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Essay on Mental Health

According to WHO, there is no single 'official' definition of mental health. Mental health refers to a person's psychological, emotional, and social well-being; it influences what they feel and how they think, and behave. The state of cognitive and behavioural well-being is referred to as mental health. The term 'mental health' is also used to refer to the absence of mental disease. 

Mental health means keeping our minds healthy. Mankind generally is more focused on keeping their physical body healthy. People tend to ignore the state of their minds. Human superiority over other animals lies in his superior mind. Man has been able to control life due to his highly developed brain. So, it becomes very important for a man to keep both his body and mind fit and healthy. Both physical and mental health are equally important for better performance and results.

Importance of Mental Health 

An emotionally fit and stable person always feels vibrant and truly alive and can easily manage emotionally difficult situations. To be emotionally strong, one has to be physically fit too. Although mental health is a personal issue, what affects one person may or may not affect another; yet, several key elements lead to mental health issues.

Many emotional factors have a significant effect on our fitness level like depression, aggression, negative thinking, frustration, and fear, etc. A physically fit person is always in a good mood and can easily cope up with situations of distress and depression resulting in regular training contributing to a good physical fitness standard. 

Mental fitness implies a state of psychological well-being. It denotes having a positive sense of how we feel, think, and act, which improves one’s ability to enjoy life. It contributes to one’s inner ability to be self-determined. It is a proactive, positive term and forsakes negative thoughts that may come to mind. The term mental fitness is increasingly being used by psychologists, mental health practitioners, schools, organisations, and the general population to denote logical thinking, clear comprehension, and reasoning ability.

 Negative Impact of Mental Health

The way we physically fall sick, we can also fall sick mentally. Mental illness is the instability of one’s health, which includes changes in emotion, thinking, and behaviour. Mental illness can be caused due to stress or reaction to a certain incident. It could also arise due to genetic factors, biochemical imbalances, child abuse or trauma, social disadvantage, poor physical health condition, etc. Mental illness is curable. One can seek help from the experts in this particular area or can overcome this illness by positive thinking and changing their lifestyle.

Regular fitness exercises like morning walks, yoga, and meditation have proved to be great medicine for curing mental health. Besides this, it is imperative to have a good diet and enough sleep. A person needs 7 to 9 hours of sleep every night on average. When someone is tired yet still can't sleep, it's a symptom that their mental health is unstable. Overworking oneself can sometimes result in not just physical tiredness but also significant mental exhaustion. As a result, people get insomnia (the inability to fall asleep). Anxiety is another indicator. 

There are many symptoms of mental health issues that differ from person to person and among the different kinds of issues as well. For instance, panic attacks and racing thoughts are common side effects. As a result of this mental strain, a person may experience chest aches and breathing difficulties. Another sign of poor mental health is a lack of focus. It occurs when you have too much going on in your life at once, and you begin to make thoughtless mistakes, resulting in a loss of capacity to focus effectively. Another element is being on edge all of the time.

It's noticeable when you're quickly irritated by minor events or statements, become offended, and argue with your family, friends, or co-workers. It occurs as a result of a build-up of internal irritation. A sense of alienation from your loved ones might have a negative influence on your mental health. It makes you feel lonely and might even put you in a state of despair. You can prevent mental illness by taking care of yourself like calming your mind by listening to soft music, being more social, setting realistic goals for yourself, and taking care of your body. 

Surround yourself with individuals who understand your circumstances and respect you as the unique individual that you are. This practice will assist you in dealing with the sickness successfully.  Improve your mental health knowledge to receive the help you need to deal with the problem. To gain emotional support, connect with other people, family, and friends.  Always remember to be grateful in life.  Pursue a hobby or any other creative activity that you enjoy.

What does Experts say

Many health experts have stated that mental, social, and emotional health is an important part of overall fitness. Physical fitness is a combination of physical, emotional, and mental fitness. Emotional fitness has been recognized as the state in which the mind is capable of staying away from negative thoughts and can focus on creative and constructive tasks. 

He should not overreact to situations. He should not get upset or disturbed by setbacks, which are parts of life. Those who do so are not emotionally fit though they may be physically strong and healthy. There are no gyms to set this right but yoga, meditation, and reading books, which tell us how to be emotionally strong, help to acquire emotional fitness. 

Stress and depression can lead to a variety of serious health problems, including suicide in extreme situations. Being mentally healthy extends your life by allowing you to experience more joy and happiness. Mental health also improves our ability to think clearly and boosts our self-esteem. We may also connect spiritually with ourselves and serve as role models for others. We'd also be able to serve people without being a mental drain on them. 

Mental sickness is becoming a growing issue in the 21st century. Not everyone receives the help that they need. Even though mental illness is common these days and can affect anyone, there is still a stigma attached to it. People are still reluctant to accept the illness of mind because of this stigma. They feel shame to acknowledge it and seek help from the doctors. It's important to remember that "mental health" and "mental sickness" are not interchangeable.

Mental health and mental illness are inextricably linked. Individuals with good mental health can develop mental illness, while those with no mental disease can have poor mental health. Mental illness does not imply that someone is insane, and it is not anything to be embarrassed by. Our society's perception of mental disease or disorder must shift. Mental health cannot be separated from physical health. They both are equally important for a person. 

Our society needs to change its perception of mental illness or disorder. People have to remove the stigma attached to this illness and educate themselves about it. Only about 20% of adolescents and children with diagnosable mental health issues receive the therapy they need. 

According to research conducted on adults, mental illness affects 19% of the adult population. Nearly one in every five children and adolescents on the globe has a mental illness. Depression, which affects 246 million people worldwide, is one of the leading causes of disability. If  mental illness is not treated at the correct time then the consequences can be grave.

One of the essential roles of school and education is to protect boys’ and girls' mental health as teenagers are at a high risk of mental health issues. It can also impair the proper growth and development of various emotional and social skills in teenagers. Many factors can cause such problems in children. Feelings of inferiority and insecurity are the two key factors that have the greatest impact. As a result, they lose their independence and confidence, which can be avoided by encouraging the children to believe in themselves at all times. 

To make people more aware of mental health, 10th October is observed as World Mental Health. The object of this day is to spread awareness about mental health issues around the world and make all efforts in the support of mental health.

