The document discusses policies and strategies to alleviate the mental health impact of socioeconomic crises through prevention. It proposes several questions to guide discussion, including what factors mediate and moderate the relationship between socioeconomic crises and mental health. It then outlines potential preventive actions that target these factors, such as social protection policies, community development programs, parenting education, and early detection/treatment of mental health issues. Finally, it provides examples of specific evidence-based prevention interventions that could help reduce the mental health burden of socioeconomic crises.
Wulf Livingston's talk at the Conwy & Denbighshire LSCB Conference, March 2013.
Watch a video of his talk here:
http://www.youtube.com/watch?v=Uesatpv7bZQ
Wulf Livingston's talk at the Conwy & Denbighshire LSCB Conference, March 2013.
Watch a video of his talk here:
http://www.youtube.com/watch?v=Uesatpv7bZQ
'La prevención y el abordaje de la depresión en el ámbito laboral'. Este es el título de la jornada que organizamos el día 14 de junio de 2016 la Fundación Ramón Areces y la Fundación Española de Psiquiatría y Salud Mental (FEPSM). La Organización Mundial de la Salud alerta de que la depresión es una enfermedad que llega a afectar a una de cada cinco o seis personas a lo largo de su vida.
info4africa/MRC KZN Community Forum | 15 April 2014 | Adolescent HIV risk an...info4africa
Speaker: Ms Juliet Houghton – Country Director CHIVA South Africa
Risk activities in adolescents are a pervasive and costly problem for all societies, despite many efforts to reduce or prevent these through diverse intervention programmes. This presentation seeks to unpack what the leading adolescent risk behaviours are, why these occur, and what strategies have been successfully tried and tested to mitigate negative behaviours.
Through the examination of strategies to build resilience in young people (historically an educational intervention), Ms Houghton will argue that by shifting our focus from ‘negative’ aspects of risk and focusing on skills development opportunities with young people, young people will be better able to manage their lives, including risk situations.
Examples will be drawn primarily from an HIV/sexual health perspective for the purpose of discussion and debate. Participants will be encouraged to share experiences of successes and challenges.
Impact of covid 19 on families’ well-being and functioningDaniel_Klem
When the COVID-19 pandemic struck in early 2020, many families were forced to isolate themselves together at home. A year later, new studies have shown that this period has had detrimental effects on most families’ well-being and functioning.
'La prevención y el abordaje de la depresión en el ámbito laboral'. Este es el título de la jornada que organizamos el día 14 de junio de 2016 la Fundación Ramón Areces y la Fundación Española de Psiquiatría y Salud Mental (FEPSM). La Organización Mundial de la Salud alerta de que la depresión es una enfermedad que llega a afectar a una de cada cinco o seis personas a lo largo de su vida.
info4africa/MRC KZN Community Forum | 15 April 2014 | Adolescent HIV risk an...info4africa
Speaker: Ms Juliet Houghton – Country Director CHIVA South Africa
Risk activities in adolescents are a pervasive and costly problem for all societies, despite many efforts to reduce or prevent these through diverse intervention programmes. This presentation seeks to unpack what the leading adolescent risk behaviours are, why these occur, and what strategies have been successfully tried and tested to mitigate negative behaviours.
Through the examination of strategies to build resilience in young people (historically an educational intervention), Ms Houghton will argue that by shifting our focus from ‘negative’ aspects of risk and focusing on skills development opportunities with young people, young people will be better able to manage their lives, including risk situations.
Examples will be drawn primarily from an HIV/sexual health perspective for the purpose of discussion and debate. Participants will be encouraged to share experiences of successes and challenges.
Impact of covid 19 on families’ well-being and functioningDaniel_Klem
When the COVID-19 pandemic struck in early 2020, many families were forced to isolate themselves together at home. A year later, new studies have shown that this period has had detrimental effects on most families’ well-being and functioning.
