Refugee and immigrant communities face a host of dynamic health challenges. This essay discusses the importance of prioritizing the impacts of resettlement on mental health and provides examples of how creating a collective network of culturally responsive, trauma-informed, and healing-centered providers—centered on community-based best practices and knowledge—is integral to fostering community resilience. Additionally, it will examine how resettlement challenges intersect with systemic barriers to culturally responsive care and related Social Determinants of Health (SDOH), including economic stability, health care access and quality, and social and community contexts. Drawing upon experiences from a statewide network spanning southern and northern California—and based on interim mixed-methods program evaluation data and practitioner reflections highlighting one community partner’s experience—we provide key learnings that demonstrate how coalition building, cultural humility, and provider training can improve client well-being, reduce mental health disparities, and address the relevant SDOH. Key learnings illustrate the importance of the following: (1) coalition building to co-create trusted provider referral networks and support peer-to-peer learning to enhance client care; (2) provider trainings and capacity building on healing-centered and culturally responsive practices to address SDOH; (3) centering cultural humility; and (4) building a peer-based workforce who speak similar languages and share lived experiences to provide deeper cultural connections and build trust. Our experiences demonstrate that the co-creation of strong mental health provider networks is critical to strengthening the fabric of community resilience.

We developed and sent a series of five monthly text messages promoting fruit and vegetable consumption to approximately 170,000 SNAP participants in San Diego County, California. The text messages, which were sent in English and Spanish, included links to a dedicated bilingual website offering additional information, including how to select, store, and prepare seasonal fruits and vegetables, health benefits of different fruits and vegetables, recipes, and tips to reduce food waste. To our knowledge, this represents the first instance of a SNAP agency providing nutrition information directly to SNAP participants. We conducted seven focus groups (four in English and three in Spanish) with a convenience sample of twenty-six text message recipients, to elicit their perceptions of this intervention, self-reported behavior changes, and recommendations for moving forward. Respondents reported overwhelmingly positive perceptions of this effort, including increased intake of fruits and vegetables, and trying new fruits and vegetables. Participants also reported improved perceptions of SNAP. Virtually all would like this effort to continue, and many would like to receive the messages more frequently than once a month. This effort represents a relatively low-cost approach that SNAP agencies can implement to provide SNAP participants with food and nutrition information that can help them to improve their diets, optimize their food dollars, and enhance their feelings of well-being related to participating in the program.

Community-academic partnerships are increasingly recognized as essential for advancing equitable public health outcomes. Yet many partnerships struggle to move beyond short-term, project-based collaboration toward sustained, trust-based engagement with communities. This commentary draws on the experience of the University of California San Diego Center for Community Health (CCH) and its long-standing partnerships with immigrant, refugee, and other underserved communities in San Diego County. Over more than two decades of practice, CCH and its community partners developed the Community-Led Transformation (CLT) approach to guide authentic community-academic collaboration. We describe three interdependent pillars of CLT: valuing community expertise, fostering trust-based partnerships, and ensuring fair access to resources and power-sharing. Examples from CCH programs, coalitions, and research collaborations illustrate how these principles are operationalized in practice. We also reflect on structural challenges within academic institutions, including funding instability, administrative barriers, and limitations in partnership infrastructure, and strategies used to navigate these constraints while sustaining community partnerships. We provide specific recommendations for academic partners, community partners, and funders to facilitate community-academic partnerships via increased capacity building, infrastructural supports, and greater relationship and trust building. The CLT framework has therefore been a success within CCH, and can provide practical insights for a variety of partners and institutions seeking to build authentic, durable partnerships that meaningfully advance public health and health equity.