Presentation of current evidence for promotion of mental wellbeing and prevention of mental disorders. The presentation argues for moving from research to action, using the mental health in all policies approach.
This document discusses definitions of mental health and mental illness. It explores how mental health, mental well-being, and mental illness relate and influence each other. The document outlines risk and protective factors across the lifespan that impact mental health. Poor mental health is associated with significant personal, social, and economic costs. The document recommends promoting mental health and preventing mental illness through coordinated, cross-government interventions targeting inequalities and delivered universally and to vulnerable groups.
This document summarizes key points from a presentation on new frontiers in mental health research. It discusses how mental health is shaped early in life by social and environmental factors. It also summarizes evidence that childhood maltreatment and bullying increase risks of mental health problems in adulthood. The document outlines mental health inequities and determinants like socioeconomic status. It discusses the costs of mental disorders and transitioning models of mental health systems. Priorities for future research discussed include prevention and promotion across the lifespan, developing research networks, interventions using new technologies, reducing stigma, and addressing socioeconomic contexts.
Effective childhood prevention of mental health problemsKristian Wahlbeck
A short overview of effective childhood interventions to prevent mental health problems and disorders in adulthood. The focus is on public mental health interventions, especially parental support and school mental health interventions. The presentation concludes that cost-effective interventions exist and that they need to be taken to scale.
Presentation in Nice, France March 6, 2018, at the European Psychiatry Association Congress
This document summarizes a project to promote positive mental health in schools. The project was a partnership between health services, education services, and schools in Walsall, UK. It involved training school staff on mental health issues, developing action plans in two pilot schools, and evaluating the outcomes. The goals were to raise mental health awareness, build resilience, and engage parents. Evaluation found it secured commitment and helped structure planning. The project informed future work on a larger targeted mental health program using an ecological approach.
This document discusses promoting mental health through positive psychology approaches. It defines mental health as more than just the absence of mental illness, involving flourishing with positive emotions, quality relationships, purpose and growth. Research shows flourishing is linked to better physical health and longevity. Brief interventions are suggested to increase positive emotions, meaning, flow and relationships. These include expressing gratitude, using signature strengths, and focusing on past, present and future sources of well-being.
The document discusses the issue of mental health in schools and the need to address it. It notes that 1 in 5 students experience mental health issues but only 20% receive needed services. Several organizations are working to promote the Mental Health in Schools Act, which would expand access to mental health services and support in schools. The act aims to help students dealing with trauma, violence, and mental health problems succeed academically.
The document outlines the DISCOVER Workshop Programme, an open-access CBT group intervention for teenagers with anxiety and stress. It discusses the high rates of mental health issues in teenagers and barriers to them accessing support. The DISCOVER programme was developed to address this issue by bringing CBT-based support into schools. It involves a 4-month programme including an initial assessment, workshop sessions teaching coping strategies, goal setting with follow-ups, and evaluation. Research found DISCOVER significantly reduced anxiety and depression and improved wellbeing compared to a waitlist control. Students and staff provided positive feedback, and next steps involve expanding the programme.
This document discusses definitions of mental health and mental illness. It explores how mental health, mental well-being, and mental illness relate and influence each other. The document outlines risk and protective factors across the lifespan that impact mental health. Poor mental health is associated with significant personal, social, and economic costs. The document recommends promoting mental health and preventing mental illness through coordinated, cross-government interventions targeting inequalities and delivered universally and to vulnerable groups.
This document summarizes key points from a presentation on new frontiers in mental health research. It discusses how mental health is shaped early in life by social and environmental factors. It also summarizes evidence that childhood maltreatment and bullying increase risks of mental health problems in adulthood. The document outlines mental health inequities and determinants like socioeconomic status. It discusses the costs of mental disorders and transitioning models of mental health systems. Priorities for future research discussed include prevention and promotion across the lifespan, developing research networks, interventions using new technologies, reducing stigma, and addressing socioeconomic contexts.
Effective childhood prevention of mental health problemsKristian Wahlbeck
A short overview of effective childhood interventions to prevent mental health problems and disorders in adulthood. The focus is on public mental health interventions, especially parental support and school mental health interventions. The presentation concludes that cost-effective interventions exist and that they need to be taken to scale.
Presentation in Nice, France March 6, 2018, at the European Psychiatry Association Congress
This document summarizes a project to promote positive mental health in schools. The project was a partnership between health services, education services, and schools in Walsall, UK. It involved training school staff on mental health issues, developing action plans in two pilot schools, and evaluating the outcomes. The goals were to raise mental health awareness, build resilience, and engage parents. Evaluation found it secured commitment and helped structure planning. The project informed future work on a larger targeted mental health program using an ecological approach.
This document discusses promoting mental health through positive psychology approaches. It defines mental health as more than just the absence of mental illness, involving flourishing with positive emotions, quality relationships, purpose and growth. Research shows flourishing is linked to better physical health and longevity. Brief interventions are suggested to increase positive emotions, meaning, flow and relationships. These include expressing gratitude, using signature strengths, and focusing on past, present and future sources of well-being.
The document discusses the issue of mental health in schools and the need to address it. It notes that 1 in 5 students experience mental health issues but only 20% receive needed services. Several organizations are working to promote the Mental Health in Schools Act, which would expand access to mental health services and support in schools. The act aims to help students dealing with trauma, violence, and mental health problems succeed academically.
The document outlines the DISCOVER Workshop Programme, an open-access CBT group intervention for teenagers with anxiety and stress. It discusses the high rates of mental health issues in teenagers and barriers to them accessing support. The DISCOVER programme was developed to address this issue by bringing CBT-based support into schools. It involves a 4-month programme including an initial assessment, workshop sessions teaching coping strategies, goal setting with follow-ups, and evaluation. Research found DISCOVER significantly reduced anxiety and depression and improved wellbeing compared to a waitlist control. Students and staff provided positive feedback, and next steps involve expanding the programme.