Meetup slides by Dr. Ricardo Silva at UCL, presented at Lloyds Register on 20th October 2015.
http://www.meetup.com/London-Bayesian-network-Meetup-Group/events/224945904/
Astor Service's Teen Suicide Prevention White PaperStephen Jackson
Astor Services for Children & Families faced a high number serious teen suicide attempts and published this White paper to educate the signs and preventive methods of dealing with teen suicide prevention.
9 serious social issues that our beloved old.pptxmondalhimadri
On todays busy life style , its difficult to maintain a life...properly .. specially if you are a old aged parents, people. We began to face lots of issues / problems along with getting old. Issues like loneliness , after certain time they started to getting discrimination because of ageing , and eventually they had to retire from there work place , and that's why they had to face financial insecurity.....
Luckily ,theirs a still hope for them even in this busy life generation ... their are some organizations whom are bringing their helping hands for old aged people , by providing services like... by providing healthy and nutritious foods. taking care about health care issue , they provide accommodation to stay.. and by providing many services....
Here are some organization that you can do check out..
SHANTINIKETAN HOME
https://www.shantiniketanhome.org
GODHULI
https://www.godhuli.in
ANANDA ASHRAM
https://www.anandaashram.org/
JAGRITIDHAM
https://www.jagritidham.com/
If incase you do wont to look for other then this ⬆️ list above..
Then do check out =
AUMORTO
https://www.aumorto.in
Addressing the Mental Health Crisis in Schools Support Systems and Interventi...Birtikendrajit
This blog explores strategies for addressing the mental health crisis in schools, emphasizing the importance of creating supportive environments, providing accessible resources, promoting resilience, and destigmatizing mental illness. By fostering open discussions, offering counseling services, integrating social-emotional learning, and challenging stigmas, schools can play a vital role in supporting students' mental and emotional well-being.
Based on the report from the Washington State Board of Health, this presentation, made to the State
and King County Boards of Health on December 13, 2007, suggests a public health model for approaching delivery
of mental health services.
For each of the learning objectives, provide an analysis of how thShainaBoling829
For each of the learning objectives, provide an analysis of how the course supported each objective.
1. Discriminate among the mechanisms of action for the major classes of drugs/medications
2. Critique evidence that supports proposed pharmacotherapeutic protocols for appropriateness of application across the lifespan
3. Integrate the teaching-learning needs of clients across the lifespan when proposing pharmacotherapies
4. Propose prescriptive therapies for selected clients evaluating safety factors while utilizing knowledge of how current health status, age, gender, culture, genetic factors, ethical concerns and prescriptive authority impact decision making
Explain how the material learned in this course, based upon the objectives, will be applicable to professional application.
Provide evidence (citations and references) to support your statements and opinions.
All references and citations should in APA format.
14
Mental Health and Social Work
Shanae Hampton
Cal Baptist University
Introduction
How well a person is able to live a full life, build and maintain relationships and pursue their education, profession or other pursuits requires them to maintain their well-being ranging from physical to mental health. When assisting others to achieve good and self-motivated changes, social workers draw on their relationship-based abilities and emphasize personalization and rehabilitation. A key issue is, "What components and obstacles of an assessment are there in order to reach these outcomes?" When it comes to health promotion and public involvement, social workers are well-suited for this role since primary care is all about these things. Social workers who deal with mental health have unique challenges in assessment, which necessitates them learning and using psychiatric principles. Identifying the need for mental health care requires an understanding of assessment principles.
For this research, the focus is on urban youth's increase in mental health cases which is more influenced by lack of access to mental health care as a result of poverty that affects many children and families in the US. Young people are the most impacted by poverty, accounting for 33% of the total number of individuals in poverty. Children who live in "high risk neighborhoods" are more likely to lack access to the mental health supports they need to manage their symptoms. Stabilization, individual treatment, and symptom management are all important aspects of aftercare for children who have been hospitalized for behavioral difficulties by the time they are six years old (Hodgkinson, 2017).
