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PREPUBLICATION COPY: UNCORRECTED PROOFS EDUCATING HEALTH PROFESSIONALS TO ADDRESS THE SOCIAL DETERMINANTS OF MENTAL HEALTH PROCEEDINGS OF A WORKSHOP Patricia A. Cuff and Erin Hammers Forstag, Rapporteurs Global Forum on Innovation in Health Professional Education Board on Global Health Health and Medicine Division
PREPUBLICATION COPY: UNCORRECTED PROOFS THE NATIONAL ACADEMIES PRESS 500 Fifth Street, NW Washington, DC 20001 This activity was supported by contracts between the National Academy of Sciences and Academic Collaborative for Integrative Health, Academy of Nutrition and Dietetics, Accreditation Council for Graduate Medical Education, Aetna Foundation, American Academy of Nursing, American Association of Colleges of Osteopathic Medicine, American Board of Family Medicine, American College of Obstetricians and Gynecologists, American Council of Academic Physical Therapy, American Dental Education Association, American Medical Association, American Nurses Credentialing Center, American Occupational Therapy Association, American Osteopathic Association, American Physical Therapy Association, American Psychological Association, American Speech-Language-Hearing Association, Association of American Medical Colleges, Association of American Veterinary Medical Colleges, Association of Schools and Colleges of Optometry, Association of Schools of the Allied Health Professions, Athletic Training Strategic Alliance, Council on Social Work Education, George Washington University, Heron Therapeutics, Josiah Macy Jr. Foundation, Michigan Center for Interprofessional Education, National Academies of Practice, National Association of Social Workers, National Board for Certified Counselors, Inc. and Affiliates, National Board of Medical Examiners, National Council of State Boards of Nursing Inc., National League for Nursing, Physician Assistant Education Association, Society for Simulation in Healthcare, University of Toronto, U.S. Department of Veterans Affairs, and Weill Cornell MedicineâQatar. Any opinions, findings, conclusions, or recommendations expressed in this publication do not necessarily reflect the views of any organization or agency that provided support for the project. International Standard Book Number-13: 978-0-309-XXXXX-X International Standard Book Number-10: 0-309-XXXXX-X Digital Object Identifier: https://doi.org/10.17226/25711 Additional copies of this publication are available from the National Academies Press, 500 Fifth Street, NW, Keck 360, Washington, DC 20001; (800) 624-6242 or (202) 334-3313; http://www.nap.edu. Copyright 2020 by the National Academy of Sciences. All rights reserved. Printed in the United States of America Suggested citation: National Academies of Sciences, Engineering, and Medicine. 2020. Educating health professionals to address the social determinants of mental health: Proceedings of a workshop. Washington, DC: The National Academies Press. https://doi.org/10.17226/25711.
The National Academy of Sciences was established in 1863 by an Act of Congress, signed by President Lincoln, as a private, nongovernmental institution to advise the nation on issues related to science and technology. Members are elected by their peers for outstanding contributions to research. Dr. Marcia McNutt is president. The National Academy of Engineering was established in 1964 under the charter of the National Academy of Sciences to bring the practices of engineering to advising the nation. Members are elected by their peers for extraordinary contributions to engineering. Dr. John L. Anderson is president. The National Academy of Medicine (formerly the Institute of Medicine) was established in 1970 under the charter of the National Academy of Sciences to advise the nation on medical and health issues. Members are elected by their peers for distinguished contributions to medicine and health. Dr. Victor J. Dzau is president. The three Academies work together as the National Academies of Sciences, Engineering, and Medicine to provide independent, objective analysis and advice to the nation and conduct other activities to solve complex problems and inform public policy decisions. The National Academies also encourage education and research, recognize outstanding contributions to knowledge, and increase public understanding in matters of science, engineering, and medicine. Learn more about the National Academies of Sciences, Engineering, and Medicine at www.nationalacademies.org. PREPUBLICATION COPY: UNCORRECTED PROOFS
PREPUBLICATION COPY: UNCORRECTED PROOFS Consensus Study Reports published by the National Academies of Sciences, Engineering, and Medicine document the evidence-based consensus on the studyâs statement of task by an authoring committee of experts. Reports typically include findings, conclusions, and recommendations based on information gathered by the committee and the committeeâs deliberations. Each report has been subjected to a rigorous and independent peer-review process, and it represents the position of the National Academies on the statement of task. Proceedings published by the National Academies of Sciences, Engineering, and Medicine chronicle the presentations and discussions at a workshop, symposium, or other event convened by the National Academies. The statements and opinions contained in proceedings are those of the participants and are not endorsed by other participants, the planning committee, or the National Academies. For information about other products and activities of the National Academies, please visit www.nationalacademies.org/about/whatwedo.
