Factors affecting the sustainability of community mental health assets: A systematic review

Article


Moore, A., Bertotti, M., Hanafiah, A. and Hayes, D. 2022. Factors affecting the sustainability of community mental health assets: A systematic review. Health and Social Care in the Community. https://doi.org/10.1111/hsc.13929
AuthorsMoore, A., Bertotti, M., Hanafiah, A. and Hayes, D.
Abstract

Resources and activities offered by Voluntary, Community and Social Enterprise (VCSE) organisations could play a key role in supporting communities with their mental health. While policy makers have become increasingly interested in using such asset-based approaches to improve mental health and wellbeing, the sustainability of these approaches remains under researched. In this review we explored the factors affecting the sustainability of community mental health assets. We conducted a systematic review of the literature using keywords based on three key terms: ‘sustainability’, ‘mental health issues’ and ‘service provision’. Our search strategy was deployed in four electronic databases (MEDLINE, Web of Science, ASSIA and IBSS) and relevant websites were also searched. The literature search was conducted in November and December 2020 and yielded 2486 results. After title and abstract screening, 544 articles were subjected to full text review. A total of 16 studies were included in a narrative synthesis. Studies included a broad range of community interventions and 30 factors affecting sustainability were identified across three sustainability levels: micro (individual), meso (organisational) and macro (local/national/global). Factors were discussed as barriers or facilitators to sustainability. A key barrier across all sustainability levels was funding (cost to individual participants, lack of available funding for VCSEs, economic uncertainty) while a key facilitator was connectedness (social connections, partnering with other organisations, linking with national public health systems). Nearly all articles included no definition of sustainability and the majority of factors identified here were at the meso/organisational level. As funding was found to be such a prevalent barrier, more research into macro level factors (e.g. government policies) is required.

JournalHealth and Social Care in the Community
ISSN1365-2524
Year2022
PublisherWiley
Accepted author manuscript
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Repository staff only
Publisher's version
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File Access Level
Anyone
Digital Object Identifier (DOI)https://doi.org/10.1111/hsc.13929
Publication dates
Online28 Jul 2022
Publication process dates
Accepted08 Jul 2022
Deposited22 Jul 2022
FunderUK Research and Innovation
Copyright holder© 2022 The Authors.
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