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Area of Science:

  • Public Health
  • Social Sciences
  • Health Equity

Background:

  • Current mental health services face fragmentation, stigma, and a lack of person-centred care.
  • Intersectionality highlights how overlapping disadvantages (race, gender, geography, etc.) create barriers to mental healthcare access and outcomes.
  • Specific populations, including young people in remote areas and asylum seekers, disproportionately experience poor mental health.

Purpose of the Study:

  • To examine the need for a social clinic model informed by intersectional equity.
  • To propose a community-led framework for establishing sustainable and inclusive mental health services.
  • To address power asymmetries and promote equity in mental healthcare delivery.

Main Methods:

  • Drawing insights from the INtersectional Network Of community and stakeholder Voices, And research to Tackle (in)Equities (INNOVATE) project.
  • Applying an intersectionality lens to analyze barriers to mental healthcare access.
  • Proposing a five-step framework for operationalizing social clinics.

Main Results:

  • Identified significant gaps in current mental health services.
  • Revealed complex barriers to care arising from intersecting social disadvantages.
  • Highlighted social clinics as a promising approach to reduce the mental healthcare gap.

Conclusions:

  • A community-led, intersectionality-informed approach is essential for developing responsive mental health services.
  • Social clinics, integrating medical care with social support, offer a viable model for reducing inequities.
  • Co-design, collective action, and participatory governance are key to operationalizing this model effectively.