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Social Determinants of Mental Health: A Critical Occupational Perspective
Book chapter

Social Determinants of Mental Health: A Critical Occupational Perspective

Clement Nhunzvi and Roshan Galvaan
Occupational Therapy Practice in Mental Health: Models, Conditions, Interventions, and Recovery, pp.276-291
Bentham Science
10/2025

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Abstract

Africa Disability HIV/AIDS Mental health Occupation Occupational justice Occupational perspective Poverty Social determinants Social exclusion Social inclusion
Living a healthy lifestyle is influenced by personal agency and societal structures, which contribute to a continuum of physical and mental health. The social determinants of mental health offer a perspective on how structural factors may influence a person's lifestyle. These determinants include the conditions in which people are born, live, grow up, and age, shaped by policy decisions and resource distribution within their communities and societies. These social, political, cultural, and economic conditions, along with spiritually problematic situations, may disrupt optimal mental health, increase the risk of mental disorders, and worsen outcomes among those affected. The concept of social inclusion holds great potential in the rights-based examination and redress of challenging social determinants of mental health. Further to this, the chapter proposes drawing on a critical occupational perspective as a paradigm shift from an individualistic medicalised view to a more collective and justice-oriented approach, challenging the taken-for-granted ways of participation and centering participation in meaningful occupations for all.

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