Cultural Heritage as a Health Asset: A Systematic Review of Narrative Identity Reconstruction in Individuals with Mental Distress

Background: This research explores the intersection between cultural heritage and mental health, analyzing how heritage mediation acts as a strategic asset in the personal recovery of individuals experiencing mental distress. Methods: A systematic review was conducted across PubMed, PsycINFO (via ProQuest Psychology Collection), Scopus, Web of Science, and Google Scholar for the 2015–2026 period, following PRISMA protocols. The methodological quality of 18 selected studies was evaluated using the Mixed Methods Appraisal Tool (MMAT). Results: The findings reveal that the efficacy of these practices stems from a symbiotic interaction between tangible and intangible heritage, functioning as an “identity scaffold” that facilitates the transition from a “patient identity” toward a “citizen identity” with biographical authority. Analysis under the CHIME (Conexión—Hope—Identity—Meaning—Empowerment) framework reveals convergent evidence across the Identity dimension, positioning cultural environments as “third spaces” that mitigate self-stigma. Discussion and Conclusions: Recovery is identified as a circular phenomenon requiring the convergence of clinical and cultural scaffolding. This study advocates for a humanized service architecture where therapeutic practices and affective curating coexist, ensuring the right to identity and social justice within community mental health contexts.