Frequencies were calculated for participants' selections of the most common activities among SOMH over the past three years (Table 1).
Officers also rank-ordered common population targets for interventions and initiatives within their SOMH (Table 2).
Other SDH were given even lower levels of support: only six SOMH addressed quality of education received by minority youth, five concentrated on reducing unemployment, three tackled issues dealing with public transportation, and another three worked to reduce neighborhood violence.
One example of how SOMH and other like-minded entities can shift their focus to more "upstream," social determinant variables would be to focus on the quality of education received by minority youth.
Although SOMH may not be able to directly influence the quality of education received by minority youth, they can work together, prioritizing education and advocating for changes in policy and practice.
As "bridge" organizations that link policymakers with communities, SOMH could use their unique position and influence to help fill in gaps in these sorts of areas.
SOMH are often severely under-resourced, leaving officers with limited ability to move beyond intrapersonal level approaches.