PMID- 35747101
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220716
IS  - 1664-0640 (Print)
IS  - 1664-0640 (Electronic)
IS  - 1664-0640 (Linking)
VI  - 13
DP  - 2022
TI  - Social Vulnerability and Mental Health Inequalities in the "Syndemic": Call for 
      Action.
PG  - 894370
LID - 10.3389/fpsyt.2022.894370 [doi]
LID - 894370
AB  - Covid-19 is referred to as a "syndemic," i.e., the consequences of the disease 
      are exacerbated by social and economic disparity. Poor housing, unstable work 
      conditions, caste, class, race and gender based inequities and low incomes have a 
      profound effect on mental health and wellbeing. Such disparities are increasing 
      between, among and within countries and are exacerbated by human rights 
      violations, in institution and in society, stigma and discrimination. Social 
      capital can mediate health outcomes, through trust and reciprocity, political 
      participation, and by mental health service systems, which can be coercive or 
      more open to demand of emancipation and freedom. Societal inequalities affect 
      especially vulnerable groups, and Covid itself had a wider impact on the most 
      socially vulnerable and marginalized populations, suffering for structural 
      discrimination and violence. There are complex relations among these social 
      processes and domains, and mental health inequalities and disparity. 
      Participation and engagement of citizens and community organizations is now 
      required in order to achieve a radical transformation in mental health. A Local 
      and Global Action Plan has been launched recently, by a coalition of 
      organizations representing people with lived experience of mental health care; 
      who use services; family members, mental health professionals, policy makers and 
      researchers, such as the International Mental Health Collaborating Network, the 
      World Federation for Mental Health, the World Association for Psychosocial 
      Rehabilitation, the Global Alliance of Mental Illness Advocacy Networks (GAMIAN), 
      The Mental Health Resource Hub in Chennai, India, The Movement for Global Mental 
      Health (MGMH) and others. The Action Plan addresses the need for fundamental 
      change by focusing on social determinants and achieving equity in mental health 
      care. Equally the need for the politics of wellbeing has to be embedded in a 
      system that places mental health within development and social justice paradigm, 
      enhancing core human capabilities and contrasting discriminatory practices. These 
      targets are for people and organizations to adopt locally within their 
      communities and services, and also to indicate possible innovative solutions to 
      Politics. This global endeavor may represent an alternative to the global mental 
      discourse inspired by the traditional biomedical model.
CI  - Copyright (c) 2022 Mezzina, Gopikumar, Jenkins, Saraceno and Sashidharan.
FAU - Mezzina, Roberto
AU  - Mezzina R
AD  - World Federation for Mental Health, Woodbridge, VA, United States.
FAU - Gopikumar, Vandana
AU  - Gopikumar V
AD  - The Banyan Academy of Leadership in Mental Health, Chennai, India.
AD  - Madras School of Social Work, Chennai, India.
FAU - Jenkins, John
AU  - Jenkins J
AD  - International Mental Health Collaborating Network, Exeter, United Kingdom.
FAU - Saraceno, Benedetto
AU  - Saraceno B
AD  - Lisbon Institute of Global Mental Health, Lisbon, Portugal.
FAU - Sashidharan, S P
AU  - Sashidharan SP
AD  - Institute of Health and Wellbeing, University of Glasgow, Glasgow, United 
      Kingdom.
LA  - eng
PT  - Journal Article
PT  - Review
DEP - 20220530
PL  - Switzerland
TA  - Front Psychiatry
JT  - Frontiers in psychiatry
JID - 101545006
PMC - PMC9210067
OTO - NOTNLM
OT  - Action Plan
OT  - COVID-19
OT  - community mental healthcare
OT  - empowerment
OT  - mental health inequality
OT  - mental health policy
OT  - stigma
OT  - vulnerable groups
COIS- The authors declare that the research was conducted in the absence of any 
      commercial or financial relationships that could be construed as a potential 
      conflict of interest.
EDAT- 2022/06/25 06:00
MHDA- 2022/06/25 06:01
PMCR- 2022/05/30
CRDT- 2022/06/24 02:06
PHST- 2022/03/11 00:00 [received]
PHST- 2022/04/12 00:00 [accepted]
PHST- 2022/06/24 02:06 [entrez]
PHST- 2022/06/25 06:00 [pubmed]
PHST- 2022/06/25 06:01 [medline]
PHST- 2022/05/30 00:00 [pmc-release]
AID - 10.3389/fpsyt.2022.894370 [doi]
PST - epublish
SO  - Front Psychiatry. 2022 May 30;13:894370. doi: 10.3389/fpsyt.2022.894370. 
      eCollection 2022.