Community Inclusion and Social Determinants: From Opportunity to Health

Abstract

It is well documented that individuals with serious mental illnesses are disadvantaged in their employment, educational attainment, social relationships, family relationships, and other areas, which are all social determinants of health. They are also the focus of community inclusion initiatives that are based in legal and human rights. This column reviews the history and development of the community inclusion concept and the health-related outcomes that are expected to result from community inclusion efforts. Incorporating fundamentals and indicators of community inclusion into mental health systems offers a paradigm for addressing social determinants and improving health as part of the larger health care agenda.