a public health approach to mental health care: taking transformation to scale
TRANSCRIPT
A Public Health Approach to Mental Health Care:
Taking Transformation to Scale Washington State Prevention Policy
SummitMay 13, 2008
A. Kathryn Power, M.Ed.Director, Center for Mental Health Services
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Global Burden of Disease
The top 3 leading causes of disability worldwide are behavioral disorders.
The World Health Report 2001— Mental Health: New Understanding, New Hope
0% 4% 8% 12% 16% 20% 24%
All Other Causes of DisabilityMigraineDiabetes
Cancer (Malignant neoplasms)Communicable Diseases
Digestive DiseasesInjuries (Disabling)
Sense Organ DiseasesCardiovascular
Respiratory DiseasesMusculoskeletal Diseases
Alzheimer's Disease and DementiasAlcohol and Drug Use Disorders
Mental Illnesses
Mental Health Status ContinuumMental Health Status Continuum
Mental Health Care ContinuumMental Health Care Continuum
Men
tal H
ealt
h Co
ntin
uum
Enhancing Health: Primary PreventionPrimary Prevention: Early Recognition Treatment andTreatment andPromoting optimum Addressing risk factors and Intervention: Rehabilitation:Rehabilitation: mental health, e.g., job vulnerable groups, Detecting a problem Interventions tosatisfaction, resilience, e.g., coping skills for or illness at an early reduce symptoms ofself-esteem, people who are stage and increasing an illness, diminishand social skills, improving unemployed, home visits access to effective disability, and improveaccess to income for families experiencing treatment quality of life
separation or divorce
Positive Mental Health:Positive Mental Health: Mental Health Problem:Mental Health Problem: Mental Disorder:Mental Disorder:High-level capacity of the Disruption in interactions Medically diagnosable illnessindividual, group, and between individual, group,, that results in significant environment to interact & and environment, impairment of cognitive, to promote well-being, producing a diminished affective, or relational abilitiesoptimal development, and state of positive mental healthuse of mental abilities
Source: Scanlon, K., Williams, M., & Raphael, B. (1997). Mental Health Promotion in NSW: Conceptual framework for developing initiatives. NSW Health Department, Sydney, Australia, p.9 3
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Campaign for Mental Health Recovery
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Ten Essential Public Health Services
• Monitor health status to identify and solve community health problems.
• Diagnose and investigate health problems and health hazards in the community.
• Inform, educate, and empower people about health issues. • Mobilize community partnerships and action to identify and solve
health problems. • Develop policies and plans that support individual and community
health efforts. • Enforce laws and regulations that protect health and ensure safety. • Link people to needed personal health services and assure the
provision of health care when otherwise unavailable. • Assure competent public and personal health care workforce. • Evaluate effectiveness, accessibility, and quality of personal and
population-based health services. • Research for new insights and innovative solutions to health
problems.
Source: Centers for Disease Control and Prevention
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Social-Ecological Approach to Public Health
Each of these levels of influence can be addressed to promote mental health and prevent mental illness.
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Lifecycle of Emergence
• Stage One: Networks– Discovering shared meaning and purpose
• Stage Two: Communities of Practice– Developing new practices together
• Stage Three: Systems of Influence– New practices become the norm
Source: Wheatley, M., & Frieze, D. (2006) Using Emergence to Take Social Innovations to Scale. www.berkana.org/pdf/emergence_web.pdf
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Coming together is a beginning; keeping together is progress; working together is success.
Henry Ford