Wellbeing Measurement and Policy Design—Measures, Key Findings, and Wellbeing Frameworks

Author(s):  
Paul Frijters ◽  
Christian Krekel

The second chapter is targeted at readers who wish to know what matters for subjective wellbeing, and in particular for those who wish to design policies in order to improve it. It begins with an extensive discussion on the direct measurement of wellbeing, covering both prevalent current measures and promising future measures, after which it presents some key findings and rules of thumb on what influences wellbeing. It then organizes the wellbeing lessons for governments by discussing the relation between wellbeing and four areas where government is very active: the provision of basic comforts, the regulation and production of experience goods and skills, the importance of status concerns, and social identities. This come with rules of thumb on how to recognize possible improvements and some indication as to what would be good value for money in terms of interventions. This chapter also discusses frameworks of wellbeing to aid appraisals, evaluations, and overall policy thinking in different areas. It presents a mental framework that embeds wellbeing into the whole economy (a capital framework) and then apply the theories and general framework to mental health and relationship-type interventions. The chapter ends with a taxonomy of thinking about wellbeing in government departments, including departments directly oriented towards some aspect of wellbeing (like health) and others that are oriented towards enabling the government to function (like tax authorities) or towards identity (like culture).

2019 ◽  
Vol 5 (10) ◽  
pp. 424
Author(s):  
Luis Gargallo Vaamonde

During the Restoration and the Second Republic, up until the outbreak of the Civil War, the prison system that was developed in Spain had a markedly liberal character. This system had begun to acquire robustness and institutional credibility from the first dec- ade of the 20th Century onwards, reaching a peak in the early years of the government of the Second Republic. This process resulted in the establishment of a penitentiary sys- tem based on the widespread and predominant values of liberalism. That liberal belief system espoused the defence of social harmony, property and the individual, and penal practices were constructed on the basis of those principles. Subsequently, the Civil War and the accompanying militarist culture altered the prison system, transforming it into an instrument at the service of the conflict, thereby wiping out the liberal agenda that had been nurtured since the mid-19th Century.


Author(s):  
Vasilios Gialamas ◽  
Sofia Iliadou Tachou ◽  
Alexia Orfanou

This study focuses on divorces in the Principality of Samos, which existed from 1834 to 1912. The process of divorce is described according to the laws of the rincipality, and divorces are examined among those published in the Newspaper of the Government of the Principality of Samos from the last decade of the Principality from 1902 to 1911. Issues linked to divorce are investigated, like the differences between husbands and wives regarding the initiation and reasons for requesting a divorce. These differences are integrated in the specific social context of the Principality, and the qualitative characteristics are determined in regard to the gender ratio of women and men that is articulated by the invocation of divorce. The aim is to determine the boundaries of social identities of gender with focus on the prevailing perceptions of the social roles of men and women. Gender is used as a social and cultural construction. It is argued that the social gender identity is formed through a process of “performativity”, that is, through adaptation to the dominant social ideals.


2018 ◽  
Vol 9 (2) ◽  
pp. 60
Author(s):  
Kamlesh Kumar Sahu

Psychiatric Social Work teaching has completed seven decades in India which was started with master course in medical and psychiatric social work at Tata Institute of Social Sciences, Mumbai in 1948 followed by various schools of social work across the country but unfortunately even after two year full time or part time course they are not counted as a mental health professional; still they need two more years of specialized training in mental health as Master of Philosophy in Psychiatric Social Work (M.Phil. PSW) which was offered in just a few institutions. Recently the Government of India formulated manpower development schemes under the national mental health programme to address the shortage of men power in mental health. Under this scheme, 25 centre of excellence in mental health are already stabilised and various post graduate departments were upgraded and M.Phil. PSW course is started or will be started. This figure is in raise in Government intuitions and few private institutions also. The prominence of social work in mental health is expected to enhance by this effort as highly trained social workers will be available to practice in the mental health field but there are some challenges to overcome to get the maximum outcome from this opportunity to expand.    Keywords:Psychiatric social work, mental health, men power development, India  Â


2020 ◽  
Author(s):  
Joseph Bulbulia ◽  
Sofia Piven ◽  
Fiona Barlow ◽  
Don E. Davis ◽  
Lara Greaves ◽  
...  

