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For a Northwell ambulance, call
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There’s no denying the physical and emotional suffering caused by the Covid-19 pandemic. The increase in suffering also highlighted healthcare disparities as historically marginalized communities were impacted at a higher rate than others. This fact, coupled with public outcry against structural racism and discrimination sparked by George Floyd’s murder, presents us with the challenge of not only improving mental health access but doing so in a way that can improve health and well-being for all communities.
One approach to reaching out to underserved or marginalized communities is the integration of care. Healthcare systems generally use the term integrated care to describe a system in which multidisciplinary clinical professionals collaborate to provide patient-centered care. Examples of such efforts in behavioral health care include collaborative care programs that embed behavioral health in primary and specialty care medical practices, as well as mental health programs in schools and colleges that bridge the gap between vulnerable young people and the behavioral health services they need most.
However, integration goes beyond embedding behavioral health into medical and school settings.
Integration of clinical care in traditionally non-clinical settings allows us to reach out to communities that may have not benefited as well from the current healthcare delivery models. Healthcare entities need to collaborate with community-based organizations, such as faith-based programs and social service agencies to co-design solutions to do the vital work of culturally appropriate outreach and engagement.
The social determinants of health, such as poverty, lack of transportation, and unstable housing conditions, are barriers to care. Another issue in many of our communities is the stigma toward mental illness and substance use disorders. All these factors lead to a considerably lower life expectancy in patients suffering from behavioral health disorders.
At Northwell, the journey with faith-based leaders has included holding forums and town halls, where we listened to the needs of the community instead of bringing a one-size-fits-all approach to care. We’ve learned that in many communities, their faith and mental health are intertwined. That’s important for how we discuss care, and how we deliver it. The reality is residents trust their community leaders, and we respect that.
When we make such outreaches, faith-based leaders are grateful and enthusiastically support connecting communities with care. This includes providing faith-based organizations with everything from clinical services to behavioral health care coordination to higher levels of care. This sort of outreach will also combat stigma and eliminate the usual barriers to accessing more traditionally delivered behavioral health services.
Bringing services to the doorsteps of communities that health systems serve is an important step in improving access and building engagement. Here’s hoping that providers continue to integrate care and eliminate healthcare inequities, including in behavioral health.
This op-ed originally appeared in Psychology Today.
Manish Sapra, MD, is executive director of behavioral health services at Northwell Health.
Our representatives are available to schedule your appointment Monday through Friday from 9am to 5pm.
For a Northwell ambulance, call
(833) 259-2367.