Restructuring Society in the Service of Mental Health Promotion: Are we Willing to Address the Social Determinants of Mental Health?

2009 ◽  
Vol 11 (3) ◽  
pp. 18-31 ◽  
Author(s):  
Dennis Raphael
2020 ◽  
Author(s):  
Behzad Damari ◽  
Mohammad Reza Amir Esmaili ◽  
Noora Rafiee ◽  
Ahmad Hajebi

Abstract Background: It is not always easy to put mental health on the agenda of sectors other than the health sector. However, it is now confirmed that mental health promotion policies need innovations beyond the scope of the health sector to be efficient. Thus, in this study, an attempt was made to identify the most effective stakeholders of the public sector in the field of mental health promotion in Iran to help the policy-makers of said sector and to encourage the inter-sectoral cooperation and further involvement of these effective sectors in mental health promotion plans. Methods: This was a mixed-methods study. From the data of the first step (literature review and a survey involving professors of relevant disciplines), the names of government agencies related to the domain of mental health were extracted. In the second step, a checklist was developed, the horizontal axis of which was the relevant organizations and the vertical axis was the social risk factors effective on mental health promotion. The data of this step were analyzed by the simple additive weighting method. In the final step, a table was plotted in the form of institutional mapping in order to summarize the organizations affecting each risk factor. Results: The Islamic Consultative Assembly, the Ministry of Interior, the Islamic Republic of Iran Broadcasting, the Ministry of Cooperatives, Labor, and Social Welfare, and the Ministry of Education were identified as five organizations with the greatest impacts on the social determinants of mental health promotion in Iran. Conclusions: Significant impacts can be exerted by institutions such as the Islamic Consultative Assembly (as the legislator), the Ministry of Interior and its subsidiary entities such as municipalities and governors (as the administrators of homeland security and support for safe and appropriate urban and local facilities), the Islamic Republic of Iran Broadcasting (as the national media), the Ministry of Cooperatives, Labor, and Social Welfare (as the institution in charge of employment, job security, and social welfare), and the Ministry of Education (as the educational institution of the country).


2019 ◽  
Vol 35 (1) ◽  
pp. 111-122 ◽  
Author(s):  
Kristi Calder ◽  
Lucy D’Aeth ◽  
Sue Turner ◽  
Annabel Begg ◽  
Ekant Veer ◽  
...  

Summary The All Right? campaign was developed as a mental health promotion campaign following the 2010–2011 Canterbury earthquakes. One aspect of the overall campaign was the utilisation of social media as a means of promoting wellbeing messages. This research evaluates the use of the All Right? Facebook page as a means of promoting wellbeing after a major natural disaster. Quantitative and qualitative methods were used to gather data about the social media component of the All Right? campaign. Findings indicate that the All Right? Facebook page has become a valued source of consistent wellbeing tips and advice -‘the place that I go’. Wellbeing reminders posted on the page were especially valued following earthquake aftershocks. High proportions of respondents to a survey (n = 212) linked from the All Right? Facebook page agreed that the page was helpful (98%), gave people ideas of things that they can do to help themselves (96%), and made people think about their wellbeing (93%). Over four fifths (85%) of respondents had done activities as a result of what they saw on the All Right? Facebook page. Success factors for the Facebook page often mirrored those for the campaign itself, including: local research to inform the use of appropriate language for translating evidence-based wellbeing messages into a local setting; not being marketed as a government message; and effectively combining public health and communications expertise. Success factors specific to the Facebook page included: regular posts with a focus on issues that affect everyone in Canterbury post-disaster; timely posts, especially immediately following aftershocks; a consistent tone for the All Right? Facebook page; and balancing wellbeing facts and tips with other content that was relevant to the Canterbury population. The overall success of the All Right? Facebook page was reliant on being part of a trusted population-wide mental health promotion campaign.


2020 ◽  
Author(s):  
Behzad Damari ◽  
Mohammad Reza Amir Esmaili ◽  
noora rafiee ◽  
Ahmad Hajebi

Abstract Background: It is not always easy to put mental health on the agenda of sectors other than the health sector. However, it is now confirmed that mental health promotion policies need innovations beyond the scope of the health sector to be efficient. Thus, in this study, an attempt was made to identify the most effective stakeholders of the public sector in the field of mental health promotion in Iran to help the policy-makers of said sector and to encourage the inter-sectoral cooperation and further involvement of these effective sectors in mental health promotion plans.Methods: This was a mixed-methods study. From the data of the first step (literature review and a survey involving professors of relevant disciplines), the names of government agencies related to the domain of mental health were extracted. In the second step, a checklist was developed, the horizontal axis of which was the relevant organizations and the vertical axis was the social risk factors effective on mental health promotion. The data of this step were analyzed by the simple additive weighting method. In the final step, a table was plotted in the form of institutional mapping in order to summarize the organizations affecting each risk factor.Results: The Islamic Consultative Assembly, the Ministry of Interior, the Islamic Republic of Iran Broadcasting, the Ministry of Cooperatives, Labor, and Social Welfare, and the Ministry of Education were identified as five organizations with the greatest impacts on the social determinants of mental health promotion in Iran. Conclusions: Significant impacts can be exerted by institutions such as the Islamic Consultative Assembly (as the legislator), the Ministry of Interior and its subsidiary entities such as municipalities and governors (as the administrators of homeland security and support for safe and appropriate urban and local facilities), the Islamic Republic of Iran Broadcasting (as the national media), the Ministry of Cooperatives, Labor, and Social Welfare (as the institution in charge of employment, job security, and social welfare), and the Ministry of Education (as the educational institution of the country).