Presentation slides from the Hunter Institute's recent Youth Mental Health: Engaging Schools and Families event with Professor Mark Weist. For more info visit www.himh.org.au
School Mental Health Literacy: The Foundation for Youth Mental Health TeenMentalHealth.org
The document describes a mental health literacy curriculum guide for high school students and teachers. It aims to promote mental health awareness, address stigma, and help students develop coping skills. The curriculum consists of 6 modules covering topics like stigma, mental health basics, specific illnesses, experiences of illness, seeking help, and positive mental health. Initial data found the curriculum improved students' and teachers' mental health knowledge and attitudes towards illness. The curriculum is meant to be flexible and can be integrated into existing classes. It provides a foundation for collaboration between educators and practitioners to improve youth mental health.
Child Illness Resilience Program: Summary of outcomes.
Program managed by the Hunter Institute of Mental Health with funding from the Greater Charitable Foundation and support from Kaleidoscope, John Hunter Children's Hospital.
CYP IAPT: Children and Young People's Mental Health Conference 2017NHSECYPMH
The document discusses the long-term benefits of early intervention for children and families. It provides evidence from several long-term studies showing that early intervention programs aimed at improving social-emotional skills, parenting support, and treating childhood mental health disorders can lead to positive outcomes lasting into adulthood, including reduced mental illness, antisocial behavior, substance abuse, and criminal activity as well as increased well-being and life success. The studies find early intervention can generate high cost savings to society through reductions in later public expenditures.
This document discusses mental health issues affecting young people. It begins by defining mental health and distinguishing it from mental illness. Nearly 14% of Australian 4-17 year olds experience a mental illness each year, with anxiety and depression being most common. Risk factors include chronic illness, poverty, and bullying. Protective factors include good relationships and problem-solving skills. Educators play a key role in fostering wellbeing, monitoring students, and linking those in need with support services. With early intervention, positive outcomes are possible.
Presentation slides from the Hunter Institute's recent Youth Mental Health: Engaging Schools and Families event with professor Mark Weist. For more info visit www.himh.org.au
The document discusses prevention of mental illness. It notes that about 450 million people suffer from mental disorders globally. It defines different levels of prevention as universal, selective, and indicated. Universal prevention targets the whole population. Selective targets groups at higher risk, while indicated targets those at high risk of mental illness. The strategies proposed for prevention include community education, early intervention services, developing community resources, improving accessibility and cultural sensitivity, and enhancing protective factors in the environment. The overall aim is to reduce incidence, prevalence, and recurrence of mental disorders through evidence-based interventions.
This document provides a summary of the 2010 annual year in review presentation conducted by Dr. Stan Kutcher, the Sun Life Financial Chair in Adolescent Mental Health, on February 10, 2011
CUES ED. Children and Young People's National Conference 2017NHSECYPMH
- Approximately 20% of children under 16 experience significant anxiety, and 1 in 10 children aged 5-16 have a diagnosable mental health condition. Childhood emotional and behavioral issues increase vulnerability in adulthood.
- The document discusses a universal, evidence-based, 6-session program called "Who I Am and What I Can" that aims to improve emotional well-being and resilience in primary school children through engaging activities and CBT strategies.
- Evaluations found the program helped children understand their feelings better, develop coping strategies, and improved behavioral and emotional outcomes. It also reduced stigma around mental health by normalizing difficult experiences.
The document summarizes the challenges of mental health in England, outlines national efforts to promote mental health and prevent mental illness, and describes the support that Public Health England is providing to the system. Key points include: 1) one in four adults and one in ten children experience mental health problems each year, yet three-quarters receive no support; 2) national action includes implementing the Five Year Forward View for Mental Health and a new Suicide Prevention Strategy; and 3) Public Health England is working across the lifespan to promote mental health, with a focus on children, families, and prevention.
Mental Health and Psychosocial Support in Emergencies CORE Group
This document provides an overview of mental health and psychosocial support (MHPSS) in emergency settings according to International Medical Corps. It discusses what MHPSS is, common needs in emergencies, and International Medical Corps' MHPSS programs and interventions. MHPSS aims to promote psychosocial well-being and prevent or treat mental disorders. It outlines their MHPSS intervention pyramid and programs including needs assessments, integrating mental health into general healthcare, early childhood development, and peer support programs. Guidelines and tools for MHPSS in emergencies are also mentioned.
This presentation held in Warszaw at the conference "Mental Health Promotion - from Theory to Practice" 7.11.2019 argues that effective public mental health interventions need to be implemented across Europe, especially among children and adolescents, as a collaboration between policy sectors.
Symposium presentation by Dr Greer Bennett, Hunter Institute of Mental Health, for the Society of Mental Health Research Conference 2016.
For more information visit www.himh.org.au
The document discusses mental health promotion and public mental health. It defines key concepts like health, mental health, mental illness, health promotion, and public mental health. It outlines the background and history of mental health promotion. Interventions for promotion include universal, selective, and indicated approaches. Challenges include low literacy, coordination, and engaging psychiatrists in promotion work beyond treatment.
Outcomes for children and young people seen in specialist mental health servicesNHSECYPMH
This workshop aims to enable viewers to take evidence from recent research as well as the collective ‘on the ground’ learning from the Child Outcomes Research Consortium (CORC) members and apply it to their service or individual practice in order to improve mental health outcomes for children and young people.
