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


ABSTRACT: 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 health care 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 under way. 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.

SUBMITTER: Castillo EG 

PROVIDER: S-EPMC5843494 | biostudies-literature | 2018 Mar/Apr

REPOSITORIES: biostudies-literature

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

Castillo Enrico G EG   Chung Bowen B   Bromley Elizabeth E   Kataoka Sheryl H SH   Braslow Joel T JT   Essock Susan M SM   Young Alexander S AS   Greenberg Jared M JM   Miranda Jeanne J   Dixon Lisa B LB   Wells Kenneth B KB  

Harvard review of psychiatry 20180301 2


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 health care policie  ...[more]

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