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From the President

Poverty, discrimination, cultural norms influence community well-being

Psychologists need a holistic understanding of how these factors intersect to influence population mental health

Cite This Article
de las Fuentes, C. (2024, April 1). Poverty, discrimination, cultural norms influence community well-being. Monitor on Psychology, 55(3). https://www.apa.org/monitor/2024/04/structural-competence-community-well-being

people hanging out in front of a brick wall painted with grafitti

It is critical for psychologists to understand structural competence as we seek to improve the well-being of our communities. Structural competence means recognizing and addressing systemic inequalities, injustices, and the power dynamics shaping our lives. It calls for a holistic understanding of how factors like poverty, discrimination, access to resources, and cultural norms intersect and impact mental health within our communities.

The relationship between societal structures and the policies that support them is paramount to understanding the structural competence of population mental health. While many of us received training focused on individual experiences and familial factors as contributors to psychological health, the concept of structural competence broadens the scope. We need to acknowledge the profound influence of social, economic, institutional, and political structures on mental health outcomes.

Structural competence underscores the need for interventions that extend beyond clinical settings. While therapy remains crucial to ameliorating the pain and traumas of systemic marginalization, it is only part of the equation. Efforts to promote population mental health must also address root causes embedded within social structures. This might involve advocating for policies mitigating economic disparities, combating systemic oppression, and promoting inclusive communities.

One key aspect of structural competence is its emphasis on cultural humility and sensitivity. Recognizing the diversity of experiences within communities is essential for designing effective and respectful interventions. This means listening to marginalized voices, understanding their unique challenges, and collaborating with communities to co-create solutions to address their needs within their value systems.

At APA, we understand structural competence requires interdisciplinary collaboration across sectors such as health care, education, housing, and employment. We recognize mental health is influenced by many factors. Interventions must be comprehensive and multifaceted to address the social determinants of health at various levels.

Join us by integrating structural competence into your mental health initiatives and practices. Together we can foster resilience, reduce stigma, and empower our communities to thrive.

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