- Open Access
The Status of Mental Health Promotion
Public Health Reviewsvolume 34, Article number: 6 (2012)
Mental health is a state of wellbeing in which a person can use his or her own abilities and cope with the normal stresses of life. Mental health has a central place in global public health and public health in all countries. Poor mental health is associated with social inequality and social disconnection. Good mental health contributes to human, social and economic development. There are strong interconnections between mental and physical health and behaviour. Concepts closely related to mental health include wellbeing, a broader concept, and resilience. Resilience is a dynamic concept referring to a person’s ability to maintain or regain health after exposure to adversity. Mental health and resilience both depend on interactions between personal characteristics and social factors such as safety and access to education and work.
Health promoting actions support people to adopt healthy ways of life and create living conditions and environments conducive to health. Improving the mental health of a population requires a comprehensive approach to promoting mental health alongside prevention and treatment of mental ill health. Actions that promote mental health and prevent mental illnesses may overlap.
The field of mental health promotion is evolving rapidly. Several countries are introducing evidence-based and cross-government policies and programs to promote wellbeing. Evidence is emerging on the cost-effectiveness of a number of these interventions; in parenting, schools, workplaces, older age, and other social support domains. Experience is growing on the development of partnerships and implementation in countries, the links between mental health and human rights, and the need for mental health promotion in low-income countries and in disaster situations and other emergencies. Continuing innovation, adaptation and evaluation of programs is now required, especially in low-income countries, to integrate mental health promotion in the public health agenda of countries worldwide.
World Health Organization. WHO MIND — Mental Health in development. WHO. Available from URL: http://www.who.int/mental_health/policy/en/ (Accessed 15 July 2012).
Samarasekera U. Jim Kim takes the helm at the World Bank. Lancet. 2012; 380:15–7.
Wilkinson R, Pickett K. The Spirit Level: Why More Equal Societies Almost Always do Better. London: Allen Lane/Pengiin; 2009.
Sachs JD. Health in the developing world: achieving the Millennium Development Goals. Bull World Health Organ. 2004;82:947–9; discussion 50-2.
Sachs JD, McArthur JW. The Millennium Project: a plan for meeting the Millennium Development Goals. Lancet. 2005;365:347–53.
Miranda JJ, Patel V. Achieving the Millennium Development Goals: does mental health play a role? PLoS Med. 2005;2:e291.
Desjarlais R, Eisenberg L, Good B, Kleinman A. World Mental Health: Problems and Priorities in Low-Income Countries. New York, NY: Oxford University Press; 1995.
Prince M, Patel V, Saxena S, Mario Maj, Maselko J, Phillips M, et al. No health without mental health: a slogan with substance. The Lancet Series on Global Mental Health. Lancet. 2007.
Ludwig J, Duncan GJ, Gennetian LA, Katz LF, Kessler RC, et al. Neighborhood effects on the long-term well-being of low-income adults. Science. 2012;337: 1505–10.
World Health Organization. Mental health and development: targeting people with mental health conditions as a vulnerable group. Geneva: WHO; 2010.
Petersen I, Bhana A, Flisher AJ, Swartz L, Richter L, (editors). Promoting Mental Health in Scarce-Resource Contexts: Emerging Evidence and Practice. South Africa: HSRC Press; 2010.
Vaillant GE. Positive mental health: is there a cross-cultural definition? World Psychiatry. 2012;11:93–9.
Fisher M, Baum F. The social determinants of mental health: implications for research and health promotion. Aust N Z J Psychiatry. 2010;44:1057–63.
Sartorius N. Universal strategies for the prevention of mental illness and the promotion of mental health. In: Jenkins R, Ustun TB, (editors). Preventing Mental Illness: Mental Health Promotion in Primary Care. Chichester: John Wiley & Sons; 1998. p.61–7.
Kleinman A. Global mental health: a failure of humanity. Lancet. 2009;374: 603–4.
Herrman H, Saxena S, Moodie R, (editors). Promoting Mental Health: Concepts, Emerging Evidence, Practice. Geneva: World Health Organization; 2005.
Barry M, Jenkins R. Implementing Mental Health Promotion: Churchill Livingstone Elsevier; 2007.
Friedli L. Mental health, resilience and inequalities. Copenhagen: World Health Organization Europe; 2009.
Kellam SG. Developing and maintaining partnerships as the foundation of implementation and implementation science: reflections over a half century. Adm Policy Ment Health. 2012;39:317–20.
World Health Organization. Mental health: strengthening mental health promotion. Fact Sheet 220. WHO; 2007.
Sturgeon S, Orley J. Concepts of mental health across the world. In: Herrman H, Saxena S, Moodie R, (editors). Promoting Mental Health: Concepts, Emerging Evidence, Practice. Geneva: World Health Organization; 2005. p.50–69.
Anderson P, Cooper C, Layard R, Litchfield P, Jane-Llopis E. Well-being and global success: a report prepared by the World Economic Forum Global Agenda Council on Health & Well-being. Geneva: World Economic Forum; 2012.
New Economics Foundation. Well-being evidence for policy: A review. London: NEF; 2012.
