A Public Health Approach to Mental Health Care: Taking Transformation to Scale Washington State Prevention Policy Summit May 13, 2008 A. Kathryn Power, M.Ed. Director, Center for Mental Health Services

Global Burden of Disease The top 3 leading causes of disability worldwide are behavioral disorders. The World Health Report 2001 — Mental Health: New Understanding, New Hope

Mental Health Continuum Mental Health Status Continuum Mental Health Care Continuum Enhancing Health: Primary Prevention : Early Recognition Treatment and Promoting optimum Addressing risk factors and Intervention: Rehabilitation: mental health, e.g., job vulnerable groups, Detecting a problem Interventions to satisfaction, resilience, e.g., coping skills for or illness at an early reduce symptoms of self-esteem, people who are stage and increasing an illness, diminish and social skills, improving un employed, home visits access to effective disability, and improve access to income for families experiencing treatment quality of life separation or divorce Positive Mental Health: Mental Health Problem: Mental Disorder: High-level capacity of the Disruption in interactions Medically diagnosable illness individual, group, and between individual, group, , that results in significant environment to interact & and environment, impairment of cognitive, to promote well-being, producing a diminished affective, or relational abilities optimal development, and state of positive mental health use of mental abilities Source: Scanlon, K., Williams, M., & Raphael, B. (1997). Mental Health Promotion in NSW: Conceptual framework for developing initiatives. NSW Health Department, Sydney, Australia, p.9 3

Campaign for Mental Health Recovery

Ten Essential Public Health Services Monitor health status to identify and solve community health problems. Diagnose and investigate health problems and health hazards in the community. Inform , educate, and empower people about health issues. Mobilize community partnerships and action to identify and solve health problems. Develop policies and plans that support individual and community health efforts. Enforce laws and regulations that protect health and ensure safety. Link people to needed personal health services and assure the provision of health care when otherwise unavailable. Assure competent public and personal health care workforce. Evaluate effectiveness, accessibility, and quality of personal and population-based health services. Research for new insights and innovative solutions to health problems. Source: Centers for Disease Control and Prevention

Monitor health status to identify and solve community health problems.

Diagnose and investigate health problems and health hazards in the community.

Inform , educate, and empower people about health issues.

Mobilize community partnerships and action to identify and solve health problems.

Develop policies and plans that support individual and community health efforts.

Enforce laws and regulations that protect health and ensure safety.

Link people to needed personal health services and assure the provision of health care when otherwise unavailable.

Assure competent public and personal health care workforce.

Evaluate effectiveness, accessibility, and quality of personal and population-based health services.

Research for new insights and innovative solutions to health problems.

Source: Centers for Disease Control and Prevention

Social-Ecological Approach to Public Health Each of these levels of influence can be addressed to promote mental health and prevent mental illness .

Each of these levels of influence can be addressed to promote mental health and prevent mental illness .

Lifecycle of Emergence Stage One: Networks Discovering shared meaning and purpose Stage Two: Communities of Practice Developing new practices together Stage Three: Systems of Influence New practices become the norm Source: Wheatley, M., & Frieze, D. (2006) Using Emergence to Take Social Innovations to Scale. www.berkana.org/pdf/emergence_web.pdf

Stage One: Networks

Discovering shared meaning and purpose

Stage Two: Communities of Practice

Developing new practices together

Stage Three: Systems of Influence

New practices become the norm

Source: Wheatley, M., & Frieze, D. (2006) Using Emergence to Take Social Innovations to Scale. www.berkana.org/pdf/emergence_web.pdf

Coming together is a beginning; keeping together is progress; working together is success . Henry Ford