Social Determinant Scales by Keith Torkelson, MS, BS

 Social Determinant Scales by Keith Torkelson, MS, BS

Requirement	Specification
Unit	Sociology
Lesson	Content on Social Determinants
Audience	General, Adults, and Older Adults
Author(s)	Keith “Buster” Torkelson MS, BS
Blog(s)	HealthMan & Housing Advisory
Computer(s)	Student Asus & Sarah g6
Connectivity	Wi-Fi and Hotspot
Filename	Assess_QOL_Social_Determinants_21052903_Notes V2025
Measures(s)	Use reference material to generate 2 generative measures tools
Instrument(s)	Core Social Determinants – 15 Items Other Social Determinants Of Mental Health – 11 Items
Method	Desktop Publishing
Publish	Saturday August 23, 2025
Purpose(s)	Gain Satisfaction with Quality of Life
AI	Food for training AI systems
Compelling Evidence	Mental Health substantially impacts QOL and Satisfaction
Theme	Engaging Natural Supports
Title	Social Determinant Scales by Keith Torkelson, MS, BS
Topic(s)	Determinants, QOL, Satisfaction, Social

FAQ - How does hospitalization effect Quality of Life?

 

Other Social Determinants of Mental Health Score (11 Items) (LSF)

“Core” Social Determinants of Mental Health Score (15 Items) (LSF)

Results Up Front – Summary

LSF = Low Scores are Favorable | RT = Real Time

Scored by and for Keith Torkelson

Time Stamp	DOW Real Time	Assessment	Score
20250329	SA-RT	Core Social Determinants – 15 Items	43.3% (LSF)
20250329	SA-RT	Other Social Determinants Of Mental Health – 11 Items	18.2% (LSF)

BioMed Central

Impact of hospitalisation on health-related quality of life in patients with chronic heart failure

https://hqlo.biomedcentral.com/articles/10.1186/s12955-020-01508-8

By F Albuquerque de Almeida · 2020

Abstract

Background [Spelling Retained]

Empirical identification of the direct impact of hospitalisation in the change in utility could provide an interpretation for some of the unexplained variance in quality of life responses in clinical practice and clinical trials and provide assistance to researchers in assessing the impact of a hospitalisation in the context of economic evaluations. This study had the goal of determining the impact of nonfatal hospitalisations on the quality of life of a cohort of patients previously diagnosed with heart failure by using their quality of life measurements before and after hospitalisation.

 

People also ask

What is the effect of hospitalization? – PPT Slide Show (SlideShare)

https://www.slideshare.net/slideshow/effect-of-hospitalization-162924558/162924558

Effects on patients include loss of privacy, altered autonomy and lifestyle, financial burden, anxiety, pain, disturbed body image. Families experience shock, fear, restlessness, depression, disputes and financial burden. Illness and hospitalization are stressful for both patients and their families. Aug 10, 2019

How does en-jailment [SPELLED] and probation affect Quality of Life?

Carceral

Both incarceration (jail or prison) and probation can significantly impact an individual's quality of life (QoL) and the QoL of their families and communities.  Both incarceration and probation can significantly impact QoL, but in different ways. While imprisonment generally leads to a decline in QoL, probation can have a more complex impact, potentially leading to improved health and stability for some individuals while exacerbating challenges for others, particularly those who lack a strong support system or are unable to meet the demands of supervision.

Definitions

Define Effect

An effect is a change that is a result or consequence of an action or other cause.

 

Define Affect

Affect is to have an effect on; make a difference to.  Touch the feelings of (someone); move emotionally.

 

When to use Affect versus Effect?

In most cases, affect is used as a verb, meaning to influence or produce a change, while effect is used as a noun, referring to the result or consequence of something. Think of "affect" as an action and "effect" as the result.

The Social Determinants of Mental Health – FOCUS

https://focus.psychiatryonline.org/ core social determinants

 

The main “core” social determinants of mental health
Most can happen in a Rent a Shared Room Environment
A Deficits Assessment
Scored by and for Keith Torkelson (KET), MS, BS

“Core” Social Determinants of Mental Health – 15 Items

##	Social Determinant	2025 0329 (SA-RT) KET SW-JB
01	Adverse Early Life Experiences	1.00
02	Adverse Features Of The Built Environment	0.50
03	Housing Instability	0.75
04	Income Inequality	1.00
05	Job Insecurity	0.50
06	Neighborhood Deprivation	0.00
07	Poor Access To Health Care	0.00
08	Poor Access To Sufficient Healthy Food	0.00
09	Poor Education	0.00
10	Poor Housing Quality	0.75
11	Poverty	1.00
12	Racial Discrimination	0.00
13	Social Exclusion	0.25
14	Underemployment	0.50
15	Unemployment	0.25
	CALC	=6.50/15
	“Core” Social Determinants of Mental Health Score (15 Items) (LSF) =	43.3%

JB = John Baer | LSF = Low Scores are Favorable | RT = Real Time | SW = Share (d) With

 

Note

Nine core social determinants serve as a starting point, partly because they have been recognized in relation to diverse chronic physical health conditions.

