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    Social Determinants of Health

    All of these variables impede access to care, which is critical to individual health, and the attainment of social equity. These are essential to the pursuit of happiness, described in this country’s founding document as an “inalienable right.” It is from this that our profession derives its duty to address the social determinants of health.

    Psychiatric advance directives

    Advance directives were developed in the context of end of life care and are generally associated with medical and surgical decision-making for permanently incapacitated patients. Within psychiatry, interest in advance directives has been expressed as a means of facilitating the treatment of individuals afflicted with serious mental illnesses (Appelbaum, 1979). These disorders are typified by recurrent episodes of severe, cognition-impairing symptomatology that often result in decisional i

    Physician Health Programs in the Treatment of Substance Use Disorders in Physicians

    In 1974, the American Medical Association (AMA) acknowledged physician impairment from alcoholism and drug dependence occurs, and recognized alcoholism and addiction as illnesses. Physician illness and impairment exist on a continuum with illness typically predating impairment, often by many years. This is a critically important distinction. Illness is the existence of a disease. Impairment is a functional classification and implies the inability of the person affected by disease to perform spec

    Social Determinants of Mental Health in Children and Youth

    The field of psychiatry is at a historic precipice in advancing a more equitable society and mental health care system. A deeper understanding of the interplay between social determinants and mental health conditions is critical and is a core skill of structural competency.

    Advocating for Anti-Racist Mental Health Policies with a Focus on Dismantling Anti-Black Racism

    Racial injustices have long contributed to mental health disparities for minority and underserved populations. More than 50 years ago, Dr. Melvin Sabshin and colleagues documented the “structured pattern of racism” in psychiatry in a series of articles in the American Journal of Psychiatry. Insufficient progress has been made in eradicating institutionalized racism in psychiatry. Race-based disparities in psychiatric care and mental & behavioral health reflect this lack of progress and reproduce

    Catatonia

    This resource document is intended to support psychiatrists, trainees, and other mental healthcare workers and to provide a framework for assessing the adequacy of existing violence prevention policies and a list of resources for the development of state-of-the- art policy approaches.

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