Assessing and Addressing Social Determinants of Mental Health in Counseling: A Grounded Theory Investigation.

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Bibliographic Details
Title: Assessing and Addressing Social Determinants of Mental Health in Counseling: A Grounded Theory Investigation.
Authors: Boyd, Danielle Pester, Hays, Danica G., Jones, Laura K.
Source: Journal of Counseling & Development (John Wiley & Sons, Inc.). Oct2025, Vol. 103 Issue 4, p469-483. 15p.
Subjects: Counselors, Documentation, Audit trails, Social determinants of health, Mental health, Professional practice, Self-efficacy, Interprofessional relations, Endowments, Scholarly method, Social justice, Computer software, Data analysis, Cultural competence, Medical care, Health, Questionnaires, Interviewing, Research evaluation, Treatment effectiveness, Goal (Psychology), Professional identity, Mathematical models, Trust, Patient-professional relations, Research methodology, Videoconferencing, Counseling, Grounded theory, Theory, Self advocacy, Needs assessment, Practical politics, Community services, Continuing education, Psychosocial factors, Medical referrals
Abstract: This grounded theory study investigated effective factors for assessing and addressing social determinants of mental health (SDMH) within counseling. Professional counselors (N = 20) self‐identifying with expertise in assessing and addressing SDMH shared their practices through individual semistructured interviews. The social determinants‐based counseling model (SDCM) emphasized five key action strategies: broaching SDMH with clients, maximizing cultural competence, contextualizing interventions, fostering client self‐advocacy, and sustaining community‐embedded resources. In addition, the SDCM shows the contextual and intervening conditions that influence these strategies, leading to short‐term, intermediate, and long‐term outcomes of SDMH best practices. This study offers an empirically grounded counseling model that equips professional counselors to assess and address SDMH, promoting equity and improved mental health outcomes through culturally responsive, community‐embedded practices. [ABSTRACT FROM AUTHOR]
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Database: Psychology and Behavioral Sciences Collection
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Abstract:This grounded theory study investigated effective factors for assessing and addressing social determinants of mental health (SDMH) within counseling. Professional counselors (N = 20) self‐identifying with expertise in assessing and addressing SDMH shared their practices through individual semistructured interviews. The social determinants‐based counseling model (SDCM) emphasized five key action strategies: broaching SDMH with clients, maximizing cultural competence, contextualizing interventions, fostering client self‐advocacy, and sustaining community‐embedded resources. In addition, the SDCM shows the contextual and intervening conditions that influence these strategies, leading to short‐term, intermediate, and long‐term outcomes of SDMH best practices. This study offers an empirically grounded counseling model that equips professional counselors to assess and address SDMH, promoting equity and improved mental health outcomes through culturally responsive, community‐embedded practices. [ABSTRACT FROM AUTHOR]
ISSN:15566676
DOI:10.1002/jcad.70003