TY - JOUR T1 - Which non-pharmaceutical primary care interventions improve mental health amongst socioeconomically disadvantaged populations? Systematic review JF - British Journal of General Practice JO - Br J Gen Pract DO - 10.3399/BJGP.2022.0343 SP - BJGP.2022.0343 AU - Louise M Tanner AU - Josephine M Wildman AU - Akvile Stoniute AU - Madeleine Still AU - Kate Bernard AU - Rhiannon Green AU - Claire H Eastaugh AU - Katie H Thomson AU - Sarah Sowden Y1 - 2022/11/22 UR - http://bjgp.org/content/early/2022/11/22/BJGP.2022.0343.abstract N2 - Background: Common mental health disorders (CMDs) are especially prevalent amongst people from socioeconomically disadvantaged backgrounds. Non-pharmaceutical primary care interventions, such as social prescribing and collaborative care, provide alternatives to pharmaceutical treatments for CMDs. Little is known about the impact of these interventions for socioeconomically disadvantaged patients. Aim: To synthesise evidence for the effects of non-pharmaceutical primary care interventions on CMDs and associated socioeconomic inequalities. Design and setting: Systematic review of quantitative primary studies published in English and undertaken in high-income countries. Method: Six bibliographic databases were searched (Medline, ASSIA, CINAHL, Embase, PsycInfo and Scopus) and additional grey literature sources screened. Data were extracted onto a standardised proforma and quality assessed using the Effective Public Healthcare Panacea Project (EPHPP) tool. Data were synthesised narratively and effect direction plots produced for each outcome. Results: Thirteen studies were included. Social prescribing interventions were evaluated in ten studies, collaborative care in two studies and a new model of care in one study. Positive results (based on effect direction) were reported for the impact of the interventions on wellbeing in socioeconomically deprived groups. Inconsistent (mainly positive) results were reported for anxiety and depression. One study reported that people from the least compared to the most deprived group benefitted most from these interventions. Overall, study quality was weak. Conclusion: Targeting non-pharmaceutical primary care interventions at socioeconomically deprived areas may help to reduce inequalities in mental health outcomes. However, only tentative conclusions can be drawn from the evidence in this review and more robust research is required. ER -