The mind is one of the most powerful organs in the body, regulating the functioning of all other organs. When our minds are unstable, they affect the whole functioning of our bodies. Being both physically and emotionally fit is the key to success in all aspects of life. People should be aware of the consequences of mental illness and must give utmost importance to keeping the mind healthy like the way the physical body is kept healthy. Mental and physical health cannot be separated from each other. And only when both are balanced can we call a person perfectly healthy and well. So, it is crucial for everyone to work towards achieving a balance between mental and physical wellbeing and get the necessary help when either of them falters.

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Mental Health Essay

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Introduction

Mental health, often overshadowed by its physical counterpart, is an intricate and essential aspect of human existence. It envelops our emotions, psychological state, and social well-being, shaping our thoughts, behaviors, and interactions. With the complexities of modern life—constant connectivity, societal pressures, personal expectations, and the frenzied pace of technological advancements—mental well-being has become increasingly paramount. Historically, conversations around this topic have been hushed, shrouded in stigma and misunderstanding. However, as the curtains of misconception slowly lift, we find ourselves in an era where discussions about mental health are not only welcomed but are also seen as vital. Recognizing and addressing the nuances of our mental state is not merely about managing disorders; it's about understanding the essence of who we are, how we process the world around us, and how we navigate the myriad challenges thrown our way. This essay aims to delve deep into the realm of mental health, shedding light on its importance, the potential consequences of neglect, and the spectrum of mental disorders that many face in silence.

Importance of Mental Health

Mental health plays a pivotal role in determining how individuals think, feel, and act. It influences our decision-making processes, stress management techniques, interpersonal relationships, and even our physical health. A well-tuned mental state boosts productivity, creativity, and the intrinsic sense of self-worth, laying the groundwork for a fulfilling life.

Negative Impact of Mental Health

Neglecting mental health, on the other hand, can lead to severe consequences. Reduced productivity, strained relationships, substance abuse, physical health issues like heart diseases, and even reduced life expectancy are just some of the repercussions of poor mental health. It not only affects the individual in question but also has a ripple effect on their community, workplace, and family.

Mental Disorders: Types and Prevalence

Mental disorders are varied and can range from anxiety and mood disorders like depression and bipolar disorder to more severe conditions such as schizophrenia.

• Depression: Characterized by persistent sadness, lack of interest in activities, and fatigue.
• Anxiety Disorders: Encompass conditions like generalized anxiety disorder, panic attacks, and specific phobias.
• Schizophrenia: A complex disorder affecting a person's ability to think, feel, and behave clearly.

The prevalence of these disorders has been on the rise, underscoring the need for comprehensive mental health initiatives and awareness campaigns.

Understanding Mental Health and Its Importance

Mental health is not merely the absence of disorders but encompasses emotional, psychological, and social well-being. Recognizing the signs of deteriorating mental health, like prolonged sadness, extreme mood fluctuations, or social withdrawal, is crucial. Understanding stems from awareness and education. Societal stigmas surrounding mental health have often deterred individuals from seeking help. Breaking these barriers, fostering open conversations, and ensuring access to mental health care are imperative steps.

Conclusion: Mental Health

Mental health, undeniably, is as significant as physical health, if not more. In an era where the stressors are myriad, from societal pressures to personal challenges, mental resilience and well-being are essential. Investing time and resources into mental health initiatives, and more importantly, nurturing a society that understands, respects, and prioritizes mental health is the need of the hour.

• World Leaders: Several influential personalities, from celebrities to sports stars, have openly discussed their mental health challenges, shedding light on the universality of these issues and the importance of addressing them.
• Workplaces: Progressive organizations are now incorporating mental health programs, recognizing the tangible benefits of a mentally healthy workforce, from increased productivity to enhanced creativity.
• Educational Institutions: Schools and colleges, witnessing the effects of stress and other mental health issues on students, are increasingly integrating counseling services and mental health education in their curriculum.

In weaving through the intricate tapestry of mental health, it becomes evident that it's an area that requires collective attention, understanding, and action.

  Short Essay about Mental Health

Mental health, an integral facet of human well-being, shapes our emotions, decisions, and daily interactions. Just as one would care for a sprained ankle or a fever, our minds too require attention and nurture. In today's bustling world, mental well-being is often put on the back burner, overshadowed by the immediate demands of life. Yet, its impact is pervasive, influencing our productivity, relationships, and overall quality of life.

Sadly, mental health issues have long been stigmatized, seen as a sign of weakness or dismissed as mere mood swings. However, they are as real and significant as any physical ailment. From anxiety to depression, these disorders have touched countless lives, often in silence due to societal taboos.

But change is on the horizon. As awareness grows, conversations are shifting from hushed whispers to open discussions, fostering understanding and support. Institutions, workplaces, and communities are increasingly acknowledging the importance of mental health, implementing programs, and offering resources.

In conclusion, mental health is not a peripheral concern but a central one, crucial to our holistic well-being. It's high time we prioritize it, eliminating stigma and fostering an environment where everyone feels supported in their mental health journey.

Frequently Asked Questions

• What is the primary focus of a mental health essay?

Answer: The primary focus of a mental health essay is to delve into the intricacies of mental well-being, its significance in our daily lives, the various challenges people face, and the broader societal implications. It aims to shed light on both the psychological and emotional aspects of mental health, often emphasizing the importance of understanding, empathy, and proactive care.

• How can writing an essay on mental health help raise awareness about its importance?

Answer: Writing an essay on mental health can effectively articulate the nuances and complexities of the topic, making it more accessible to a wider audience. By presenting facts, personal anecdotes, and research, the essay can demystify misconceptions, highlight the prevalence of mental health issues, and underscore the need for destigmatizing discussions around it. An impactful essay can ignite conversations, inspire action, and contribute to a more informed and empathetic society.

• What are some common topics covered in a mental health essay?

Answer: Common topics in a mental health essay might include the definition and importance of mental health, the connection between mental and physical well-being, various mental disorders and their symptoms, societal stigmas and misconceptions, the impact of modern life on mental health, and the significance of therapy and counseling. It may also delve into personal experiences, case studies, and the broader societal implications of neglecting mental health.

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What Is Mental Health?

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Characteristics

Poor self-esteem.

Mental health is a term used to describe emotional, psychological, and social well-being. The quality of a person's mental health is often measured by how adaptively they can cope with everyday stressors.

Mental health allows people to use their abilities, be productive, make decisions, and play an active role in their communities.

Having poor mental health is often confused with having a mental illness . But mental health actually refers to a person's state of mental well-being whether or not they have a psychiatric condition.