This document discusses the importance of integrating physical and mental health services for young people. It notes that around 80% of those with chronic medical conditions starting in childhood have associated mental health issues. True integration requires an unrelenting focus on outcomes, cross-disciplinary training, coordinated records and systems, and co-located interdisciplinary clinical services. Local examples of integration include integrated neurodevelopmental services and diabetes community nursing working with clinical psychology. The document argues that for children and young people, coordinated and integrated care provides the best offer to enhance their social and emotional competence.
Worth-it Projects Wellbeing Event PresentationElla Cooper
Presentations from Guest Speakers Dr Christian van Nieuwerburgh and Dr Mike McHugh. Including material from Worth-it Projects Managing Director Liz Robson and Director Maddy Stretton about the Worth-it projects and how the work they do with young people is invaluable, impactful and lasting. They share the integrated approach they have developed to support and improve the mental wellbeing of young people.
Pubic mental health: time to translate evidence into policy and practiceKristian Wahlbeck
Presented at 25th European Congress of Psychiaty, Florence, 1 April 2017. The presentation argues for public health interventions, targeting the early years, by involving non-health sectors in the common task to promote mental health for all.
Early Intervention: Improving Access to Mental Health by 2020 [Presentations]Sarah Amani
This document summarizes a presentation on extending early intervention services to additional mental health conditions beyond psychosis. It discusses how early intervention aims to improve outcomes by promptly starting effective treatments and providing intensive support. The network's priorities are outlined, which include identifying conditions early in adolescence/early adulthood where early intervention may be effective. Obsessive compulsive disorder is provided as an example condition that meets the priorities, as evidence demonstrates it often has onset in young people, can become severe and enduring without treatment, and responses well to early interventions. The case is also made for early intervention in anorexia nervosa based on evidence that outcomes are better when treatment is provided within the first three years.
Presentation slides from the Hunter Institute's recent Youth Mental Health: Engaging Schools and Families event with Professor Mark Weist. For more info visit www.himh.org.au
School Mental Health Literacy: The Foundation for Youth Mental Health TeenMentalHealth.org
The document describes a mental health literacy curriculum guide for high school students and teachers. It aims to promote mental health awareness, address stigma, and help students develop coping skills. The curriculum consists of 6 modules covering topics like stigma, mental health basics, specific illnesses, experiences of illness, seeking help, and positive mental health. Initial data found the curriculum improved students' and teachers' mental health knowledge and attitudes towards illness. The curriculum is meant to be flexible and can be integrated into existing classes. It provides a foundation for collaboration between educators and practitioners to improve youth mental health.
Child Illness Resilience Program: Summary of outcomes.
Program managed by the Hunter Institute of Mental Health with funding from the Greater Charitable Foundation and support from Kaleidoscope, John Hunter Children's Hospital.
CYP IAPT: Children and Young People's Mental Health Conference 2017NHSECYPMH
The document discusses the long-term benefits of early intervention for children and families. It provides evidence from several long-term studies showing that early intervention programs aimed at improving social-emotional skills, parenting support, and treating childhood mental health disorders can lead to positive outcomes lasting into adulthood, including reduced mental illness, antisocial behavior, substance abuse, and criminal activity as well as increased well-being and life success. The studies find early intervention can generate high cost savings to society through reductions in later public expenditures.
This document discusses mental health issues affecting young people. It begins by defining mental health and distinguishing it from mental illness. Nearly 14% of Australian 4-17 year olds experience a mental illness each year, with anxiety and depression being most common. Risk factors include chronic illness, poverty, and bullying. Protective factors include good relationships and problem-solving skills. Educators play a key role in fostering wellbeing, monitoring students, and linking those in need with support services. With early intervention, positive outcomes are possible.
Presentation slides from the Hunter Institute's recent Youth Mental Health: Engaging Schools and Families event with professor Mark Weist. For more info visit www.himh.org.au
The document discusses prevention of mental illness. It notes that about 450 million people suffer from mental disorders globally. It defines different levels of prevention as universal, selective, and indicated. Universal prevention targets the whole population. Selective targets groups at higher risk, while indicated targets those at high risk of mental illness. The strategies proposed for prevention include community education, early intervention services, developing community resources, improving accessibility and cultural sensitivity, and enhancing protective factors in the environment. The overall aim is to reduce incidence, prevalence, and recurrence of mental disorders through evidence-based interventions.
This document provides a summary of the 2010 annual year in review presentation conducted by Dr. Stan Kutcher, the Sun Life Financial Chair in Adolescent Mental Health, on February 10, 2011
CUES ED. Children and Young People's National Conference 2017NHSECYPMH
- Approximately 20% of children under 16 experience significant anxiety, and 1 in 10 children aged 5-16 have a diagnosable mental health condition. Childhood emotional and behavioral issues increase vulnerability in adulthood.
- The document discusses a universal, evidence-based, 6-session program called "Who I Am and What I Can" that aims to improve emotional well-being and resilience in primary school children through engaging activities and CBT strategies.
- Evaluations found the program helped children understand their feelings better, develop coping strategies, and improved behavioral and emotional outcomes. It also reduced stigma around mental health by normalizing difficult experiences.
The document summarizes the challenges of mental health in England, outlines national efforts to promote mental health and prevent mental illness, and describes the support that Public Health England is providing to the system. Key points include: 1) one in four adults and one in ten children experience mental health problems each year, yet three-quarters receive no support; 2) national action includes implementing the Five Year Forward View for Mental Health and a new Suicide Prevention Strategy; and 3) Public Health England is working across the lifespan to promote mental health, with a focus on children, families, and prevention.
