A Legacy of Advocacy: The Past, Present, and Future of Mental Health Professionals in Systemic Reform.

Vincent Migliaccio, Tadeus Lopez Ulloa, Jessica Isom

Abstract readReview

In one paragraph

Review in Focus (American Psychiatric Publishing), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it

0cells of the map it votes in

0citing papers in PubMed

–field-weighted citation impact

1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Vincent MigliaccioO&M Medical School, Santo Domingo, Dominican Republic (Migliaccio, Ulloa); Department of Psychiatry, Yale University, New Haven, Connecticut, and Vision for Equity, LLC, Randolph, Massachusetts (Isom).

Tadeus Lopez UlloaO&M Medical School, Santo Domingo, Dominican Republic (Migliaccio, Ulloa); Department of Psychiatry, Yale University, New Haven, Connecticut, and Vision for Equity, LLC, Randolph, Massachusetts (Isom).

Jessica IsomO&M Medical School, Santo Domingo, Dominican Republic (Migliaccio, Ulloa); Department of Psychiatry, Yale University, New Haven, Connecticut, and Vision for Equity, LLC, Randolph, Massachusetts (Isom).

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mental health professionals must promote population mental health through a structural approach that extends beyond the clinical encounter. This includes incorporating policies that target social and structural drivers of health, such as income, education, housing, and health care access. In this article, the authors review historical and contemporary advocacy contributions by mental health professionals, policy areas that influence mental health services, potential targets for advocacy interventions, barriers to and facilitators of advocacy engagement, and advocacy-related incentives for mental health professionals. Drawing on a novel model of advocacy and a framework for advocacy action planning, the authors demonstrate how mental health professionals can advocate for systemic change as a professional responsibility. By leveraging advocacy strategies across the domains of practice, communities, and government, mental health professionals can drive policy changes that promote equitable health outcomes.

Indexed as

AdvocacyMental Health Care/Service Delivery SystemsMental health professionalsPolicy changePopulation healthSocial drivers

Identifiers

PMID40599973

DOI10.1176/appi.focus.20250008

PMCPMC12207503

What OpenQuestion holds

Textmetadata

Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.