History of Mental Health

A paper in the World Psychiatry journal states that mental health officially emerged as its own field of study in 1946 during the International Health Conference.

It was during this conference that the World Health Organization (WHO) was founded. The WHO Constitutions stated that mental "well-being" is an integral part of overall health, even in the absence of psychiatric illness.

Before mental health, "mental hygiene" was a term used in the 19th and 20th centuries to refer to the impact that mental processes have on overall health.

A mental hygiene movement had formed in the United States in 1908. Its goal was to advocate for people who were "mentally sick," or people who had psychiatric conditions, in a more humane way as historically, people with mental illnesses were abused, neglected, and lacked adequate care.

Though stigma surrounding mental illness still exists, more and more people have realized the importance of receiving treatment—like psychotherapy —for maintenance of their mental well-being, regardless of whether they have a mental illness.

Additionally, an abundance of research has found that positive mental health is linked with improved quality of life, including better productivity, closer social connections, higher educational achievement, and improved relationships.

Mental health refers not only to emotional well-being but also to how people think and behave. There are a number of different factors that have been found to influence mental health.

Life Satisfaction

A person's ability to enjoy life is frequently used as an indicator of mental health and wellness. It is often defined as the degree to which a person enjoys the most important aspects of their life. 

Some factors that have been found to play an important role in life satisfaction include the absence of feeling ill, good relationships , a sense of belonging, being active in work and leisure, a sense of achievement and pride, positive self-perceptions , a sense of autonomy, and feelings of hope.

The ability to bounce back from adversity   has been referred to as resilience . People who are resilient also tend to have a positive view of their ability to cope with challenges and seek out social support when they need it. Those who are more resilient are better able to not only cope with stress but to thrive even in the face of it.

Social support is important for positive mental health. Loneliness is linked with both physical and mental health issues including cardiovascular disease, depression , memory problems, drug misuse , alcohol misuse , and altered brain function.

Decreases in social support caused by life changes such as going to college, facing social adversity, changing jobs, or getting divorced can have a negative impact on mental health.

Fortunately, research suggests that it is not necessarily the number of supportive connections you have that it is the most important but rather the quality of these relationships.  

Flexibility

Having rigid expectations can sometimes create added stress. Emotional flexibility may be just as important as cognitive flexibility. Mentally healthy people experience a range of emotions and allow themselves to express these feelings. Some people shut off certain feelings, finding them to be unacceptable.

Lack of psychological flexibility has been linked to some types of psychopathology , while research suggests that increased flexibility is connected to better life balance and improved resilience.

Challenges to Mental Health

The National Alliance on Mental Illness (NAMI) states that an estimated one in five U.S. adults experiences a mental health problem each year.  There are a number of risk factors that can increase the likelihood that a person may experience poor mental health.

Discrimination

Being treated unfairly due to personal characteristics such as age, race, ethnicity, disability, sexual orientation, or gender identity is linked with increased anxiety and depression.

Exposure to Trauma

Trauma is linked with anxiety, depression, changes in mood (increased anger and irritability), feelings of hopelessness, and post-traumatic stress disorder (PTSD).

Family History of Mental Illness

Research suggests that a variety of mental illnesses run in families such as attention-deficit/hyperactivity disorder (ADHD), bipolar disorder , major depressive disorder (MDD), and schizophrenia .

Low income is linked with increased levels of stress, anxiety, and depression. Low income may also prevent someone from accessing necessary mental health services.

Medical Illness

Illnesses, particularly those that are chronic and force a person to adjust their lifestyle, can create psychological distress (especially depression).

Poor Access to Health Services

Access to health services is linked to positive long-term health outcomes. However, when people can't get access to the health care they need, their physical and mental health may suffer as a result.

Having low self-esteem often means you don't believe you're worthy of being happy or having positive relationships. People with low self-esteem are at higher risk of developing substance use disorders, anxiety, and depression.

Poor Social Skills

Having poor social skills is linked with loneliness and increased stress levels, as well as worsened physical health.

Social Inequalities

Lacking access to goods and services in society based on personal characteristics like your age, gender, religion, race, disability, or another social category can increase the risk of depression.

Substance Use

Substance use is linked with high rates of anxiety, depression, and insomnia.

Impact of Mental Health

The state of a person's mental health has a significant impact on their quality of life. Taking care of your mental health allows you to contribute to your community, cope with stress, have quality relationships, and maintain physical health.

Mental health can help you to work toward your full potential in all aspects of your life. Improved mental health is also linked with better physical health. Research has found that positive mental health can reduce the risk of heart attacks and strokes.

Poor mental health, on the other hand, is linked with issues like increased stress, sleep problems, smoking, and substance use . If your mental health is suffering, you might feel overwhelmed more easily, have trouble maintaining relationships, and experience low self-esteem.

How to Stay Mentally Healthy

The U.S. Department of Health and Human Services suggests that some of the ways that you can promote and maintain mental health include the below.  

Physical Exercise

Physical exercise can reduce stress and even improve the symptoms of anxiety disorders and depression. It reduces the body's levels of stress hormones and elevates levels of endorphins, which promote mood regulation and feelings of well-being.

Your workout doesn't need to be strenuous either. Try taking a 20-minute walk and you might just notice the effect it has on clearing and relaxing your mind.

Adequate Sleep  

Not getting enough sleep can worsen mental health and cause mental distress, especially in people with existing mental health conditions. The American Academy of Sleep Medicine recommends getting at least seven hours per night.

Mental health conditions can make it extra challenging to fulfill your sleep requirements, but there are ways you can improve your sleeping habits.

Try adhering to a consistent sleep schedule (going to bed and waking up at the same times each night), limiting distractions like using your phone before bed, and making sure you get some exercise during the day. Be sure to consult a healthcare provider if your lack of sleep is causing mental distress.

Help Others 

One study found that helping behavior and other kinds of social interactions were linked with reduced stress and even longer lifespans.

Try volunteering in your community or even lending a hand to people in your everyday life. Performing small acts of kindness can make you and the recipient of your generosity feel a boost in mood and well-being.

Learn Coping Skills

Learning healthy coping mechanisms for managing stress can go a long way in improving mental health.

Some productive coping mechanisms include getting emotional support from loved ones, finding humor in your everyday life , and taking action to better your situation. It's all about finding what works best for you.

In cognitive behavioral therapy (CBT), a therapist works with patients to find the best coping skills for their unique circumstances.

Stay Connected to Others

Social interaction can reduce our stress levels, improve the symptoms of depression, and even benefit our physical health.

