AI in Disaster Medicine: Scoping Review of Methods, Validation, and System Integration.

Attention to the social in mental health has shifted from the margins to mainstream discourse. Yet even in the face of advancements in acknowledging the importance of adversity, community, relational and family systems within mental health, responses to these dynamics within mental health systems and services are limited. As a result, the depoliticization of social worlds linked to mental health has also been mainstreamed, such that some aspects of the social – such as family relationships, and culture – become readily acceptable as within the bounds of mental-health action, and others – such as the structural factors driving oppression and exclusion including political landscapes, are relegated to the space of prevention. This partial engagement has narrowed our perspectives on ‘social justice’ in the mental health landscape. The focus currently is primarily on the distribution of, and access to, services, as it relates to upholding the human right to health. This frequently overlooks discussion of where inequalities come from, and acknowledgement that they are inflicted on others along historical lines of exclusion and oppression within and between countries []. Critically, discussions of social justice in relation to mental health, must acknowledge the problematic framings that have limited our view and approaches to action. For example, across the mental health field, accounting for the social roots of conditions within the conceptualization and treatment of mental health problems has been a consistent focus of debate. Foucault’s notions of psychiatrisation- the mechanism through which psychiatry creates subjectivities and the boundaries of personhood aligned to state structures and desire of control []; or David Ingelby’s perspectives on critical psychiatry, which articulates the consequences of interpretation of societal violence and state failures as psychiatric illness [] are two examples. This builds on early anti-colonial psychiatric perspectives championed by Frantz Fanon who also queried overly medicalized approaches to mental illness and clearly linked the impacts of the structural violence of colonialism and racism to experiences of distress and madness, which demanded treatments not of the mind, but the world which drives minds to madness []. Recent scholarship from Heidi Rimke [] reiterates the importance of these early critiques, highlighting victim blaming that follows the erasure of social complexity within approaches to mental ill-health when they minimize state responsibility to build environments that enable good mental health. This legacy of thought demands alternative ways of embracing social conditions within framings of treatment and action.