Promoting mental health in racialised youth. Kwame McKenzie MD. outline. Mental health Importance of time and context Arguing for preservation of mental capital. Mental health.
Promoting mental health in racialised youth
Kwame McKenzie MD
Some black and minority ethnic youth in Canada have lower rates of mental health problems others have higher rates
Substance misuse and suicidal ideation on increase
Refugee rates of illness are elevated
Hansson et al feb 2012
Interaction between ecological and individual
Time and Context for youth
Most children in Toronto live in City 3
1/3 of people in City 3 live under low income cut off
50% of the housing for families in City 3 is high rise
Poverty is color coded
Source: Newbold KB. Self-rated health within the Canadian immigrant population: Risk and the healthy immigrant effect. Social Science and Medicine, 2005.16
* Significantly different from estimate for Canadian-born (p <0.01).Note: All explanatory variables are based on the situation in 1994/95. Because of rounding, some confidence intervals with 1.0 as upper/lower limit are significant.Data source: 1994/95 to 2002/03 National Population Health Survey, longitudinal file.
Time and context for providers
What is missing?
How do we deal with time and context changes in policy realm?
Are there messages that speak to the economic imperative but offer a win-win scenario for racialised youth mental health?
Mental capital = IQ + EQ + mental health
The challenge to government is to invest in our future
They need to build IQ
To get schools to build EQ
But also to produce environments that protect mental health
Social capital is a way of describing social processes that shape communities or groups of people.
“By social capital I mean features of social life – networks, norms and trust – that enable participants to act together more effectively to pursue shared objectives”
Social capital describes the forces that shape the quantity and quality of social interactions and institutions “the glue that holds society together”
Between individuals in families
Between different groups in a society
Between individuals and groups at similar levels in a society
Between different strata in society and ability to control government etc.
Social capital’s relation to mental health is complex
Different types of social capital impact on health in different ways
Bridging social capital may produce more access to information, supports and safety nets which buffer the effects of life events on mental health