Literature Review
Inequality based on race and class has been shown to be associated with a variety of negative health outcomes, including poor mental health. Increased financial disparity is associated with an increase in the prevalence of mental illness along a social gradient in mental health. However, psychiatric and psychological approaches have dominated ment ...
Addressing child health disparities: We made the case, we need a movement!renataschiavo
This presentations reviews recent studies and experiences on child health disparities, and provides insights and recommendations to advance child health equity. It was presented at the 2015 Health Equity Capacity Institute of the CDC Division of Community Health, Office of Health Equity.
REQUEST for PROPOSAL FOR SEMESTER PROJECT.docxkellet1
REQUEST for PROPOSAL
FOR
SEMESTER PROJECT
Mental Health Service project
PREPARED BY
Your Name
Name of University
October 2018
PART 1
Needs Statement
Goals
Objectives
NEED STATEMENT
The rising international trend in the number of parents who separate or divorce is raising concerns about long-term consequences for child and youth well-being and adjustment to adulthood.
Separation and divorce may increase risks for negative outcomes in physical, mental, educational and psychosocial well-being during childhood and later, as youth transition to adulthood. Most children of separated and divorced families do not have significant or diagnosable impairments.
Most children and youth experience initial painful emotions including sadness, confusion, fear of abandonment, anger, guilt, grief, and conflicts related to loyalty and misconceptions. Although many children and youth of separating or divorcing parents experience distressing thoughts and emotions, the overwhelming majority do not experience serious outcomes. However, even small negative effects constitute a serious public health problem when multiplied by the millions of individuals who experience separation or divorce.
Due to the effect of the divorce on the kids, they tend to be stubborn and are wild and erratic in behavior which is usually harmful to the children. It affects their daily relationship, academics, and personal lives.
Divorce can increase the risk of mental health problems in children and adolescence. Regardless of age, gender, and culture, studies show children of divorced parents experience increased psychological problems. Divorce may trigger an adjustment disorder in children that resolves within a few months. But, studies have also found depression and anxiety rates are higher in children from divorced parents.
According to our research conducted, children of divorced parents scored significantly lower than children of continuously married parents on measures of academic achievement, conduct, psychological adjustment, self-concept, and social relations. More recent research continues to suggest an ongoing gap between children of divorced parents and continuously married parents. The negative impact of divorce can reach into adulthood and even later in adult married life, with potential increases in poverty, educational failure, risky sexual behavior, unplanned pregnancies, earlier marriage or cohabitation, marital discord, and divorce
The extent to which the negative outcomes associated with parental divorce reflect dysfunctional processes that arise before parental separation, such as interparental conflict.
This 2005 presentation was for UK social work students studying at Derby and Leicester Universities. The half-day presentation consisted of going through this powerpoint and facilitating numerous activities.
Managing adolescent sexual reproductive health issues cope with best evidence...
Socioeconomic Crisis and Mental Health Hosman Prevention Options
1. Socio-economic Crises and Mental Health:
From Research to Action
Round Table
Policies and strategies to alleviate
the mental health impact of socioeconomic crisis
What could Research, Policies and Practices of
Mental Health Promotion and
Mental Disorder Prevention contribute?
Clemens Hosman
Emeritus Professor of Mental Health Promotion and Prevention
Maastricht University & Radboud University Nijmegen
2. Questions
1. Analysis and theory: What are the mediating and moderating factors
and processes between Socioeconomic crises and Mental Health,
that could be targets and entrees for preventive actions?
2. From Theory to Action: What evidence-based interventions are
available in the domain of prevention in Mental Health? How effective?
Are they relevant for alleviating the MH burden of Socioeconomic crises?
3. From Interventions to Public Impact: What is needed to get preventive
interventions implemented, scaled, reaching target populations and to
create significant public impact?
?
3. Alleviating the impact of economic crisis on mental health:
Preventive Actions
Socio-
Economic
Crisis
Mental health
Mental disorders
children
adolescents
adults
Elderly
Vulnerable
groups
Health, social
and economic
outcomes
What could we do?
