Kate O'Flaherty (Department of Health)
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Kate O'Flaherty discussed Ireland's national mental health promotion strategies. The Healthy Ireland framework aims to improve population health and wellbeing through intersectoral collaboration. Key goals include increasing health at all stages of life and reducing inequalities. Several policies and plans promote mental health, including Connecting for Life which tasks developing a national mental health promotion plan. A Youth Mental Health Taskforce will report recommendations on teaching resilience and coping skills to young people. A Mental Health Promotion Plan advisory group is laying the groundwork to further develop the plan in 2018.
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Kate O'Flaherty (Department of Health)
- 1. Healthy Ireland: mental health promotion IPH Conference 2017 Kate O’Flaherty Head of Health and Wellbeing Department of Health
- 2. Health • Approved by Government February 2013 • Recognition of determinants of health and societal issues (health sector alone cannot address problems) • Requirement for inter-sectoral approach that shifts emphasis from disease to health and wellbeing • Improving health and wellbeing of population essential for economic and social recovery and development Healthy Ireland Framework
- 3. Healthy Ireland: Vision “Where everyone can enjoy physical and mental health and wellbeing to their full potential, where wellbeing is valued and supported at every level of society and is everyone’s responsibility” Healthy Ireland: Goals 1. Increase the proportion of people who are healthy at all stages of life 2. Reduce health inequalities 3. Protect the public from threats to health and wellbeing 4. Create an environment where every individual and sector of society can play their part in achieving a Healthy Ireland Healthy Ireland Framework : Themes for Action 1 - Governance and Policy 2 - Partnerships and Cross-Sectoral Working 3 - Empowering People and Communities 4 - Health and Health Reform 5 - Research and Evidence 6 - Monitoring, Reporting and Evaluation
- 4. Work underway across all Framework themes Cross-sectoral structures and relationships established Policy direction clear – comprehensive suite of plans and strategies published Embedding in HSE reform and Dept. Health policy development Some cross-departmental projects underway ‘Whole of Society’ agenda evolving with Council and communications strategy Where are we now?
- 5. Connecting for Life: National Strategy to Reduce Suicide 2015-2020 • Action 1.1.2 Develop and implement a national mental health promotion plan • Action 1.1.3 Deliver co-ordinated communications campaigns (Little Things) for the promotion of mental health and wellbeing among the whole population with a focus on protective health behaviours and consistent signposting to relevant support services • Action 1.1.4 Build link between alcohol/drug misuse and suicidal behaviour into all communications campaigns • Promoting physical activity as a protective factor for mental health through the National Physical Activity Plan Strategic Goal 1: Improve the nation’s understanding of, and attitudes to, suicidal behaviour, mental health and wellbeing Objective 1.1: “Improve population-wide understanding of suicidal behaviour, mental health and wellbeing, and associated protective and risk behaviours Takes ‘whole of government’ and ‘whole of society approach’ … focus on mental health promotion Policy Delivery Money Accountability 5
- 6. Review of “A Vision for Change” • Mental Health Policy 2006-2016 • Expert review of implementation published July 2017 – includes ‘prioritising mental health as a major societal issue’ and ‘primary prevention and positive mental health’ • Oversight Group to review Mental Health Policy now established and commenced work in October 2017
- 7. Youth Mental Health Taskforce • Programme for Partnership Government commitment to establish Taskforce to “consider how best to introduce and teach resilience, coping mechanisms, greater awareness to children and young people, and how to access support services voluntarily at a young age” • Commenced work September 2016 • Final Report and recommendations expected to be through Government before end 2017
- 8. The Youth Mental Health Pathfinder was set up under a dual mandate Civil Service Renewal Plan Action 5 “To strengthen the prioritisation, management and accountability of cross-cutting projects that involve multiple Departments, Offices and Agencies and ensure that policies that are not the priority or responsibility of a single body are effectively managed, supported and resourced.” Connecting for Life Objective 3 “To target approaches to reduce suicidal behaviour and improve mental health among priority groups (young people).” 8
- 9. Mental Health Promotion Plan • Action 1.1.2 in Connecting for Life • Advisory group working since October 2016 on foundational steps – led by HSE Health and Wellbeing • Looking at policy and implementation “infrastructure” via Healthy Ireland, priority areas/groups/issues, evidence base, outcomes, settings, synergies • Steering group to be established and further development of plan to progress in 2018
Editor's Notes
- Slide 2 Healthy Ireland Framework heavily influenced by WHO Health 2020 and health in all polices approach. Seek to engage whole of government and whole of society in improving the health of the entire population. It recognises that while some progress has been made in terms of better detection, treatment and control of disease and threats to public health, current adverse health trends such as an increase in chronic disease, and growing health inequalities are a cause for concern and are leading us to an unhealthy and costly future if not addressed. It also recognises that this improvement in not evenly spread throughout society. Healthy Ireland is about each individual sector helping to improve health and wellbeing, multiplying all efforts and delivering better results.
