Structural Competency in Mental Health and Medicine

1. Front Matter

   Pages i-xxix

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2. Structural Competency in Classrooms and Clinics

   1. Front Matter

      Pages 1-1

      PDF

   2. Teaching and Testing Structural Competency in Pre-health Undergraduate Classrooms

      • Jonathan M. Metzl, JuLeigh Petty, Philip J. Pettis

      Pages 3-14

   3. The Walking Classroom and the Community Clinic: Teaching Social Medicine Beyond the Medical School

      • Jeremy A. Greene, Graham Mooney, Carolyn Sufrin

      Pages 15-25

   4. This Ain’t No Tool, This Ain’t No Toolbox

      • Edgar Rivera Colón

      Pages 27-33

   5. Reflections on the Intersection of Student Activism and Structural Competency Training in a New Medical School Curriculum

      • Cameron Donald, Fabián Fernández, Elaine Hsiang, Omar Mesina, Sarah Rosenwohl-Mack, Aimee Medeiros et al.

      Pages 35-51

   6. The Structural Competency Working Group: Lessons from Iterative, Interdisciplinary Development of a Structural Competency Training Module

      • Joshua Neff, Seth M. Holmes, Shirley Strong, Gregory Chin, Jorge De Avila, Sam Dubal et al.

      Pages 53-74

   7. Teaching Social Medicine as Collaborative Ethnographic Research and Advocacy on Homelessness and Serious Mental Illness

      • Joel T. Braslow, Philippe Bourgois

      Pages 75-85

   8. Teaching Population Health and Community Health Assessment to Undergraduate Medical Students

      • Pyser S. Edelsack, Talha Khan, Jack Geiger

      Pages 87-97

3. Structural Competency in Non-health Sector Collaborations

   1. Front Matter

      Pages 99-99

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   2. Urbanism Is a Participatory Sport: Reflections on Teaching About Cities in a School of Public Health

      • Molly Rose Kaufman, Lourdes Rodriguez, Robert E. Fullilove III, Mindy Thompson Fullilove

      Pages 101-108

   3. Promoting Collective Recovery in an Immigrant/Refugee Community Following Massive Trauma

      • Jack Saul

      Pages 109-119

   4. Is Poverty Making Me Sick? An Example of the Impact of Medical-Legal Partnership on Keeping Children Healthy

      • Andrew F. Beck, Mallory Curran, Adrienne W. Henize, Melissa D. Klein, Donita S. Parrish, Edward G. Paul et al.

      Pages 121-134

4. Structural Competency in Community Engagement

   1. Front Matter

      Pages 135-135

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   2. Program for Residency Education, Community Engagement, and Peer Support Training (PRECEPT): Connecting Psychiatrists to Community Resources in Harlem, NYC

      • Selena Suhail-Sindhu, Parth Patel, Judith Sugarman, Helena Hansen

      Pages 137-148

   3. Relational Politics of Clinical Care: Lessons from the University of California PRIME-LC Program

      • Michael J. Montoya

      Pages 149-158

   4. Allying with Our Neighbors to Teach Structural Competence: The Yale Department of Psychiatry Structural Competency Community Initiative (YSCCI)

      • Robert M. Rohrbaugh, Billy Bromage, John A. Encandela, Virginia T. Spell, Bridgett Williamson, Walter S. Mathis

      Pages 159-166

   5. Community Health Workers as Accelerators of Community Engagement and Structural Competency in Health

      • Chau Trinh-Shevrin, MD Taher, Nadia Islam

      Pages 167-177

5. Structural Competency in Policy Advocacy

   1. Front Matter

      Pages 179-179

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   2. From Punishment to Public Health: Interdisciplinary Dialogues and Cross-Sector Policy Innovations

      • Jeffrey Coots, Gary Belkin, Ernest Drucker

      Pages 181-189

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 maptoward 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.

• Healthcare inequalities
• Correctional system
• Educational system
• Clinical interventions
• Non-health sectors

“The book would be a worthwhile addition to any collection on cultural competency; diversity, equity, and inclusion; public health; social determinants of health; or health professions education. Hansen and Metzl’s Structural Competency in Mental Health and Medicine: A Case Based Approach to Treating the Social Determinants of Health will, I hope, inspire further development and implementation of structural competency perhaps involving collaborations with health sciences libraries and librarians.” (Gregory Laynor, Journal of the Medical Library Association, Vol. 109 (2), April, 2021)

• New York University, New York, USA

  Helena Hansen

• Center for Medicine, Health, and Society, Vanderbilt University, Nashville, USA

  Jonathan M. Metzl

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

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