Policies Interventions Practices
4. Alleviating the impact of economic crisis on mental health:
Preventive Actions
Socio-
Economic
Crisis
Mental health
Mental disorders
children
adolescents
adults
Elderly
Vulnerable
groups
Health, social
and economic
outcomes
Access mental health care
Early detection and treatment
Rehabilitation Anti stigma
5. Alleviating the impact of economic crisis on mental health:
Preventive Actions
Socio-
Economic
Crisis
Mental health
Mental disorders
children
adolescents
adults
Elderly
Vulnerable
groups
Health, social
and economic
outcomes
Mediating factors
Moderating factors
Macro level
Community
Family
Person
Access mental health care
Early detection and treatment
Rehabilitation Anti stigma
Interventions programs
Practices
Policy 2016
Hosman
6. Alleviating the impact of economic crisis on mental health:
Preventive Actions
Socio-
Economic
Crisis
Mental health
Mental disorders
children
adolescents
adults
Elderly
Vulnerable
groups
Health, social
and economic
outcomes
Mediating factors
Moderating factors
Macro level
Community
Family
Person
Conditions for Implementation and Public Impact
2016
Hosman
7. Mediators of impact socio-economic crisis on mental health
Poor Mental Health
Mental disorders
Depression - Anxiety
Externalising problems
Alcohol-related disorders
Suicide
Work Income Debts Housing
Neighbourhood quality
Family functioning and Parenting
Stress, Vulnerability and Coping
Health care quality and access
Social capital: support and connectedness
Social protection
Entree points and targets of preventive Action
Health, social and
economic outcomes
Mediating determinants
Socio-
Economic
Crisis
Community
Family
Individual
Negative impact
2016
Hosman
8. Impact model socioeconomic crisis on mental health
Socio-
Economic
Crisis
Pre-existing strengths
Mediating determinants
negative changes in:
Work, Income, Housing, Debts
Neighborhood quality
Health care & Social services
Social protection
Social capital, support and connectedness
Family functioning & Parenting
Stress & Vulnerabilty in children, adults, elderly
Moderators
Coping capacities: vulnerabilities & strengths
Family functioning, SES, parental mental illness
Social support, comm.involvement, social protection
Quality of primary and MH health care
Prevention support
weaknessesCommunity
Family
Individual
Poor Mental Health
Mental disorders
Depression - Anxiety
Externalising problems
Alcohol-related disorders
Suicide
Health, social and
economic outcomes
2016
Hosman
9. To design effective prevention policies and interventions
We need insight and evidence:
Causality of factors and role
mediators ‒ moderators
Interaction & cumulative effects
Effect sizes - Public impact
Causal sequences of factors
across levels ‒ life course
Integration of scattered knowledge
Need for comprehensive
and useful theoretical
frameworks
on mediating and
moderating processes
‒ to guide RESEARCH
and build a stronger
evidence base
‒ to guide ACTION
‒ Achieve PUBLIC IMPACT
?
“There is nothing so practical as a good theory” Kurt Lewin (1951)
10. How do mediating and moderating variables work
between Socio-Economic Crises and Mental Health?
Multiple causal frameworks could be used to understand “how”
SE crisis impacts on development of mental health / disorders
generic biological, psychological and social theories
Crisis-, Cognitive-behavioral, Stress-competence-support; Positive psychology
Neurobiological, epigenetic, Developmental, Family-system, Socio-ecological
Community development, Organizational, Macro-social and economic,
Problem-specific theories (e.g. depression, anxiety; poverty; violence; social isolation)
?