- Goal I Increase the proportion of people who are healthy at all stages of life This means addressing risk factors and promoting protective factors at every stage of life - from pre-natal, through early childhood, adolescence, adulthood and into old age, to support lifelong health and wellbeing. Goal 2: Reduce health inequalities Health and wellbeing are not evenly distributed across Irish society There are significant differences in health outcomes between the highest and lowest occupational classes and between the wealthiest and most deprived areas. Healthy Ireland recognises that the goal of reducing health inequalities will require complex solutions that reach across sectors and create economic, social, cultural and physical environments that foster healthy living, supported by socially targeted interventions that address the specific needs of at risk group. This goal requires not only interventions to target particular health risks, but also a broad focus on addressing the wider social determinants of health – the circumstances in which people are born, grow, live, work and age. Goal 3: Protect the public from threats to health and wellbeing Healthy Ireland is designed to ensure effective strategies and interventions to protect the public from new and emerging threats to health and wellbeing are implemented. Being prepared to prevent, respond to, and rapidly recover from public health threats through collaborative working is critical for protecting and securing the nation’s health. Goal 4: Create an environment where every individual and sector of society can play their part in achieving a healthy Ireland It is beyond the capability of any one Government Department or organisation to promote society- wide health and wellbeing. This can only be done through society-wide involvement in and engagement with health and wellbeing promotion and improvement activities - from individuals making positive lifestyle choices and projects run by com- munity and local groups, to policy and legislative changes at the highest level of government. An Outcomes Framework is in development which is intended to provide evidence to support an objective assessment of the impact of Healthy Ireland and how it is making a difference. This assessment will reinforce the goals of Healthy Ireland and help partners in wider government and society to prioritise their actions towards improving health and wellbeing. The targets in this Plan will be aligned to the Outcomes Framework which will specify key indicators to underpin each of the four high-level goals of Healthy Ireland. Regular measurement of these indicators will allow progress to be assessed.
- We now have a Framework for a ‘whole of government’ and ‘whole of society’ approach to deal with determinants of health and to support people make healthy lifestyle choices across the life course. We have published a number of policy documents that set out the detail of how we will address some of the major challenges and I will mention some of these in this presentation. The cross-sectoral approach set out in Healthy Ireland specifically highlights the economic and the societal benefits of protecting and maintaining health, preventing illness, and intervening early. Our approach is to work with sectors that have influence on the social determinants and predictors of health and wellbeing, many of which fall outside the health sector, e.g. housing, transportation, education, workplaces and environment along with an individual’s socio-economic status. In the HSE each Hospital group and Community Health Organisation will publish a Health Ireland in the Health Services Implementation Plan. Each plan will focus on 3 priority areas- Health Service Reform, Reducing the burden on Chronic Disease and Improving Staff Health and Wellbeing. I will discuss some cross departmental projects presently.