Mental Health and Psychosocial Support in Emergencies CORE Group
This document provides an overview of mental health and psychosocial support (MHPSS) in emergency settings according to International Medical Corps. It discusses what MHPSS is, common needs in emergencies, and International Medical Corps' MHPSS programs and interventions. MHPSS aims to promote psychosocial well-being and prevent or treat mental disorders. It outlines their MHPSS intervention pyramid and programs including needs assessments, integrating mental health into general healthcare, early childhood development, and peer support programs. Guidelines and tools for MHPSS in emergencies are also mentioned.
This presentation held in Warszaw at the conference "Mental Health Promotion - from Theory to Practice" 7.11.2019 argues that effective public mental health interventions need to be implemented across Europe, especially among children and adolescents, as a collaboration between policy sectors.
Symposium presentation by Dr Greer Bennett, Hunter Institute of Mental Health, for the Society of Mental Health Research Conference 2016.
For more information visit www.himh.org.au
The document discusses mental health promotion and public mental health. It defines key concepts like health, mental health, mental illness, health promotion, and public mental health. It outlines the background and history of mental health promotion. Interventions for promotion include universal, selective, and indicated approaches. Challenges include low literacy, coordination, and engaging psychiatrists in promotion work beyond treatment.
Outcomes for children and young people seen in specialist mental health servicesNHSECYPMH
This workshop aims to enable viewers to take evidence from recent research as well as the collective ‘on the ground’ learning from the Child Outcomes Research Consortium (CORC) members and apply it to their service or individual practice in order to improve mental health outcomes for children and young people.
This document discusses the importance of integrating physical and mental health services for young people. It notes that around 80% of those with chronic medical conditions starting in childhood have associated mental health issues. True integration requires an unrelenting focus on outcomes, cross-disciplinary training, coordinated records and systems, and co-located interdisciplinary clinical services. Local examples of integration include integrated neurodevelopmental services and diabetes community nursing working with clinical psychology. The document argues that for children and young people, coordinated and integrated care provides the best offer to enhance their social and emotional competence.
Worth-it Projects Wellbeing Event PresentationElla Cooper
Presentations from Guest Speakers Dr Christian van Nieuwerburgh and Dr Mike McHugh. Including material from Worth-it Projects Managing Director Liz Robson and Director Maddy Stretton about the Worth-it projects and how the work they do with young people is invaluable, impactful and lasting. They share the integrated approach they have developed to support and improve the mental wellbeing of young people.
Pubic mental health: time to translate evidence into policy and practiceKristian Wahlbeck
Presented at 25th European Congress of Psychiaty, Florence, 1 April 2017. The presentation argues for public health interventions, targeting the early years, by involving non-health sectors in the common task to promote mental health for all.
Early Intervention: Improving Access to Mental Health by 2020 [Presentations]Sarah Amani
This document summarizes a presentation on extending early intervention services to additional mental health conditions beyond psychosis. It discusses how early intervention aims to improve outcomes by promptly starting effective treatments and providing intensive support. The network's priorities are outlined, which include identifying conditions early in adolescence/early adulthood where early intervention may be effective. Obsessive compulsive disorder is provided as an example condition that meets the priorities, as evidence demonstrates it often has onset in young people, can become severe and enduring without treatment, and responses well to early interventions. The case is also made for early intervention in anorexia nervosa based on evidence that outcomes are better when treatment is provided within the first three years.
The opportunity and waste of human potential: Managing the mental health of t...Studiosity.com
The document discusses youth mental health and university students. It provides an overview of Patrick McGorry's presentation on maximizing mental wealth for university students. McGorry discusses the problems of young people not accessing quality mental health services when needed and the solutions of building evidence-based youth services and conducting integrated research. He also outlines the high costs of mental illness and importance of early intervention during a developmental period of high risk.
Mental health issues often begin early in life, with half of all mental disorders starting before age 15. Effective school-based mental health promotion and prevention programs exist but are often not implemented widely. Children who experience maltreatment or bullying are much more likely to have mental health problems as adults. Promoting mental health in schools requires a whole-school approach and evidence-based interventions targeting issues like bullying, teacher training, and suicide prevention. Successful mental health policies take an intersectoral, "Mental Health in All Policies" approach that considers social determinants of health.
This document summarizes a presentation by Gregor Henderson from Public Health England on inequalities and stress. Some key points:
- PHE aims to protect and improve health and address health inequalities through a locally-led public health system.
- Good health is socially determined and shaped more by societal factors like poverty, education and work conditions than healthcare. Addressing the "causes of the causes" is important.
- Stress impacts health and is linked to inequalities. Community vitality and social relationships also significantly impact wellbeing.
- Opportunities exist to improve mental health and wellbeing through community-centered, asset-based approaches, integration of services, and addressing social determinants across
Mental Health First Aid England aims to improve the nation's mental health literacy through training one in ten adults. Studies show only 20% of the population has high mental well-being and mental illness accounts for a large disease burden. MHFA training significantly improves confidence and knowledge in supporting others with mental health problems. Evaluations found over 95% of trainees rated the course structure, content, and overall experience positively. MHFA England works to advance public health priorities by focusing on prevention, early intervention, and recovery for conditions like anxiety, depression and more.
ISPCAN Jamaica 2018 - The Impact of Domestic Violence on Children's Functioni...Christine Wekerle
The Impact of Domestic Violence on Children's Functioning: Care Planning Approaches to Foster Trauma-Informed Care
Shannon Stewart, Yasmin Garad, Natalia Lapshini
Implementing psychosocial care into routine practice: making it easyCancer Institute NSW
1. This document discusses implementing a clinical pathway for screening and managing anxiety and depression in cancer patients. It outlines barriers to implementation and strategies to address them.
