RESEARCH | CASE STUDIES| STRATEGIES AND SOLUTIONS

Apply the latest research to strengthen mental wellbeing and prevent stress-related disorders in your communities.

Chief Editor: Nadine Wilches, LCSW

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The Other Side of the Diagnosis: Redefining Mental Health Care for Children with Cancer

In "The Other Side of the Diagnosis," Emma Sheridan examines the often-overlooked psychological toll of pediatric cancer on children and their families. Sheridan argues that traditional healthcare models prioritize physical treatment, neglecting the profound emotional, cognitive, and financial challenges that extend well beyond the hospital. The article highlights systemic barriers to comprehensive care, including a critical shortage of pediatric mental health providers, geographical and economic disparities, and cultural stigmas surrounding mental illness. By exploring the psychological landscape for patients, siblings, and caregivers, Sheridan advocates for creative, non-clinical interventions like art and music therapy to fill these gaps, emphasizing that true survivorship means addressing the whole family's well-being.

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The 5-Elements of Systemic Wellbeing Framework: A Conceptual Model for Preventive Mental Health

Psychological approaches to mental health rely primarily on a medical model of assessment, diagnosis, and treatment, which reacts to symptom presentation, affect, and behavior. This approach is limited in that it neither demonstrates a reduction in the rates of mental illness nor prevents future mental health problems in those previously treated. A significant 11-year gap exists between the onset of symptoms and intervention in the current model (National Alliance on Mental Illness, 2021). Furthermore, individuals with preventable physical illnesses are more likely to experience mental health problems, and evidence for treating multimorbidities is limited, compounding the issues of a single-disease response model (Barnett et al., 2012). A comprehensive thematic analysis of research on wellbeing for the application of preventive mental health practices could not be identified, signaling a critical gap. This paper introduces The 5-Elements of Systemic Wellbeing Framework, a conceptual model developed from a reflexive thematic analysis of over 2000 research studies and expert interviews. The analysis identified five core themes of wellbeing (Secure, Regulated, Valued, Decided, Related), each supported by evidence from 36 or more credible resources. Within each theme, twelve subfactors with the strongest evidence were organized into two subcategories: six internal (personal) and six external (environmental) factors. This structure provides a comprehensive, evidence-informed definition of wellbeing designed to serve as a launch point for the systemic prevention of mental health conditions and the promotion of wellbeing as a proactive solution. This is presented as a conceptual framework with limitations in that its application and outcomes are yet to be empirically examined on a large scale.

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The EQUIP Model: A Socioecological Framework for Applied Preventive Mental Health

The prevailing reactive, medical model of mental healthcare is insufficient to address the rising prevalence of mental illness and the significant social and economic costs associated with it. A paradigm shift toward proactive, systemic prevention is urgently needed. This paper introduces the EQUIP model (Examine, Quantify, Unite, Inquire, Plan), a socioecological framework for applied preventive mental health. Grounded in principles of public health, systems theory, and positive psychology, EQUIP provides a structured, iterative process for communities and organizations to move from reactive treatment to proactive wellbeing promotion. The model begins by examining social and structural vulnerabilities (Examine), followed by measuring population wellbeing using the evidence-based 5-Elements of Systemic Wellbeing Framework (Quantify). It then guides the formation of a diverse stakeholder task force (Unite), facilitates a deep, appreciative inquiry into local context and strengths (Inquire), and culminates in a scaffolded, participatory action plan (Plan). The EQUIP model offers a scalable, data-driven, and human-centered approach to architecting environments that buffer stress, build resilience, and foster the conditions for communities to thrive. The systems evaluation and change process is conducted within a fully automated software tool, the MindArchHealth Automation Pathway (MAP).

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The Unseen Architect: Leveraging Environmental Conditioning to Transform Mental Health Across Systems

Our global mental health situation is currently inadequate. We've mostly relied on teaching people directly about mental health, which is good, but it's slow and hard to spread that approach to everyone who needs it. So, what if there was a different way, a more subtle one, to help people feel better mentally -just by changing up their daily surroundings?

At its heart, environmental conditioning for mental health is about designing our physical and digital spaces to gently guide individuals toward enhanced well-being. This method diverges significantly from direct instruction, which demands active learning and conscious cognitive effort.

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Case Study: Enhancing Wellbeing for Childhood Cancer Survivors through a Socioecological Approach

This case study demonstrates the feasibility and acceptability of using the EQUIP model and the 5-Elements framework within the MAP software to conduct a benchmark assessment of wellbeing in CCS participating in the ECH program. The findings highlight the importance of rapport and relatability as key protective factors and provide valuable insights for program refinement and future research. The collaboration between MAH and AMOM underscores the potential of community partnerships to address the complex mental health needs of CCS and their families through needs assessment and strategic planning and provides a tool for impact assessment.

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Cost of Prevention vs Treatment in Mental Healthcare

Mental health challenges represent a significant and growing issue all over the world. While treatment services are crucial, a proactive approach focusing on prevention offers substantial economic advantages. This is evident in studies indicating that for every $1 invested in preventative mental healthcare, approximately $2 can be saved in treatment costs (Doppelt 2025). By addressing risk factors early and promoting mental wellbeing, we can reduce the prevalence and severity of conditions, in turn alleviating the escalating costs associated with long-term treatment and lost productivity (O’Connell et al., 2009). Organizations like MindArch Health, with their focus on prevention and accessible mental healthcare solutions, are strategically designed to contribute to this shift, ultimately allowing for a more sustainable and economically stable mental health landscape.

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Pediatrician’s Silent Struggle: Perspectives on Behavioral Health Beyond the Check-Up

This report summarizes findings from interviews conducted with five pediatricians in Suffolk County, Long Island, NY, aimed at understanding their practices, challenges, and needs regarding children's mental and behavioral health. Outreach was conducted with thirty offices via phone and email, indicating an almost 17% response rate. This average  response rate for cold outreach may indicate some connection with the topic as well as  the potential time constraints and high patient volume these professionals face. The interviews revealed a consistent commitment to addressing behavioral health, alongside significant systemic and practical challenges.

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Examining the Mental and Behavioral Health Vulnerabilities of Child Cancer Survivors

Children are surviving pediatric cancer at remarkable rates due to advancements in modern medicine. However, the early cancer experience can have long-term negative effects on cognitive, behavioral, and emotional functioning. In this review, we examine the vulnerabilities, science, impact, implications and alignment of the 5-Elements of Systemic Wellbeing Framework with A Moment of Magic’s Express Create Heal Programs.

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