Every counselor–client interaction is an opportunity for mutual learning through inquiry, listening, exploring, and understanding about a client's experiences with development and well-being. Given the convergence of multiple sociopolitical events and systems that impact mental health and well-being, we issue a call to increase promotion and uptake of preventative mental health strategies by assessing the social determinants of mental health (SDMH) in counseling practice. We contend that counselors are uniquely prepared to assess the SDMH at the intrapersonal, interpersonal, and environmental levels. Therefore, we review the parallels between counseling frameworks and the SDMH with the aim of explaining why and how counselors should assess the SDMH. Specifically, we describe ways that counselors can use their foundational skills and expertise in assessment procedures to identify client needs, as well as potential individual and community interventions. We outline a four-phased approach for assessing the SDMH in counseling practice and provide implications for improving counseling outcomes.

中文翻译：

---

评估咨询实践中心理健康的社会决定因素

每一次咨询师与来访者的互动都是通过询问、倾听、探索和理解来访者的发展和福祉经历来相互学习的机会。鉴于影响心理健康和福祉的多种社会政治事件和系统的融合，我们呼吁通过评估咨询实践中的心理健康社会决定因素（SDMH）来加强预防性心理健康策略的推广和采用。我们认为，辅导员在个人内部、人际和环境层面上评估 SDMH 有着独特的准备。因此，我们回顾咨询框架与 SDMH 之间的相似之处，旨在解释咨询师为何以及如何评估 SDMH。具体来说，我们描述了辅导员如何利用他们在评估程序中的基本技能和专业知识来确定客户的需求以及潜在的个人和社区干预措施。我们概述了评估咨询实践中 SDMH 的四阶段方法，并提供了对改善咨询结果的影响。