Organization for Economic Co-operation and Development. Better Life Initiative: measuring well-being and progress. OECD. Available from UEL: http://www.oecd.org/document/0/0,3746,en_2649_201185_47837376_1_1_1_1,00.html (Accessed 15 july 2012).
United Nations. The world we want. Political Declaration Rio+20 Summit. UN; 2012.
Holtz TH, Holmes SM, Stonington S, Eisenberg L. Health is still social: contemporary examples in the age of the genome. PLoS Med. 2006;3:e419.
Lund C, De Silva M, Plagerson S, Cooper S, Chisholm D, et al. Poverty and mental disorders: breaking the cycle in low-income and middle-income countries. Lancet. 2011;378:1502–14.
Patel V, Kleinman A. Poverty and common mental disorders in developing countries. Bull World Health Organ. 2003;81:609–15.
Jane-Llopis E, Anderson P, Stewart-Brown S, Weare K, Wahlbeck K, et al. Reducing the silent burden of impaired mental health. J Health Commun. 2011;16 Suppl 2:59–74.
Rogers A, Pilgrim D. Mental Health and Inequality. Basingstoke: Palgrave Macmillan; 2003.
Rutz l W. Social psychiatry and public mental health: present situation and future objectives. Time for rethinking and renaissance? Acta Psychiatr Scand Suppl. 2006;429:95–100.
Commision on Social Determinants of Health. Closing the gap in a generation: health equity through action on the social determinants of health. Final Report of the CSDH. Geneva: World Health Organization; 2008.
Fisher J, Herrman H. Gender, social policy and implications for promoting women’s mental health. In: Chandra P, Herrman H, Fisher J, Kastrup M, Niaz U, et al., (editors). Contemporary Topics in Women’s Mental Health. Chichester: Wiley-Blackwell; 2009. p.499–506.
Patel V, Swartz L, Cohen A. The evidence for mental health promotion in developing countries. In: Herrman H, Saxena S, Moodie R, (editors). Promoting Mental Health: Concepts, Emerging Evidence, Practice. Geneva: World Health Organization; 2005. p.189–202.
World Health Organization. Mental health: new understanding, new Hope. The World Health Report. Geneva: WHO; 2001.
Sartorius N. Stigma and mental health. Lancet. 2007;370:810–1.
Stuart H. Fighting the stigma caused by mental disorders: past perspectives, present activities, and future directions. World Psychiatry. 2008;7:185–8.
Henderson C, Thornicroft G. Stigma and discrimination in mental illness: time to change. Lancet. 2009;373:1928–30.
Rutter M. Implications of resilience concepts for scientific understanding. Ann N Y Acad Sci. 2006;1094:1–12.
Herrman H, Stewart DE, Diaz-Granados N, Berger EL, Jackson B, Yuen T. What is resilience? Can J Psychiatry. 2011;56:258–65.
Cicchetti D. Resilience under conditions of extreme stress: a multilevel perspective. World Psychiatry. 2010;9:145–54.
Shonkoff JP, Boyce WT, McEwen BS. Neuroscience, molecular biology, and the childhood roots of health disparities: building a new framework for health promotion and disease prevention. JAMA. 2009;301:2252–9.
Gunnar MR, Fisher PA. Bringing basic research on early experience and stress neurobiology to bear on preventive interventions for neglected and maltreated children. Dev Psychopathol. 2006;18:651–77.
Anderson P, Harrison O, Cooper C, Jané-Llopis E. Incentives for health. J Health Commun. 2011;16:107–33.
Herrman H, Moodie R, Saxena S. Mental health promotion. In: Heggenhougen K, Stella Q, (editors). International Encyclopedia of Public Health. San Diego: Academic Press; 2008. p.406–18.
Mittelmark MB, Puska P, O’Byrne D, Tang KC. Health promotion: a sketch of the landscape. In: Herrman H, Saxena S, Moodie R, (editors). Promoting Mental Health: Concepts, Emerging Evidence, Practice. Geneva: World Health Organization. p.18–34.
Lahtinen E, Joubert N, Raeburn J, Jenkins R. Strategies for promoting the mental health of populations. In: Herrman H, Saxena S, Moodie R, (editors). Promoting Mental Health: Concepts, Emerging Evidence, Practice. Geneva: World Health Organization; 2005. p.226–42.
Patel V, Flisher AJ, Nikapota A, Malhotra S. Promoting child and adolescent mental health in low and middle income countries. J Child Psychol Psychiatry. 2008;49:313–34.
Jolly R. Early childhood development: the global challenge. Lancet. 2007;369: 8–9.
Stewart-Brown SL, Schrader-McMillan A. Parenting for mental health: what does the evidence say we need to do? Report of Workpackage 2 of the DataPrev project. Health Promot Int. 2011;26 Suppl 1:i10–28.
Kramer MS, Kakuma R. Optimal duration of exclusive breastfeeding. Cochrane Database Syst Rev. 2012;8:CD003517.
Konner M. The Evolution of Childhood. Cambridge, MA: Harvard University Press; 2010.
Richards M, Hardy R, Wadsworth ME. Long-term effects of breast-feeding in a national birth cohort: educational attainment and midlife cognitive function. Public Health Nutr. 2002;5:631–5.