Different theories guide to different preventive stategies
Combining theories could support integrative prevention policy
11. Healthy
Pregnancy - Early Start
Externalizing
problems
Conduct disorders
Parenting
Competence
Quality
Family
Stress & Strenghts
Conflicts, Violence
Child maltreatment
Divorce
Suicide
Suicidal
behavior
Social-emotional
Competence
resilience, vulnerability
enrichment
Anxiety
Depression
Alcohol use
Problem drinking
Associations found between SE-crisis
and many outcome variables
Distress
&
Coping
Parental mental
disorders / addiction
Children COPMI
Socioeconomic Crisis
Income loss, Debts, Poverty
Insecure jobs and housing
Social material deprivation
Community
Social Support /Capital
Pre-school
School system
Health care
Public Health
Workplaces
Media
Internet
Long term impact
school work health
2016
Hosman
12. Healthy
Pregnancy - Early Start
Externalizing
problems
Conduct disorders
Parenting
Competence
Quality
Family
Stress & Strenghts
Conflicts, Violence
Child maltreatment
Divorce
Suicide
Suicidal
behavior
Social-emotional
Competence
resilience, vulnerability
enrichment
Anxiety
Depression
Alcohol use
Problem drinking
Prevention aims to influence
mediating and moderating trajectories
between crisis and mental health
How related?
How to influence?
Distress
&
Coping
Parental mental
disorders / addiction
Children COPMI
Socioeconomic Crisis
Income loss, Debts, Poverty
Insecure jobs and housing
Social material deprivation
Community
Social Support /Capital
Pre-school
School system
Health care
Public Health
Workplaces
Media
Internet
Long term impact
school work health
13. From Theory to Action
Target at which factors? Which mediating causal trajectories?
What strategies and interventions are available in the field of
prevention and from prevention science?
Effective? Cost-benefit ratio? Return-of-Investment ?
Are they relevant for alleviating the mental health burden of
socioeconomic crises?
Next to research outcomes other sources are also relevant and welcome:
‒ experience-based knowledge
‒ best practices fom citizens initiatives
‒ low budget solutions from LMICs
‒ inspiring examples from social innovation
14. Healthy
Pregnancy - Early Start
Externalizing
problems
Conduct disorders
Parenting
Competence
Quality
Family
Stress & Strenghts
Conflicts, Violence
Child maltreatment
Divorce
Suicide
Suicidal
behavior
Social-emotional
Competence
resilience, vulnerability
enrichment
Anxiety
Depression
Alcohol use
Problem drinking
Distress
&
Coping
Parental mental
disorders / addiction
Children COPMI
Socioeconomic Crisis
Income loss, Debts, Poverty
Insecure jobs and housing
Social material deprivation
Community
Social Support /Capital
Pre-school
School system
Health care
Public Health
Workplaces
Media
Internet
Social Protection Policies and Measures
Income e.g. tax measures, minimum income,
social benefits, debt management
Labor e.g. labor market programs, generating jobs,
better access, incentives to work, job seeking training,
micro-financing projects
Housing (e.g. housing projects, affordable rent,
shelters for homeless)
Material support (e.g. food stamps, transportation)
Long term impact
school work health
2016
Hosman
15. Healthy
Pregnancy - Early Start
Externalizing
problems
Conduct disorders
Parenting
Competence
Quality
Family
Stress & Strenghts
Conflicts, Violence
Child maltreatment
Divorce
Suicide
Suicidal
behavior
Social-emotional
Competence
resilience, vulnerability
enrichment
Mental health
Depression
Alcohol use
Problem drinking
What are the mediational and
moderating trajectories between
SE-crisis and mental health?
Distress
&
Coping
Parental mental
disorders / addiction
Children COPMI
Socioeconomic Crisis
Income loss, Debts, Poverty
Insecure jobs and housing
Social material deprivation
Community
Social Support /Capital
Pre-school
School system
Health care
Public Health
Workplaces
Media
Internet
Stress management
programs
Depression prevention
CBT programs
group- or internet based
Long term impact
school work health
2016
Hosman
16. Long term impact
school work health
Healthy
Pregnancy - Early Start
Externalizing
problems
Conduct disorders
Parenting
Competence
Quality
Family
Stress & Strenghts
Conflicts, Violence
Child maltreatment
Divorce
Suicide
Suicidal
behavior
Social-emotional
Competence
resilience, vulnerability
enrichment
Anxiety
Depression
Alcohol use
Problem drinking
What are the mediational and
moderating trajectories between
SE-crisis and mental health?
