Hesperian Health Guides
Build support and solidarity
HealthWiki > Promoting Community Mental Health > Chapter 1: Building community builds mental health > Build support and solidarity
- Making the harm go away or become less harmful can improve the well-being of group participants and neighbors right away.
- Achieving one change can open the door to other changes and inspire people to think about what might be possible.
Another benefit of taking on a community project is how people themselves change as they get involved in organizing. Even if they lose in the short-term, they win something in the long-term. They develop new relationships, new insights into their own power, and new ideas about what is possible and what is blocking their desired changes. Group action and community organizing build support and solidarity. People grow their strengths as individuals and power as a group by working together.

There is no question that these projects can take a great deal of effort and hard work. Working with others to make change is fulfilling, but long hours, setbacks, and a sense of too-slow progress is usually part of it as well. Often there are no shortcuts to things that take time. Staying in it for the long haul means reminding yourself that lifting up collective mental health ultimately will preventâas well as repairâmany problems people experience as individuals. And an affirming and positive process to get there is part of the cure.
Preventing violence: Start with a street corner
Sometimes a group has to challenge power structures and create alternatives to the way things are. Taking action by being present and strong together can challenge harmful policies and practices and at the same time model how problems affecting a community could be handled differently.
Mothers and Men Against Senseless Killings (MASK) started as a small group of volunteers in a Chicago neighborhood known for high levels of gang violence, police violence, and other problems. The group set out to break the cycle of violence by occupying a central street corner. They wanted a neighborhood where everyone, especially children, could be safe and could flourish.
They started with volunteers bringing chairs and sitting outdoors on the block every evening. The group also began to cook and hand out food to support neighbors, which also got more people to spend more time outside on the street and helped the adults to get to better know each other and connect with young people.
Building relationships with youth and a more constant presence on the street helped to calm problems that arose among young people. Neighbors could also watch out for police, protecting anyone the police might stop and harass.

MASK has had setbacks along the wayâsome of their members were lost to the gun violence they work to eradicate. Rather than giving up, they expanded to meet more needs, setting up counseling and guidance for community members. They provide a listening ear for people who need it. And to try to address some of the deeper causes of violence, MASK connects neighbors, especially youth, to city services, educational opportunities, economic support, and professional skills training.
Getting to the roots of problems to improve community mental health
When people right in front of us are showing distress or having a mental health problem, of course we want to help them right away. We focus on them, what they are going through, and what might help them feel better. Some mental health professionals (including social workers, nurses, counselors, religious leaders, and others) skillfully do that time and time again. They help a succession of people heal.
To improve community mental health, we need to make sure people get the person-to-person help they need, and we need to identify and change the conditions that create and worsen mental health challenges for entire groups of people. These conditions may be social, economic, or political, and many started long ago. These deep and ongoing sources of stress and hardship also make it more difficult to recover from hard times, such as a death in the family, a relationship ending, or losing a job or a home.

By helping people identify and work to change these underlying conditions, as well as build skills to cope with stresses, community mental health work can strengthen an individualâs ability to withstand the impact of the disappointments and even tragedies that happen in life. Community mental health efforts can also strengthen, support, and sustain groups of people when such events disrupt a neighborhood or community.
Activity
But why?
Finding the root causes of mental and physical health problems means looking at the different parts of our lives and the systems that contribute to those problems. The âBut why?â discussion technique helps us look deeper and shows how problems, and their eventual solutions, are usually not caused by individual decisions but by larger social issues. Raising awareness of how these affect us can help us organize effective action for change and build resilience in individuals and communities. âBut why?â also helps us sift through complex situations to identify smaller parts that are more easily changed. You can use âBut why?â to discuss a specific problem or situation, or you can make up a story that reflects the conditions in your community.
- Start by describing the situation and asking the group to share their ideas about why it happened. After each answer, ask âBut why?â to explore more underlying causes for as long as people keep thinking of reasons.

- Ask the group to reflect on the many underlying causes they found. Talking about all the causes of a problem can help the group decide which causes are the most important, which causes can change, what are possible solutions and whoâboth inside and outside the groupâcan work for those changes.
- Then ask: What actions can address the causes of the problems?

- To conclude, help the group come to agreements on which action or actions they will start with, and develop a clear plan for next steps
This âBut why?â technique is also good for looking at successes. It can help you think more deeply about what went well and why, and what that might tell you about planning next steps for the group or working on other problems.

Activism, policies, and programs responding to community issues can prevent as well as cure some of the causes of mental health problems. This is the big picture that is sometimes forgotten or overwhelmed in the face of individual mental health needs. Skill-building to prepare us to support people (including ourselves) going through a hard time will improve our effectiveness in meeting our communityâs needs and working for change. Recognizing the signs of mental health challenges, paying attention to how we interact with others, and developing listening and de-escalation skills are among the topics examined more deeply in the following 3 chapters.