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Structural Competency in Mental Health and Medicine (eBook)

A Case-Based Approach to Treating the Social Determinants of Health
eBook Download: PDF
2019 | 1st ed. 2019
XXIX, 230 Seiten
Springer International Publishing (Verlag)
978-3-030-10525-9 (ISBN)

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This book documents the ways that clinical practitioners and trainees have used the 'structural competency' framework to reduce inequalities in health.  The essays describe on-the-ground ways that clinicians, educators, and activists craft structural interventions to enhance health outcomes, student learning, and community organizing around issues of social justice in health and healthcare. Each chapter of the book begins with a case study that illuminates a competency in reorienting clinical and public health practice toward community, institutional and policy level intervention based on alliances with social agencies, community organizations and policy makers.  Written by authors who are trained in both clinical and social sciences, the chapters cover pedagogy in classrooms and clinics, community collaboration, innovative health promotion approaches in non-health sectors and in public policies, offering a view of effective care as structural intervention and a road map toward its implementation.

Structural Competency in Mental Health and Medicine is a cutting-edge resource for psychiatrists, primary care physicians, addiction medicine specialists, emergency medicine specialists, nurses, social workers, public health practitioners, and other clinicians working toward equality in health.




Helena Hansen MD, PhD
Assistant Professor of Psychiatry and Anthropology,
New York University, NY, NY

Jonathan Metzl, MD, PhD
Frederick B. Rentschler II Professor of Sociology and Medicine, Health, and Society
Professor of Psychiatry
Vanderbilt University
300 Calhoun Hall
Nashville, TN


Helena Hansen MD, PhDAssistant Professor of Psychiatry and Anthropology,New York University, NY, NY Jonathan Metzl, MD, PhDFrederick B. Rentschler II Professor of Sociology and Medicine, Health, and SocietyProfessor of PsychiatryVanderbilt University300 Calhoun HallNashville, TN

Introduction The promise of structural competency and how to promote it Helena Hansen and Jonathan Metzl This introduction will describe the concept of structural competency, its motivation, goals, and approach. Cases of Structural Competency In Action I: Classroom and in-clinic structural intervention Jonathan Metzl: Vanderbilt's pre-health curriculum in structural racism Seth Holmes and Kelly Knight: UCSF/UC Berkeley structural competency curriculum and Rad Med actions Philippe Bourgois and Joel Braslow: UCLA social medicine program and MD-Ph.D. training in the social sciences Jeremy Greene: Johns Hopkins curriculum in science and society Edgar Rivera Colon and Sayantani DasGupta: The Columbia Narrative Medicine Program and narrative humility II: Community collaborations Helena Hansen: NYU public psychiatry in residency training as clinical engagement with communities Jack Geiger: Community health assessments at Sophie Davis School of Biomedical Education Michael Montoya: Knowing your place structurally: Lessons from The University of California PRIME program. Sue Estroff: Community members and peers as medical school instructors at UNC Robert Rohrbaugh: Yale School of Medicine's curriculum in the community Kamini Doobay: NYC Coalition to Dismantle Racism in the Health System - the product of medical student leadership/White Coats for Black Lives III: Non-health sectors Mindy Fullilove: diagnosing and treating racially fractured cities - urban (re)design as health intervention Jack Saul: collective recovery through community organizations and schools in a time of racial/ethnic trauma Mallory Curran: Medical-legal partnerships: advocacy with landlords, entitlement programs and in courts IV: Policy Advocacy Ernie Drucker and Gary Belkin: From Punishment to Public Health: multidisciplinary collaborations to divert people from arrest to mental health care Alethia Jones: Healthcare worker unions as agents of change - the story of 1199 Julie Netherland: Physicians as advocates at the Drug Policy Alliance

Erscheint lt. Verlag 28.3.2019
Zusatzinfo XXIX, 230 p. 21 illus., 13 illus. in color.
Verlagsort Cham
Sprache englisch
Themenwelt Medizin / Pharmazie Medizinische Fachgebiete Allgemeinmedizin
Medizin / Pharmazie Medizinische Fachgebiete Notfallmedizin
Schlagworte Clinical interventions • correctional system • educational system • Healthcare inequalities • Non-health sectors
ISBN-10 3-030-10525-3 / 3030105253
ISBN-13 978-3-030-10525-9 / 9783030105259
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