Distress
&
Coping
Parental mental
disorders / addiction
Children COPMI
Socioeconomic Crisis
Income loss, Debts, Poverty
Insecure jobs and housing
Social material deprivation
Community
Social Support /Capital
Pre-school
School system
Health care
Public Health
Workplaces
Media
Internet
Early Detection & treatment
Use of E-Mental Health technology
Advocacy
Policy change
Professional Guidelines
Training health professionals
2016
Hosman
17. Healthy
Pregnancy - Early Start
Externalizing
problems
Conduct disorders
Parenting
Competence
Quality
Family
Stress & Strenghts
Conflicts, Violence
Child maltreatment
Divorce
Suicide
Suicidal
behavior
Social-emotional
Competence
resilience, vulnerability
enrichment
Anxiety
Depression
Alcohol use
Problem drinking
What are the mediating and
moderating trajectories between
SE-crisis and mental health?
Distress
&
Coping
Parental mental
disorders / addiction
Children COPMI
Socioeconomic Crisis
Income loss, Debts, Poverty
Insecure jobs and housing
Social material deprivation
Community
Social Support /Capital
Pre-school
School system
Health care
Public Health
Workplaces
Media
Internet
Reducing
access to
lethal means
Long term impact
school work health
2016
Hosman
Media coverage
of suicide
18. Healthy
Pregnancy - Early Start
Externalizing
problems
Conduct disorders
Parenting
Competence
Quality
Family
Stress & Strenghts
Conflicts, Violence
Child maltreatment
Divorce
Suicide
Suicidal
behavior
Social-emotional
Competence
resilience, vulnerability
enrichment
Anxiety
Depression
Alcohol use
Problem drinking
What are the mediating and
moderating trajectories between
SE-crisis and mental health?
Distress
&
Coping
Parental mental
disorders / addiction
Children COPMI
Socioeconomic Crisis
Income loss, Debts, Poverty
Insecure jobs and housing
Social material deprivation
Community
Social Support /Capital
Pre-school
School system
Health care
Public Health
Workplaces
Media
Internet
Community development
Social empowerment
Support systems
Consumer organizations
Micro financing projects
Social innovation initiatives
Long term impact
school work health
2016
Hosman
19. Healthy
Pregnancy - Early Start
Externalizing
problems
Conduct disorders
Parenting
Competence
Quality
Family
Stress & Strenghts
Conflicts, Violence
Child maltreatment
Divorce
Suicide
Suicidal
behavior
Social-emotional
Competence
resilience, vulnerability
enrichment
Anxiety
Depression
Alcohol use
Problem drinking
What are the mediating and
moderating trajectories between
SE-crisis and mental health?
Distress
&
Coping
Parental mental
disorders / addiction
Children COPMI
Socioeconomic Crisis
Income loss, Debts, Poverty
Insecure jobs and housing
Social material deprivation
Community
Social Support /Capital
Pre-school
School system
Health care
Public Health
Workplaces
Media
Internet
Preschool Enrichment Programs
School-based Soc Emot Learning
After-school programs
Long term impact
school work health
2016
Hosman
20. Healthy
Pregnancy - Early Start
Externalizing
problems
Conduct disorders
Parenting
Competence
Quality
Family
Stress & Strenghts
Conflicts, Violence
Child maltreatment
Divorce
Suicide
Suicidal
behavior
Social-emotional
Competence
resilience, vulnerability
enrichment
Anxiety
Depression
Alcohol use
Problem drinking
What are the mediating and
moderating trajectories between
SE-crisis and mental health?
