Structural Competency in Mental Health and Medicine

A Case-Based Approach to Treating the Social Determinants of Health

  • Helena Hansen
  • Jonathan M. Metzl

Table of contents

  1. Front Matter
    Pages i-xxix
  2. Structural Competency in Classrooms and Clinics

    1. Front Matter
      Pages 1-1
    2. Jonathan M. Metzl, JuLeigh Petty, Philip J. Pettis
      Pages 3-14
    3. Edgar Rivera Colón
      Pages 27-33
    4. Cameron Donald, Fabián Fernández, Elaine Hsiang, Omar Mesina, Sarah Rosenwohl-Mack, Aimee Medeiros et al.
      Pages 35-51
    5. Joshua Neff, Seth M. Holmes, Shirley Strong, Gregory Chin, Jorge De Avila, Sam Dubal et al.
      Pages 53-74
  3. Structural Competency in Non-health Sector Collaborations

    1. Front Matter
      Pages 99-99
    2. Molly Rose Kaufman, Lourdes Rodriguez, Robert E. Fullilove III, Mindy Thompson Fullilove
      Pages 101-108
    3. Andrew F. Beck, Mallory Curran, Adrienne W. Henize, Melissa D. Klein, Donita S. Parrish, Edward G. Paul et al.
      Pages 121-134
  4. Structural Competency in Community Engagement

  5. Structural Competency in Policy Advocacy

  6. Bibliography

    1. Front Matter
      Pages 217-217
  7. Back Matter
    Pages 227-230

About this book


This book documents the ways that clinical practitioners and trainees have used the “structural competency” framework to reduce inequalities in health.  The essays describe on-the-ground ways that clinicians, educators, and activists craft structural interventions to enhance health outcomes, student learning, and community organizing around issues of social justice in health and healthcare. Each chapter of the book begins with a case study that illuminates a competency in reorienting clinical and public health practice toward community, institutional and policy level intervention based on alliances with social agencies, community organizations and policy makers.  Written by authors who are trained in both clinical and social sciences, the chapters cover pedagogy in classrooms and clinics, community collaboration, innovative health promotion approaches in non-health sectors and in public policies, offering a view of effective care as structural intervention and a road map toward its implementation.

Structural Competency in Mental Health and Medicine is a cutting-edge resource for psychiatrists, primary care physicians, addiction medicine specialists, emergency medicine specialists, nurses, social workers, public health practitioners, and other clinicians working toward equality in health.


Healthcare inequalities Correctional system Educational system Clinical interventions Non-health sectors

Editors and affiliations

  • Helena Hansen
    • 1
  • Jonathan M. Metzl
    • 2
  1. 1.New York UniversityNew YorkUSA
  2. 2.Center for Medicine, Health, and SocietyVanderbilt UniversityNashvilleUSA

Bibliographic information

Industry Sectors
Health & Hospitals