Contextual Factors in Policymaking
Coles et al. (2020) define a contextual factor as any factor that is not part of an intervention but affects its implementation either positively or negatively. Recognizing contextual factors entails acknowledging that advocacy takes place within an environment characterized by a range of factors that could be either facilitators or barriers to implementation (Coles et al., 2020). By accurately identifying contextual factors, the implementers of an intervention can effectively and in a timely manner come up with strategies to address them. This text identifies the key contextual factors that may affect the implementation of the proposed advocacy geared at addressing mental health disparities among Limited English Proficient (LEP) individuals.
Contextual Factors that could Promote the Advocacy Priority
The first of these factors would be existing mental health improvement programs at the local level. These could be funded by either local governments or non-governmental organizations to sensitize local communities on mental health and offer supports (Coles et al., 2020). Such programs would complement the proposed advocacy efforts as they would place the local communities in a better place to understand and push for their rights to proper healthcare.
The second factor is strong political and community leadership. For instance, the proposed advocacy efforts could receive a boost if they align with the agenda of local politicians as outlined in their manifestos. If the local politicians are focused on improving mental health among the communities they serve, then they are likely to support the proposed advocacy efforts by mobilizing resources and pushing for legislative reform, both of which would facilitate the advocacy...
…locals more open to mental healthcare may be interpreted as an attempt to erode the local culture and could attract resistance from locals.Finally, the success of the proposed advocacy effort will also depend on how well professionals drawn from various disciplines can work together in a multidisciplinary team. The proposed advocacy effort will bring together nurses, politicians, physicians, local entrepreneurs, and lawyers, among other professions. Success will depend on how well the existing systems and professional policies foster multidisciplinary team work (Soukup et al., 2018). In the absence of proper systems and policies governing multidisciplinary teams, the advocacy effort is likely to fail (Soukup et al., 2018).
Ultimately, the success of the proposed advocacy effort will depend on how well the implementers can address these barriers while capitalizing on the facilitators identified in the…
References
Coles, E., Anderson, J., Maxwell, M., Harris, F. M., Gray, N. M., Milner, G., MacGillivray, S.
(2020). The influence of contextual factors on healthcare quality improvement initiatives: A realist review. Systematic Reviews 9(94). https://doi.org/10.1186/s13643-020-01344-3
Pederson, A. B., Waldron, E., & Fokuo, J. (2022). Perspectives of black immigrant women on mental health: The role of stigma. Women’s Health Reports, 3(1), 307-317. 10.1089/whr.2021.0071Soukup, T., Lamb, B., Arora, S., Darzi, A., Sevdalis, N., & Green, J. A. (2018). Successful strategies in implementing a multidisciplinary team working in the care of patients with cancer: An overview and synthesis of the available literature. Journal of Multidisciplinary Healthcare, 11(1), 49-61. 0.2147/JMDH.S117945
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