2. A key barrier is that screening alone does not improve outcomes; a clear clinical pathway and institutional support are needed. The pathway was developed through stakeholder consultation and specifies screening, assessment, referral, and treatment steps.
3. Barriers to implementing the pathway include lack of resources, responsibility issues, staff and patient reluctance. The proposed study will test intensive versus basic strategies to promote pathway uptake, including online training, automated screening/referral systems, and patient/staff educational resources. The goal is to improve psychosocial outcomes for cancer patients.
This presentation by Nancy Hey, Director of the What Works Centre for Wellbeing provides:
• An introduction to the mission of the Centre
• What wellbeing is, how it’s defined and measured and why it matters
• Explains the link between wellbeing, a fairer society and making the economic case for prevention
• Describes key factors that influence wellbeing building on the UK’s world-leading science
• Shows how wellbeing can be a powerful tool for public health and as a public health outcome in its own right
Scoping and setting evidence priorities for public health decision making: wa...cmaverga
This document discusses ways to improve the Cochrane Collaboration's evidence to better inform public health decision making. It suggests prioritizing reviews on important topics like obesity prevention, healthy cities projects, and gender disparities in nutrition. Conducting a stakeholder engagement process identified 26 priority reviews in topics like community interventions, physical activity and mental health, and marketing strategies for healthy eating. Completing these reviews could increase awareness of Cochrane's evidence and better align with decision makers' needs to improve population health outcomes.
Promote children's social emotional and behavioral healthlimiacorlin
State policymakers can promote children's social, emotional, and behavioral health through a continuum of strategies. An effective approach establishes aspirations and uses data to drive decisions, measure progress, and ensure accountability. Key elements include supporting healthy development, families, and treatment for those in need. Data on conditions like autism and ADHD in children informs target-setting to improve outcomes. Recommended strategies begin with promoting early childhood social and emotional development through initiatives to increase public understanding and integrating support into existing programs.
Psychological depression prevention programs for 5-10 year olds: What’s the e...Health Evidence™
Health Evidence hosted a 90 minute webinar on psychological depression prevention programs for children and adolescents. This work received support from KT Canada funding from the Canadian Institutes of Health Research (CIHR). Key messages and implications for practice were presented.
This webinar focused on interpreting the evidence in the following review:
Merry, S., Hetrick, S.E., Cox, G.R., Brudevold-Iversen, T., Bir, J.J., & McDowell, H. (2011).Psychological and/or educational interventions for the prevention of depression in children and adolescents. Cochrane Database of Systematic Reviews, 2011(12), Art. No.: CD003380.
Kara DeCorby, Managing Director & Knowledge Broker with Health Evidence, lead the webinar.
- Three children in every classroom have a diagnosable mental health difficulty, yet most do not receive help until much later in life. Early intervention can improve outcomes.
- Perinatal mental illness is a major risk factor for children's mental health, but only half of mothers are identified and receive treatment despite regular contact with primary care. Integration of perinatal services is important.
- Conduct problems are very common in children but often go unidentified and untreated. Parenting interventions can be effective but often do not reach enough families. Increased screening and support is needed.
- Schools play a key role in children's mental health but often lack guidance on local support services and resources to promote wellbeing. Increased partnerships between
The Youth Mental Health Network (YMHN) is driven and made up of a range of individuals and groups that are passionate about improving the mental health of young people, regardless of their background.
The Youth Mental Health Network's vision is to improve the provision of youth mental health services by harnessing and fostering commitment to evidence based youth mental health services, in their various forms.
Primary care staff are often not fully trained to provide mental health care. The document discusses improving training for GPs and practice nurses to screen for and treat mental health issues according to clinical guidelines. It also describes new models of integrated primary and community care being piloted, including incorporating mental health support into care for physical health conditions. People with mental health problems often receive poorer physical healthcare and die younger. The models aim to improve care coordination and support mental health alongside other needs.
Developing non-clinical approaches and are pathways to fundamental socioeconomic issues that are presented in the primary care and secondary care settings
The document defines prevention psychiatry as reducing mental disorders and behavioral problems by identifying risk and protective factors and applying evidence-based interventions. It provides examples of different types of prevention including universal, selective, and indicated interventions. It discusses risk and protective factors and illustrates various prevention programs targeting different populations.
Similar to EvidenceBasePromotionPrevention_EPA2016_Madrid (20)
Finland's mental health policy and its implementation: a CSO perspectiveKristian Wahlbeck
A presentation held 16.5.2024 in Helsinki at the policy dialogue meeting between Finland and the WHO European Region.
The mental health future in Finland does not look bright. Austerity measures 2025-28 will reduce benefits, increase poverty and result in financial distress in families. Reduced access to primary health care (statutory maximum waiting time increases from two weeks to three months) and increased availability of alcohol (lowered taxes and weakening of the alcohol sales monopoly) will add to the burden. In addition, government financial support to health and social care CSOs will be reduced by 34 %. As a result of the above, population mental health is facing major challenges.
Esitys MIELI ry:n liittokokouksessa Helsingissä 28.4.2024. Suomalaisten fyysinen terveys on kohentunut, mutta mielenterveys on heikentynyt. Koettu stressi on huippulukemissa. Mielenterveystilanne on heikoin matalasti koulutettujen nuorten naisten ryhmässä. Yksi kolmesta koulutytöstä kokee ahdistusta. Alaikäisten ADHD-diagnoosit lisääntyvät räjähdysmäisesti.
Mielenterveyden kuormitus näkyy myös sairauslomissa: vuonna 2023 ennätysmäärä ihmisiä oli pitkillä sairauslomilla mielenterveyden häiriöiden takia. Nousua on erityisesti ahdistuneisuushäiriöiden osalta. Mielenterveyden häiriöiden osuus työkyvyttömyyseläkkeistä nousi edelleen, ollen yli 55 %.
