Mental Health Promotion and Mental Disorder Prevention

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Mental Health Promotion and Mental Disorder
Prevention

• Dr. Eva Jané-Llopis
• Responsible Prevention, Promotion Stigma
  Programme
• WHO/OMS Regional Office for Europe

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Mental Health on the Political AgendaWHO
European Ministerial Conference on Mental Health
(Helsinki, January 2005)

• 31 Ministers of Health
• 51 European Countries
• signed the Declaration and Action Plan

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Classic public health spectrum
PUBLIC MENTAL HEALTH
Secondary prevention early detection /
treatment
Tertiary prevention preventing additional
harm and relapse
Primary prevention preventing onset
Promoting mental health
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Scope of the WHO declaration

• Promotion of mental well-being
• Prevention of mental health problems
• Care for people with mental disorders
• Recovery and integration into society
• Tackling stigma, discrimination and exclusion

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Challenges-developments

• From action plan to implementation
• Work with countries needs
• Gap East-West Serve Eastern Europe
• Build on the mh momentum short and long term
  deliverables
• Link up with Green Paper and Consultation Process

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Framework for programme
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WHO programme prevention and promotion in
mental health

• Indicators and monitoring baseline of action
• Evidence development co-morbidity substances,
  review of anti-stigma legislation
• Implementation home, schools, workplace,
  community, primary secondary health care
• Capacity building primary health care, on
  prevention programming and implementation
• Policy support to member states, action plan
  development to fit countries realities

EVIDENCE BASED!
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Some specific actions

• Development of MHP-MDP-Stigma strategy
• Review on examples of anti-stigma legislation
• Continue generation evidence writing papers
• Mental Health in other policies and MHIA
• Implementation of JOBS programme
• Implementation of MHP Promotion in HPH
• Mapping action baseline in Europe
• Training on Primary care depression-anxiety
  prevention
• Training on programme development, Evaluation,
  implementation

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EUROPEAN COMMISSION

• GREEN PAPER ON MENTAL HEALTH, aims to
• To support the coordination between Member States
• To promote the integration of mental health into
  the health and non-health policies and
  stakeholder action
• To better liaise research and policy on mental
  health aspects

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EC green paper, focuses on

• Promoting mental health and reducing the burden
  of mental disorders through preventive action
• Promoting the social inclusion of mentally ill or
  disabled people and protecting their fundamental
  rights and dignity
• Improving information and knowledge on mental
  health in the EU

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EC Green Paper on MH

• One Year Consultation Process
• Creation of a Dialogue with Member States on
  Mental Health
• Launch of an EU-Platform on Mental Health
  (inter-sectoral work)
• Development of an interface between policy and
  research on mental health
• Recommendations into a EU STRATEGY for Mental
  Health

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EC and WHO

• EC Green Paper on MH at the community level into
  a strategy for EU (Action Plan with priorities at
  EU level, including other sectors)
• WHO work together with Member States to develop
  Action Plans and implementation that fits culture
  and needs of countries

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• Mental health promotion and mental
• disorder prevention in Europe
• Where are we?

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Country Stories

• Developed through involving stakeholders
• Reflect different economies, infrastructures, and
  starting points

Over 250 people involved across 31 countries
Imhpa
Implementing mental health promotion action
network
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Areas included in country stories

• Policy interest/investment in MHP-MDP
• Availability of policies
• Availability of programmes home, school,
  workplace, community, health care,
• Support for implementation (training,
  infrastructures,)
• Research, effectiveness, cost-effectiveness
  studies, monitoring
• Barriers-challenges
• Opportunities/developments

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Evaluation and monitoring
Research
Policy evaluation
Monitoring systems
Imhpa
Implementing mental health promotion action
network
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BARRIERS-CHALLENGES mhp-mdp

• Poor resources
• Co-operation between sectors is difficult
• Poor co-operation gov. orgs. and NGOs
• Insufficient NGOs
• Lack of political will
• Lack of training of professionals
• Lack of indicators for positive mental health
• Lack of comparability of data across Europe
• Lack of knowledge/access to evidence for
  implementation

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Initiatives support Building and Identifying

• What we already have
• What we need at European and Member State level
• How can we achieve it?