Skip to main content
Log in

A population health framework for inner-city mental health

  • Published:
Journal of Urban Health Aims and scope Submit manuscript

Abstract

Dealing with mental health problems in the inner city presents a major challenge to planners and service providers. Traditional mental health service-oriented interventions often prove ineffective due to the complexity of individual's needs. This article argues that a population health framework can be used to identify critical risk and protective factors and facilitate more effective, upstream, population-based interventions for mental health problems in the inner city. A community report card is seen as a useful measure of key indicators at any point in time and of changes over time at the community or neighborhood level. A number of issues with regard to report card development are identified and discussed, as is the process of creating a report card, including key domains and the organization of findings.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Federal, Provincial, and Territorial Advisory Committee on Population Health. Toward a Healthy Future: Second Report on the Health of Canadians. Ottawa, Canada: Minister of Public Works and Government Services; 1999. Available www.hc-sc.gc.ca. Date accessed: May 1, 2002.

    Google Scholar 

  2. Paykel ES. The evolution of life events research in psychiatry. J Affect Disord. 2001;62:141–149.

    Article  CAS  PubMed  Google Scholar 

  3. Heim C, Nemeroff CB. The role of childhood trauma in the neurobiology of mood and anxiety disorders: preclinical and clinical studies. Biol Psychiatry. 2001;49:1023–1039.

    Article  CAS  PubMed  Google Scholar 

  4. Institute of Medicine. Reducing Risks for Mental Disorders: Frontiers for Preventative Intervention Research. Washington, DC: National Academy Press; 1994.

    Google Scholar 

  5. Durlak JA. Common risk and protective factors in successful prevention programs. Am J Orthopsychiatry. 1998;68:512–520.

    CAS  PubMed  Google Scholar 

  6. Cowen EL, Durlak JA. Social policy and prevention in mental health. Dev Psychopathol. 2000;12:815–834.

    Article  CAS  PubMed  Google Scholar 

  7. Commonwealth Department of Health and Aged Care Promotion, Prevention and Early Intervention for Mental Health—a Monograph, Canberra, Australia: Mental Health and Special Programs Branch, Commonwealth Department of Health and Aged Care; 2000.

    Google Scholar 

  8. Leviton LC, Snell E, McGinnis M. Urban health issues in health promotion. Am J Public Health. 2000;90:863–866.

    CAS  PubMed  Google Scholar 

  9. Basrur S. The Path Ahead: a Report on the State of the City's Health—Toronto 2001. Toronto: Toronto Public Health; 2001.

    Google Scholar 

  10. Gordon R. An operational classification of disease prevention. Public Health Rep. 1983; 98:107–109.

    PubMed  Google Scholar 

  11. Neugebauer R. Mind matters: the importance of mental disorders in public health's 21st century mission. Am J Public Health. 1999;89:1309–1311.

    Article  CAS  PubMed  Google Scholar 

  12. American College of Physicians. Inner-city health care. Ann Intern Med. 1997;126:485–490.

    Google Scholar 

  13. Zigler EF, Hall NW. Child Development and Social Policy: Theory and Applications. New York: McGraw-Hill, 2000.

    Google Scholar 

  14. Tremblay RE, Mâsse LC, Pagani L, Vitaro F. From childhood physical aggression to adolescent maladjustment: the Montréal prevention experiment. In Peters R DeV, McMahon RJ, eds. Preventing Childhood Disorder, Substance Abuse and Delinquency. Thousand Oakas, CA: Sage; 1996:268–298.

    Google Scholar 

  15. Vinokur AD, Schul Y, Vuori J, Price RH. Two years after a job loss: long-term impact of the JOBS program on reemployment and mental health. J Occup Health Psychol. 2000;5(1):32–47.

    Article  CAS  PubMed  Google Scholar 

  16. Fielding JE, Sutherland CE. National Directory of Community Health Report Cards. Chicago, IL: Health Research and Education Trust; 1998.

    Google Scholar 

  17. Simmes DR, Blaszcak MR, Kurtin PS, Bown NL, Ross RK. Creating a community report card: the San Diego Experience. Am J Public Health. 2000;90:880–882.

    CAS  PubMed  Google Scholar 

  18. Canadian Institute for Health Information. Health indicators: 2002. Available at: www.cihi.ca/indicators/hltind.shtml. Date accessed: May 1, 2002.

  19. Offord DR, Boyle MH, Campbell D, et al. One-year prevalence of psychiatric disorder in Ontarians 15 to 64 years of age. Can J Psychiatry. 1996;41:559–563.

    CAS  PubMed  Google Scholar 

  20. Goering P, Lin E, Campbell D, Boyle MH, Offord DR. Psychiatric disability in Ontario. Can J Psychiatry. 1996;41:564–571.

    CAS  PubMed  Google Scholar 

  21. Canadian community health survey. Available at: www.statcan.ca. Date accessed: May 1, 2002.

  22. Lin E, Degendorfer N, Durbin J, Prendergast P, Goering P: Hospital Report 2001: Mental Health Joint Initiative of the Ontario Hospital Association and the Government of Ontario. Toronto: Hospital Report Research Collaborative; 2002.

    Google Scholar 

  23. Manuel D, Goel V. Hospital Report 2001: Mental Health Joint Initiative of the Ontario Hospital Association and the Government of Ontario. Toronto: Hospital Report Research Collaborative; 2002.

    Google Scholar 

  24. Health Canada. The population health template: key elements and actions that define a population health approach. Strategic Policy Directorate, Health Canada; 2001. Available at: www.hc-sc.gc.ca/hppb/phdd/pdf/discussion_paper.pdf. Date accessed: May 1, 2002.

  25. Adlaf EM, Ialomiteanu A. CAMH Monitor 2001: Technical Guide. Toronto, Canada: Centre for Addiction and Mental Health; 2002.

    Google Scholar 

  26. Adlaf EM, Paglia A. Drug Use Among Ontario Students, 1977–2001: Findings From the OSDUS. Toronto, Canada: Centre for Addiction and Mental Health; 2001. CAMH Research Document Series No. 10.

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Carol Strike.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Strike, C., Goering, P. & Wasylenki, D. A population health framework for inner-city mental health. J Urban Health 79 (Suppl 1), S13–S20 (2002). https://doi.org/10.1093/jurban/79.suppl_1.S13

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1093/jurban/79.suppl_1.S13

Keywords

Navigation