Hyvinvointialueiden panostukset mielenterveyteen (n. 1 miljardi) ovat räikeässä epäsuhtassa mielenterveyden aiheuttamiin kustannuksiin (n. 11 miljardia). Valtion taloussuunnitelma 2025-28 edustaa kurjistavaa talouspolitiikka, ja toteuttaa lyhyen ajan sisällä massiivisia leikkaustoimia, joiden mielenterveysvaikutuksia erikseen tai yhdessä ei ole arvioitu. Sosiaaliturvan ja sosiaali- ja terveydenhuollon säästöt, järjestöavustusten leikkaaminen ja alkoholin saatavuuden lisäävät toimet tulevat lisäämään mielenterveyden kuormittumista.
Medikalisering av neurodiversitet - på gott och ontKristian Wahlbeck
Föreläsning på Social- och kommunalhögskolan vid Helsingfors universitet 10.4.2024. Skall vi diagnosticera och behandla eller skall vi genom universell utforming av skola och arbetsliv möjliggöra delaktighet personer med neurodiversitet?
Ungas psykiska hälsa 2024 - trender och bakomliggande faktorerKristian Wahlbeck
Föredrag i Mariehamn 6.3.2024 om ungas psykiska hälsa idag. Trenden är bekymmersam -unga rapporterar mera stress och ångest än tidigare. Den negativa trenden accentuerades under covid-pandemin, men har försämringen har fortsatt även efter det. Positivt är att användningen av alkohol har minskat, men helhetsbilden är dyster. Olika bakgrundsfaktorer och lösningar presenteras också.
Katsaus suomalaisten mielenterveyteen MIELI ry:n kehittämispäivässä 5.3.2024. Trendi on väestötasolla kielteinen, erityisesti nuorten naisten kohdalla. Alueellinen eriarvoisuus on myös mielenterveyden osalta suuri: tilanne on Itä- ja Pohjois-Suomessa heikompi kuin Länsi- ja Etelä-Suomessa. Mielenterveyden heikkenemistä ei enää voi selittää kovidpandemialla, vaan kyseessä on pitkäaikaisempi ja syvempi trendi, joka on huolestuttava.
Hur kan vi stärka det psykiska välbefinnadet och vilken roll kan Lappviksområdet i Helsingfors spela i arbetet för psykisk hälsa?Föredrag 25.1.2024 för Munksnejdens Pensionärer.
Presentation at the Finnish Insititute for Health and Welfare (THL) January 18, 2024. Fossil-free mental health promotion aims at addressing two main challenges of humankind by reducing the environmental impact of human activities and by addressing deterioration of mental wellbeing. There are win-win opportunities for improving mental wellbeing associated with taking actions to reduce greenhouse gas emissions. Awareness of climate change, perception of solutions and psychological adaptation is needed for a pro-environmental behaviour. Promotion of mental health and the green transition are intrisically intertwined.
SFP:s diskussionskväll om Lappvikens framtid 10.1.2024Kristian Wahlbeck
Presentationerna från SFP:s diskussionstillfälle på Lappviken 10.1.2024:
Kristian Wahlbeck: Nuläget för Lappviksområdet
Nonni Mäkikärki: Verksamheten vid Lappviken idag
Kristina Salomaa och Andreas Slotte: Planerna på en biltunnel till Västra hamnen
Prsentation under SFP:s utflykt till Lappviken 10.1.2024. Lappviksområdets framtid avgörs under 2024. Stadsmiljön vill ta in fastighetsförädlaren NREP som majoritetsägare och grundrenovera. De nuvarande aktörerna talar för en bevarande renovering och offentligt ägande. Stiftelsen Lappviken har grundats för att garantera den nuvarande verksamheten i den psykiska hälsans tjänst.
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TEST BANK For Basic and Clinical Pharmacology, 14th Edition by Bertram G. Katzung, Verified Chapters 1 - 66, Complete Newest Version.
TEST BANK For Basic and Clinical Pharmacology, 14th Edition by Bertram G. Katzung, Verified Chapters 1 - 66, Complete Newest Version.
TEST BANK For Basic and Clinical Pharmacology, 14th Edition by Bertram G. Katzung, Verified Chapters 1 - 66, Complete Newest Version.
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Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
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TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kolb, Ian Q. Whishaw, Verified Chapters 1 - 16, Complete Newest Versio
TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kolb, Ian Q. Whishaw, Verified Chapters 1 - 16, Complete Newest Version
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Ear and its clinical correlations By Dr. Rabia Inam Gandapore.pptx
EvidenceBasePromotionPrevention_EPA2016_Madrid
1. The evidence base of mental health
promotion and prevention
Kristian Wahlbeck
The Finnish Association for
Mental Health
EU Joint Action for Mental
Health and Wellbeing
Finnish National Institute for
Health andWelfare (THL)
2. Faculty Disclosure
X No, nothing to disclose
Yes, please specify:
13.03.2016
Evidence-based promotion and
prevention
2
4. ROAMER- A Roadmap for Mental Health
Research in Europe
1. Consorcio CIBER para el Área Temática de Salud Mental
2. King's College London, Institute of Psychiatry
3. Fondation FondaMental
4. European Clinical Research Infrastructures Network
5. Maastricht University Medical Centre
6. Technical University of Dresden
7. London School of Economics
8. University of Heidelberg, Central Institute of Mental Health
Mannheim
9. Nordic School of Public Health
10. University of Naples
11. Semmelweis University Budapest
12. University of Manchester
13. Cambridge University,
14. CF consulting
Partners
5. National public and non-profit funding for mental health
research in euros for year 2011
GDP per capita in 2011
Spain : $ 31 118 Finland : $ 48 695 France : $ 42 578 United-Kingdom : $ 38 927
Total amount
allocated for
mental health
research (M€)
% of health
research budget
allocated to
mental health
Funding per capita
for mental health
research (€ /
inhabitant)
Spain 16.8 5.6 0.4
Finland 10.2 9.7 1.9
France 84.8 4.1 1.3
UK 95.3 7.0 1.5
ROAMER: National funding for MH
research
13.03.2016
Evidence-based promotion and
prevention
5
6. ROAMER: Geographic distribution of
public mental health publications
(weighted by GDP)
Forsman et al. 2015, Eur J Publ Health
7. Evidence based public mental health
Consentious use of critically appraised
methods to promote mental health, prevent
mental health problems and provide
services.