Research has found that social connection has positive impacts on health categories like cancer, weight management, diabetes, and cardiovascular disease.

Having social interactions in a setting such as group therapy, for instance, might be especially helpful if you are coping with a specific mental health condition like post-traumatic stress disorder or an eating disorder .

Keep a Positive Outlook

There are many health benefits to using optimism and positive thinking in your everyday life.

One study found that participants with generalized anxiety disorder (GAD) who practiced replacing thoughts of negative outcomes with thoughts of positive ones experienced less worry over time than participants who didn't imagine positive outcomes.

A Word From Verywell

There are many factors that influence mental health and overall well-being. Individual factors play an important part, but social, environmental, and financial circumstances can also either enhance or worsen mental health.

It is important to seek help if you are having difficulties. Talk to a doctor or mental health professional if you need help improving your mental health or addressing a psychological problem.

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National Institutes of Health. Common genetic factors found in 5 mental disorders .

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Coombs NC, Meriwether WE, Caringi J, Newcomer SR. Barriers to healthcare access among U.S. adults with mental health challenges: A population-based study .  SSM Popul Health . 2021;15:100847. doi:10.1016/j.ssmph.2021.100847

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• Taylor, James, 1977.  Secret O' Life  Album: JT; Professional experience of 25 years as a practicing clinical psychologist.

By Leonard Holmes, PhD Leonard Holmes, PhD, is a pioneer of the online therapy field and a clinical psychologist specializing in chronic pain and anxiety.

Laura Harold is an editor and contributing writer for Verywell Family, Fit, and Mind.

Mental Health Essay for Students and Children

500+ words essay on mental health.

Every year world mental health day is observed on October 10. It was started as an annual activity by the world federation for mental health by deputy secretary-general of UNO at that time. Mental health resources differ significantly from one country to another. While the developed countries in the western world provide mental health programs for all age groups. Also, there are third world countries they struggle to find the basic needs of the families. Thus, it becomes prudent that we are asked to focus on mental health importance for one day. The mental health essay is an insight into the importance of mental health in everyone’s life. 

Mental Health

In the formidable years, this had no specific theme planned. The main aim was to promote and advocate the public on important issues. Also, in the first three years, one of the central activities done to help the day become special was the 2-hour telecast by the US information agency satellite system. 

Mental health is not just a concept that refers to an individual’s psychological and emotional well being. Rather it’s a state of psychological and emotional well being where an individual is able to use their cognitive and emotional capabilities, meet the ordinary demand and functions in the society. According to WHO, there is no single ‘official’ definition of mental health.

Thus, there are many factors like cultural differences, competing professional theories, and subjective assessments that affect how mental health is defined. Also, there are many experts that agree that mental illness and mental health are not antonyms. So, in other words, when the recognized mental disorder is absent, it is not necessarily a sign of mental health. 

Get the huge list of more than 500 Essay Topics and Ideas

One way to think about mental health is to look at how effectively and successfully does a person acts. So, there are factors such as feeling competent, capable, able to handle the normal stress levels, maintaining satisfying relationships and also leading an independent life. Also, this includes recovering from difficult situations and being able to bounce back.  

Important Benefits of Good Mental Health

Mental health is related to the personality as a whole of that person. Thus, the most important function of school and education is to safeguard the mental health of boys and girls. Physical fitness is not the only measure of good health alone. Rather it’s just a means of promoting mental as well as moral health of the child. The two main factors that affect the most are feeling of inferiority and insecurity. Thus, it affects the child the most. So, they lose self-initiative and confidence. This should be avoided and children should be constantly encouraged to believe in themselves.

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16 Personal Essays About Mental Health Worth Reading

Here are some of the most moving and illuminating essays published on BuzzFeed about mental illness, wellness, and the way our minds work.

BuzzFeed Staff

1. My Best Friend Saved Me When I Attempted Suicide, But I Didn’t Save Her — Drusilla Moorhouse

"I was serious about killing myself. My best friend wasn’t — but she’s the one who’s dead."

2. Life Is What Happens While You’re Googling Symptoms Of Cancer — Ramona Emerson

"After a lifetime of hypochondria, I was finally diagnosed with my very own medical condition. And maybe, in a weird way, it’s made me less afraid to die."

3. How I Learned To Be OK With Feeling Sad — Mac McClelland

"It wasn’t easy, or cheap."

4. Who Gets To Be The “Good Schizophrenic”? — Esmé Weijun Wang

"When you’re labeled as crazy, the “right” kind of diagnosis could mean the difference between a productive life and a life sentence."

5. Why Do I Miss Being Bipolar? — Sasha Chapin

"The medication I take to treat my bipolar disorder works perfectly. Sometimes I wish it didn’t."

6. What My Best Friend And I Didn’t Learn About Loss — Zan Romanoff

"When my closest friend’s first baby was stillborn, we navigated through depression and grief together."

7. I Can’t Live Without Fear, But I Can Learn To Be OK With It — Arianna Rebolini

"I’ve become obsessively afraid that the people I love will die. Now I have to teach myself how to be OK with that."

8. What It’s Like Having PPD As A Black Woman — Tyrese Coleman

"It took me two years to even acknowledge I’d been depressed after the birth of my twin sons. I wonder how much it had to do with the way I had been taught to be strong."

9. Notes On An Eating Disorder — Larissa Pham

"I still tell my friends I am in recovery so they will hold me accountable."

10. What Comedy Taught Me About My Mental Illness — Kate Lindstedt

"I didn’t expect it, but stand-up comedy has given me the freedom to talk about depression and anxiety on my own terms."

11. The Night I Spoke Up About My #BlackSuicide — Terrell J. Starr

"My entire life was shaped by violence, so I wanted to end it violently. But I didn’t — thanks to overcoming the stigma surrounding African-Americans and depression, and to building a community on Twitter."

12. Knitting Myself Back Together — Alanna Okun

"The best way I’ve found to fight my anxiety is with a pair of knitting needles."

13. I Started Therapy So I Could Take Better Care Of Myself — Matt Ortile

"I’d known for a while that I needed to see a therapist. It wasn’t until I felt like I could do without help that I finally sought it."

14. I’m Mending My Broken Relationship With Food — Anita Badejo

"After a lifetime struggling with disordered eating, I’m still figuring out how to have a healthy relationship with my body and what I feed it."

