scholarly journals The importance of psychiatry in public mental health

2015 ◽  
Vol 207 (3) ◽  
pp. 187-188 ◽  
Author(s):  
Nisha Mehta ◽  
Sally C. Davies

SummaryThere is a lack of consensus over fundamental issues in public mental health in England. A move away from poorly evidenced ‘well-being’ policy approaches is needed. The authors have developed a more inclusive model using the World Health Organization's approach to public mental health. Public mental health policy makers must acknowledge the importance of psychiatry within the field.

2015 ◽  
Vol 34 (4) ◽  
pp. 31-67 ◽  
Author(s):  
Gillian Mulvale ◽  
Mary Bartram

To set the stage for this special edition on Responses to the Mental Health Strategy for Canada: Canadian and International Perspectives on Mobilizing Change, we discuss the role of ideas in the public policy literature and the influence of key ideas over the history of mental health policy. Drawing on academic and policy literature and feedback from a convenience sample of mental health policy makers, we integrate the concepts of recovery and well-being into a conceptual model that can be used by policy makers as a tool to realize the transformative ideas captured in the Mental Health Strategy for Canada.


Author(s):  
Felicia A. Huppert ◽  
Kai Ruggeri

Taking a whole-population perspective, the chapter argues that improved well-being is the most important outcome of policy. Despite growing awareness of its importance, accepting the primacy of well-being has been a challenge within public mental health because there has been no uniform definition or measure, nor consensus on how to apply such a subjective concept across diverse populations. Confusion created by using terms such as happiness, or the continuing tendency to equate mental well-being with lack of mental illness, have created barriers to gaining widespread agreement on the importance of well-being in policy. In this chapter, historical approaches to defining well-being, issues of measurement, and evidence underpinning well-being interventions are explored. The chapter closes with a proposal on how best to consider well-being as an outcome, making use of the evidence in driving public mental health policy.


Author(s):  
Paul Cairney ◽  
Emily St Denny

In health and public health policy in general, the conditions to support prevention policy are not yet apparent. Attention is low or fleeting, ambiguity is high, and debates on the meaning and application of prevention policies are wide. A supportive policymaking environment, producing regular windows of opportunity for specific policy changes, is difficult to identify. Such problems are accentuated when prevention and public health meet mental health. Recently, there have been meaningful calls for greater attention and resources to mental health policy, to pursue ‘parity’ between mental and physical health, and to stress the need for ‘public mental health’ to play a larger part in the public health agenda. However, this agenda remains in its infancy following decades of relative neglect, low public and policymaker attention, and uncertainty about what public mental health means (beyond the vague aim to promote mental well-being and prevent mental illness). At the same time, other policy agendas may undermine these fragile developments, such as when employment policy reforms affect the ability of people with mental ill health to receive social security benefits. In that context, we show that a firm and sincere commitment to public health and mental health is not enough to guarantee the success of preventive mental health initiatives.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
◽  

Abstract The workshop has the aim to help developing and strengthening policies for Public Mental Health and support experience sharing platform for Public Mental Health policy development. Mental health policy defines the vision for the future mental health of the national population and internationally. The WHOs developed three recommendations for the development of mental health policy, strategic plans and for organizing services which are to deinstitutionalise mental health care; to integrate mental health into general health care; and to develop community mental health services. For each this aim a situational analysis and needs assessment is recommended as first step. Therefore, this workshop consists of four talks in the development of mental health policies at the regional and national level. First, the process of population consultations and participatory research is described (Felix Sisenop). Participatory research enables exchanging experiences, results and key challenges in Public Mental Health. Participatory research can contribute greatly in empowering people to discuss and deal with mental health issues and therefore is a step towards a more involved and active general public. Second, a policy development at the regional level is described (Elvira Mauz). On behalf of the federal ministry of health the Robert Koch Institute as the German public health institute is currently developing a concept for a national Mental Health Surveillance (MHS). In the talk objectives, framework model and work processes are presented. The MHS should systematically gather, process and analyze primary and secondary data, thus an integrating and monitoring system is working. Third, the Public Mental Health policy in Malta will be described (John Cachia) Over the last 7 years CMH Malta developed a strategic framework for the mental health with the input of patients, families, service providers, NGOs and civil society. The Maltese National Mental Health Strategy 2020-2030 was published in July 2019. This strategy will be described in the Talk. Fourth presenter (Ignas Rubikas) will introduce the national perspective on development of Lithuanian mental health policy addressing major public mental health challenges of suicide prevention, alcohol control policies and mental health promotion in a broader context of national mental health care. Key messages Participatory research in Public Mental Health is an approach to involve the population in policy development. Development of mental health policies can benefit from sharing experiences and lessons learned on a national and regional levels.


2004 ◽  
Vol 21 (2) ◽  
pp. 61-68 ◽  
Author(s):  
Brendan D Kelly

Recent years have seen renewed emphasis on the importance of mental health policy as a key component of health and social policy at both national and international levels. In 2001 the European Commission produced a public health framework for mental health in the EU. In the same year, the World Health Organisation devoted its annual health report to mental health and called on countries to formulate, update and implement mental health policies. The EU and WHO initiatives both recognised that the challenges facing mental health policy makers are increasingly transnational in scope, related to issues such as rapid demographic change, increased transnational migration, the protection of human rights and the implementation of a growing number of international laws, directives and protocols in relation to mental health care.Significant progress has been made in the development of Irish mental health services over the past 40 years. Nevertheless, many challenges remain. The aims of this paper are to outline:• Prevailing theoretical perspectives on mental health policy• Mental health policy in Ireland since the last major policy revision in 1984• Relevant economic and demographic changes in Ireland since 1984• Relevant clinical, legislative and policy developments in relation to mental health• Future directions for mental health policy.Electronic literature searches were performed using Psyclit (American Psychological Association, 1887–2003), Medline (United States National Library of Medicine, 1985 – 2003), with broad search terms related to mental health policy. Additional books and papers were identified by tracking back through references and consulting with colleagues. Policy documents and selected literature on Irish psychiatric services were reviewed and related to recent literature on mental health policy.


1997 ◽  
Vol 20 (2) ◽  
pp. 83 ◽  
Author(s):  
Ben Nielsen ◽  
Philip Ward

Funding constraints and management practices are increasing pressure on clinicalautonomy within Australian mental health services. The introduction of total qualitymanagement, output-based funding and changes to public mental health policy havepromoted business-like efficiency and increased control of resources. It is argued thatsuch moves significantly circumscribe the discretionary authority that mental healthprofessionals have previously enjoyed. This paper attempts to highlight the ethical andmoral tension inherent within a corporate management approach, and calls formental health services to acknowledge the value of intellectual capital, creativity andinnovation.


2009 ◽  
Vol 8 (4) ◽  
pp. 451-462 ◽  
Author(s):  
Deirdre Heenan

In a recent review of the mental health policies of its 42 member states in the European Region, the World Health Organization highlighted the need for further analysis of service user involvement in the policy making process. In the UK, a plethora of recent government policies and initiatives have stressed the importance of service user involvement in the design and delivery of health and social services. Their input is described as a fundamental requirement of a modern, flexible, responsive healthcare system. This paper reviews mental health policy in Northern Ireland, which has undergone a period of unprecedented activity and explores the extent to which service users have influenced the process of policy design and development. It raises questions about the extent to which a genuine commitment to and investment in user involvement has been achieved and comments on the prospects for the future.


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