Public mental health interventions
are typically complex, and a larger variety
of evaluation methods are needed than
In a clinical context
8. Evidence-based promotion and
prevention
8
An example of a typology of evidence.
Research question
Qualitative
research Survey
Case-
control
studies
Cohort
studies RCTs
Quasi-
experimental
evaluations
Non-
experimental
evaluations
Systematic
reviews
Effectiveness
Does it work? Does doing this
work better than doing that?
+ ++ + +++
Process of service delivery
How does it work?
++ + + +++
Salience
Does it matter?
++ ++ +++
Safety
Will it do more good than
harm?
+ + + ++ + + +++
Acceptability
Will children/parents be willing
to or want to take up the
service offered?
++ + + + + +++
Cost effectiveness
Is it worth buying this service?
++ +++
Appropriateness
Is this the right service for
these children?
++ ++ ++
Satisfaction with the service
Are users, providers and other
stakeholders satisfied with the
service? ++ ++ + +
+
Adapted from Petticrew and Roberts
9. Mental health determinants & risk
factors: Growing evidence base
13.03.2016
Evidence-based promotion and
prevention
9
Early interaction deficits
Neglect, abuse and harsh
upbringing
School bullying
Work place stress
Lack of social support &
networks
Community environment
Socio-economic determinants
(poverty, social exclusion)
Alcohol and illegal drug use
Common NCD Specific
11. Mental health promotion
• MHP aims to strengthen mental health and wellbeing in the population
• Mental health is dependent on structural determinants: mental wellbeing
is best achieved in equitable, just and non-violent societies (Patel 2014)
• New evidence shows that mental health promotion is effective
• Parenting support
• Socio-emotional learning programmes in schools
• Work-life interventions to improve stress coping skills
• Social activities for elderly people
13.03.2016
Evidence-based promotion and
prevention
11
12. Primary prevention of mental
disorders and suicide
• More than 30 randomized trials have demonstrated that preventive
interventions can reduce the incidence of new episodes of major
depressive disorder by about 25% and by as much as 50% when
preventive interventions are offered in stepped-care format
Cuijpers, JAMA 2012
• There is strong evidence that CBT interventions are effective for
preventing depression during the perinatal period
Sockol, J Aff Dis 2015
13.03.2016
Evidence-based promotion and
prevention
12
13. Effective public mental health
interventions
Parenting support interventions have been shown to promote life-long
mental health and well-being of the offspring.
School programmes have consistently been shown to have positive moderate
to strong effects on social and emotional skills and competences
Workplace reorganisation and increased control over work life improve
mental wellbeing, increase productivity and reduce costs
13.03.2016
Evidence-based promotion and
prevention
13
15. Mental health is shaped early in life
Where and how we are born, grow, live, work and age
determines our mental health
16. Cumulative incidence of first DSM-IV disorder
by comorbidity and severity
“Generalized“ psychopathology already present at age 13
16
Ormel et al., 201413.03.2016
Evidence-based promotion and
prevention
17. 13.03.2016
Evidence-based promotion and
prevention
Children who have been
maltreated or bullied are much
more likely to have mental health
problems in adulthood
Great Smoky Mountains Study, Lereya et al
Lancet 2015
Risk of mental
health problems
in adulthood
0.0
1.0
2.0
3.0
4.0
5.0
Normal population Maltreated Bullied
17
Oddsratio
18. Intergenerational
transmission of
mental health
problems can
be stopped
Risk of mental disorders in the offspring
of parents with mental disorders is reduced
by 40% by preventive interventions
Siegenthaler et al. JAACAP 2012
19. 40 % of mental disorders can be
prevented in high-risk families
13.03.2016
Evidence-based promotion and
prevention
19
Effect of interventions on the risk in the child of the mental disorder
diagnosed in the parent. Siegenthaler et al. JAACAP 2012
20. NIH/NIDA: A child’s first eight years
are critical for substance abuse
prevention
13.03.2016
Evidence-based promotion and
prevention
20
“There is strong
evidence that a stable
home environment,
adequate nutrition,
physical and cognitive
stimulation, and
supportive parenting
can lead to good
developmental
outcomes.”
