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Enhancing Mental Health: Lessons Learned and Future Directions

Explore insights on mental health promotion with lessons from ProMenPol and how to implement effective policies at EU levels. Discover traditional approaches, problems, and alternative evidence methods. Learn what practitioners can do and how to navigate life after ProMenPol.

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Enhancing Mental Health: Lessons Learned and Future Directions

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  1. Richard Wynne, WRC on behalf of the project team Final ProMenPol statement PROMENPOLConference 2009

  2. PROMENPOLConference 2009 Final ProMenPol statement • Lessons learned from the project • The Promenpol statement on research and policy • Life after ProMenPol

  3. PROMENPOLConference 2009 Lessons learned from the project • There is a real need for high quality mental health promotion • Rising rates of mental health problems • Increases in disability claims for mental health problems • Economic down turn • Proliferation of mental health promotion tools

  4. PROMENPOLConference 2009 Lessons learned from the project • Policy makers • Activity at EU level – the Mental Health Pact • Lack of knowledge about good and effective practice • What are the most effective means of implementing policy at EU and national level? • Practitioners • Lack of opportunity to network and exchange experience • Lack of documentation of activities • Lack of a framework for documenting and assessing interventions

  5. PROMENPOLConference 2009 Lessons learned from the project • Practitioners and policy makers see a real value in ProMenPOl activities • More than 600 newsletter recipients • More than 40000 hits per month on the website • User evaluations very positive

  6. PROMENPOLConference 2009 Policy Practice Research Traditional approach

  7. PROMENPOLConference 2009 Policy Practice Research Traditional approach – quality of relationship Strong Weak Weak Weak

  8. PROMENPOLConference 2009 Policy Practice ProMenPol approach

  9. Policy Practice Field trials • Database • Assessment support • Conferences • Discussion groups • Workshops PROMENPOLConference 2009

  10. PROMENPOLConference 2009 The ProMenPol statement on research and policy • The ProMenPol principles of approach • Mental health promotion is concerned with positive mental wellbeing as well as with mental illness • Factors contributing to mental wellbeing resilience are to be found in settings • Practitioners can shed extra light on what works

  11. PROMENPOLConference 2009 Traditional approaches to research • Largely informed by bio-medical tradition • Randomised controlled trials • Epidemiological surveys • Risk factor based approach • Failure to acknowledge factors promoting resilience • Failure to acknowledge complexity of settings and the interaction with the individual

  12. PROMENPOLConference 2009 Problems with traditional approaches • Randomised control trials • RCTs assume an experimental paradigm • Assumes effective control can be achieved • Assumes knowledge of the key variables • Limitations on the nature of the interventions that can be tested • Ethical issues in real life settings are hard to handle

  13. PROMENPOLConference 2009 Problems with traditional approaches • Large scale multi-variate approaches • For example, population surveys, quasi-experiments • Usually focus on risk factors • They have difficulty in assessing processes • Practical problems in relation to duration, timeliness and cost

  14. PROMENPOLConference 2009 Appropriate methods and evidence for MHP • Needs to be drawn from the methods used within the settings, e.g. quality management • Good practice examples • Action research

  15. PROMENPOLConference 2009 Alternative types of evidence • Baseline Pre-Post Studies - Making sure that the measures are applied before any change is implemented. • Triangulation: Collecting data about the same phenomenon from three independent sources • Action Research - using a cyclical approach with the involvement of practitioners as researchers • Replication - Replicating the intervention provide greater credibility to positive results. • Benchmarking - Using trend data from embedded impact indicators • Programme theory - creating logical models

  16. PROMENPOLConference 2009 What practitioners can do • Don’t change too many things at the same time. • Be clear on what you want to do and what your intended outcome is • Clearly describe what the intervention is • Be very specific about the way you are going to measure your results • Use more than one measure (different types of data are useful), from different independent sources (triangulation)

  17. PROMENPOLConference 2009 What practitioners can do • Decide what comparator you are going to use • Where possible replicate the intervention in different settings • Involve more than one intervener and more than one data collector • If data need to be analysed seek expert advice when you are designing the measures • It didn’t happen if it is not published. Find ways to disseminate your findings

  18. PROMENPOLConference 2009 Life after ProMenPol • Continuing the project through other means • MHP Hands • T-MHP • Developing a network for mental health promotion • On-line journal

  19. PROMENPOLConference 2009 Thank you all!

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