Read J, Bentall RP. Negative childhood experiences and mental health: theoretical, clinical and primary prevention implications. Br J Psychiatry. 2012;200:89–91.
Young and Well Cooperative Reseach Centre. Available from URL: http://www.yawcrc.org.au (Accessed 16 July 2012).
Burns J, Morey C, Lagelee A, Mackenzie A, Nicholas J. Reach Out! Innovation in service delivery. Med J Aust. 2007;187:S31–4.
Friedli L, Parsonage M. Mental Health Promotion: Building an Economic Case: Northern Ireland Association for Mental Health (NIAMH); 2007.
Knapp M, McDaid D, (editors). Mental health promotion and mental illness prevention: the economic case. London: Personal Social Services Research Unit, London School of Economics and Political Science; 2011.
Aos S, Lieb R, Mayfield J, Miller M, Pennucci A. Benefits and costs of prevention and early intervention programs for youth. Olympia, WA: Institute for Public Policy; 2004. Available from URL: http://www.wsipp.wa.gov/rptfiles/04-07-3901a.pdf (Accessed 7 December 2012).
HM Government. No health without mental health: a cross-government mental health outcomes strategy for people of all ages. Supporting Document — The economic case for improving efficiency and quality in mental health. London: Department of Health, UK; 2011.
Beddington J, Cooper CL, Field J, Goswami U, Huppert FA, et al. The mental wealth of nations. Nature. 2008;455:1057–60.
Saxena S, Jane-Llopis E, Hosman C. Prevention of mental and behavioural disorders: implications for policy and practice. World Psychiatry. 2006;5:5–14.
Jané-Llopis E, Katschnig H, McDaid D, Wahlbeck K. Evidence in decision making for mental health. Health Promot Int. 2011;26:140–6.
Walker L, Verins I, Moodie R, Webster K. Responding to the social and economic determinants of mental health: a conceptual framework for action. In: Herrman H, Saxena S, Moodie R, (editors). Promoting Mental Health: Concepts, Emerging Evidence, Practice Geneva: World Health Organization; 2005. p.89–105.
Eckenrode J, Campa M, Luckey DW, Henderson CR, Jr., Cole R, et al. Long-term effects of prenatal and infancy nurse home visitation on the life course of youths: 19-year follow-up of a randomized trial. Arch Pediatr Adolesc Med. 2010;164:9–15.
Donelan-McCall N, Eckenrode J, Olds DL. Home visiting for the prevention of child maltreatment: lessons learned during the past 20 years. Pediatr Clin North Am. 2009;56:389–403.
Zubrick SR, Kovess-Masfety V. Indicators of mental health. Geneva: WHO. In: Herrman H, Saxena S, Moodie R, (editors). Promoting Mental Health: Concepts, Emerging Evidence, Practice. Geneva: World Health Organization; 2005. p.148–68.
Wiseman J, McLeod J, Zubrick SR. Promoting mental health and well-being: integrating individual, organisational and community-level indicators. Health Promot J Austr. 2007;18:198–207.
Hawe P, Riley T. Developing sustainable programs: theory and practice. In: Herrman H, Saxena S, Moodie R, (editors). Promoting Mental Health: Concepts, Emerging Evidence, Practice. Geneva: World health Organization; 2005. p.252–63.
Rowling L, Taylor A. Intersectoral approaches to promoting mental health. In: Herrman H, Saxena S, Moodie R, (editors). Promoting Mental Health: Concepts, Emerging Evidence, Practice. Geneva: World Health Organization; 2005. p.264–83.
Swartz L. Contextual issues. In: Petersen I, Bhana A, Flisher AJ, Swartz L, Richter L, (editors). Promoting Mental Health in Scarce-Resource Contexts: Emerging Evidence and Practice. South Africa: HRCS Press; 2010. p.49–59.
Drew N, Funk M, Pathare S, Swartz L. Mental health and human rights. In: Herrman H, Saxena S, Moodie R, (editors). Promoting Mental Health: Concepts, Emerging Evidence, Practice. Geneva: World Health Organization; 2005.
Inter-Agency Standing Committee. IASC Guidelines on Mental Health and Psychosocial Support in Emergency Settings Geneva: IASC; 2007.
Herrman H. Promoting mental health and resilience after a disaster. J Exp Clin Med. 2012;4:82–7.
van Ommeren M, Saxena S, Saraceno B. Aid after disasters. BMJ. 2005;330: 1160–1.
Silove D, Bryant R. Rapid assessments of mental health needs after disasters. JAMA. 2006;296:576–8.
Tol WA, Patel V, Tomlinson M, Baingana F, Galappatti A, et al. Research priorities for mental health and psychosocial support in humanitarian settings. PLoS Med. 2011;8:e1001096.
Herrman H, Swartz L. Promotion of mental health in poorly resourced countries. Lancet. 2007;370:1195–7.
Saxena S, Herrman H, Moodie R, Saraceno B. Conclusions: the way forward In: Herrman H, Saxena S, Moodie R, (editors). Promoting Mental Health: Concepts, Emerging Evidence, Practice. Geneva: World Health O; 2005.