EMIP Czech [email protected] Mental health
promotion and public mental health: moving forward in Europe Dr
Lynne Friedli EMIP National Workshop Prague, Czech Republic 22 nd
November 2005 Slide 2 EMIP Czech
[email protected] Summary The EMIP project
Mental health promotion in Europe Public mental health and mental
health promotion Risk and protective factors Effective
interventions Measuring success Public debate and engagement Slide
3 EMIP Czech [email protected] EMIP National
Workshops Mapping: what is the present situation for mental health
promotion and prevention? For example, in relation to policy,
practice, services, resources, training Opportunities: what are the
factors that support progress in mental health promotion? For
example supporting policies (in all sectors), stakeholders,
initiatives and networks National profile: strategic vision for the
future development of mental health promotion and prevention Slide
4 EMIP Czech [email protected] EMIP National
Reports National mental health data Policy context: existing mental
health and other policies relevant to promoting mental health
Strengths and weaknesses in the position of mental health promotion
and prevention Opportunities and barriers Key priorities for action
Progress on developing a National Mental Health Action Plan Slide 5
EMIP Czech [email protected] European policy
environment WHO European declaration and action plan (Helsinki) EU
Green paper MINDFUL (Stakes, Finland) IMHPA (University of
Nijmegen) http://www.imhpa.net/index.php?id=8
http://www.imhpa.net/index.php?id=8 Monitoring positive mental
health (Bilbao) Quality of life/economics of well-being (ESS Wave
3) Holistic, ecological, sustainable, environmental, ethical WHO
Health assets Slide 6 EMIP Czech
[email protected] Public mental health or
mental health for all promoting mental health for the whole
population preventing mental health problems improving quality of
life for people with mental health problems improved mental health;
reduced incidence of mental health problems Slide 7 EMIP Czech
[email protected] Public mental health
Addressing the wider determinants of mental health Whole
populations Individuals at risk Vulnerable groups Key settings How
people feel is a significant public health indicator the science,
art and politics of creating a mentally healthy society Slide 8
EMIP Czech [email protected] What is mental
health? Physical health and well-being Feeling Thinking The heart
has its reasons. Pascal much depends on dinner Margaret Visser
Slide 9 EMIP Czech [email protected] mental
health: how we think and feel genetic inheritance childhood
adversity poverty social exclusion inequality behaviour
relationships parenting education employment physical health
quality of life crime Mental health: cycles of impact Its all in
the mind, but its written on the body. Slide 10 EMIP Czech
[email protected] Mental Health Poverty
Exclusion Discrimination Inequality Physical Health We havent lost
faith, weve simply transferred it from God to the medical
profession George Bernard Shaw Slide 11 EMIP Czech
[email protected] Sources of support for people
with mental health problems Diagnosis Treatment Family, friends
& neighbour s Employment Housing Leisure Faith Communities
Education Sports Self help & support groups Slide 12 EMIP Czech
[email protected] Intervention approaches he
worked hard for respect but he could not find it. There was in the
world a great shortage of respect and Chanu was among the famished
( Monica Ali, Brick Lane ) Strengthening protective factors
Reducing risk factors Strengthening individuals Strengthening
communities Reducing structural barriers Slide 13 EMIP Czech
[email protected] Strengthening protective
factors Psycho-social, life and coping skills e.g. self-
expression, self-esteem, learning new skills, stress or anger
management, relaxation, efficacy Social support as a buffer against
adverse life events e.g. building social contacts, self-help
groups, drop in, home visits, mentoring, time banks, volunteering
Access to resources and services which protect mental health e,g,
benefit uptake, supported employment, access to mainstream services
Slide 14 EMIP Czech [email protected] GDP and
Life Satisfaction (from nef) A Challenge to the Political Status
Quo Slide 15 EMIP Czech [email protected] The
vision civic life relationships well-being economy parenting
friendship social networks environment work/life balance education
lifelong learning sustainability engagement mutuality What would
policy look like if the goal was well-being? local democrac y
community assets Slide 16 EMIP Czech
[email protected] Health Assets & Health
Needs Healthy Diseased Healthy Diseased Less Healthy Less Diseased
EpidemiologySaluto-genesis Risk management Opportunity Management
(from Dominic Harrison 2005) Slide 17 EMIP Czech
[email protected] Community assets
strengthening communities e.g. building capacity, control,
engagement, inclusion know how creativity resilience
resourcefulness tradition intergenerational solidarity cohesion
equity control safety participation local democracy social networks
mutuality cultural assets lifelong learning built and natural
environment access to resources public spaces Slide 18 EMIP Czech
[email protected] Pathways of Impact: Mental
health impact Mental health promotion health Human capital Identity
capital Social capital Economic capital Slide 19 EMIP Czech
[email protected] What works in different
domains? feelings: confident, understood, respected, empowered,
safe skills: life skills, relaxation, help seeking, keeping fit,
accessing information meaningful activity: employment,
volunteering, education, leisure, creativity, spiritual growth
social support: self-help groups, opportunities for friendship,
faith communities access to resources: paid work, adequate welfare
benefits, appropriate services influence: opportunities to
participate, being consulted, shared decision making, advocacy
Slide 20 EMIP Czech [email protected] What
demonstrates that living in a community promotes mental health?
Access to resources: who doesnt have access? Feeling safe : who
doesnt feel safe? Good place to live : who doesnt agree? Influence
local decisions : who doesnt have a say? Feeling supported : who is
isolated? Hopeful about the future : who isnt hopeful? Feeling
valued : what makes people feel valued? Feeling respected : what
makes people feel respected? Being involved : who isnt involved and
why? Knowing where to get help : who doesnt know? Slide 21 EMIP
Czech [email protected] Moving forward for
mental health promotion public debate and engagement connecting and
mainstreaming policy and emerging ideas evidence and indicators
Slide 22 EMIP Czech [email protected] The five
fruit and vegetables of mental health Valuing yourself and others
Talking about your feelings Keeping physically active Eating well
Drinking in moderation Keeping in touch with friends/loved ones
Caring for others Getting involved/making a contribution Taking a
break Learning new skills Doing something creative Seeking Help
Individuals Communities Policy Slide 23 EMIP Czech
[email protected] Notes for policy makers . How
people feel is a significant public health indicator Include mental
health impact in decision making Quality of life may be a more
important indicator of success than symptom reduction Its all in
the mind, but its written on the body Modify services, not people
Curing illness doesnt necessarily result in health Slide 24 EMIP
Czech [email protected] notes for us all . Keep
on making waves without which no tide can turn
