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.

1. Bangladesh Association for Child & Adolescent
Mental Health (BACAMH)
9th Annual Conference and General Meeting
26-27 December, 2016
Child and adolescent mental health in Bangladesh:
Training and education
Shaheed Dr. Milon Hall
BSMMU, Shahbagh, Dhaka

2. Mental Health Promotion or Public Mental Health:
The Upcoming Challenge
Presented by:
Dr. S.M. Yasir Arafat
Phase B Resident, Psychiatry, BSMMU
Editorial Member: Int J Psych, J Behav Health,
EC Psy & Psych & Int J Percept in Public Health
December 27, 2016.

3. Objectives
To be being introduced with the Mental Health
Promotion
To address the Public Mental Health
To raise the issue of Mental Health Literacy (MHL)
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4. Content
Health, Mental Health & Mental illness
Mental Health & Mental illness co-existence
Health Promotion & Mental Health Promotion
Public Mental Health
Interventions & Potential Areas
Challenges
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5. Background
Mental health contributes to all aspects of life and has both
material and immaterial, or intrinsic, values: for the individual,
society, and economy.
Mental health has a reciprocal relationship with the well-being
and productivity of an individual.
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6. Background
The costs of poor mental health have been estimated to
account for between 3-4% of GDP in developed countries
Untreated mental health problems, can have profound
longstanding social and economic consequences.
These compromise the quality of life and economic prosperity,
and the implementation of mental health promotion (MHP)
programs is imperative
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7. Health
‘‘a state of complete physical, mental, and social well-
being and not merely the absence of disease, or
infirmity’’
Mental health is clearly an integral part of health and
there is no health without mental health
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8. Health Diseases Spectrum
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9. Mental Health
‘‘not just the absence of mental disorder’’ but ‘‘as a state
of well-being in which
every individual realizes his or her own potential, can
cope with the normal stresses of life,
can work productively and fruitfully, and
is able to make a contribution to her or his
community’’
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10. Mental Illness
‘‘term that refers collectively to all diagnosable mental
disorders’’ that are ‘‘health conditions that are
characterized by alterations in thinking, mood, or
behavior (or some combination thereof) associated with
distress and/or impaired functioning’’
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11. Mental Health & Mental Illness
The Mental Health/Illness Continuum// Two-continuum model of mental health

12. Health Promotion
‘‘the process of enabling people to increase control
over their health and its determinants, and thereby
improve their health’’.
‘‘the science and art of helping people change their
lifestyle to move toward a state of optimal health,’’
which includes physical, emotional, social spiritual,
and intellectual health [O’Donnell].
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13. Rising of Health Promotion
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1986 Ottawa Charter for Health
Promotion
building healthy public
policies
Creating supportive
environments, strengthening
community action
developing relevant to
mental health personal skills
in general reorienting health
services to early detection of
disorders and promotion of
health and well-being
European Union, Green
Paper in 2005
Melbourne Charter in
2008

14. Melbourne Charter in 2008
a framework which recognizes the influence of social and
economic determinants on mental health and mental illness
identifies the contribution that diverse sectors make in
influencing the conditions that create positive mental health
The charter stresses that mental health promotion is everybody’s
concern and responsibility
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15. Melbourne Charter in 2008
effective MHP builds on cross-sectoral collaboration with non-
health sectors, including education, housing, employment and
industry, transport, arts, sports, urban planning and justice.
It was stressed that the role of the health sector must move in a
health promotion direction, beyond its responsibility for
providing clinical and curative services.
Mental health promotion can be seen as an important new goal
for public mental health as because the absence of mental illness
does not necessarily imply the presence of flourishing mental
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16. Mental Health Promotion (MHP)
“the creation of living conditions and environments that
support mental health and allow people to adopt and
maintain healthy lifestyles”.
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17. Promotion & Prevention
Overlaps, but distinct; emphasis in mental health promotion is
on positive mental health and prevention emphasize on the
causes of disease.
Prevention focuses on the causes of risk factors to avoid
illness, whereas promotion focuses on health.
The ideals of health promotion are based on ‘what causes good
health?’ and ‘what factors or determinants are linked to health
and which of these are modifiable?’, and ‘how are they
modifiable?’
This salutogenic approach focuses on factors that support
health and well-being, rather than disease.
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18. Salutogenic Concept
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19. Public Mental Health
The field of public mental health approaches mental health
targets at the population level focuses on enabling and
achieving positive mental health.
It is not just about the occurrence and prevention of mental
disorders in the population, but also includes the
promotion of mental health and wellbeing.
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20. Public Mental Health
This multidisciplinary area of practice aims to enhance
well-being and quality of life for individuals, communities
and society in general.
Promoting mental health is an integral part of public health
and public health must focus on promoting mental health by
addressing the emotional, social, and psychological well-being
of the population .
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21. Current Situation
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22. We are for Him/Her
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What we are doing

