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Bridging community intervention and mental health services research

Bridging community intervention and mental health services research

American Journal of Psychiatry 161(6): 955-963

Objective: This article explores the potential of community intervention perspectives for increasing the relevance, reach, and public health impact of mental health services research. Method: The authors reviewed community intervention strategies, including public health and community development and empowerment interventions, and contrast community intervention with practice-based quality improvement and policy research. Results: A model was proposed to integrate health services and community intervention research, building on the evidence-based strength of quality improvement and participatory methods of community intervention to produce complementary functions, such as linking community-based case finding and referral with practice-based quality improvement, enhanced by community-based social support for treatment adherence. Conclusions: The community intervention approach is a major paradigm for affecting public health or addressing health disparities. Despite challenges in implementation and evaluation, it represents a promising approach for extending the reach of mental health services interventions into diverse communities.

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Accession: 011818582

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PMID: 15169681

DOI: 10.1176/appi.ajp.161.6.955

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