Distress
&
Coping
Parental mental
disorders / addiction
Children COPMI
Socioeconomic Crisis
Income loss, Debts, Poverty
Insecure jobs and housing
Social material deprivation
Community
Social Support /Capital
Pre-school
School system
Health care
Public Health
Workplaces
Media
Internet
Parenting education
Family support
Child abuse prevention
Divorce programs
Long term impact
school work health
2016
Hosman
21. Healthy
Pregnancy - Early Start
Externalizing
problems
Conduct disorders
Parenting
Competence
Quality
Family
Stress & Strenghts
Conflicts, Violence
Child maltreatment
Divorce
Suicide
Suicidal
behavior
Social-emotional
Competence
resilience, vulnerability
enrichment
Anxiety
Depression
Alcohol use
Problem drinking
What are the mediating and
moderating trajectories between
SE-crisis and mental health?
Distress
&
Coping
Parental mental
disorders / addiction
Children COPMI
Socioeconomic Crisis
Income loss, Debts, Poverty
Insecure jobs and housing
Social material deprivation
Community
Social Support /Capital
Pre-school
School system
Health care
Public Health
Workplaces
Media
Internet
Healthy start
Prenatal & postnatal
homevisting programs
MH Traininng nurses and midwives
Long term impact
school work health
2016
Hosman
22. Healthy
Pregnancy - Early Start
Externalizing
problems
Conduct disorders
Parenting
Competence
Quality
Family
Stress & Strenghts
Conflicts, Violence
Child maltreatment
Divorce
Suicide
Suicidal
behavior
Social-emotional
Competence
resilience, vulnerability
enrichment
Anxiety
Depression
Alcohol use
Problem drinking
What are the mediating and
moderating trajectories between
SE-crisis and mental health?
Distress
&
Coping
Parental mental
disorders / addiction
Children COPMI
Socioeconomic Crisis
Income loss, Debts, Poverty
Insecure jobs and housing
Social material deprivation
Community
Social Support /Capital
Pre-school
School system
Health care
Public Health
Workplaces
Media
Internet
Long term impact
school work health
COPMI support
Preventive interventions for
Children and Families dealing with
parental mental illness or addiction
2016
Hosman
23. Healthy Start of life
Pre-, postnatal Home-visiting
Prevention Training Professionals
nurses and midwives
Alcohol prevention
programs and measures
School-based SEL
Social-emotional learning
Violence prevention
Suicide prevention
programs
Social Protection
Policies & Measures
JOBS program
Innovative options
Integrating MH and preventive
elements in other Sectors & Programs
Prevention
Early detection & treatment
Relapse prevention
Depression Anxiety
Parent support
Parenting education
COPMI
Preventive support
children & Families
Preschool enrichment
programs
Child protection
Prevention
Early intervention
Relapse prevention
Stress management
programs
Community Programs
Communities-that-Care
Social connectedness
Community development
E-mental Health – SocMedia
Disorder specific
Positive psychology
Integral policy
Universal + Targeted
2016
Hosman
24. Focus at vulnerable groups during economic recession
Groups most hit by economic consequences
Adults with job loss /unemployed
People mired in debt and housing/mortgage problems; poverty
Families in recession-related stress and divorce
Elderly with low pension
Groups with pre-existing vulnerability
Chronically mentally ill
COPMI Children and families dealing with Parental Mental Illness
Low SES groups
Refugees and immigrants
Groups at high risk of severe, long term, multiple consequences
Children under stress, especially during pregnancy and early years
Unemployed adolescents (NEETs): not in education, employment or training
Hosman 2016
26. Mental disorders / problems
• depression and anxiety
• behavioral problems, conduct disorder
• substance use; eating disorders
• psychotic episode
• suicide
Mental health - Mental capital
• emotional resilience – stress management
• problem solving and social competence
Risk and Protective factors
parenting competence & attachment
abuse, neglect, domestic violence
bullying and safety
social isolation and social capital
Populations at risk e.g.
