Community Rounds
December 1, 2021

Social Determinants of Mental Health and Substance Use

Brady Heward, MD

Our speaker is Brady Heward, MD, Co-Director of Clinical Affairs, Assistant Professor of Psychiatry at the University of Vermont Larner College of Medicine. This presentation introduces key concepts related to the social and structural determinants of health and how they apply to substance use disorders, with particular focus on implications for rural communities.​

Learning objectives:​

  1. Define social and structural determinants of health​
  2. Identify how social determinants lead to inequity in health, healthcare, and outcomes​
  3. Identify ways that social determinants impact substance use and treatment​
  4. Discuss how COVID-19 has impacted social determinants of health and substance use​
  5. Discuss implications for clinical care and advocacy for individuals and communities


Brady Heward

Brady Heward, MD

Dr. Heward is an Assistant Professor at the UVM Larner College of Medicine and a Clinical Instructor at Yale School of Medicine. He specializes in addiction psychiatry and child and adolescent psychiatry and works clinically at the Addiction Treatment Program at the UVM Medical Center and on the Child and Adolescent Inpatient Psychiatry unit at CVPH. He serves as a mentor in the REACH fellowship (Recognizing and Eliminating disparities in Addiction through Culturally informed Healthcare) through Yale and AAAP. Dr. Heward graduated from medical school at the Yale School of Medicine. He completed a general psychiatry residency, a public psychiatry fellowship, and an addiction psychiatry fellowship at Yale. He completed a child and adolescent psychiatry fellowship at UVM. Dr. Heward has particular interest in health disparities, access to care, and risk and protective factors for adolescent, and young adult substance use.