Chantal Figueroa1, Enrico G Castillo2, Grayson Norquist3, Kenneth B Wells4, Krystal Griffith5, Farbod Kadkhoda5, Felica Jones6, Priscilla Shorter7, Elizabeth Bromley8. 1. Colorado College, Department of Education, Colorado Springs, CO. 2. University of California, Los Angeles, David Geffen School of Medicine, Los Angeles County Department of Mental Health, Los Angeles, CA. 3. Emory University Department of Psychiatry and Behavioral Sciences Chief of Psychiatry Service, Grady Health System, Atlanta, GA. 4. Center for Health Services and Society, University of California, Los Angeles, David Geffen School of Medicine at UCLA, Department of Psychiatry & Biobehavioral Sciences; RAND Corporation; University of California, Los Angeles School of Public Health, Los Angeles, CA. 5. Center for Health Services and Society, University of California, Los Angeles, CA. 6. Healthy African American Families II, Los Angeles, CA. 7. IDEAS Center, The Child Study Center of NYU at NYU Langone Medical Center, Department of Child and Adolescent Psychiatry, NYC, NY. 8. Center for Health Services and Society, University of California, Los Angeles, David Geffen School of Medicine, Department of Psychiatry & Biobehavioral Sciences; Desert Pacific MIRECC Health Services Unit, VA Greater Los Angeles Healthcare System, Los Angeles, CA.
Abstract
Objective: The New York City's Thrive (ThriveNYC) and the Los Angeles County Health Neighborhood Initiative (HNI) are two local policies focused on addressing the social determinants of behavioral health as a preventive strategy for improving health service delivery. On January 29, 2016, leaders from both initiatives came together with a range of federal agencies in health care, public health, and policy research at the RAND Corporation in Arlington, Virginia. The goal of this advisory meeting was to share lessons learned, consider research and evaluation strategies, and create a dialogue between stakeholders and federal funders - all with the purpose to build momentum for policy innovation in behavioral health equity. Methods: This article analyzes ethnographic notes taken during the meeting and in-depth interviews of 14 meeting participants through Kingdon's multiple streams theory of policy change. Results: Results demonstrated that stakeholders shared a vision for behavioral health policy innovation focused on community engagement and social determinants of health. In addition, Kingdon's model highlighted that the problem, policy and politics streams needed to form a window of opportunity for policy change were coupled, enabling the possibility for behavioral health policy innovation. Conclusions: The advisory meeting suggested that local policy makers, academics, and community members, together with federal agents, are working to implement behavioral health policy innovation.
Objective: The New York City's Thrive (ThriveNYC) and the Los Angeles County Health Neighborhood Initiative (HNI) are two local policies focused on addressing the social determinants of behavioral health as a preventive strategy for improving health service delivery. On January 29, 2016, leaders from both initiatives came together with a range of federal agencies in health care, public health, and policy research at the RAND Corporation in Arlington, Virginia. The goal of this advisory meeting was to share lessons learned, consider research and evaluation strategies, and create a dialogue between stakeholders and federal funders - all with the purpose to build momentum for policy innovation in behavioral health equity. Methods: This article analyzes ethnographic notes taken during the meeting and in-depth interviews of 14 meeting participants through Kingdon's multiple streams theory of policy change. Results: Results demonstrated that stakeholders shared a vision for behavioral health policy innovation focused on community engagement and social determinants of health. In addition, Kingdon's model highlighted that the problem, policy and politics streams needed to form a window of opportunity for policy change were coupled, enabling the possibility for behavioral health policy innovation. Conclusions: The advisory meeting suggested that local policy makers, academics, and community members, together with federal agents, are working to implement behavioral health policy innovation.
Entities:
Keywords:
Behavioral Health Policy; Community Engagement; Social Determinants of Health
Authors: Benjamin G Druss; Silke A von Esenwein; Gretl E Glick; Emily Deubler; Cathy Lally; Martha C Ward; Kimberly J Rask Journal: Am J Psychiatry Date: 2016-09-15 Impact factor: 18.112
Authors: Kenneth B Wells; Loretta Jones; Bowen Chung; Elizabeth L Dixon; Lingqi Tang; Jim Gilmore; Cathy Sherbourne; Victoria K Ngo; Michael K Ong; Susan Stockdale; Esmeralda Ramos; Thomas R Belin; Jeanne Miranda Journal: J Gen Intern Med Date: 2013-05-07 Impact factor: 5.128