New Zealand's COVID-19 lockdown in March and April 2020 was among the world's most stringent. Similar to other countries, New Zealand's lockdown occurred amidst pervasive health and economic uncertainties. However, New Zealanders experienced comparatively less psychological distress. To test theories of pandemic distress mitigation, we use national longitudinal responses with pre-COVID-19 baselines and systematically quantify psychological distress trajectories within the same individuals during the lockdown (pre-COVID-19 = 2018/2019; stringent-lockdown = March/April 2020; N = 940). Most distress indicators were minimally elevated. However, there was a three-fold increase in feelings of worthlessness. Neither satisfaction with the government, nor business-satisfaction, nor a sense of neighbourhood community were effective distress defences. Perceived social-belonging and health-satisfaction mitigated feelings of worthlessness. A silver lining was a relief from feelings of effort, which social-belonging fostered. That social-belonging and health satisfaction could quell serious distress among those low in government confidence, low in business satisfaction, and low neighbourhood community proves that distress mitigation is possible without shifting a population's general political, economic, and civic attitudes. Protection of income and containment of infectious disease threat reduces mental health burdens. Though feelings of worthlessness surge during lockdown, such feelings attenuate from interpersonal belonging with people one already knows.


2020 ◽  
pp. 002076402096812
Author(s):  
Maiko Fukasawa ◽  
Norito Kawakami ◽  
Maki Umeda ◽  
Tsuyoshi Akiyama ◽  
Naoko Horikoshi ◽  
...  

Background: Distrust in authorities has negative effects on mental health. Aims: In this study, we aimed to explore whether the impact of distrust in government on mental health became stronger in the area heavily affected by the 2011 Fukushima nuclear power plant accident. Methods: We examined the effects of distrust in the national government on depressive symptoms three years after the accident among community residents in Fukushima prefecture using those in the Kanto area (the area surrounding Tokyo) as a control. A questionnaire survey was administered to a random sample of 1000 residents in Fukushima prefecture and 1650 residents in the Kanto area. Distrust in the national government was assessed using a four-point single-item scale. Depressive symptoms were measured using the Patient Health Questionnaire-9. The associations of residential area (i.e. living in Fukushima prefecture or in the Kanto area) and distrust in the national government with depressive symptoms were examined, controlling for socio-demographic characteristics and disaster-related experiences using multivariate linear regression analyses. We used the interaction term of residential area and distrust in the government to explore the difference in the association between the respondents in Fukushima prefecture and those in the Kanto area. Results: Valid responses were obtained from 976 (36.8%) residents. Distrust in the government was associated with depressive symptoms and the association was stronger in Fukushima prefecture than in the Kanto area. Conclusion: The deleterious effects of distrust in the government on mental health may become more serious after a nuclear power plant accident and require careful attention during support activities in an affected area.


2003 ◽  
Vol 37 (1) ◽  
pp. 31-40 ◽  
Author(s):  
Vaughan J. Carr ◽  
Amanda L. Neil ◽  
Sean A. Halpin ◽  
Scott Holmes ◽  
Terry J. Lewin

Objective: To estimate the costs associated with the treatment and care of persons with psychosis in Australia based on data from the Low Prevalence Disorders Study (LPDS), and to identify areas where there is potential for more efficient use of existing health care resources. Method: The LPDS was a one-month census-based survey of people with psychotic disorders in contact with mental health services, which was conducted in four metropolitan regions in 1997–1998. Mental health and service utilization data from 980 interviews were used to estimate the economic costs associated with psychotic disorders. A prevalencebased, ‘bottom-up’ approach was adopted to calculate the government and societal costs associated with psychosis, including treatment and non-treatment related costs. Results: Annual societal costs for the average patient with psychosis are of the order of $46 200, comprising $27 500 in lost productivity, $13 800 in inpatient mental health care costs and $4900 in other mental health and community services costs. Psychosis costs the Australian government at least $1.45 billion per annum, while societal costs are at least $2.25 billion per annum (including $1.44 billion for schizophrenia). We also report relationships between societal costs and demographic factors, diagnosis, disability and participation in employment. Conclusions: Current expenditure on psychosis in Australia is probably inefficient. There may be substantial opportunity costs in not delivering effective treatments in sufficient volume to people with psychotic disorders, not intervening early, and not improving access to rehabilitation and supported accommodation.


