Addressing social determinants of health in individuals with mental disorders in clinical practice: review and recommendations
Abstract Social determinants of health have been shown to have a greater impact on overall health than traditionally considered medical risk factors, especially in people with mental disorders. It is the primary responsibility of healthcare providers to ensure that persons with psychiatric disorders...
Saved in:
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Nature Publishing Group
2025-04-01
|
| Series: | Translational Psychiatry |
| Online Access: | https://doi.org/10.1038/s41398-025-03332-4 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850153535211044864 |
|---|---|
| author | Dilip V. Jeste Jeffery Smith Roberto Lewis-Fernández Elyn R. Saks Peter J. Na Robert H. Pietrzak McKenzie Quinn Ronald C. Kessler |
| author_facet | Dilip V. Jeste Jeffery Smith Roberto Lewis-Fernández Elyn R. Saks Peter J. Na Robert H. Pietrzak McKenzie Quinn Ronald C. Kessler |
| author_sort | Dilip V. Jeste |
| collection | DOAJ |
| description | Abstract Social determinants of health have been shown to have a greater impact on overall health than traditionally considered medical risk factors, especially in people with mental disorders. It is the primary responsibility of healthcare providers to ensure that persons with psychiatric disorders are actively helped in reducing the adverse effects of SDoMH on their health and healthcare. Yet, the current clinical psychiatric practice in the U.S. does not have any standardized guidelines for evaluating or addressing these critical factors even among individuals who are receiving psychiatric and other medical treatment. Although there are several barriers to implementing such interventions, there are also practical approaches to address selected social determinants of mental health and improve the well-being of our patients. In this article, we review the literature on the assessment of relevant social factors and pragmatic psychosocial strategies at the individual, family, and community levels to help reduce their adverse impact. We offer guidelines for psychiatric clinicians and case managers to improve the health and quality of life of persons with mental disorders, using sustained inter-professional collaborative efforts. |
| format | Article |
| id | doaj-art-e4011a75ab5246fc8f80f428c22c8844 |
| institution | OA Journals |
| issn | 2158-3188 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Nature Publishing Group |
| record_format | Article |
| series | Translational Psychiatry |
| spelling | doaj-art-e4011a75ab5246fc8f80f428c22c88442025-08-20T02:25:41ZengNature Publishing GroupTranslational Psychiatry2158-31882025-04-0115111010.1038/s41398-025-03332-4Addressing social determinants of health in individuals with mental disorders in clinical practice: review and recommendationsDilip V. Jeste0Jeffery Smith1Roberto Lewis-Fernández2Elyn R. Saks3Peter J. Na4Robert H. Pietrzak5McKenzie Quinn6Ronald C. Kessler7Global Research Network on Social Determinants of Mental Health and ExposomicsDepartment of Psychiatry, New York Medical CollegeDepartment of Psychiatry, Columbia UniversityDepartments of Law, Psychology, and Psychiatry and the Behavioral Sciences at the University of Southern California Gould School of LawVA Connecticut Healthcare SystemU.S. Department of Veterans Affairs National Center for PTSD, VA Connecticut Healthcare SystemNew York State Center of Excellence for Cultural Competence, New York State Psychiatric InstituteDepartment of Health Care Policy, Harvard Medical SchoolAbstract Social determinants of health have been shown to have a greater impact on overall health than traditionally considered medical risk factors, especially in people with mental disorders. It is the primary responsibility of healthcare providers to ensure that persons with psychiatric disorders are actively helped in reducing the adverse effects of SDoMH on their health and healthcare. Yet, the current clinical psychiatric practice in the U.S. does not have any standardized guidelines for evaluating or addressing these critical factors even among individuals who are receiving psychiatric and other medical treatment. Although there are several barriers to implementing such interventions, there are also practical approaches to address selected social determinants of mental health and improve the well-being of our patients. In this article, we review the literature on the assessment of relevant social factors and pragmatic psychosocial strategies at the individual, family, and community levels to help reduce their adverse impact. We offer guidelines for psychiatric clinicians and case managers to improve the health and quality of life of persons with mental disorders, using sustained inter-professional collaborative efforts.https://doi.org/10.1038/s41398-025-03332-4 |
| spellingShingle | Dilip V. Jeste Jeffery Smith Roberto Lewis-Fernández Elyn R. Saks Peter J. Na Robert H. Pietrzak McKenzie Quinn Ronald C. Kessler Addressing social determinants of health in individuals with mental disorders in clinical practice: review and recommendations Translational Psychiatry |
| title | Addressing social determinants of health in individuals with mental disorders in clinical practice: review and recommendations |
| title_full | Addressing social determinants of health in individuals with mental disorders in clinical practice: review and recommendations |
| title_fullStr | Addressing social determinants of health in individuals with mental disorders in clinical practice: review and recommendations |
| title_full_unstemmed | Addressing social determinants of health in individuals with mental disorders in clinical practice: review and recommendations |
| title_short | Addressing social determinants of health in individuals with mental disorders in clinical practice: review and recommendations |
| title_sort | addressing social determinants of health in individuals with mental disorders in clinical practice review and recommendations |
| url | https://doi.org/10.1038/s41398-025-03332-4 |
| work_keys_str_mv | AT dilipvjeste addressingsocialdeterminantsofhealthinindividualswithmentaldisordersinclinicalpracticereviewandrecommendations AT jefferysmith addressingsocialdeterminantsofhealthinindividualswithmentaldisordersinclinicalpracticereviewandrecommendations AT robertolewisfernandez addressingsocialdeterminantsofhealthinindividualswithmentaldisordersinclinicalpracticereviewandrecommendations AT elynrsaks addressingsocialdeterminantsofhealthinindividualswithmentaldisordersinclinicalpracticereviewandrecommendations AT peterjna addressingsocialdeterminantsofhealthinindividualswithmentaldisordersinclinicalpracticereviewandrecommendations AT roberthpietrzak addressingsocialdeterminantsofhealthinindividualswithmentaldisordersinclinicalpracticereviewandrecommendations AT mckenziequinn addressingsocialdeterminantsofhealthinindividualswithmentaldisordersinclinicalpracticereviewandrecommendations AT ronaldckessler addressingsocialdeterminantsofhealthinindividualswithmentaldisordersinclinicalpracticereviewandrecommendations |