The Inequities of Mental Health Research (IAMHRF)

Woelbert, Eva; White, Rory; Lundell-Smith, Kierstin; Grant, Jonathan; Kemmer, Danielle

doi:10.6084/m9.figshare.13055897.v2

Cited by 4 publications

(4 citation statements)

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“…Second, the value of organizational support for community-based researchers cannot be overemphasized as it plays a critical role in increasing research productivity, especially in the area of mental health and cannabis use where there is a need for more applied research [3,16]. The MHCC's support for proposal development, facilitated through the 6 CBR hubs, led to the high response of 60 proposals received from communities and priority populations.…”

Section: Lessons Learnedmentioning

confidence: 99%

“…The global underinvestment in mental health research is well-known, with several calls for action from both low and high income countries for increased funding and mental health research prioritization [1][2][3][4]. In Canada, mental health research grants are about ten times smaller when compared to the United States and the United Kingdom, and the majority of mental health research investments focus on hospital-related service provision rather than applied research with a focus on prevention [3]. In this research environment, community-based research (CBR) that is led by equity-seeking populations and centred in lived and living experience is often found lower down the list of mental health research priorities.…”

Section: Introductionmentioning

confidence: 99%

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Centering equity and lived experience: implementing a community-based research grant on cannabis and mental health

Obegu

Armstrong

Bartram

2022

Int J Equity Health

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Background Mental health research in Canada is not only underfunded but there remains an inequitable distribution of funding to address unmet needs especially in clinical and applied research. In 2018, the legalization of cannabis for non-medical use in Canada sparked the need to examine the relationship between cannabis use and mental health. The federal government allocated $10 M over 5 years to the Mental Health Commission of Canada (MHCC), a pan-Canadian health organization funded at arm’s length by the federal government. Methods In 2020, the MHCC implemented an innovative community-based research (CBR) program to investigate this relationship among priority populations including people who use cannabis and live with mental illness, First Nations, Inuit and Métis, two-spirit, lesbian, gay, bisexual, trans and/or queer (2SLGBTQ+) individuals, and racialized populations. Extensive consultations, a scoping review and an environmental scan set the research agenda. Key program components included a review committee with representation from diverse priority populations, extensive proposal-writing support for applicants, and capacity bridging workshops for the 14 funded projects. Results Of the 14 funded research projects, 6 focus on and are led by Indigenous communities, 5 focus on other equity-seeking populations, and 9 explore the perceived patterns, influence and effects of use including benefits and harms. Lessons learned include the importance of a health equity lens and diverse sources of knowledge setting the CBR research agenda. In addition to capacity bridging that promote equitable roles among knowledge co-producers as well as the critical role of organizational support in increasing research productivity, especially in the area of mental health and cannabis use where there is a need for more applied research. Conclusion Centering equity and lived and living experience strengthened the rationale for investments and ensured user-led evidence generation and utilization – a key public health gain. Organizational support for proposal development and capacity bridging yields significant value that can be replicated in future CBR initiatives.

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Section: Lessons Learnedmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Centering equity and lived experience: implementing a community-based research grant on cannabis and mental health

Obegu

Armstrong

Bartram

2022

Int J Equity Health

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“…Compared to HICs, Brazil still lags in this area. This must be understood within the broader landscape of global mental health funding inequities and consider that 98% of all mental health research funding comes from HICs (Woelbert et al, 2020). A systematic review of the literature shows that mental health research in Brazil places a bigger focus on providers and work processes rather than outcomes and service users' perspectives (de Rosalmeida Dantas and Raimundo Oda, 2014).…”

Section: Discussionmentioning

confidence: 99%

“…Research participation in low-and middle-income countries is further complicated by the enduring history of colonial legacies (Bulhan, 2015) and the geopolitics of knowledge (Naidu, 2021) that privileges Euro-American epistemologies (Mignolo, 2005), which materializes in science in multiple ways. These have multiple consequences: globally, more than 98% of all funding streams for mental health are awarded by HICs (Woelbert et al, 2020) who consequently occupy a privileged position with respect to knowledge production (Abimbola, 2019); representation of individuals who are white, male, and HIC-based working at academic places of power (e.g., editorial boards and universities) is disproportionate (Naidu, 2021). In addition, interventions developed in the Global North have been systematically adapted and implemented in the Global South, for example, the World Health Organization's mhGAP (Timimi, 2011).…”

Section: Introductionmentioning

confidence: 99%

State of the art of participatory and user-led research in mental health in Brazil: A scoping review

Florence¹,

Bocalini²,

Cabrini³

et al. 2023

Camb. prisms Glob. ment. health

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Participatory research denotes the engagement and meaningful involvement of the community of interest across multiple stages of investigation, from design to data collection, analysis, and publication. Traditionally, people with first-hand experience of psychiatric diagnoses, service users, and those living with a psychosocial disability have been seen objects rather than agents of research and knowledge production, despite the ethical and practical benefits of their involvement. The state of the art of knowledge about participatory research in mental health Brazil is poorly understood outside of its local context. The purpose of this article was to conduct a scoping review of participatory and user-led research in mental health in Brazil. We identified 20 articles that met eligibility criteria. Participation in research was not treated as separate from participation in shaping mental health policy, driving care, or the broader right to fully participate in societal life and enjoy social and civil rights. Studies identified several obstacles to full participation, including the biomedical model, primacy of academic and scientific knowledge, and systemic barriers. Our extraction, charting, and synthesis yielded four themes: power, knowledge, autonomy, and empowerment. Participation in this context must address the intersecting vulnerabilities experienced by those who are both Brazilian and labeled as having a mental illness. Participatory research and Global South leadership must foreground local epistemologies that can contribute to the global debate about participation and mental health research.

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An Integrated General Theory of Psychopathology and Suicide

Soper

2023

Evolutionary Psychological Science

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This article presents biological meta-theory that is intended to serve as a shared key to progress in psychiatry and suicidology. It argues that diverse forms of psychopathology, widely believed to cause suicide, may instead manifest the organism’s last-ditch efforts to avoid that lethal outcome. The analysis elaborates on the pain-brain theory, which views suicide as a costly by-product of human sapience, with the cost managed by serial lines of evolved anti-suicide defenses. The last of these, emergency interventions that function to block the enacting of suicidal ideas, are hypothesized to display in an array of psychiatric phenomena, including mood disorders, substance and behavioral addictions, and psychoses.The etiology of psychiatric syndromes is explained in three parts. First, psychopathology associates with suicidal ideation because the two outcomes share a causal root: the individual’s experience of chronic psychological pain (psychache), subject to a threshold of intellectual maturation. An evolved system utilizes these inputs to evaluate the risk of suicide and to release commensurately severe countermeasures, which manifest non-specifically as psychopathology. Second, the configuration of symptoms is determined by other aspects of individual differences: reflecting contextual needs, individualized blends of motivational and/or cognitive modifications seek to make lethal escape unnecessary and/or impracticable. Third, psychiatric syndromes can be understood as often-observed, heterogeneous clusters of anti-suicide symptoms, combined with psychache and side effects.The model integrates ultimate and proximate explanation, aligns with the epidemiological record, and yields testable predictions. It offers foundations for advancing research, policy, and clinical practice in suicide prevention and mental health.

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The Inequities of Mental Health Research (IAMHRF)

Cited by 4 publications

References 0 publications

Centering equity and lived experience: implementing a community-based research grant on cannabis and mental health

Centering equity and lived experience: implementing a community-based research grant on cannabis and mental health

State of the art of participatory and user-led research in mental health in Brazil: A scoping review

An Integrated General Theory of Psychopathology and Suicide

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