Mental health in all policies

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    National Research and Development Centre for Welfare andHealth

    Knowledge for welfare and health

    Mental Health in all Policies

    Vappu Taipale, professor29.5.2008

    WHOCC3PMH

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    We live in a global world In Europe, especially in the EuropeanUnion, we live in a region which

    acquires many gains from globalisation Still, the processes of globalisation arereflected in the economies and policiesof the countries, as well as in theeveryday lives of people

    We have to plan our future, a worldthat is sustainable and more just

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    Where is mental healthproduced?

    Mental health is produced by allpolicies, all people, all civil societyactors It is produced in various settings: insocieties, schools, workplaces, naturalsurroundings, sports, hobbies Health creates social capital and socialcapital creates health and mental health

    Mental health promotion is the bestway to increase mental health Mental health requires intersectorality,interdisciplinarity, interprofessionality this makes it so difficult in a world which

    operates sectorwise

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    Social capital means that trust, official ways of

    operating in a society, citizens interest groups, social

    norms, networks of people and other social structuresfacilitate economic development.

    Trust is the core concept.

    Social policies are part of sustainability

    Social capital is a concept full of mental health capacity

    dimension

    What is Social Capital:

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    The Concept of Sustainable Development

    This leads us to elaborate these three aspect closer

    keeping in mind the mental health issue

    environmentally

    imperative

    socially just

    economically affordable

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    Mental health

    has to be included in allpolicies

    is an integral part of allpolicies

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    How do psychosocial factors

    affect?

    Mental health has a strong socialelement where the emphasis is on

    justice Psychosocial factors gainimportance with the informationsociety development

    Psychosocial factors are alwaysinterpersonal, connected withrelations between people

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    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 didnt 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 earlyadulthood

    The crown of life, third age will last for nearly two decades

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    The information society

    and mental health

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    The (future) information

    society

    will require mentalcapacities: flexibility,

    innovativeness, creativity,connectivity, social skills,learning

    as such it will be a mentalconstruction and the biggest threats willbe exclusion, poverty, mental

    disorders and addiction &substance roblems

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    A sound level of mentalhealth, high self-esteem,

    vitality, resilience and a senseof coherence in ones life,form Europes basis of

    success.

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    Environment.Housing.

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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

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    There is no healthwithout 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

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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 withinsome 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.

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    Educationtraining

    science..

    R & D.

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    All learning events and the development ofcapabilities 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.

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    We should bepatient enough to

    allow a whole tree

    grow up

    and allow a whole

    human being to

    develop

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    Social policies..

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    "People in poor countries live

    shorter lives than people in richcountries so that, if we takeincome and health together,there is more inequality in theworld than if we consider incomealone. While economicgrowth is the key to poverty

    reduction, there is no evidencethat it will deliver automatichealth improvements in theabsence of appropriate policy"

    (Angus Deaton, 2006 WIDER Annual

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    Social exclusion is heavily affected/increased by globalisation as itstands now

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    Integration into society

    helps enhance health

    Both theoretically and

    methodologically, health researchhas recently increasingly focussedon cohesion in communities

    and societies, peoplesintegrative needs and actionmodels that promote integration.

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    Social Determinants of

    Health:Poverty, Inequality,the Causes of the Causes

    In rich countries with lowlevels of material deprivation,we have to focus on relativedeprivation rather thanabsolute deprivation

    This makes the challenge

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    Work..

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    the future of work work is more demanding

    knowledge is capital

    old structures are fading out

    the division between workinghours and free time is

    disappearing we all live in a 24/7 society

    the time concept is changing

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    Competence is capital in

    the Information SocietyWill the IS

    create a new proletariat

    result in wastage by creating incapacityfor 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?

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    28An accessible world /labour market foreveryone

    availability accessibility

    affordability

    awareness appropriatedness

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    Innovation policies

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    The changing societies and policies

    The national science and technology policy waspreviously designed to respond to the needs ofinternationalising companies

    the research policy was designed to supportnational universities,and the welfare policy were considered toaddress the needs of citizens.

    An innovation policy that is aimed at promoting

    current development should integrate all thesepolicy sectors and also be able to operate in aglobalising environment

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    Doing, Using, Interacting

    The scope of innovation policy will beexpanded

    It will cover interaction (DUI, DoingUsing Interacting)An increasing emphasis is placed on theuser perspective and the need todevelop it

    More attention should be focussed onpeople as users, consumers, customersand partners as innovation policyplayers, as mental capital.

    To date this is rarely achieved.

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    Where are the innovation policies?

    innovations are only understood asrelating to technical fields and industry

    innovation policy does not reach

    peoples 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 allcareissues

    the number of social innovationsremains too modest

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    New Innovation Policies?

    Research & Development policies arechanging all over the world

    Innovations, and social innovations aswell, are considered more and morecrucial for the development andcompetitiveness of nations

    Innovation policy is currently the driverof information society development.

    The policy paradigm is changingconstantly through an evolutionaryprocess.

    Mental health policies are at the center of

    future innovation policies!

    If we can learn something from

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    34If we can learn something fromcurrent research and projects, itcould be as follows:

    Large-scale policy interventionsare more effective than narrowprogrammes targeted at specific

    population groups. If permanent effects are to beachieved, political decision-making anddifferent policies need to operate in the

    long term, over several decades even. Todays globalising world is turbulent,with effects being felt likewise incountries doing well.

    Its time to move to interconnectivity

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    The Eight Dimensions of the Lisbon Scores

    Information Societyfor All

    Innovation, R&D

    Liberalization Completing the Single Market

    Reducing State Aids

    Network Industries Telecommunications

    Utilities and Transportation

    Efficient and IntegratedFinancial Services

    Enterprise Environment

    Conditions for start-ups Regulatory burden

    Social Inclusion

    Lifelong learning

    Modernizing social protectionSustainable Development

    Environment

    Climate change.

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    There is no health withoutmental health

    There is no Lisbon Strategywithout social and mental

    capital!