Main Article Content

Abstract

This study introduces the Epigenetic and Microbiome-Integrated Mental Health (EMIMH) Framework for Community Health Centers (CHCs), aiming to enhance mental health care delivery. CHCs face challenges including funding constraints, workforce shortages, and difficulties implementing integrated care models for mental health services. The EMIMH Framework proposes integrating epigenetic and microbiome considerations into CHC mental health care, offering a personalized and preventive approach. We conducted a critical discourse analysis of texts from 2018-2024, examining perspectives on integrating advanced biological approaches in CHC mental health care. Results reveal growing interest in epigenetic and microbiome approaches, alongside concerns about implementation barriers, ethical implications, and potential health disparities. The EMIMH Framework presents a promising avenue for improving CHC mental health care, potentially enhancing outcomes and reducing costs. However, successful implementation requires addressing practical, ethical, and equity challenges.

Keywords

Mental Health Public Health Community Interventions Sexual Exploitation Prevention

Article Details

How to Cite
Junior, G. A., & De-Veer, T. P. (2024). Integrating the Epigenetic and Microbiome-Integrated Mental Health (EMIMH) Framework into Community Health Centers: A Discourse Analysis. Ilomata International Journal of Social Science, 5(4), 1054-1063. https://doi.org/10.61194/ijss.v5i4.1355

References

  1. Alegría, M., et al. (2018). Social determinants of mental health: Where we are and where we need to go. Current Psychiatry Reports, 20(11), 95.
  2. Andermann, A. (2016). Taking action on the social determinants of health in clinical practice: a framework for health professionals. CMAJ, 188(17-18), E474-E483.
  3. Bauer, U. E., et al. (2014). Prevention of chronic disease in the 21st century: elimination of the leading preventable causes of premature death and disability in the USA. The Lancet, 384(9937), 45-52.
  4. Braveman, P. (2014). What are health disparities and health equity? We need to be clear. Public Health Reports, 129(1_suppl2), 5-8.
  5. Centers for Disease Control and Prevention. (2022). Mental Health Prevention Initiative: Strategic Plan 2022-2026. U.S. Department of Health and Human Services.
  6. Collins, F. S., & Varmus, H. (2015). A new initiative on precision medicine. New England Journal of Medicine, 372(9), 793-795.
  7. Cuthbert, B. N., & Insel, T. R. (2013). Toward the future of psychiatric diagnosis: the seven pillars of RDoC. BMC Medicine, 11(1), 126.
  8. Czeisler, M. É., Lane, R. I., Petrosky, E., Wiley, J. F., Christensen, A., Njai, R., Weaver, M. D., Robbins, R., Facer-Childs, E. R., Barger, L. K., Czeisler, C. A., Howard, M. E., & Rajaratnam, S. M. W. (2020). Mental Health, Substance Use, and Suicidal Ideation During the COVID-19 Pandemic — United States, June 24–30, 2020. MMWR. Morbidity and Mortality Weekly Report, 69(32), 1049-1057.
  9. Fairclough, N. (2013). Critical discourse analysis: The critical study of language. Routledge.
  10. Gittelman, S., et al. (2020). A framework for public health action: The health impact pyramid. Annual Review of Public Health, 41, 1-15.
  11. Health Resources and Services Administration. (2023). Integrating Advanced Mental Health Care in Community Health Centers. U.S. Department of Health and Human Services.
  12. Holt-Lunstad, J., et al. (2015). Loneliness and social isolation as risk factors for mortality: a meta-analytic review. Perspectives on Psychological Science, 10(2), 227-237.
  13. Insel, T. R. (2015). The NIMH experimental medicine initiative. World Psychiatry, 14(2), 151-153.
  14. Johnson, K., et al. (2022). Balancing biological and social determinants in mental health care. Social Science & Medicine, 289, 114403.
  15. Jorm, A. F. (2012). Mental health literacy: Empowering the community to take action for better mental health. American Psychologist, 67(3), 231-243.
  16. Koh, H. K., & Sebelius, K. G. (2010). Promoting prevention through the affordable care act. New England Journal of Medicine, 363(14), 1296-1299.
  17. Lupton, D. (2013). The digitally engaged patient: Self-monitoring and self-care in the digital health era. Social Theory & Health, 11(3), 256-270.
  18. Marmot, M., et al. (2020). Build back fairer: The COVID-19 Marmot review. Institute of Health Equity.
  19. McGuire, T. G., & Miranda, J. (2008). New Evidence Regarding Racial and Ethnic Disparities in Mental Health: Policy Implications. Health Affairs, 27(2), 393-403.
  20. National Bioethics Advisory Commission. (2021). Ethical Implications of Predictive Mental Health Technologies. U.S. Department of Health and Human Services.
  21. National Institute of Mental Health. (2020). Strategic Plan for Research. https://www.nimh.nih.gov/about/strategic-planning-reports/
  22. National Institute of Mental Health. (2021). Mental Illness. https://www.nimh.nih.gov/health/statistics/mental-illness
  23. Ng, J. Y., et al. (2019). Precision medicine in mental health: An overview of the opportunities and challenges. Harvard Review of Psychiatry, 27(2), 79-90.
  24. Olfson, M., & Marcus, S. C. (2010). National trends in outpatient psychotherapy. American Journal of Psychiatry, 167(12), 1456-1463.
  25. Patel, V., et al. (2018). The Lancet Commission on global mental health and sustainable development. The Lancet, 392(10157), 1553-1598.
  26. Rose, N. (2019). Our Psychiatric Future. Polity Press.
  27. Saxena, S., et al. (2017). Implementation research in mental health: An introduction. World Psychiatry, 16(1), 5-6.
  28. Smith, J., et al. (2023). The EMIMH Framework: A new paradigm for public mental health. American Journal of Public Health, 113(3), 345-352.
  29. Stein, D. J., et al. (2019). The cross-national epidemiology of social anxiety disorder: Data from the World Mental Health Survey Initiative. BMC Medicine, 17(1), 1-13.
  30. Substance Abuse and Mental Health Services Administration. (2022). 988 Suicide & Crisis Lifeline. U.S. Department of Health and Human Services. https://www.samhsa.gov/find-help/988
  31. Thompson, L. (2024). The double-edged sword of precision mental health. Health Affairs, 43(2), 140-147.
  32. Twenge, J. M., Cooper, A. B., Joiner, T. E., Duffy, M. E., & Binau, S. G. (2019). Age, period, and cohort trends in mood disorder indicators and suicide-related outcomes in a nationally representative dataset, 2005–2017. Journal of Abnormal Psychology, 128(3), 185-199.
  33. Wainberg, M. L., et al. (2017). Challenges and opportunities in global mental health: a research-to-practice perspective. Current Psychiatry Reports, 19(5), 28.
  34. World Health Organization. (2022). Mental Health Action Plan 2020-2030. WHO Press.