Structural Competency and Health Professional Training

Books

Structural Competency in Mental Health and Medicine: A Case-Based Approach to Treating the Social Determinants of Health (2019), Edited by Helena Hansen, MD, PhD and Jonathan Metzl, MD, PhD

Articles

Gutierrez, Kevin J. (2020). The Performance of “Antiracism” Curricula. New England Journal of Medicine, 2020 August, DOI: 10.1056/NEJMpv2025046

Castillo, Enrico G. MD, MSHPM; Isom, Jessica MD, MPH; DeBonis, Katrina L. MD; Jordan, Ayana MD, PhD; Braslow, Joel T. MD, PhD; Rohrbaugh, Robert MD Reconsidering Systems-Based Practice, Academic Medicine: June 23, 2020 – Volume Publish Ahead of Print – Issue – doi: 10.1097/ACM.0000000000003559

Metzl, JM, Petty, J and Olowajoba, OV. Using a structural competency framework to teach structural racism in pre-health education. Social Science and Medicine. 2018. 199:189-201

Neff, J, Knight, KR, Satterwhite, S, Nelson, N, Matthews, J, & Holmes, SM. “Teaching Structure: A Qualitative Evaluation of a Structural Competency Training for Resident Physicians” J Gen Intern Med. 2017 Apr;32(4):430-433

Metzl, J. M. and D. E. Roberts (2014). “Structural competency meets structural racism: race, politics, and the structure of medical knowledge.” Virtual Mentor 16(9): 674-690.

Metzl, M. Jonathan, and Helena Hansen.”Structural competency: theorizing a new medical engagement with stigma and inequality. Social Science and Medicine, 2014 Feb;103:126-33.

Ruth, A., SturtzSreetharan, C., Brewis, A. et al. Structural Competency of Pre-health Students: Can a Single Course Lead to Meaningful Change?. Med.Sci.Educ. 30, 331–337 (2020). https://doi.org/10.1007/s40670-019-00909-9

Andress L, Purtill MP (2020) Shifting the gaze of the physician from the body to the body in a place: A qualitative analysis of a community-based photovoice approach to teaching place-health concepts to medical students. PLoS ONE 15(2): e0228640. https://doi.org/10.1371/journal.pone.0228640

Petty, J., Metzl, J.M. & Keeys, M.R. Developing and Evaluating an Innovative Structural Competency Curriculum for Pre-Health Students. J Med Humanit 38, 459–471 (2017). https://doi.org/10.1007/s10912-017-9449-1

Tsevat, R. K., et al. (2015). “Bringing Home the Health Humanities: Narrative Humility, Structural Competency, and Engaged Pedagogy.” Academic Medicine, 90(11):1462-65.

Brooks, K. C. (2015). “A silent curriculum.” JAMA 313(19): 1909-1910.

Structural Competency and Mental Health

Books for Purchase

The Social Determinants of Mental Health, Edited by Michael T. Compton, M.D., M.P.H., and Ruth S. Shim, M.D., M.P.H

Articles

From Cultural to Structural Competency– Training Psychiatry Residents to Act on social Determinants of Health and Institutional Racism
Helena Hansen, MD, PhD., Joel Braslow, MD, PhD., Robert M Rohrbaugh, MD.

Structural Competency and Psychiatry 
Jonathan Metzl, MD PhD., Helena Hansen MD, PhD.

Advocacy as Key to Structural Competency in Psychiatry
Laurence J. Kirmayer, Knorick R, Rousseau C.

The Evolving Understanding of Recovery: What Does the Sociology of Mental Health Have to Offer?

Ghost Management: How Much of the Medical Literature is Shaped Behind the Scenes by the Pharmaceutical Industry?

Economic Inequality and Poverty as Social Determinants of Mental Health

Anthropology in the Clinic: The Problem of Cultural Competency and How to Fix it

Inequality: an underacknowledged source of mental illness and distress

In the Media

The Epidemic of Mental Illness: Why? Marsha Angell. New York Review of Books, 2011.

The Illusions of Psychiatry Marsha Angell. New York Review of Books, 2011.

Depression: Integrating Science, Culture, and Humanities

Twelve Patients: Life and Death at Bellevue Hospital

Reports and Briefs

WHO 2014 – Social Determinants of Mental Health

IOM 2013 US – Shorter Lives, Poorer Health