Community, Public Policy, and Recovery from Mental Illness: Emerging Research and Initiatives.

Community, Public Policy, and Recovery from Mental Illness: Emerging Research and Initiatives.
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DOI:
10.1097/hrp.0000000000000178
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发表时间:
2018
影响因子:
3.8
通讯作者:
Wells KB
Wells KB
中科院分区:
医学3区
文献类型:
--
作者:
Castillo EG;Chung B;Bromley E;Kataoka SH;Braslow JT;Essock SM;Young AS;Greenberg JM;Miranda J;Dixon LB;Wells KB

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This commentary examines the roles that communities and public policies play in the definition and processes of recovery for adults with mental illness. Policy, clinical, and consumer definitions of recovery are reviewed, which highlight the importance of communities and policies for recovery. This commentary then presents a framework for the relationships between community-level factors, policies, and downstream mental health outcomes, focusing on macroeconomic, housing, and healthcare policies; adverse exposures such as crime victimization; and neighborhood characteristics such as social capital. Initiatives that address community contexts to improve mental health outcomes are currently underway. Common characteristics of such initiatives and select examples are discussed. This commentary concludes with a discussion of providers’, consumers’, and other stakeholders’ roles in shaping policy reform and community change to facilitate recovery.