21. Income-to-needs ratio = poverty line = 1
Internalizing
problems
Norwegian Mother and Child Cohort Study (MoBa), N=75296 (Zachrisson & Dearing, 2014)13.03.2016
Evidence-based promotion and
prevention
21
23. School-based mental health
promotion
• a.k.a. ”socio-emotional learning, “emotional literacy”, “emotional
intelligence”, “resilience”, “life skills” and “character education”, targeting
• skills
• curriculum
• teacher education,
• peer support
• whole school approach
• Strong evidence of effectiveness
• Strong effects on socio-emotional skills
• Small to medium effects on emotional well-being
• Evidence of reduction of depression, aggression, impulsiveness and
antisocial behavior
13.03.2016
Evidence-based promotion and
prevention
23
24. Evidence-based school interventions
• Anti-bullying programmes
• Whole-school approach
• Teacher training programmes
13.03.2016
Evidence-based promotion and
prevention
24
27. Company performance and workplace wellbeing: indices by country
Source: Eurofound Third European Company Survey 2015
13.03.2016
Evidence-based promotion and
prevention
27
28. Evidence base for workplace
interventions
• 14 systematic reviews show moderate effectiveness
of workplace interventions
Wagner et al 2016, Int J Occup Envir Med
• A systematic review and meta-analysis of universal
workplace interventions for prevention of
depression (9 RCTs, mostly CBT-based interventions)
show a small positive effect
Tan et al 2014, BMC Med
13.03.2016
Evidence-based promotion and
prevention
28
29. EU Joint Action: Promoting mental
health at work offers benefits to
individuals, enterprises and economies
• Improvements in quality of life of employees
and their families
• Increased productivity and competitiveness
among companies and countries
• Reduction of burden on health services
• Promotes social inclusion
13.03.2016
Evidence-based promotion and
prevention
29
30. Universal or targeted interventions?
13.03.2016
Evidence-based promotion and
prevention
30
31. Geoffrey Rose’s Theory of
Prevention
If disease risk is widespread (viz. depression),
measures that decrease risk for everyone are
more effective in reducing the burden of
disease than a ‘high-risk’ approach, in which
measures are targeted only to those
individuals with a substantially increased risk
for disease (Rose, 1993).
Geoffrey Rose
1926-1993
13.03.2016
Evidence-based promotion and
prevention
31
32. Geoffrey Rose’s theory of
prevention
Geoffrey Rose
1926-1993
…. Because: If disease rates rise continuously
with higher levels of exposure to the risk factor,
the larger number of people with a small
elevation in risk will usually contribute more
disease cases to the total burden of disease than
the smaller number of people exposed to a high
risk (Rose, 2008)
13.03.2016
Evidence-based promotion and
prevention
32
33. Shifting the whole population into a lower risk category benefits more
individuals than shifting high risk inviduals into a lower risk category
The Bell curve shift in
populations
13.03.2016
Evidence-based promotion and
prevention
33
34. Is the health benefit of universal
interventions higher than the benefit of
targeted interventions?
• Review of all successfull prevention programs in
Netherland 1970-2010
• Results
• Primary prevention: ¾ of the effects
• Secondary prevention: ¼ of the effects
Machenback et al, 2012
13.03.2016
Evidence-based promotion and
prevention
34
35. Gap between evidence and practice
13.03.2016
Evidence-based promotion and
prevention
36
38. Novel delivery channels
• Evidence indicates that e-mental health interventions are effective
• Several promotive and preventive interventions have been
developed for the internet and mobile apps, usually based on CBT
or ACT. Results from RCTs are promising, but attrition rates are
high
13.03.2016
Evidence-based promotion and
prevention
39
39. A tool for Mental Health in All Policies:
Mental health impact assessment
How does the proposed
development/policy impact on…
• social determinants of
mental health
• equity
• people’s control
• people’s participation
• resilience and communtiy assets
• social inclusion?
40. Mental health inequity
Mental disorders are, generally speaking, twice as common among socio-
economically disadvantaged individuals than among those close to the top of
the social ladder
Mental health follows a social gradient
• poverty and low income
• insecure housing
• limited education
• recent unemployment/loss of social status
• high-demand or low-control work
• child abuse or neglect
• poor neighbourhood conditions
• low social support/networks
• discrimination
13.03.2016
Evidence-based promotion and
prevention
41
42. ROAMER: High Level Priorities
1. Research into mental disorder prevention, mental health promotion
and other interventions in children, adolescents and young people
2. Focus on the development and causal mechanisms of mental health
symptoms, syndromes and well-being across the lifespan (including
older populations)
3. Developing and maintaining international and interdisciplinary
research networks and shared databases
4. Developing and implementing better interventions using new
scientific and technological advances
5. Reducing stigma and empowering service users and carers in
decisions about mental health research
6. Health and social systems research that addresses quality of care and
takes account of socio-cultural and socio-economic contexts and
approaches
13.03.2016
Evidence-based promotion and
prevention
43
43. EU Joint Action for mental health and
well-being 2013-2016
Based on the European Pact for Mental Health and Well-being
Mental health promotion in schools
Workplace mental health promotion
Prevention of depression and suicides
Community care and deinstitutionalisation
Mental health in all policies
• Identifies best practices for cross-sectoral work and whole-of-
government practices across Europe
www.mentalhealthandwellbeing.eu
13.03.2016
Evidence-based promotion and
prevention
44
44. The NCD challenge
We need to take the step from ”four diseases, four risk factors” to ”five
diseases, five risk factors”
Diet
Exercise
Alcohol
Tobacco
Adverse childhood events
13.03.2016
Evidence-based promotion and
prevention
45
Cardiovascular
Diabetes
Chronic respiratory
Cancer
Mental disorders
45. Effectiveness of exercise in preventing
depression
Evidence-based promotion and
prevention
Courtesy: Anders Hovland
48. 13.03.2016
Evidence-based promotion and
prevention
49
Sources of evidence-based public
mental health interventions
National Registry of Evidence-Based Programs and Practices (NREPP
Database) (USA)
http://www.nrepp.samhsa.gov/
Evidence Based Practice in Behavioral Health (Canada)
http://tecathsri.org/knowledge.asp
No Pan-European resource exists