Author(s):  
Mduduzi Colani Shongwe ◽  
Song-Lih Huang

The unpredictability of the COVID-19 pandemic can induce psychological distress in individuals. We investigated perceived stressors, prevalence of psychological distress and suicidal ideation, and predictors of psychological distress among adults during the COVID-19 pandemic in Eswatini. This study was a cross-sectional, population-based household telephone survey of 993 conveniently sampled adults (18+ years) from all the four administrative regions of Eswatini. Data were collected between 9 June and 18 July 2020 during the first wave of the COVID-19 pandemic, when the country was under a partial lockdown. COVID-19-related psychological distress was assessed using the Kessler 6-item Psychological Distress Scale (K6). We performed weighted modified Poisson regression analyses to identify significant predictors of moderate/severe psychological distress (K6 scores: ≥5). The weighted prevalences of moderate (K6 scores: 5–12) and severe psychological distress (K6 scores: ≥13) were 41.7% and 5.4%, respectively. Participants reported several perceived COVID-19-related stressors, including worries and fears of the contagion-specific death, serious need for food and money, and concerns about loss of income or business. The weighted prevalence of suicidal ideation was 1.5%. Statistically significant predictors of increased risk for moderate/severe psychological distress included living in the Hhohho and Manzini regions; feeling not well informed about COVID-19; feeling lonely; having received COVID-19 food or financial relief from the government; feeling burdened by the lockdown; being married; and being youth (18–24 years). The results call for the government to urgently augment the provision of mental health services during the pandemic. Mental health practitioners and programs may use several stressors and risk factors identified in this study to inform interventions and government policies aimed at reducing psychological distress induced by the pandemic.


Author(s):  
Philip Fennell

<p>This article discusses the two volume White Paper <em>Reforming the Mental Health Act</em> issued by the Government in December 2000. The two volumes are separately titled <em>The New Legal Framework</em> and <em>High Risk Patients</em>. The foreword to the White Paper appears above the signatures of the Secretary of State for Health, Alan Milburn, and the Home Secretary, Jack Straw. This is heralded as an example of ‘joined up government’, and indeed one of the themes of the White Paper is the need for closer working between the psychiatric and criminal justice systems. The primary policy goal of the proposals is the management of the risk posed to other people by people with mental disorder, perhaps best exemplified in Volume One of the White Paper which proclaims that ‘Concerns of risk will always take precedence, but care and treatment should otherwise reflect the best interests of the patient.’ This is a clear reflection of the fact that the reforms are taking place against the background of a climate of concern about homicides by mentally disordered patients, whether mentally ill, learning disabled, or personality disordered.</p>


2021 ◽  
Author(s):  
◽  
Kezia Fairbrother

<p>In 2018, the government published the report of its inquiry into mental health and addiction in Aotearoa New Zealand, which called for a ‘paradigm shift’ in the country’s approach to mental wellbeing. This research portfolio explores the role architecture has to play in this shift, acknowledging the problematic historical associations of architecture and mental health. In doing so, the work aims to establish principles for a new architectural typology of mental health care, outside of conventional institutions. It explores contemporary approaches to wellness, and integrates research from several bodies of theoretical and evidence-based research into a new creative practice within architecture. Specifically, the research draws on theory around nonrepresentational therapeutic landscapes, third place and evidence based design. These inform creative explorations of the therapeutically affective qualities of naturally-sourced materials. The findings of this explorations are transferred to spatial design using a ‘multiplicity’ approach based on nonrepresentational theory and Māori health models, which is then applied to a specific site in Wellington, New Zealand. Finally, architectural applications for this research are proposed in the form of a community-based third place to support mental health and wellbeing.</p>


2021 ◽  
Vol 12 ◽  
Author(s):  
Jasmina Mehulić ◽  
Željka Kamenov

The ongoing coronavirus disease-2019 (COVID-19) pandemic presents an acute stressor affecting mental health. In these stressful times, intimate relationships functioning could serve as a protective or a risk factor to the well-being of partners. Adult Croatian citizens engaged in intimate relationships (N = 727) reported their relationship characteristics and assessed symptoms of depression, anxiety, and stress during the state lockdown in May 2020. Three relationship profiles based on variations in key relationship characteristics were identified using latent profile analysis. Profiles represented distinct relationship types described as affectionate, ambivalent, and antagonistic relationships. These relationship types differed in their levels of love and perception of humility, responsiveness, and behavior of the partner. Relationship type was associated with mental health symptoms such as depression, anxiety, and stress during the COVID-19 pandemic and state lockdown. Being in an affectionate relationship was associated with the lowest levels of depression, anxiety, and stress, while in an antagonistic relationship these are in the highest levels. Ambivalent relationships were characterized by moderate levels on all measured mental health indicators with no difference in anxiety compared with affectionate relationships. The results emphasized the link between relationship functioning and successful coping with mental health hazards such as the fear of disease or restrictive measures put in place to contain the COVID-19 pandemic.


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