v PREPUBLICATION COPY: UNCORRECTED PROOFS PLANNING COMMITTEE ON STRENGTHENING THE CONNECTION BETWEEN HEALTH PROFESSIONS EDUCATION AND PRACTICE1 KENNITA R. CARTER (Co-Chair), Health Resources and Services Administration CARL SHEPERIS (Co-Chair), Texas A&MâSan Antonio COL. DAVID BENEDEK, Uniformed Services University of the Health Sciences JULIAN FISHER, Hannover Medical School MILDRED JOYNER, National Association of Social Workers ROBERT KEEFE, University at Buffalo, School of Social Work KATHLEEN KLINK, Veterans Health Administration WENDI SCHWEIGER, National Board for Certified Counselors ZOHRAY TALIB, California University of Science and Medicine STEPHANIE TOWNSELL, American Osteopathic Association Consultants SANDRA CREWE, Howard University SANDRA LANE, Syracuse University KENYA MCRAE, American Osteopathic Association ANGELO MCCLAIN, National Association of Social Workers ROBERT URSANO,* Institute for Healthcare Improvement *Assisted in planning but unable to attend the workshop. 1 The National Academies of Sciences, Engineering, and Medicineâs planning committees are solely responsible for organizing the workshop, identifying topics, and choosing speakers. The responsibility for the published Proceedings of a Workshop rests with the workshop rapporteurs and the institution.
vii PREPUBLICATION COPY: UNCORRECTED PROOFS Reviewers This Proceedings of a Workshop was reviewed in draft form by individuals chosen for their diverse perspectives and technical expertise. The purpose of this independent review is to provide candid and critical comments that will assist the National Academies of Sciences, Engineering, and Medicine in making each published proceedings as sound as possible and to ensure that it meets the institutional standards for quality, objectivity, evidence, and responsiveness to the charge. The review comments and draft manuscript remain confidential to protect the integrity of the process. We thank the following individuals for their review of this proceedings: DARRIN DâAGOSTINO, Kansas City University of Medicine and Biosciences EMILIA IWU, Rutgers University SANDRA D. LANE, Syracuse University Although the reviewers listed above provided many constructive comments and suggestions, they were not asked to endorse the content of the proceedings, nor did they see the final draft before its release. The review of this proceedings was overseen by DANIEL MASYS, University of Washington. He was responsible for making certain that an independent examination of this proceedings was carried out in accordance with standards of the National Academies and that all review comments were carefully considered. Responsibility for the final content rests entirely with the rapporteurs and the National Academies.
ix PREPUBLICATION COPY: UNCORRECTED PROOFS Contents 1 INTRODUCTION 1 2 THE SOCIAL DETERMINANTS OF MENTAL HEALTH 7 3 RECRUITING AND SUPPORTING A DIVERSE WORKFORCE 23 4 EXPERIENTIAL LEARNING IN AND OUT OF THE CLASSROOM 31 5 TURNING EXPERIENCE INTO POLICY 41 APPENDIXES A MEMBERS OF THE GLOBAL FORUM ON INNOVATION IN HEALTH PROFESSIONAL EDUCATION 49 B PLANNING MEETING AND WORKSHOP AGENDAS 55 C SPEAKER BIOGRAPHICAL SKETCHES 61 D BACKGROUND PAPER 73 E FACULTY DEVELOPMENT MATERIALS 75 F FORUM-SPONSORED PRODUCTS 89