Mental Health In All Policies

Knowledge for welfare and health

Mental Health in all Policies Vappu Taipale, professor 29.5.2008 WHOCC3PMH National Research and Development Centre for Welfare and Health

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Knowledge for welfare and health

We live in a global world • In Europe, especially in the European Union, we live in a region which acquires many gains from globalisation • Still, the processes of globalisation are reflected in the economies and policies of the countries, as well as in the everyday lives of people • We have to plan our future, a world that is sustainable and more just National Research and Development Centre for Welfare and Health

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Knowledge for welfare and health

Where is mental health produced? • Mental health is produced by all policies, all people, all civil society actors • It is produced in various settings: in societies, schools, workplaces, natural surroundings, sports, hobbies • Health creates social capital and social capital creates health and mental health • Mental health promotion is the best way to increase mental health • Mental health requires intersectorality, interdisciplinarity, interprofessionality – this makes it so difficult in a world which National Research and Development Centre for Welfare and operates sectorwise Health

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Knowledge for welfare and health

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What is Social Capital: • Social capital means that trust, official ways of operating in a society, citizens’ interest groups, social norms, networks of people and other social structures facilitate economic development. • Trust is the core concept. • Social policies are part of sustainability Social capital is a concept full of mental health capacity dimension National Research and Development Centre for Welfare and Health

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Knowledge for welfare and health

The Concept of Sustainable Development socially just

environmentally imperative

economically affordable

This leads us to elaborate these three aspect closer keeping in mind the mental health issue National Research and Development Centre for Welfare and Health

Knowledge for welfare and health

Mental health • has to be included in all policies • is an integral part of all policies

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Knowledge for welfare and health

How do psychosocial factors affect? • Mental health has a strong social element where the emphasis is on justice • Psychosocial factors gain importance with the information society development • Psychosocial factors are always interpersonal, connected with relations between people National Research and Development Centre for Welfare and Health

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Knowledge for welfare and health

The industrial mode of production gave rise to the concept of life cycle Childhood and youth were created as two distinctive phases of life. Youth was a typical construction of the industrial society! It didn´t exist before referring to everyone, not only to the rich elites. What about the concept of nuclear family … may it also be a social construct of the industrial society? Working age became separated, as well working time and leisure tim Retirement was an industrial innovation… Life cycle is changing now; youth is eating up both childhood and early adulthood “The crown of life”, third age will last for nearly two decades…

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Knowledge for welfare and health

The information society and mental health

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Knowledge for welfare and health

The transfer from a manufacturing society to a successful and competitive information society requires a high level of general well-being.

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Knowledge for welfare and health

The (future) information society … • will require mental capacities: flexibility, innovativeness, creativity, connectivity, social skills, learning… • as such it will be a mental construction • and the biggest threats will be exclusion, poverty, mental disorders and addiction & substance problems National Research and Development Centre for Welfare and Health

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Knowledge for welfare and health

A sound level of mental health, high self-esteem, vitality, resilience and a sense of coherence in one´s life, form Europe´s basis of success.

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Knowledge for welfare and health

Environment…. Housing….

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Knowledge for welfare and health

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Policies.... • • • • • •

Combating homelessness Preventing ghettos and marginalisation Promoting equity Providing safe water, sanitation and shelter Taking care of families with children and their needs Enhancing accessible environments

All these policies contribute to our mental health National Research and Development Centre for Welfare and Health

Knowledge for welfare and health

There is no health without mental health

• Our natural, social, cultural and built environment contribute to our mental health: • We need beauty, harmony, stimulation, social networks, access to nature and silence National Research and Development Centre for Welfare and Health

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Knowledge for welfare and health

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• Environmental Policies are an integral part of intersectoral activities. • In EU countries the national environmental policies have different contents; housing, environmental health, local agenda activities may or may not have their home in the Ministry of Environment, or the political decision making is located within some other Ministry. • However, the challenges are the same: striving towards sustainable development. • Fresh air, potable water and safe, healthy food have been more than hundred years our societal targets. National Research and Development Centre for Welfare and Health

Knowledge for welfare and health

Education… training… science….. R & D….

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Knowledge for welfare and health

• All learning events and the development of capabilities take place much earlier than what has been expected. • A prerequisite for the learning is that it should take place in affectionate relationships with adults and other children. National Research and Development Centre for Welfare and Health

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Knowledge for welfare and health

We should be patient enough to allow a whole tree grow up and allow a whole human being to develop

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Knowledge for welfare and health

Social policies…..

