Moving Upstream: An Intersectoral Collaboration to Build Sustainable Planning Capacity in Rural and Appalachian Communities

As part of an effort to address health inequities in Appalachian and rural Ohio, the state’s Department of Mental Health and Addiction Services developed an upstream intersectoral health innovation that specifically addressed the lack of infrastructure and other capacity issues that create barriers to obtaining federally funded prevention services among communities with the highest need for those services. The department partnered with two nonprofit organizations and a university to create a performance-based, stepping-stone investment strategy that provided monetary awards to community organizations and included intensive, customized training and technical assistance that promoted capacity- building for data-driven strategic planning. This article discusses successes and lessons learned from implementing this infrastructure development initiative, which strengthened capacity of local prevention workforces in six Appalachian and rural communities. The findings will be helpful to foundations as they structure and evaluate funding opportunities to sustainably address persistent inequities in health and mental health

Examining human rights and mental health among women in drug abuse treatment centers in Afghanistan

Denial of human rights, gender disparities, and living in a war zone can be associated with severe depression and poor social functioning, especially for female drug abusers. This study of Afghan women in drug abuse treatment (DAT) centers assesses (a) the extent to which these women have experienced human rights violations and mental health problems prior to entering the DAT centers, and (b) whether there are specific risk factors for human rights violations among this population. A total of 176 in-person interviews were conducted with female patients admitted to three drug abuse treatment centers in Afghanistan in 2010. Nearly all women (91%) reported limitations with social functioning. Further, 41% of the women indicated they had suicide ideation and 27% of the women had attempted suicide at least once 30 days prior to entering the DAT centers due to feelings of sadness or hopelessness. Half of the women (50%) experienced at least one human rights violation in the past year prior to entering the DAT centers. Risk factors for human rights violations among this population include marital status, ethnicity, literacy, employment status, entering treatment based on one’s own desire, limited social functioning, and suicide attempts. Conclusions stemming from the results are discussed