15. I Found Love In A Hopeless Mess — Kate Conger

"Dehoarding my partner’s childhood home gave me a way to understand his mother, but I’m still not sure how to live with the habit he’s inherited."

16. When Taking Anxiety Medication Is A Revolutionary Act — Tracy Clayton

"I had to learn how to love myself enough to take care of myself. It wasn’t easy."

Topics in this article

• Mental Health

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• Online Learning
• Student Life
• Study Abroad
• Sponsorships
• Scholarships
• Student Group Shoutout
• Latest in Learning
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How to Write a Mental Health in College Students Essay

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Writing is a skill that takes time to build. Essays force you to practice research, critical thinking and communication skills – college is the perfect time for you to practice these. However, there’s only so much you can learn about writing through preparation. If you’ve been assigned an essay on mental health, you may not be sure where to begin. You might also wonder if you should choose mental health as a topic for a college paper. Here’s how to write a “mental health in college students” essay. 

• What Not to Do

If you’re trying to choose a topic for a college application essay, mental health is usually not the way to go. Your personal statement should show colleges why you’re the best candidate to attend their school. Because many students write about mental health , your essay may get lost in the crowd. In addition, your mental health journey is only a part of who you are. 

It can be difficult for many students to write about personal mental struggles without seeming overdramatic. Unless mental health struggles have shaped your whole life, it’s best to discuss other topics. If you mention mental health, stay brief and matter-of-fact. Don’t let it become the whole point of your essay. 

• Review the Instructions

If you’re writing this essay for a college course, start by looking over the assignment instructions. Don’t just listen to what your teacher says – look up the assignment on the syllabus to see if you can find a rubric or other relevant information. 

Highlight the important points to make sure you know what matters to your professor. The instructions are parameters you can operate in to create an essay you enjoy. Make sure you check word count, essay structure and review corrections on past essays. If you’re confused about something, don’t hesitate to ask your professor for clarification. 

• Do the Research 

Regardless of what class you’re writing for, this is the kind of topic that requires hard numbers. You don’t want to make general claims about rates of student anxiety or mental illness – to be credible, you need specifics. Be careful with your wording to avoid all-or-nothing statements. Everyone experiences mental health differently. 

Your professor may or may not allow you to pick the specific mental health topic you write about. However, you can ensure that your paper is well-researched and organized clearly. Before you start writing, create at least a basic outline showing the flow of ideas. This will make the writing phase much faster because you’ll always know what to say next. 

• Write It Out 

Writer’s block often stems from perfectionism. This paper won’t be perfect the first time, so don’t worry about writing it perfectly! Start with an interesting line that gets your reader’s attention and make sure you have a clear thesis statement. Taken by itself, this sentence should describe the contents of your entire paper. 

Build your paragraphs to the right word length by using specific examples. You should start each paragraph with a topic sentence that takes your reader one step in your paper’s argument. Then, describe a specific example that further explains this idea. You can find specific examples in your research or simply explain more about what you mean. 

• Edit Your Work

Editing is an important final step before you turn an essay in. It gives you an opportunity to look at your writing as a whole and ensure everything makes sense. If possible, you should set your first draft aside for a while before you reread it. This will help you see your work with fresh eyes so you can edit it. 

Editing involves strengthening your paper’s organization, rewriting specific sentences and checking for errors. You should make major edits first and then do a final read-through to catch punctuation and spelling mistakes. It can be helpful to read your paper out loud or have a friend look it over as well. 

One Key Takeaway for Writing a Mental Health in College Students Essay

Many students struggle with mental health while in school. Whatever topic you choose and however you organize your essay, make sure to write it with a sensitive tone. This topic is nuanced and shouldn’t be treated as a black-and-white issue. Write from an informed and compassionate point of view and offer your readers hope. 

Use this guide to write an essay on mental health in college students that astounds and delights your professor. Putting in the work will build research and communication skills you’ll use for years – whether you’re a psychology major, a premed student or studying the arts at school. 

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About Mental Health

• Mental Health Basics
• Types of Mental Illness

What is mental health?

Mental health includes our emotional, psychological, and social well-being. It affects how we think, feel, and act. It also helps determine how we handle stress, relate to others, and make healthy choices. 1 Mental health is important at every stage of life, from childhood and adolescence through adulthood.

Why is mental health important for overall health?

Mental and physical health are equally important components of overall health.  For example, depression increases the risk for many types of physical health problems, particularly long-lasting conditions like diabetes , heart disease , and stroke. Similarly, the presence of chronic conditions can increase the risk for mental illness. 2

Can your mental health change over time?

Yes, it’s important to remember that a person’s mental health can change over time, depending on many factors.  When the demands placed on a person exceed their resources and coping abilities, their mental health could be impacted. For example, if someone is working long hours, caring for a relative, or experiencing economic hardship, they may experience poor mental health.

How common are mental illnesses?

Mental illnesses are among the most common health conditions in the United States.

• More than 1 in 5 US adults live with a mental illness.
• Over 1 in 5 youth (ages 13-18) either currently or at some point during their life, have had a seriously debilitating mental illness. 5
• About 1 in 25 U.S. adults lives with a serious mental illness, such as schizophrenia, bipolar disorder, or major depression. 6

What causes mental illness?

There is no single cause for mental illness. A number of factors can contribute to risk for mental illness, such as

• Adverse Childhood Experiences , such as trauma or a history of abuse (for example, child abuse, sexual assault, witnessing violence, etc.)
• Experiences related to other ongoing (chronic) medical conditions, such as cancer or diabetes
• Biological factors or chemical imbalances in the brain
• Use of alcohol or drugs
• Having feelings of loneliness or isolation

People can experience different types of mental illnesses or disorders, and they can often occur at the same time. Mental illnesses can occur over a short period of time or be episodic. This means that the mental illness comes and goes with discrete beginnings and ends. Mental illness can also be ongoing or long-lasting.

There are more than 200 types of mental illness. Some of the main types of mental illness and disorders are listed here .

