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Social Determinants of Mental Health

Published Online: 14 March 2023

Debt Inequity Among Clients of a Community Mental Health Center

Alice Shen, M.D. [email protected], Luisa Graden, B.A., and Annie Harper, Ph.D.Authors Info & Affiliations

Publication: Psychiatric Services

Volume 74, Number 11

https://doi.org/10.1176/appi.ps.202100565

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Abstract

Debt is an overlooked social determinant of health that reinforces systems of discrimination. This study examined the impact of debt among individuals with serious mental illness. Individuals with serious mental illness who identified as Black, Indigenous, or other people of color carried a disproportionate amount of debt, often from attempting to meet basic needs. Increased levels of debt were associated with symptoms of depression. Addressing debt inequity is essential to both financial justice and mental health recovery.

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Information & Authors

Information

Published In

Psychiatric Services

Volume 74 • Number 11 • November 01, 2023

Pages: 1208 - 1211

PubMed: 36916063

History

Received: 17 September 2021

Revision received: 4 January 2022

Revision received: 24 December 2022

Accepted: 10 February 2023

Published online: 14 March 2023

Published in print: November 01, 2023

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Authors

Affiliations

Alice Shen, M.D. [email protected]

Department of Psychiatry (Shen), Yale College (Graden), and Program for Recovery and Community Health (Harper), Yale University, New Haven.

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Luisa Graden, B.A.

Department of Psychiatry (Shen), Yale College (Graden), and Program for Recovery and Community Health (Harper), Yale University, New Haven.

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Annie Harper, Ph.D.

Department of Psychiatry (Shen), Yale College (Graden), and Program for Recovery and Community Health (Harper), Yale University, New Haven.

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Notes

Send correspondence to Dr. Shen ([email protected]). Ruth S. Shim, M.D., M.P.H., and Michael T. Compton, M.D., M.P.H., are editors of this column.

Competing Interests

The authors report no financial relationships with commercial interests.

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Debt Inequity Among Clients of a Community Mental Health Center

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