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Mental health is fundamental to good health, wellbeing and quality of life ... Cost-effectiveness of mental health promotion and prevention (Friedli and Parsonage, 2007) ...
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Advancing the Implementation of Best Practice in Mental Health Promotion
Professor Margaret Barry
Department of Health Promotion National University of Ireland, Galway
Ollscoil na hÉireann, Gaillimh
resource for everyday life which enables us to manage our lives successfully
Promoting Mental Health: Concepts, Emerging Evidence, Practice.
Prevention of Mental Disorders: Effective Interventions and Policy Options.
- clarify concepts of promotion and prevention
- review the evidence of effectiveness
- public health policy and practice implications
Jané-Llopis, E., Barry, M.M., Hosman, C. and Patel, V. (Eds.) (2005) The Evidence of Mental Health Promotion Effectiveness
for known disorders
Strategies for promoting
quality of life
Barry, M.M. (2001) International Journal of Mental Health Promotion, 3(1) 25-34.
“Mental health is the embodiment of social, emotional and spiritual wellbeing .. provides individuals with the vitality necessary for active learning, to achieve goals and to interact with one another in ways that are respectful and just” (VicHealth, 2005)
- how we establish meaningful social relations, and our ability to find coherence and deeper meaning in our lives
“What would politics look like if promoting people’s well-being was one of the government’s main aims?”
New Economics Foundation - A Well-being Manifesto for a Flourishing Society
“Mental health promotion works to enable individuals, whanau, organisations and communities to improve and sustain their mental health and realise their full potential.”
Build healthy public policy
Create supportive environments
Reorient health services
Strengthen community action
Develop personal skill
combined into Health
(WHO Ottawa Charter)
The process of enabling people to increase control over their health and the determinants of health
micro - macro
Health Promotion Principles(participation, empowerment, equity)
Adopt a socio-ecological approach
- homes, schools, workplaces, communities, health services
Embracing an empowerment philosophy
Engaging in Consultation and Collaboration
Addressing Social Equity
“Effective interventions have been identified which promote the mental health of the population at large and those known to be at risk of mental health problems” (Tilford et al., 1997)
IUHPE Report (1999) The Evidence of Health Promotion Effectiveness.
- systematic reviews, process evaluations, ‘grey literature’
- case studies from high, middle and low-income countries
- interventions across key settings - home, school, community, workplace and health services
Research Principles of Efficacy What makes mental health promotion effective?Eva Jané-Llopis and Margaret Barry - IUHPE Special Issue, 2005
Clear articulation of programme theory
- causative theory based on models of stress and coping
- prescriptive theory based on active learning and building of self-efficacy
Promotion of resourcefulness and generic coping and competence skills
Implementation approach that is empowering, collaborative and participatory
school success - literacy, grades and completion rates
socioeconomic success - employment, earnings, home ownership
social responsibility - reduced crime levels
marriage and parenthood
Australian MindMatters programme (Wynn et al., 1999)
Olweus et al. (1998) Bullying Prevention programme - school, classroom and individual level
- legislation on bullying and harassment
- sense of control, social support and involvement in decision-making
(Barry et al., 2005 IUHPE Special Issue)
- mental health status and well-being; determinants
- integration of mental health in health promotion and public health initiatives; cost-effectiveness studies
- evaluation of programme implementation
- evidence needs to be contextualised and usable
training in evidence-based programme planning and evaluation
- the knowledge and research base for mental health promotion