• Strengthening Mental Health Promotion . Fact sheet no. 220. Geneva, Switzerland: World Health Organization.
• Chronic Illness & Mental Health . Bethesda, MD: National Institutes of Health, National Institute of Mental Health. 2015.
• Kessler RC, Angermeyer M, Anthony JC, et al. Lifetime prevalence and age-of-onset distributions of mental disorders in the World Health Organization’s World Mental Health Survey Initiative. World Psychiatry. 2007;6(3):168-176.
• Key substance use and mental health indicators in the United States: Results from the 2015 National Survey on Drug Use and Health. Rockville, MD: Center for Behavioral Health Statistics and Quality. Substance Abuse and Mental Health Services Administration. 2016.
• Merikangas KR, He J, Burstein M, et al. Lifetime Prevalence of Mental Disorders in US Adolescents: Results from the National Comorbidity Study-Adolescent Supplement (NCS-A). Journal of the American Academy of Child and Adolescent Psychiatry. 2010;49(10):980-989. doi:10.1016/j.jaac.2010.05.017.
• Health & Education Statistics . Bethesda, MD: National Institute of Mental Health. National Institutes of Health. 2016.
• Kessler RC, Chiu WT, Demler O, Walters EE. Prevalence, Severity, and Comorbidity of Twelve-month DSM-IV Disorders in the National Comorbidity Survey Replication (NCS-R). Archives of general psychiatry. 2005;62(6):617-627. doi:10.1001/archpsyc.62.6.617.Substance Abuse and Mental Health Services Administration, Center for Behavioral Health Statistics and Quality. (2016). Key substance use and mental health indicators in the United States: Results from the 2015 National Survey on Drug Use and Health. Rockville, MD.
• Rui P, Hing E, Okeyode T.  National Ambulatory Medical Care Survey: 2014 State and National Summary Tables. Atlanta, GA: National Center for Health Statistics. Centers for Disease Control and Prevention. 2014.
• Web-based Injury Statistics Query and Reporting System (WISQARS) . Atlanta, GA: National Center for Injury Prevention and Control. Centers for Disease Control and Prevention. 2015.
• Insel, T.R. Assessing the Economic Costs of Serious Mental Illness. Am J Psychiatry. 2008 Jun;165(6):663-5. doi: 10.1176/appi.ajp.2008.08030366.
• HCUP Facts and Figures: Statistics on Hospital-based Care in the United States, 2009. Rockville, MD: Agency for Healthcare Research and Quality. 2009.
• Reeves, WC et al. CDC Report: Mental Illness Surveillance Among Adults in the United States. MMWR Morb Mortal Wkly Rep 2011;60(03);1-32.
• Parks, J., et al. Morbidity and Mortality in People with Serious Mental Illness. Alexandria, VA: National Association of State Mental Health Program Directors Council. 2006.

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311 Powerful Mental Health Topics to Write about & Essay Examples

Research studies show that nearly 25% of American adults may have a mental illness in any given year. That is why it is crucial for all of us to become aware of such issues.

We gathered 225 brilliant essay topics about mental health, paper examples and ideas that would fit for any kind of essay: argumentative, persuasive, discursive, and so on. So…

Let’s dive in!

🏆 Best Mental Health Topic Ideas & Paper Examples

👍 good essay topics about mental health, 💡 simple & easy mental health essay topics, 🎓 most interesting mental health topics to write about, 🔎 interesting topics to write about mental health, ✍️ mental health essay topics for college, ❓ research questions about mental health.