2020 ◽  
Author(s):  
Emily Jenkins ◽  
Rebecca Haines-Saah ◽  
Liza McGuinness ◽  
Saima Hirani ◽  
Noah Boakye-Yiadom ◽  
...  

Abstract Background: Mental health challenges are a leading health concern for youth globally, requiring a comprehensive approach incorporating promotion, prevention and treatment within a healthy public policy framework. However, the broad enactment of this vision has yet to be realized. Further, mental health promotion evidence specific to youth is still emerging and has not yet focused at a policy level. This is a critical gap, as policy is a key mental health promotion lever that can alter the social and structural conditions that contribute to shaping youth mental health outcomes for all youth, across the full spectrum of need. Responsive to this research and intervention priority, our prototype study intervention – the Agenda Gap – is comprised of an innovative, multi-media engagement intervention, developed in collaboration with youth. This intervention aims to equip youth and build capacity for them to lead meaningful policy change reflective of the mental health needs of diverse communities of youth, including those who experience structural vulnerability and who would not typically have had their voice represented in policymaking processes. Methods: This study will use a multiple case study design and mixed methods grounded in a realist approach and will be conducted in three sites across two Canadian provinces (British Columbia and Alberta). In an earlier phase of this research, we collaboratively designed the prototype intervention with youth, community and policy partners. In this phase of the study, the intervention will be implemented and further tested with new groups of youth collaborators (n=10-15/site). Outcome data will be collected through realist qualitative interviews, validated questionnaires (i.e., Child and Youth Resilience Measure (CYRM-12), General Self-Efficacy (GSE) Scale, and the Critical Consiousness Scale (CCS)) and additional survey items developed by our study team. Analysis will focus on identification of key context-mechanism-outcome configurations to provide comprehensive insights into how this intervention works, for whom, and in what context. Discussion: This study is unique in its “upstream” focus on youth-engaged policymaking as a tool for improving the social and structural conditions that influence youth mental health across socioecological levels. Through the implementation and testing of the Agenda Gap intervention with diverse youth, this study will contribute to the evidence base on youth-engaged policymaking as a novel and innovative, mental health promotion strategy.


2020 ◽  
Author(s):  
Emily Jenkins ◽  
Rebecca Haines-Saah ◽  
Liza McGuinness ◽  
Saima Hirani ◽  
Noah Boakye-Yiadom ◽  
...  

Abstract Background Mental health challenges are a leading health concern for youth globally, requiring a comprehensive approach incorporating promotion, prevention and treatment within a healthy public policy framework. However, the broad enactment of this vision has yet to be realized. Further, mental health promotion evidence specific to youth is still emerging and has not yet focused at a policy level. This is a critical gap, as policy is a key mental health promotion lever that can alter the social and structural conditions that contribute to shaping youth mental health outcomes for all youth, across the full spectrum of need. Responsive to this research and intervention priority, our prototype study intervention – the Agenda Gap – is comprised of an innovative, multi-media engagement intervention, developed in collaboration with youth. This intervention aims to equip youth and build capacity for them to lead meaningful policy change reflective of the mental health needs of diverse communities of youth, including those who experience structural vulnerability and who would not typically have had their voice represented in policymaking processes. Methods A mixed methods study grounded in a realist approach will be conducted in three sites across two Canadian provinces (British Columbia and Alberta). In an earlier phase of this research, we collaboratively designed the prototype intervention with youth, community and policy partners. In this phase of the study, the intervention will be implemented and further tested with new groups of youth collaborators (n=10-15/site). Outcome data will be collected through realist qualitative interviews and validated questionnaires (i.e., Child and Youth Resilience Measure (CYRM-12), General Self-Efficacy (GSE) Scale, and the Critical Consiousness Scale (CCS)). Analysis will focus on identification of key context-mechanism-outcome configurations to provide comprehensive insights into how this intervention works, for whom, and in what context. Discussion This study is unique in its “upstream” focus on youth-engaged policymaking as a tool for improving the social and structural conditions that influence youth mental health across socioecological levels. Through the implementation and testing of the Agenda Gap intervention with diverse youth, this study will contribute to the evidence base on youth-engaged policymaking as a novel and innovative, mental health promotion strategy.


1998 ◽  
Vol 22 (9) ◽  
pp. 559-562 ◽  
Author(s):  
Chris Gilleard ◽  
Ros Lobo

This paper describes the social and clinical characteristics of patients who attended a mental health promotion drop-in clinic that was set up in a primary care group practice. From consideration of the characteristics of the patients, the problems they presented with and the results of the consultations, we argue that there is a viable role for mental health promotion as a form of primary prevention of mental health problems, distinct from an extended treatment or therapeutic role. It is open to question whether the particular way we delivered the service is necessary to achieve such an objective and we draw attention to some of the constructive criticisms the primary health care team made at the final evaluation of the project.


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