that spiritual/faith-based organizations (SFBOs) are prevalent social infrastructures, dispersed geographically, as well as found across diverse economic, ethnic, immigrant, well-served and underserved communities. Because of their prevalence and social connectedness, what role could SFBOs play to improve social cohesion and individual wellbeing, increase community support, reduce dysfunction and sustain recovery? How could mental health service organizations (MHSOs) engage SFBOs in collaborative care? This paper will review evidence that supports the role of religion and spirituality (R/S) to both promote wellbeing, as well as to respond to stressors in ways that can both prevent the onset of mental disorders and support recovery after clinical treatment. We also review negative attributes of R/S that can be the source of trauma and also impede access to mental health care. We provide a framework for Community Outreach & Professional Engagement (COPE) to guide collaborations that originate in MHSOs and reach out to SFBOs to build relationships that can become partnerships. Key principles of COPE are to recognize that community and clinic are separate domains, that clergy have both religious and cultural expertise pertinent to wellbeing and social support, and that clinicians have expertise pertinent to assessment and treatment for dysfunction. COPE is a framework to bridge these separate domains in order to facilitate community-engaged collaborative care, which is clinically crucial for persons with more severe mental illness or substance abuse to sustain their recovery. We provide case examples of the COPE categories of collaboration, and include recommendations for future research in the context of outcomes for public mental health.
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spelling doaj-art-d2c2b051ca0d4466b275b5d98d438a222025-08-20T02:55:10ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402025-08-011610.3389/fpsyt.2025.14618041461804COPE: Community Outreach & Professional Engagement – a framework to bridge public mental health services with religious organizationsGlen Milstein0Joseph M. Currier1Charles Dent2Melissa McKnight3David Eckert4Amy Manierre5Department of Psychology, The City College of New York (CUNY), New York City, NY, United StatesPsychology Department, University of South Alabama, Mobile, AL, United StatesCharles Dent Enterprises, Mobile, AL, United StatesVeterans Recover, Mobile, AL, United StatesIntersect Division of Access Services, Fort Washington, PA, United StatesEmmanuel United Church of Christ, Sebring, FL, United StatesThe primary purpose of public mental health is to promote wellbeing. The World Health Organization (WHO) and the Substance Abuse and Mental Health Services Administration (SAMHSA) have found that it is crucial to engage community to improve wellbeing and to support persons at times of stress. The United States Surgeon General has reported on significant debilitation caused by an epidemic of loneliness, contributed to by the loss of social connections through fewer and less vibrant social infrastructures. WHO, SAMHSA and the Surgeon General recognize that spiritual/faith-based organizations (SFBOs) are prevalent social infrastructures, dispersed geographically, as well as found across diverse economic, ethnic, immigrant, well-served and underserved communities. Because of their prevalence and social connectedness, what role could SFBOs play to improve social cohesion and individual wellbeing, increase community support, reduce dysfunction and sustain recovery? How could mental health service organizations (MHSOs) engage SFBOs in collaborative care? This paper will review evidence that supports the role of religion and spirituality (R/S) to both promote wellbeing, as well as to respond to stressors in ways that can both prevent the onset of mental disorders and support recovery after clinical treatment. We also review negative attributes of R/S that can be the source of trauma and also impede access to mental health care. We provide a framework for Community Outreach & Professional Engagement (COPE) to guide collaborations that originate in MHSOs and reach out to SFBOs to build relationships that can become partnerships. Key principles of COPE are to recognize that community and clinic are separate domains, that clergy have both religious and cultural expertise pertinent to wellbeing and social support, and that clinicians have expertise pertinent to assessment and treatment for dysfunction. COPE is a framework to bridge these separate domains in order to facilitate community-engaged collaborative care, which is clinically crucial for persons with more severe mental illness or substance abuse to sustain their recovery. We provide case examples of the COPE categories of collaboration, and include recommendations for future research in the context of outcomes for public mental health.https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1461804/fullcommunity and collaboration and continuitysocial determinants and social supportreligion and spirituality and faithsubstance use disorderwellbeing and wellnessmental disorder
spellingShingle Glen Milstein
Joseph M. Currier
Charles Dent
Melissa McKnight
David Eckert
Amy Manierre
COPE: Community Outreach & Professional Engagement – a framework to bridge public mental health services with religious organizations
Frontiers in Psychiatry
community and collaboration and continuity
social determinants and social support
religion and spirituality and faith
substance use disorder
wellbeing and wellness
mental disorder
title COPE: Community Outreach & Professional Engagement – a framework to bridge public mental health services with religious organizations
title_full COPE: Community Outreach & Professional Engagement – a framework to bridge public mental health services with religious organizations
title_fullStr COPE: Community Outreach & Professional Engagement – a framework to bridge public mental health services with religious organizations
title_full_unstemmed COPE: Community Outreach & Professional Engagement – a framework to bridge public mental health services with religious organizations
title_short COPE: Community Outreach & Professional Engagement – a framework to bridge public mental health services with religious organizations
title_sort cope community outreach professional engagement a framework to bridge public mental health services with religious organizations
topic community and collaboration and continuity
social determinants and social support
religion and spirituality and faith
substance use disorder
wellbeing and wellness
mental disorder
url https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1461804/full
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