Title: Promoting mental health through community collaborations in research
1Promoting mental health through community
collaborations in research
- Ann Marie White, Ed.D.
- Dept. of Psychiatry
- URMC
2Goals
- Describe Purpose of the Meeting
- Reach Common Definitions
- CBPR in Suicide Prevention Beyond Clinic Walls
3Your Experience With Collaborative Relationships
What are these like?
4Levels of Participation
- High Power Self-Managing Participation
- Representation Consultant Token
- Low Power None
- -Forum for Youth Investment
5Community Participation in Research
- IN.
- University research conducted IN communities
- Community Advisory Board Input sought
- WITH.
- Research Partnerships self-labeled,
give-and-take but task of science is priority,
and research planning can be before community
involvement is sought (expert not locally
driven) - Community-Based Participatory Research, and
others where mutual, equal influence occur (e.g.,
PAR to promote social change, liberation) -
see Trickett
Ryerson Espino, 2004 - OF.
- Community Manages and Owns its own research
- Who benefits? test mankind not enough
- Community IRB Ethics first test
- a) IHRDP, U of T de-colonize knowledge
stop re-privileging western science by keeping
traditional knowledge and indigenous methods
informal or unincorporated into publicly-funded
health initiatives - b) EJ - West End Revitalization Association, NC
6(No Transcript)
7What does CBPR Mean to You?
- Is scientific inquiry conducted in communities in
which community members, persons affected by
condition or issue under study and other key
stakeholders in the community's health have the
opportunity to be full participants in each phase
of the work conception - design - conduct -
analysis - interpretation - conclusions -
communication of results - NIH CBPR-SIG - A collaborative approach to research that
equitably involves all partners in the research
process and recognizes the unique strengths each
brings. CBPR begins with a research topic of
importance to the community with the aim of
combining knowledge and action for social change
to improve community health and eliminate health
disparities. - Minkler Wallerstein,
2003 Kellogg Foundation, 2001
8Support Implementation of CBPR
- Practice of CBPR theory, skills, expertise
- Collaborative Partnerships
- Each Partners Capacities and Resources to
Conduct Research, Evaluation Training - Evaluate Institutional Environments and
Infrastructure - Broader Social, Political, Economic,
Institutional and Cultural Issues - Wide Range Prevention Activities Organizer,
Educator, Leader of Change and Planner - Career development of individual practitioners
- Essential resources training, mentoring,
grantsmanship
9Australia An Example
10Causes of Disparities
Physical and Social Risk Factors
Living in Poverty/Absolute Conditions Low in
Hierarchy High Demand versus Low Control
Physical/Psychological Chronic Stressors Low
Social Support/Social Capital Racism/Segregation R
elative Inequality Lack of Resources Stressors
disrupt neuroendocrine system/allostatic load
Nina Wallerstein, 2007, Community-Based
Participatory Research (CBPR) A Strategy to
Reduce Health Disparities?, New Mexico Public
Health Association, http//www.nmpha.org/documents
/conferences/200720conference/NMPHA20disparities
20and20CBPR2007..ppt476,12,Strategy to Reduce
Disparities Empowerment
11WHAT WORKS
- Public Health and Population-Level Prevention
Framework - Requires strong leadership in planning,
implementation and partnership-building - E.g., Air Force Suicide Prevention (Knox et al.)
- Communities that Care (Hawkins, Catalano
Arthur 2002) - II. Framework of Social and Economic
Determinants of Mental Health - Social inclusion, including
- social and community connections stable and
supportive environments - variety of social and physical activities a
valued social position - access to networks and supportive relationships
- Freedom from violence and discrimination,
including - the valuing of diversity physical security
- opportunity for self-determination and control
of ones life - Access to economic resources and participation,
including
12Mental Health Promotion
Suicide Prevention
CBPR
13Burning questions for this week on developing
collaborative suicide prevention research?
14Definitions
- Mental health is a state of wellbeing in which
the individual realizes his or her own abilities,
can cope with the normal stresses of life, can
work productively and fruitfully, and is able to
make a contribution to his or her community (WHO
2001,p 1). - Mental health is the embodiment of social,
emotional and spiritual wellbeing. Mental health
provides individuals with the vitality necessary
for active living, to achieve goals and to
interact with one another in ways that are
respectful and just (VicHealth 2005b, p 7).
15Mental Health Promotion Definition cont.
- Aims to strengthen psychological well-being and
satisfactory adjustment to society and the
demands of life - Draws on a positive orientation - it aims to
enhance, protect, support and sustain personal
skills and supportive environments to promote
emotional and social well-being and satisfactory
adjustment by emboldening people and communities
while showing respect for culture, equality,
justice and factors that defend dignity and
rights. - Both individual (e.g., teaching skills -
problem-solving, coping and adaptability, etc.)
and community-level approaches (e.g., social
policies to ensure fair, equitable treatment) can
foster, protect and strengthen mental health
outcomes that give people the ability to function
well and can remove barriers that prevent people
having control over their lives. - Trans-disciplinary transcends disciplinary
approaches (e.g., cannot be accomplished in the
framework of disciplinary research).