Fulfilling the Promise of School-Based Mental Health: Moving Toward a Public Mental Health Promotion Approach

2005 ◽  
Vol 33 (6) ◽  
pp. 735-741 ◽  
Author(s):  
Mark D. Weist
Author(s):  
Dinesh Bhugra ◽  
Kamaldeep Bhui ◽  
Samuel Y. S. Wong ◽  
Stephen E. Gilman

Positive mental health can contribute to better educational, employment, and social functioning. Public mental health includes both mental health promotion and prevention of mental ill health. Public mental health works at levels of general and whole population and society, vulnerable groups and individuals, and those needing early diagnosis and intervention. At each level different strategies are required. It is recognized that, when in distress, most individuals will seek help first from within their personal, social, and folk support systems and seek professional help only if that does not work. This depends upon healthcare systems and available resources. In this chapter the editors propose that public mental health is an important part of any healthcare system and suggest ways forward. They recognize that there is research evidence confirming the value of mental health promotion through education and empowerment, and by promoting strength and resilience through various local and national activities


2012 ◽  
Vol 27 (2) ◽  
pp. 81-86 ◽  
Author(s):  
G. Kalra ◽  
G. Christodoulou ◽  
R. Jenkins ◽  
V. Tsipas ◽  
N. Christodoulou ◽  
...  

AbstractPublic mental health incorporates a number of strategies from mental well-being promotion to primary prevention and other forms of prevention. There is considerable evidence in the literature to suggest that early interventions and public education can work well for reducing psychiatric morbidity and resulting burden of disease. Educational strategies need to focus on individual, societal and environmental aspects. Targeted interventions at individuals will also need to focus on the whole population. A nested approach with the individual at the heart of it surrounded by family surrounded by society at large is the most suitable way to approach this. This Guidance should be read along with the European Psychiatric Association (EPA) Guidance on Prevention. Those at risk of developing psychiatric disorders also require adequate interventions as well as those who may have already developed illness. However, on the model of triage, mental health and well-being promotion need to be prioritized to ensure that, with the limited resources available, these activities do not get forgotten. One possibility is to have separate programmes for addressing concerns of a particular population group, another that is relevant for the broader general population. Mental health promotion as a concept is important and this will allow prevention of some psychiatric disorders and, by improving coping strategies, is likely to reduce the burden and stress induced by mental illness.


2020 ◽  
Author(s):  
Christian Rauschenberg ◽  
Anita Schick ◽  
Dusan Hirjak ◽  
Andreas Seidler ◽  
Isabell Paetzold ◽  
...  

BACKGROUND Accumulating evidence suggests the COVID-19 pandemic has negative effects on public mental health. Digital interventions that have been developed and evaluated in recent years may be used to mitigate the negative consequences of the pandemic. However, evidence-based recommendations on the use of existing telemedicine and internet-based (eHealth) and app-based mobile health (mHealth) interventions are lacking. OBJECTIVE The aim of this study was to investigate the theoretical and empirical base, user perspective, safety, effectiveness, and cost-effectiveness of digital interventions related to public mental health provision (ie, mental health promotion, prevention, and treatment of mental disorders) that may help to reduce the consequences of the COVID-19 pandemic. METHODS A rapid meta-review was conducted. The MEDLINE, PsycINFO, and CENTRAL databases were searched on May 11, 2020. Study inclusion criteria were broad and considered systematic reviews and meta-analyses that investigated digital tools for health promotion, prevention, or treatment of mental health conditions and determinants likely affected by the COVID-19 pandemic. RESULTS Overall, 815 peer-reviewed systematic reviews and meta-analyses were identified, of which 83 met the inclusion criteria. Our findings suggest that there is good evidence on the usability, safety, acceptance/satisfaction, and effectiveness of eHealth interventions. Evidence on mHealth apps is promising, especially if social components (eg, blended care) and strategies to promote adherence are incorporated. Although most digital interventions focus on the prevention or treatment of mental disorders, there is some evidence on mental health promotion. However, evidence on process quality, cost-effectiveness, and long-term effects is very limited. CONCLUSIONS There is evidence that digital interventions are particularly suited to mitigating psychosocial consequences at the population level. In times of physical distancing, quarantine, and restrictions on social contacts, decision makers should develop digital strategies for continued mental health care and invest time and efforts in the development and implementation of mental health promotion and prevention programs.


Author(s):  
Dinesh Bhugra ◽  
Kamaldeep Bhui ◽  
Samuel Y. S. Wong ◽  
Stephen E. Gilman

Positive mental health can contribute to better educational, employment, and social functioning. Public mental health includes both mental health promotion and prevention of mental ill health. Public mental health works at levels of general and whole population and society, vulnerable groups and individuals, and those needing early diagnosis and intervention. At each level different strategies are required. It is recognized that, when in distress, most individuals will seek help first from within their personal, social, and folk support systems and seek professional help only if that does not work. This depends upon healthcare systems and available resources. In this chapter the editors propose that public mental health is an important part of any healthcare system and suggest ways forward. They recognize that there is research evidence confirming the value of mental health promotion through education and empowerment, and by promoting strength and resilience through various local and national activities


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