Health equity means that every person has the opportunity to achieve optimal health and safety. But in many communities with concentrated disadvantage, people have poor health outcomes, which are referred to as health inequities. To advance equity, we must focus on the structural drivers of injustice that shape the health, safety, and wellbeing of entire communities and populations. Oppression and discrimination on the basis of race, class, education, gender, sexual orientation, immigration status, religion, and other characteristics have powerful negative effects on mental health. We seek to change the community conditions tied to these inequities by addressing the policies, practices, procedures, and norms that cause or perpetuate them.