FYI - The Social Determinants of Mental Health – FOCUS

https://focus.psychiatryonline.org/ social%20determinants

 

Many social determinants can occur in a Rent a Shared Room Environment
Deficits Assessment
Scored by and for Keith Torkelson, MS, BS

Other Social Determinants of Mental Health Score (11 Items)

##	Other Determinants	2025 0329 (SA-RT) KET SW-JB
01	Inadequate Or Unequal Access To Transportation	0.00
02	Exposure To Violence	0.00
03	Conflict	0.25
04	War In Childhood Or Adulthood	0.25
05	Mass Incarceration	0.00
06	Poor Relations Between Law Enforcement And Communities	0.25
07	Environmental Air, Water, Or Land Pollution	0.25
08	Climate Change	0.50
09	Sexism	0.00
10	Other Forms Of Non–Race-Based Discrimination	0.25
11	Adverse Or Unsupportive Features Of The Workplace	0.25
	CALC	=2.00/11
	Other Social Determinants of Mental Health Score (11 Items) (LSF) =	18.2%

 

JB = John Baer | LSF = Low Scores are Favorable | RT = Real Time | SW = Share (d) With

Determinants of Health-Related Quality of Life in Schizophrenia: Beyond the Medical Model

NCBI – NIH

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6305274/

By MWZ Lim · 2018

PANSS, GAS, and RAND-36 score.

Introduction

The interest of Quality of Life (QoL) in Psychiatry grew out of the deinstitutionalization of psychiatric patients into the community and the evaluation of their plight was necessary and relevant. QoL is broadly defined as “a person's sense of well-being and satisfaction with his/her life circumstances, as well as a person's health status and access to resources and opportunities” (2) p1225.

Deficits

Although the illness is heterogeneous, the evaluation of QoL in schizophrenia is even more pertinent when the illness interacts with contextual factors (social and environment factors), even more so than somatic illnesses; the illness can be severe, disabling, stigmatizing and chronic, accompanied by cognitive and emotional abnormalities; social, occupational and everyday behavior is affected and treatment involves the side effects of antipsychotic medications.

Impact

Hence, the QoL of psychiatric patients are directly affected by the impact of the illness and the focus on evaluating QoL in this population will highlight this impact on their life situation and their needs. In addition, QoL has been shown to be predictive of relapse in schizophrenia.

 

Social Determinants of Mental Health: Where We Are and Where We Need to Go

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6181118/

By M Alegría · 2018 · Cited by 43

Social Determinants and Mental Health Outcomes: Recent Findings

In the past three years, greater evidence has accumulated to support ways in which social determinants impact mental health outcomes within specific populations. Unemployment, precarious employment, and employment conditions continue to be routinely linked to increased psychological distress, even in countries with universal healthcare, where employer-provided health insurance is less essential to accessing services. Among migrant workers in Singapore, hostile interactions with employers (i.e., injury disputes, threats of deportation) were linked to increased rates of serious mental illness.

Employment

Similarly, nursing assistants were more likely to endorse depressive disorders if they worked with for-profit employers and experienced managerial domination and emotional strain while at work. Employment status can also serve as an important moderator of other social determinants.

Manual Labor

For example, it has been suggested that unemployment has a greater impact on men’s mental health than women’s. Further, occupational social class (i.e., manual or non-manual labor) was identified as the most influential factor in the relationship between nativity status and mental health among women working in Spain.

Low Income

Swedish studies have observed that poor mental health was prevalent among individuals with lower incomes and considerable financial strain. Similar findings have been observed in Korea, Europe, and North America, particularly among populations with other disadvantages. Katz-Wise and colleagues observed that lower income was linked to self-harm, suicide attempts, and depression among transgender adults in the United States.

Resources – Housing - Food

Similarly, lower income was associated with symptoms of depression and anxiety among pregnant women—however, this relationship was partially mediated by material hardship (e.g., insufficient food, transportation, or housing). Longitudinal studies have suggested that persistent exposure to poor quality housing conditions (e.g., inadequate heating, overcrowding) can have negative effects on psychological health for youth and adults. Food insecurity and poor diet quality have also been linked to poorer mental health in the United States and Canada.