Evidence-based mental health promotion resource - health.vic.gov.au

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Evidence-based mental health promotion resource 17Determinants approaches tomental health promotion 2
18 Evidence-based mental health promotion resourceUseful resourcesAustralian Department of Health andAged Care 2000b, Promotion, preventionand early intervention for mental health:a monograph, Mental Health and SpecialPrograms Branch, Canberra.Commonwealth of Australia 2003, Nationalmental health plan 2003–2008, Canberra.2 Determinants approaches to mentalhealth promotionThere is no health without mental health!This section outlines and explains the key elements of a determinants approach tomental health promotion, provides key literature that supports this approach, andcontinues to establish the resource framework outlined in the previous section.2.1 Mental health promotion policyGovernments are the ultimate stewards of mental health, responsible for ensuringresponsible policies, social environments and structures to support the mental healthof populations (World Health Organisation 2001). Both government agencies and nongovernmentorganisations have responsibilities for the development and implementationof policies at appropriate levels. The critical roles of government stewardship ofmental health include the development of policy, the identification of major issuesaffecting the wellbeing of populations, and the defining of public and private sectorroles in developing, funding and implementing policy instruments and organisationalarrangements that meet mental health objectives (World Health Organisation 2001).Policies for mental health and wellbeing can be developed in any organisation,association, club or workplace, and at any level of government. Policy is part of thenecessary infrastructure to support health promotion. Its development involves keyhealth promotion personnel, the development of shared understandings and identifiesthe organisation’s commitment to, and vision for, health promotion. Having policies inplace demonstrates an organisation’s commitment to mental health promotion, whilethe identification of support and resources is motivating for staff.The evidence on the effectiveness of policy for mental health promotion is not yetstrong, because few evaluations of mental health policy are available. This is notsurprising given the difficulties of defining the field, along with the field’s relativerecency. The evaluation of the National Mental Health Strategy in Australia identifiedthat the strategy’s aims have not yet been translated into the benefits expected forthe general population (Steering Committee for the Evaluation of the Second NationalMental Health Plan 1998–2003 2003). Mental health policies should be evaluatedagainst best practice criteria for health promotion generally, and with a clear definitionof what mental health promotion means in the policy being developed.
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