Increased symptoms, prodrome
COPMI: transmission parents to child
parental separation or death
low SES families and communities
workers under stress; unemployed
for all these targets evidence exists
of significant effects
prevention and promotion programs
Preventing, Mental,
Emotional and Behavioral
Disorders Among Young
People
Progress and Possibilities
Health Promotion International
Many
systematic
reviews &
meta-analyses
+
27. How effective? Examples of Evidence from meta-analyses / reviews
post FU %RR
ES ES Relative Reduction
School-based SEL SEL skills .57 .26
(213 programs) Conduct problems .22 .14
Emotional distress .24 .15
Academic performance .27 .32
Stress management youth (19) stress symptoms .86
Parenting programs (37) child maltreatment .30
Universal prevention in children Anxiety .13 .11
Depression .11 .07
Selective + Indicated Depression prevention (19) -22% (onset)
Mindfulness CT Depression relapse prevention (9) -34% (43%)
Early childhood education – arrest violent crime -33% ‒ 41%
COPMI children parental MI depr.symptoms (7) .22 -40% (onset)
Fagan & Catalano 2012
Durlak et al. 2011
Cuijpers et al. 2008
Piet & Hougaard 2011
Siegentaler et al. 2012
Kraag et al. 2006
Ahlen et al. 2015
Chen et al. 2016
2016
Hosman
28. domestic violence
youth violence & delinquency ROI $2 to $5
lossed productivity
cost welfare
income
school achievement
social participation
Mental Health
Promotion
Prevention
programmes
show also
Social
and
economic
Benefits
Crucial for involving
stakeholders and
getting public support
Economic benefits exceed costs of youth programmes up to 10x
IOM Report 2009; MHEEN Report of Zechmeister et al. 2008;
Aos et al. 2004 on >50 early childhood studies
29. Conclusions from outcome research
g Preventive interventions can be effective and cost-effective
g Evidence for broad spectrum of preventive outcomes
and social & economic benefits from variety of intervention
g Long term effects found (up to 40 years)
g Large variation in efficacy and effectiveness:
From large to small / no / iatrogenic effects.
Meta-analyses Mean ES: small-moderate. Need for improvement
g Low implementation rate and low reach in population,
almost no evidence on public impact
g Most interventions person-family oriented and from HICs
More focus needed on social interventions and their outcomes
30. From Interventions to Public Impact
What is needed to get preventive interventions
implemented, scaled, reach target populations
and to create public impact?
Major bottleneck worldwide:
low implementation rate
low / selective access and reach
low public impact
from HICs
Preventive programs can only make a difference when implemented at large scale
31. Improve Implementation, Scaling, Reach and Public Impact
Improve effects of intervention (effect management)
Use intervention & dissemination methods with large reach & low costs
More interventions more adaptable and cosumable: working elements, kernals
Make the multiple health, social and economic benefits visible
Advocate for more prominent position of prevention and mental health in ….
Increase power: Involve citizens, social movements, stakeholders
Embed prevention in sectors, policies and legislation
Enlarge resources for prevention by budget shifts and return for investment
Train professionals and officials in preventon and mental health expertise
Interorganisational collaboration and monitoring
Use principles of ‘Colective Action’ and ‘Collective Impact”
Improve management and shared leadership
Programs
Advocacy
Capacity
Shared
leadership
Hosman 2016
32. Make it
smaller
Kernals
Principles
Working elements
Make it
Bigger & Coherent
integral
multicomponent program
+ wide implementation
Relevant Effective
preventive interventions
databases
for dissemination
Widely integrated in
daily life & practice
Prevention Density
Multually supporting &
complementory activities
to achieve Collective Impact
Make
implementation
large public reach
public impact
possible
Expertise
Manpower
Public support
Policy &
legislation
Organization
Collaboration
Knowledge &
Research
Crisis &
derpression
Single programs
you could adopt
and be inspired by
Create
the conditions
Hosman 2016
33. Thank you
Contact:
Prof. dr. Clemens M.H. Hosman
Emeritus Professor of Mental Health Promotion and Mental Disorder Prevention
Radboud University Nijmegen & Maastricht University
Hosman Prevention Consultancy & Innovation, Berg en Dal, the Netherlands
Hosman@psych.ru.nl