• A Mental Health Project This project will use a strength-based model, and as such, will focus on how the guidance and counseling practitioners can assist the target young people to collaborate with their peers, families, and the community with […]
• Mental Health Counseling Admission Essay The decision to apply for the clinical counseling in mental health program was mainly influenced by an internship that I had at the Carter Center of Mental Health.
• Mental Health Practice Placement However, many people believe that the theory does not offer or is not a reflection of the prevalent actions and complexity of the mental health problems in a population.
• The Impact of Mental Health on Society It is not to say that mental health patients lack the skills or expertise to fulfill the assigned tasks. Indeed, it is not only the individuals but also society on the whole that suffers from […]
• Therapy and Mental Health Counseling: Speech The scholars emphasize that, unlike medications, therapy is a journey that requires awareness and acceptance of the change to heal from stress and trauma.
• Mental Health Counseling Licensure and Certification in Florida The purpose of this paper is to analyze and compare the requirements and provisions for mental health counseling licensure and certification in Florida and discuss their impact on the public.
• Importance of Mental Health Promotion in Society Mental health is an integral part of health which serves as the foundation for the well-being and effective functioning for a person and society.
• Social Media and Teenagers’ Mental Health This book highlights the impact of social media on adolescent mental health and offers several solutions to this problem. 1, 2020, pp.
• How Social Class Influences Mental Health After a thorough evaluation of class differences in mental health, it becomes clearer that people from the working classes face more problems with mental health in comparison to people from the middle class: downward drift, […]
• Institutional vs. Community Care in Mental Health A review article by Wysocki et al.”Long-term services and supports for older adults: A review of home and community-based services versus institutional care is focused on the analysis of institutional care as opposed to home […]
• Interview With a Licensed Mental Health Counselor The interviewee acknowledged that burnout is a normal part of practice and anybody planning to become a licensed mental health counselor should be prepared to face burnout and deal with it in a manner that […]
• Mental Health Issues in the Wednesday Series The main essence of the plot is that the eldest child of the Addams family, a girl named Wednesday, is gloomy and gloomy.
• Mental Health and Spirituality How religion helps to define life purpose and provides a sense of meaning among people who are susceptible to depression Many religious people affirm that their lives have a sense of purpose and meaning.
• Phones and Teenagers’ Mental Health Connection This essay aims to discuss the connection between phones and teenagers’ mental health and explain why the use of smartphones is merely a reflection of problems that children would face either way.
• Nursing Care Plan for Mental Health Unilateral neglect Impaired environmental interpretation syndrome Acute confusion Chronic confusion Ineffective impulse control Impaired memory Impaired verbal communication Hopelessness Risk for compromised human dignity
• Mental Health Issues Among Immigrants The prevalence of issues associated with CBT and the treatment of frequently occurring issues among first-generation immigrants, which include anxiety, conduct, and ADHD disorders, is currently uncertain due to the lack of experimental and academic […]
• Social Justice and Mental Health However, it is difficult to imagine the U.S.taking nationwide action on mental health due to the absence of healthcare for physical health, which is widely accepted as a serious issue.
• Recent Studies on Covid-19 and Mental Health The participants of the studies that pursue the understanding of how COVID-19 leads to the emergence of mental stress reported their concerns about the potential infection that has not yet happened.
• Debunking the Myths on Homelessness: Misconceptions About the Social Status and Mental Health The point of concern is that the housing market, particularly in the United States, does not have enough low-cost living space that is affordable to the economical marginals and people with low income.
• Psychological Imbalance: Mental Health Issues According to Moulden and Marshall, psychological imbalances are the major cause of the increased number of inmates with sexual offenses within Canadian prisons.
• Wellness: An Analysis of Mental Health The complex nature of mental health calls for a humanities approach to enable conceptualization of the mind and brain for improved mental health care and human well-being.
• Mental Health in Sex Workers There are financial needs that make the sex work industry one of the “to-go” choices for young adults in need of money.
• The Impact of Mindset on Mental Health A positive stress mindset is about resilience to stress, and it is an attribute linked to the levels of desire that defines the focus of one’s enthusiasm and will. The knowledge of a self-awareness mindset […]
• A Mental Health Nurse Practitioner Specialty Since the goal of obtaining a degree and moving toward the role of APRN prompted me to study in the MSN program, the primary choice was the specialty.
• Mental Health Nursing Practice and Ethical Issues The purpose of the presented case and analysis is to evaluate the ethical aspects of providing care to a patient in a psychiatric ward.
• School-Based Yoga Program for Adolescents’ Mental Health The central aim of the research was to find the effectiveness of the therapeutic intervention. The central focus of the research was to validate the effectiveness of a yoga-based program.
• The Role of the Multidisciplinary Teams in Mental Health Nursing Moreover, the effectiveness of the management of the personnel correlates with the effectiveness of the whole treatment and the decrease in time the patient would spend at the hospital.
• Self-Care: Physical and Mental Health Also, there is a variety of approaches that can be used to improve self-care, and it is essential to introduce the client to all of them.
• Mental Health Care in Cannabis Addiction Case Based on the experience of studying the stories of juvenile delinquents, Bowlby revealed the influence of early separation from the mother and the experiences of loss and separation associated with it on the violation of […]
• Social Media and Mental Health The connection between the positivity of a message and its reception in social media is a crucial piece of information that needs to be incorporated into the current approach toward increasing the levels of public […]
• Marijuana and Its Effects on Mental Health The effects of the use of marijuana can be comparable to those exhibited by the removal of this important part of the brain.
• Mental Health Community Nursing Mental health in the community is the pattern of mental health care in a particular community. The beginning of the twentieth century was favorable for the development of mental health centers as this was the […]
• Mental Health of Healthcare Workers After COVID-19 Concerning the objectives of Healthy People 2020, the examined topic is related to the category of Mental Health and Mental Disorders.
• Prisons as Mental Health Institutions The following list contains the group’s goals: Identification of the cause of unfavorable circumstances; Resolution of legal disputes regarding the perpetrators; Help the victim to improve their living conditions; Achieving the payment of a fine […]
• Mental Health Administration With the increased number of cases, the government opted to have a policy that would see the proper administration of the condition; this lead to the formation of the Substance Abuse and Mental Health Services […]
• Mental Health Nursing Skills in Practice I found the nurse’s skills to be effective, as she maintained the conversation clearly and did not emphasize the fact that it was an experiment, which allowed the client to remain calm. A patient had […]
• Mental Health Issues Among LGBTQ (Queer) Youth Studies point to multiple factors that play a role in the risk of suicide among LGBTQ youth, such as gender, socioeconomic status, bullying, and school experience. There is a need for further research and interventions […]
• Strategies for Maintaining Good Mental Health Today, I want to inform you about mental health, including its definition, importance during different stages of development, and strategies for maintaining good mental health.
• The Influence of the COVID-19 Pandemic on Health Workers’ Mental Health The article “The mental health impact of the covid-19 pandemic on healthcare workers, and interventions to help them: A rapid systematic review” gives examples of specific means to overcome the occupation problem.
• Meditation’s Impact on Physical and Mental Health It is a dependent variable, as it has been assessed before the assignments for the groups, after said assignment, and four months later to define the outcome of the study.
• Mental Health and Illness Stigmatization Manifestations She was unable to contain her sobbing and trembling as a direct result of the symptoms of her mental illness, which included her anxiety about being judged and rejected. The diagnosis was unexpected and challenging […]
• Empowering the Care for Mental Health: Strategic Suggestions In addition, there is the issue of correctness and completeness of information about available resources, which is essential because of the sparse and heterogeneous nature of the industry.
• Narrative Family Therapy: Adolescent Mental Health In the Video, the primary contributors are the couple and the narrative therapist. The narrative therapist tries first to comprehend the viewpoint of a patient on their lives and the dominant plot and changes that […]
• Aspects of the Mental Health Essentials Reg maintains a cordial relationship with his ex-wife, who is consistently concerned about his state of health and well-being, which is one of the protective factors relevant to Reg.
• Mental Health Diseases in the Middle Ages and Today In the Middle Ages, the manner in which the conditions were addressed varied depending on the philosophical and religious beliefs of the patient as well as the caregiver.
