scholarly journals A public health perspective on mental health: lessons for population health in the 21st century

Author(s):  
James V. Lucey

In December 2019, clinicians and academics from the disciplines of public health and psychiatry met in Dublin at the Royal College of Surgeons in Ireland (RCSI), to restate their shared commitment to population health. The purpose of this review is to bring our discussion to a wider audience. The meeting could not have been more timely. Six weeks later, the COVID-19 emergency emerged in China and within 12 months it had swept the world. This paper, the contents of which were presented at that meeting in December recommended that future healthcare would be guided more by public health perspectives and informed by an understanding of health economics, population health and the lessons learned by psychiatry in the 20th century. Ultimately two issues are at stake in 21st century healthcare: the sustainability of our healthcare systems and the maintenance of public support for population health. We must plan for the next generation of healthcare. We need to do this now since it is clear that COVID-19 marks the beginning of 21st century medicine.

Author(s):  
Eddy Gilissen ◽  
◽  
Chris Mulligan ◽  
Simon Tottman ◽  
Per Troein ◽  
...  

Healthcare systems across the world are looking at ways of maintaining the continuity of supply of medicines to patients in times of crisis.Whilst this is not a new phenomenon, the additional burden placed on the supply chain during COVID-19 has meant it has come more into the spotlight. The need to use a stockpile can be caused by an interruption to supply, a rapid and unexpected peak in demand, or when both an interruption to supply and a peak in demand occur simultaneously. The objectives of a stockpile will guide the portfolio breadth and depth to be held. Stockpile objectives are broadly driven either by government requirements to protect public health or by organisations seeking toachieve commercial gain. These drivers are not mutually exclusive as in the case of holding safety stock and Public Service Obligation stock. An Emergency Stockpile is Public Health driven and held in order to supply essential medicines during a signifcant or catastrophic event. Emergency stockpiles can be split into three categories — preparation for imminent event, disease specifc response and general contingency stockpiles. Governments and authorities determine which products and volumes should be held in an emergency stockpile which may be guided by the World Health Organizations (WHO) l ist of essential medicines.


2020 ◽  

In the past 100 years, the world has faced four distinctly different pandemics: the Spanish flu of 1918-1919, the SARS pandemic of 2003, the H1N1 or “swine flu” pandemic of 2012, and the ongoing COVID-19 pandemic. Each public health crisis exposed specific systemic shortfalls and provided public health lessons for future events. The Spanish flu revealed a nursing shortage and led to a great appreciation of nursing as a profession. SARS showed the importance of having frontline clinicians be able to work with regulators and those producing guidelines. H1N1 raised questions about the nature of a global organization such as the World Health Organization in terms of the benefits and potential disadvantages of leading the fight against a long-term global public health threat. In the era of COVID-19, it seems apparent that we are learning about both the blessing and curse of social media.


Author(s):  
Christian W. McMillen

There will be more pandemics. A pandemic might come from an old, familiar foe such as influenza or might emerge from a new source—a zoonosis that makes its way into humans, perhaps. The epilogue asks how the world will confront pandemics in the future. It is likely that patterns established long ago will re-emerge. But how will new challenges, like climate change, affect future pandemics and our ability to respond? Will lessons learned from the past help with plans for the future? One thing is clear: in the face of a serious pandemic much of the developing world’s public health infrastructure will be woefully overburdened. This must be addressed.


2020 ◽  
Vol 4 (3) ◽  
pp. 201-208 ◽  
Author(s):  
Amytis Towfighi ◽  
Allison Zumberge Orechwa ◽  
Tomás J. Aragón ◽  
Marc Atkins ◽  
Arleen F. Brown ◽  
...  

AbstractA primary barrier to translation of clinical research discoveries into care delivery and population health is the lack of sustainable infrastructure bringing researchers, policymakers, practitioners, and communities together to reduce silos in knowledge and action. As National Institutes of Healthʼs (NIH) mechanism to advance translational research, Clinical and Translational Science Award (CTSA) awardees are uniquely positioned to bridge this gap. Delivering on this promise requires sustained collaboration and alignment between research institutions and public health and healthcare programs and services. We describe the collaboration of seven CTSA hubs with city, county, and state healthcare and public health organizations striving to realize this vision together. Partnership representatives convened monthly to identify key components, common and unique themes, and barriers in academic–public collaborations. All partnerships aligned the activities of the CTSA programs with the needs of the city/county/state partners, by sharing resources, responding to real-time policy questions and training needs, promoting best practices, and advancing community-engaged research, and dissemination and implementation science to narrow the knowledge-to-practice gap. Barriers included competing priorities, differing timelines, bureaucratic hurdles, and unstable funding. Academic–public health/health system partnerships represent a unique and underutilized model with potential to enhance community and population health.


European View ◽  
2020 ◽  
Vol 19 (2) ◽  
pp. 154-163
Author(s):  
Nad’a Kovalčíková ◽  
Ariane Tabatabai

As governments and citizens around the world have struggled with the novel coronavirus, the information space has turned into a battleground. Authoritarian countries, including Russia, China and Iran, have spread disinformation on the causes of and responses to the pandemic. The over-abundance of information, also referred to as an ‘infodemic’, including manipulated information, has been both a cause and a result of the exacerbation of the public health crisis. It is further undermining trust in democratic institutions, the independent press, and facts and data, and exacerbating the rising tensions driven by economic, political and societal challenges. This article discusses the challenges democracies have faced and the measures they have adopted to counter information manipulation that impedes public health efforts. It draws seven lessons learned from the information war and offers a set of recommendations on tackling future infodemics related to public health.


2011 ◽  
Vol 26 (S2) ◽  
pp. 574-574
Author(s):  
I. Rocha

IntroductionWHO has defined the social determinants of mental health (2008) as “social justice is a matter of life or death. Affects how people live, their propensity for disease and risk of premature death”. Underlies that health is not only determined by biological, but by social factors that can be divided into: Economic, Gender and Cultural.ObjectivesThe author proposes to do a literature review focusing on a consensus on the social determinants of mental health, and the implications on the policies of various countries.Aims and methodsWe performed a literature review using textbooks and research papers (Medline, Pubmed, 1997–2010).ResultsTopics about Social Determinants of Mental Health often establish, the social gradient, situations of stress, childhood development, poverty, drug dependence, conditions at work, unemployment, social support, food, transportation policies, gender and cultural determinants.The Global Movement for Mental Health should play an important role in public health activities, focusing on global mental illness. To do this effectively, the mental health professionals need to confront global poverty, its relationship with the political and economic developments as well as the consequences for common mental illnesses.ConclusionsIn a public health perspective, evidence of the mechanisms of this relationship can be used to consider a variety of primary and secondary preventive strategies with regard to mental health.


2018 ◽  
Vol 17 (2) ◽  
pp. 90-91
Author(s):  
Woody Caan

Purpose The purpose of this paper is to assess the twenty-first century reach and impact of “happiness” work by one individual (Professor Lord Richard Layard). Design/methodology/approach The author approaches his work as a public health case study, with the caveat that the author knew this “Case” personally, which could influence the author’s assessment. Findings During 2005-2018, Richard Layard stimulated discussion of “happiness” as a field of study. This field now has global relevance to mental health, although its relationship to practice for population health is still debated. Originality/value Layard’s ideas are behind many initiatives, such as Improving Access to Psychological Therapies.


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