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Mental health promotion and public mental health: moving forward in Europe

Mental health promotion and public mental health: moving forward in Europe. Dr Lynne Friedli EMIP National Workshop Prague, Czech Republic 22 nd November 2005. Summary. The EMIP project Mental health promotion in Europe Public mental health and mental health promotion

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Mental health promotion and public mental health: moving forward in Europe

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  1. Mental health promotion and public mental health: moving forward in Europe Dr Lynne FriedliEMIP National WorkshopPrague, Czech Republic 22nd November 2005 lynne.friedli@btopenworld.com

  2. Summary • The EMIP project • Mental health promotion in Europe • Public mental health and mental health promotion • Risk and protective factors • Effective interventions • Measuring success • Public debate and engagement lynne.friedli@btopenworld.com

  3. EMIP National Workshops • Mapping: what is the present situation for mental health promotion and prevention? For example, in relation to policy, practice, services, resources, training • Opportunities: what are the factors that support progress in mental health promotion? For examplesupporting policies (in all sectors), stakeholders, initiatives and networks • National profile: strategic vision for the future development of mental health promotion and prevention lynne.friedli@btopenworld.com

  4. EMIPNational Reports • National mental health data • Policy context: existing mental health and other policies relevant to promoting mental health • Strengths and weaknesses in the position of mental health promotion and prevention • Opportunities and barriers • Key priorities for action • Progress on developing a National Mental Health Action Plan lynne.friedli@btopenworld.com

  5. European policy environment • WHO European declaration and action plan (Helsinki) • EU Green paper • MINDFUL (Stakes, Finland) • IMHPA (University of Nijmegen) http://www.imhpa.net/index.php?id=8 • Monitoring positive mental health (Bilbao) • Quality of life/economics of well-being (ESS Wave 3) • Holistic, ecological, sustainable, environmental, ethical • WHO Health assets lynne.friedli@btopenworld.com

  6. Public mental health or mental health for all promoting mental health for the whole population preventing mental health problems improved mental health; reduced incidence of mental health problems improving quality of life for people with mental health problems lynne.friedli@btopenworld.com

  7. Public mental health “the science, art and politics of creating a mentally healthy society” Addressing the wider determinants of mental health • Whole populations • Individuals at risk • Vulnerable groups • Key settings How people feel is a significant public health indicator lynne.friedli@btopenworld.com

  8. What is mental health? “much depends on dinner” Margaret Visser Thinking Physical health and well-being Feeling “The heart has its reasons….” Pascal lynne.friedli@btopenworld.com

  9. Mental health: cycles of impact It’s all in the mind, but it’s written on the body…. mental health: how we think and feel genetic inheritance childhood adversity poverty social exclusion inequality behaviour relationships parenting education employment physical health quality of life crime lynne.friedli@btopenworld.com

  10. “We haven’t lost faith, we’ve simply transferred it from God to the medical profession”George Bernard Shaw Poverty Exclusion Discrimination Inequality Mental Health Physical Health lynne.friedli@btopenworld.com

  11. Sources of support for people with mental health problems Diagnosis Treatment Education Family, friends & neighbours Self help & support groups Employment Sports Faith Communities Housing Leisure lynne.friedli@btopenworld.com

  12. Intervention approaches he worked hard for respect but he could not find it. There was in the world a great shortage of respect and Chanu was among the famished (Monica Ali, Brick Lane) Strengthening protective factors Reducing risk factors • Strengthening individuals • Strengthening communities • Reducing structural barriers lynne.friedli@btopenworld.com

  13. Strengthening protective factors • Psycho-social, life and coping skills e.g. self-expression, self-esteem, learning new skills, stress or anger management, relaxation, efficacy • Social support as a buffer against adverse life events e.g. building social contacts, self-help groups, drop in, home visits, mentoring, time banks, volunteering • Access to resources and services which protect mental health e,g, benefit uptake, supported employment, access to mainstream services lynne.friedli@btopenworld.com

  14. GDP and Life Satisfaction (from nef) A Challenge to the Political Status Quo lynne.friedli@btopenworld.com

  15. relationships civic life well-being economy What would policy look like if the goal was well-being? The vision parenting engagement friendship mutuality social networks local democracy education lifelong learning community assets environment sustainability work/life balance lynne.friedli@btopenworld.com

  16. Health Assets & Health Needs (from Dominic Harrison 2005) Diseased Healthy Less Healthy Healthy Diseased Less Diseased Saluto-genesis Epidemiology Opportunity Management Risk management lynne.friedli@btopenworld.com

  17. Community assets strengthening communities e.g. building capacity, control, engagement, inclusion lynne.friedli@btopenworld.com

  18. Mental health impact Mental health promotion Economic capital Pathways of Impact: Human capital Social capital Identity capital health lynne.friedli@btopenworld.com

  19. What works in different domains? • feelings: confident, understood, respected, empowered, safe • skills: life skills, relaxation, help seeking, keeping fit, accessing information • meaningful activity: employment, volunteering, education, leisure, creativity, spiritual growth • social support: self-help groups, opportunities for friendship, faith communities • access to resources: paid work, adequate welfare benefits, appropriate services • influence: opportunities to participate, being consulted, shared decision making, advocacy lynne.friedli@btopenworld.com

  20. What demonstrates that living in a community promotes mental health? • Access to resources: who doesn’t have access? • Feeling safe: who doesn’t feel safe? • Good place to live: who doesn’t agree? • Influence local decisions: who doesn’t have a say? • Feeling supported: who is isolated? • Hopeful about the future: who isn’t hopeful? • Feeling valued: what makes people feel valued? • Feeling respected: what makes people feel respected? • Being involved: who isn’t involved and why? • Knowing where to get help: who doesn’t know? lynne.friedli@btopenworld.com

  21. Moving forward for mental health promotion connecting and mainstreaming public debate and engagement policy and emerging ideas evidence and indicators lynne.friedli@btopenworld.com

  22. The five fruit and vegetables of mental health Individuals • Valuing yourself and others • Talking about your feelings • Keeping physically active • Eating well • Drinking in moderation • Keeping in touch with friends/loved ones • Caring for others • Getting involved/making a contribution • Taking a break • Learning new skills • Doing something creative • Seeking Help Communities Policy lynne.friedli@btopenworld.com

  23. Notes for policy makers …. • How people feel is a significant public health indicator • Include ‘mental health impact’ in decision making • Quality of life may be a more important indicator of success than symptom reduction • It’s all in the mind, but it’s written on the body • Modify services, not people • Curing illness doesn’t necessarily result in health lynne.friedli@btopenworld.com

  24. notes for us all …. Keep on making waves – without which no tide can turn…… lynne.friedli@btopenworld.com

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