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Knowledge for welfare and health

"People in poor countries live shorter lives than people in rich countries so that, if we take income and health together, there is more inequality in the world than if we consider income alone. While economic growth is the key to poverty reduction, there is no evidence that it will deliver automatic health improvements in the absence of appropriate policy" (Angus Deaton, 2006 WIDER Annual National Research and Development Centre for Welfare and Health

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Knowledge for welfare and health

Social exclusion is heavily affected /increased by globalisation as it stands now National Research and Development Centre for Welfare and Health

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Knowledge for welfare and health

Integration into society helps enhance health • Both theoretically and methodologically, health research has recently increasingly focussed on cohesion in communities and societies, people’s integrative needs and action models that promote integration. National Research and Development Centre for Welfare and Health

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Knowledge for welfare and health

Social Determinants of Health: Poverty, Inequality, the Causes of the Causes In rich countries with low levels of material deprivation, we have to focus on relative deprivation rather than absolute deprivation This makes the challenge National Research and Development Centre for Welfare and Health

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Knowledge for welfare and health

Work…..

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Knowledge for welfare and health

…the future of work • work is more demanding • knowledge is capital • old structures are fading out • the division between working hours and free time is disappearing • we all live in a 24/7 society • the time concept is changing National Research and Development Centre for Welfare and Health

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Knowledge for welfare and health

Competence is capital in the Information Society Will the IS • create a new proletariat • result in wastage by creating incapacity for work and exclusion or • create new policies to reconcile work and family life • develop better work ergonomics • keep older people actively in work • adapt work for people? National Research and Development Centre for Welfare and Health

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An accessible world /labour market for everyone

Knowledge for welfare and health

• availability • accessibility • affordability • awareness • appropriatedness

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Knowledge for welfare and health

Innovation policies…

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Knowledge for welfare and health

The changing societies and policies The national science and technology policy was previously designed to respond to the needs of internationalising companies the research policy was designed to support national universities, and the welfare policy were considered to address the needs of citizens. An innovation policy that is aimed at promoting current development should integrate all these policy sectors and also be able to operate in a globalising environment

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Knowledge for welfare and health

Doing, Using, Interacting The scope of innovation policy will be expanded It will cover interaction (DUI, Doing Using Interacting) An increasing emphasis is placed on the user perspective and the need to develop it More attention should be focussed on people as users, consumers, customers and partners – as innovation policy players, as mental capital. National Research Development Centre for Welfare and To date this isand rarely achieved. Health

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Knowledge for welfare and health

Where are the innovation policies?

• innovations are only understood as relating to technical fields and industry • innovation policy does not reach people’s needs and everyday life • it recognises ageing only as a burden, and leaves mental problems aside • mental health is crucial to innovation activities • service innovations are necessary to all care issues • the National number social Centre innovations Research of and Development for Welfare and Health remains too modest

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Knowledge for welfare and health

New Innovation Policies? Research & Development policies are changing all over the world Innovations, and social innovations as well, are considered more and more crucial for the development and competitiveness of nations Innovation policy is currently the driver of information society development. The policy paradigm is changing constantly through an evolutionary process. Mental health policies are at the center of National Research and Development Centre for Welfare and futureHealth innovation policies!

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If we can learn something from current research and projects, it could be as follows:

Knowledge for welfare and health

•Large-scale policy interventions are more effective than narrow programmes targeted at specific population groups. • If permanent effects are to be achieved, political decision-making and different policies need to operate in the long term, over several decades even. • Today’s globalising world is turbulent, with effects being felt likewise in countries doing well. National Research and Development Centre for Welfare and Health • It’s time to move to interconnectivity

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Knowledge for welfare and health

The Eight Dimensions of the Lisbon Scores

Innovation, R&D Network Industries

Efficient and Integrated Financial Services

Telecommunications Utilities and Transportation

Information Society for All

Liberalization Completing the Single Market Reducing State Aids

Social Inclusion

Enterprise Environment Conditions for start-ups Regulatory burden

Sustainable Development

Lifelong learning Modernizing social protection

Environment Climate change. National Research and Development Centre for Welfare and Health

Knowledge for welfare and health

There is no health without mental health There is no Lisbon Strategy without social and mental capital!

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