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Perspectives on Mental Health and Well-being Chris O’Sullivan Scottish Development Centre for Mental Health
Areas to Cover ,[object Object],[object Object],[object Object],[object Object],[object Object]
A Forest Of Mirrors: Definitions and Terminology
Mental Health ,[object Object],[object Object],[object Object]
But looking just at the individual doesn’t help much… ©  Scottish Development Centre for Mental Health
Mental Health ,[object Object],[object Object],[object Object]
Mental Health ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Mental Health Problems ,[object Object],[object Object]
Promotion and Prevention ,[object Object],[object Object]
Mental Capital ,[object Object],[object Object],[object Object]
So how does mental illness relate to mental health?
 
Low  Levels of Mental Illness Great Mental Health (Flourishing) Poor Mental Health (Languishing) High Levels of Mental Illness Dual Axis Model of Mental Health
Low  Levels of Mental Illness Great Mental Health (Flourishing) Poor Mental Health (Languishing) High Levels of Mental Illness Dual Axis Model of Mental Health
Dual Axis Model of Mental Health Low  Levels of Mental Illness Great Mental Health (Flourishing) Poor Mental Health (Languishing) High Levels of Mental Illness After Tudor (1996) Services often move people this way Promote recovery, and expectation of good MH MH improvement at population level Risk factors can reduce MH, and risk illness People can be medically ‘mentally ill’ but enjoy good MH…also a valuable recovery outcome Even when symptoms/signs remain
What influences mental health in Scotland?
Influences on Mental Health In Scotland
And we have to look at life from the beginning to the end…
From Bedlington et al (2008) Mental Capital Through Life: Future Challenges ( www.foresight.gov.uk )  All these people have a view to express, and their own set of perspectives…so ALL mental health improvement should involve stakeholders. This includes  people with lived experience of mental ill health!
 
How do we measure mental health?
 
www.healthscotland.com/understanding/population/mental-health-indicators.aspx HIGH LEVEL CONSTRUCTS   Positive mental health  (2) Mental health problems  (7) CONTEXTUAL CONSTRUCTS   Individual Community Structural/policy Learning and development (1) Participation  (3) Equality  (2) Healthy living (4) Social networks (1) Social inclusion  (2) General health (3) Social support  (2) Discrimination  (3) Spirituality (1) Trust  (2) Financial security/debt  (2) Emotional intelligence  (1) Safety (4) Physical environment (6) Working life  (6) Violenc e (3)
The Relationship Between Inequality and Mental Health
©  Scottish Development Centre for Mental Health
Poor Mental Health and Inequality ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Income Inequality Definition:  The ratio of total income received by the 20% of the population with the highest income (top quintile) to that received by the 20% of the population with the lowest income (lowest quintile). Income must be understood as equivalised disposable income.  Source:  Eurostat
 
Cost of Depression: EU Wide Sobocki et al , J Mental Health Policy & Econ, 2006 Leal et al, European Heart Journal, 2006 € 41 billion direct costs € 77 billion productivity losses € 35 billion productivity losses for cardiovascular disease
Equally Well (2008) ,[object Object],[object Object],[object Object],[object Object],[object Object]
©  Scottish Development Centre for Mental Health
Stigma, Discrimination and Social Exclusion
 
The Cycle of Injustice Adapted from Callard et al (2008)
©  Scottish Development Centre for Mental Health
Self-Stigma, or Anticipated Stigma ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
©  Scottish Development Centre for Mental Health
User involvement is a great defeater of self-stigma
©  Scottish Development Centre for Mental Health
Take Home Messages ,[object Object],[object Object],[object Object],[object Object],[object Object]
©  Scottish Development Centre for Mental Health
References and Further Reading ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
References and Further Reading ,[object Object],[object Object],[object Object],[object Object],[object Object]

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Mental Health Perspectives

  • 1. Perspectives on Mental Health and Well-being Chris O’Sullivan Scottish Development Centre for Mental Health
  • 2.
  • 3. A Forest Of Mirrors: Definitions and Terminology
  • 4.
  • 5. But looking just at the individual doesn’t help much… © Scottish Development Centre for Mental Health
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11. So how does mental illness relate to mental health?
  • 12.  
  • 13. Low Levels of Mental Illness Great Mental Health (Flourishing) Poor Mental Health (Languishing) High Levels of Mental Illness Dual Axis Model of Mental Health
  • 14. Low Levels of Mental Illness Great Mental Health (Flourishing) Poor Mental Health (Languishing) High Levels of Mental Illness Dual Axis Model of Mental Health
  • 15. Dual Axis Model of Mental Health Low Levels of Mental Illness Great Mental Health (Flourishing) Poor Mental Health (Languishing) High Levels of Mental Illness After Tudor (1996) Services often move people this way Promote recovery, and expectation of good MH MH improvement at population level Risk factors can reduce MH, and risk illness People can be medically ‘mentally ill’ but enjoy good MH…also a valuable recovery outcome Even when symptoms/signs remain
  • 16. What influences mental health in Scotland?
  • 17. Influences on Mental Health In Scotland
  • 18. And we have to look at life from the beginning to the end…
  • 19. From Bedlington et al (2008) Mental Capital Through Life: Future Challenges ( www.foresight.gov.uk ) All these people have a view to express, and their own set of perspectives…so ALL mental health improvement should involve stakeholders. This includes people with lived experience of mental ill health!
  • 20.  
  • 21. How do we measure mental health?
  • 22.  
  • 23. www.healthscotland.com/understanding/population/mental-health-indicators.aspx HIGH LEVEL CONSTRUCTS Positive mental health (2) Mental health problems (7) CONTEXTUAL CONSTRUCTS Individual Community Structural/policy Learning and development (1) Participation (3) Equality (2) Healthy living (4) Social networks (1) Social inclusion (2) General health (3) Social support (2) Discrimination (3) Spirituality (1) Trust (2) Financial security/debt (2) Emotional intelligence (1) Safety (4) Physical environment (6) Working life (6) Violenc e (3)
  • 24. The Relationship Between Inequality and Mental Health
  • 25. © Scottish Development Centre for Mental Health
  • 26.
  • 27.  
  • 28. Income Inequality Definition: The ratio of total income received by the 20% of the population with the highest income (top quintile) to that received by the 20% of the population with the lowest income (lowest quintile). Income must be understood as equivalised disposable income. Source: Eurostat
  • 29.  
  • 30. Cost of Depression: EU Wide Sobocki et al , J Mental Health Policy & Econ, 2006 Leal et al, European Heart Journal, 2006 € 41 billion direct costs € 77 billion productivity losses € 35 billion productivity losses for cardiovascular disease
  • 31.
  • 32. © Scottish Development Centre for Mental Health
  • 33. Stigma, Discrimination and Social Exclusion
  • 34.  
  • 35. The Cycle of Injustice Adapted from Callard et al (2008)
  • 36. © Scottish Development Centre for Mental Health
  • 37.
  • 38. © Scottish Development Centre for Mental Health
  • 39. User involvement is a great defeater of self-stigma
  • 40. © Scottish Development Centre for Mental Health
  • 41.
  • 42. © Scottish Development Centre for Mental Health
  • 43.
  • 44.

Editor's Notes

  1. One key message…mental health means different things to everyone. The simple thing thing is that mental health underpins wverything that we are, say and do.
  2. Determinants of mh
  3. Difference between the two…one is about making the whole population a bit more mentally healthy…the other is about preventing mental ill health where possible, and targeting support to those most at risk
  4. Increasingly thinking about Mental Capital as a colleague of social capital and economic capital as a measure of how countries, and areas/societies are measured…GDP or measures of gross national happiness (NEF)