23. Who are for Them
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Mental Health
Promotion

24. Warning
Unfortunately, health professionals and health planners are
often too preoccupied with the immediate problems of
those who have a disease than those who are “well”.
Separate strategies from treatment are needed for mental
health promotion and prevention of mental illnesses
Psychiatrists are not usually accustomed to these concepts
and approaches of mental health promotion

25. Mental Health Promotion Interventions
universal interventions focusing the whole population;
selected interventions
focusing the subgroups with significant risks; and
indicated intervention focusing high-risk individuals;
according to the range of target population, available resources
and intervening limitations .
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26. International Experiences
In New Zealand, nationwide MHP campaign, including
education and training, providing evidence that
awareness among the general public, as well as
attitudes and behaviors towards people with experience
of mental illness.
In a multisite European study (The European Early
Promotion Project), training was offered to a
quasiexperimental group of primary health care
professionals.

27. Potential Areas
It is widely recognized that promoting mental health and
addressing mental ill health can be endeavored at different
levels, taking into consideration individual, family, community
and social determinants of mental health, and strengthening
protective factors while reducing risk factors.
At a community and group level, the degree of knowledge and
understanding about the nature of mental health and mental
illness has been identified as a key element for changing health
policies and practices.

28. Potential Areas
Human settings such as schools, family (parenting) and work
places are considered crucial for MHP education.
In schools in particular, an inclusive intervention program can
increase social competencies, improve resilience and reduce
bullying, anxiety and depressive symptoms.
In addition, promoting mental health in children, adolescents
and parent populations may improve their mental health through
the development of particular skills relevant to each group

29. Challenges of mental health promotion
 Low sensitivity of in policy making
 Low literacy of people on mental health
 Low intro-sectoral coordination and inter-sectoral cooperation
 Inadequate Mental health programs
 Poor quality and in consistency in taking care of chronic diseases
 Poor structure, system process, and resources of mental health
system
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30. Challenges for Psychiatrists
The greatest importance for mental health care is not only
reduce mental illness, but also to work actively to promote
the mental health
The three kinds of interventions of promotion, prevention, and
treatment are interrelated and complementary; however, they are
somewhat different from one another and psychiatrists also need to
be competent.
In addition to the treatment, mental health promotion and
prevention of illnesses have become principal challenges for
psychiatrists
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31. Conclusion
The field of mental health promotion has acquired world-
wide recognition and new initiatives are being undertaken
and new research is emerging globally.
It’s the time to concentrate appropriately on the issue to
improve the mental health as well as to reduce the personal,
social and global burden of mental illness.
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32. Take Home Message
Poor mental health has significant role in development
Mental Health & Mental Illness can co-exist
Mental health promotion deals with the healthy people
School can be a significant area for MHP
Mental Health Literacy is a very important area to address
Psychiatrist are responsible not only for the treatment of
mental illness but also for prevention and promotion of mental
health
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33. Acknowledgement
Kauvery Research Group
(KRG) for immense support
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KRG, Bangladesh

34. Questions
“The scientist is not a person who gives the right answers, he's
one who asks the right questions.”
― Claude Lévi-Strauss
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35. References

36. References
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