Biomaterial Database

Debt Inequity Among Clients of a Community Mental Health Center. 2023

Alice Shen, and Luisa Graden, and Annie Harper

Department of Psychiatry (Shen), Yale College (Graden), and Program for Recovery and Community Health (Harper), Yale University, New Haven.

Debt is an overlooked social determinant of health that reinforces systems of discrimination. This study examined the impact of debt among individuals with serious mental illness. Individuals with serious mental illness who identified as Black, Indigenous, or other people of color carried a disproportionate amount of debt, often from attempting to meet basic needs. Increased levels of debt were associated with symptoms of depression. Addressing debt inequity is essential to both financial justice and mental health recovery.

UI	MeSH Term	Description	Entries
D003155	Community Mental Health Centers	Facilities which administer the delivery of psychologic and psychiatric services to people living in a neighborhood or community.	CMHC
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000086522	Financial Stress	Stress arising from personal financial concerns. (www.cancer.gov/publications/dictionaries/cancer-terms/def/financial-stress).	Economic Burden,Economic Hardship,Financial Burden,Financial Challenges,Financial Hardship,Financial Pressures,Financial Resource Strain,Financial Strain,Financial Toxicity,Insufficient Financial Resources,Socioeconomic Adversity,Adversity, Socioeconomic,Burden, Economic,Burden, Financial,Challenge, Financial,Economic Burdens,Economic Hardships,Financial Burdens,Financial Challenge,Financial Hardships,Financial Pressure,Financial Resource Strains,Financial Resource, Insufficient,Financial Strains,Financial Stresses,Financial Toxicities,Hardship, Economic,Hardship, Financial,Insufficient Financial Resource,Pressure, Financial,Resource Strain, Financial,Resource, Insufficient Financial,Socioeconomic Adversities,Strain, Financial,Strain, Financial Resource,Stress, Financial,Toxicity, Financial
D001523	Mental Disorders	Psychiatric illness or diseases manifested by breakdowns in the adaptational process expressed primarily as abnormalities of thought, feeling, and behavior producing either distress or impairment of function.	Mental Illness,Psychiatric Diseases,Psychiatric Disorders,Psychiatric Illness,Behavior Disorders,Diagnosis, Psychiatric,Mental Disorders, Severe,Psychiatric Diagnosis,Illness, Mental,Mental Disorder,Mental Disorder, Severe,Mental Illnesses,Psychiatric Disease,Psychiatric Disorder,Psychiatric Illnesses,Severe Mental Disorder,Severe Mental Disorders
D064890	Social Determinants of Health	The circumstances in which people are born, grow up, live, work, and age, as well as the systems put in place to deal with illness. These circumstances are in turn shaped by a wider set of forces: economics, social policies, and politics (http://www.cdc.gov/socialdeterminants/).	Commercial Determinants of Health,Socio-Economic Determinants of Health,Structural Determinants of Health,Socio Economic Determinants of Health