• Mental Health Nurse’s Communication With Patients and Families To conclude, communicating with patients, carers, and families as a mental health nurse demands considering the needs of each individual. On the one hand, MHNs must be active, empathetic listeners with patients and their loved […]
• Mindfulness’ Role in Mental Health Promotion With the incorporation of mindfulness into therapy, one will be able to reduce stress by promoting active health education and learning to a patient.
• Social Distancing, Financial Crisis and Mental Health The lockdown leads to the inability of people to go to the hospital for mental health consultation and treatment due to the anti-COVID measures. It is possible to talk about the spread of mental health […]
• Mental Health Interventions for Police Officers The expected outcome of this study is a generalized classification of existing mental health interventions available for the police workforce and their assessment in terms of efficiency.
• Multicultural Community Mental Health Center In addition, acculturation enhances daily organization activities favourable to clients and the workplace, which promotes the achievement of the center’s goals. A trusted relationship leads to satisfaction for both the employee and the clients, which […]
• Head Injuries and Related Mental Health Issues A mental health professional examining a patient with a head injury may encounter a wide range of symptoms that are difficult to pin down.
• Effect of Job Satisfaction on Early Childhood Educators’ Mental Health in Canada The rationale for this research is that early childhood educators are frequent targets of violence and abuse in the workplace, which can impact their mental health.
• Advocacy Programs to Address Disparities in Mental Health and Addiction Management Due to the absence of coverage offered by state Medicaid programs, the problem with the community’s overall health likely resides in a population segment that is unable to receive care, especially individuals with mental health […]
• How a Mental Health Nurse Role Supports Interprofessional Practice A collaboration between medical doctors, therapists, nurses, and pharmacists to implement a personalized plan of care to improve the health outcomes of a patient is an example of interprofessional practice, Within the interprofessional practice, mental […]
• Mental Health Issues in the COVID-19 Pandemic The governments focused their response on the physical health of their citizens and containing the spread of the virus. In other words, the first step of the action plan is to find or establish the […]
• Mental Health Management in Indigenous People For this reason, the concept of tribal mental health must be actively introduced into the relevant healthcare practices and the associated health policies.
• Addressing Mental Health Inequities: A Focus on LGBTQ Communities The main bioethical principles of organ transplantation that should be considered are beneficence – to act for the benefit of a patient, non-maleficence – not to harm, autonomy respect for a person’s choice, justice fairness, […]
• Mental Health and Well-Being of Canadian Police Officers As found in the study by Tehrani, most police officers that worked during the pandemic have been emotionally affected by it, with the lowest indicators of mental health being strongly related to anxiety and depression […]
• Understanding Mental Health: A Personal Journey and Its Impact The main impact of mental health is that, when it is not well taken care of, it could lead to depression.
• Field Practicum in Mental Health Social Work The case is a mental illness diagnosis and treatment procedure for a client with a history of mental illness who is currently showing more clinical symptoms diagnosable using reliable diagnostic manuals as described in the […]
• COVID-19 Impact on Uber Drivers’ Mental Health Although a lot of research has focused on the working conditions of Uber drivers and other individuals characterised as working in the gig economy, and further studies still have considered the financial impact of the […]
• Nursing Burnout in the Mental Health Field Therefore, burnout in the mental health field is a major problem because it has a high prevalence and affects the service delivery of employees in the mental health field.
• Subjective Well-Being (SWB): Mental Health and Life Satisfaction Also recognized as self-reported Well-being Introduced by Ed Diener, a psychologist in 1984 Components entails: Positive Affect Life Satisfaction Negative Affect Physical health is influenced by the satisfaction of life and enjoyment of life
• Abortion and Mental Health as Controversial Issues There have been issues related to the use of face masks and the number of cases of infected people. The topic of autism is a huge controversy due to denial or a lack of awareness.
• Factors That Impact Mental Health The purpose of this paper is to identify factors that impact the individual’s mental health and well-being, possible approaches that could be used to address the issues and provide a strategy involving all resources available […]
• Code of Ethics in Clinical Mental Health Counseling For instance, the ACA’s ethical values involve upholding human development by using the multicultural method to support the potential, worth, and dignity of people in their cultural and social settings.
• The Impacts of Mental Health Among Nurses Therefore, it is essential to research the impacts of the mental health of nurses on their practice to ensure what methods can effectively improve the well-being of healthcare professionals.
• Mental Health Improvement Applications A vision problem in and of itself causes anxiety for many people, and the lack of adapted apps continues to be a problem.
• Refugee Mental Health & Transcultural Psychiatry Because of this, many refugees have resorted to seeking refugee camp mental health services to cope with their situation in a new country and feel less stress.
• Mental Health of Crime Offenders The research was created with the idea that women have a significant role in promoting global health because of the importance of their health. According to the findings, life skills training programs improved women’s mental […]
• Mental Health Equity for Queer (LGBTQ) People My support for mental health equity in the LGBTQ community as a clinical mental health counselor will require my understanding of cultural competency and how to can use it in practice.
• Mental Health in School-Age Children In contrast to the response to drug or placebo, a large group of patients is difficult to treat or do not respond to treatment.
• Erectile Disorder and Mental Health The sexual dysfunction from the DSM-5 is an erectile disorder is 302.72. I entirely agree that lifestyle change, exceptionally tailored physical activity, is an essential aspect of the therapy of erectile dysfunction and should be […]
• HIV-Positive Women’s Mental Health Problems Peer review implies the submission of the article describing the details of the research process and the design to a journal that then sends this article to the professionals working in the same field, who […]
• Children’s Mental Health During COVID-19 Pandemic The following questions can shed light on this topic: What creative interventions can schools implement to avoid harming their students’ mental well-being over prolonged periods of external pressure, such as during a pandemic?
• United Nations Policy Brief on Mental Health Recovery After COVID-19 Therefore, the lack of mental health support centers and poor financing are not the only reasons for the problem, as the brief’s authors suggest.
• Nursing Profession: Mental Health Issues, Shortages, and Lack of Diversity It is necessary to determine whether the limitations in access to nursing education and training, as well as discriminatory environments, result in the absence of diversity in the nursing workforce.
• Considerations and Benefits of Herbal Medicine in Mental Health Treatment However, when prescribing herbal medicine, regardless of its type, it is imperative that the patient is assessed for the risk factors of its use and the potential interactions with other medication.
• Hospital Staff Mental Health During the Pandemic The second theme that was discussed in many of the studies reviewed is the variety of factors that were involved in this issue, worsening the conditions of the health workers.
• Mental Health Services Access for Veterans Given the extreme intensity of the job that veterans have performed as well as the variety of adverse effects that follow from it, ensuring improved outcomes in the area of mental health for them is […]
• Cats and Their Role in Mental Health Support Using this research design, it would be possible to determine whether cats or dogs are better as therapy animals, in addition to identifying the role of felines in mental health support.
• Mental Health of Physicians During the Pandemic It is obvious that the situation of constant tension in which the doctors were during the period of COVID-19 is extreme and actually a crisis.
• Ethics of Access to Sensitive Mental Health Data Not all clients wish to share the details of their mental issues and treatments with families or inmates, but their password storage practices might run counter to this need for security.
• Access to Mental Health Treatment in Peru The researcher looked through the lens of those within the community, those living in more rural areas, and the suburbs of the Capital of Lima.
• Tests in Mental Health Nursing Research This paper seeks to discuss the uses of non-parametric tests in the assigned articles and explore the issue of test selection with reference to mental health nursing research.
• Consumer Information on Mental Health Considering the specifics of the inpatient facility, online health information-seeking is more common in patients’ relatives that visit them and communicate with the staff.
• The Principles of Education in Mental Health Thus, the image of leaner may be represented as a sophisticated combination of mental and cognitive processes that are to be recognized and accounted for in the process of learning.
• Cooper Mental Health Counseling Advertising The goal of the campaign will be to attract the maximum number of clients to the psychological counseling clinic. The call to action in the case of this advertising campaign will be a call to […]
• Neuroscience on Mental Health Issues Over the years, a significant source of concerns regarding neurogenesis touches on scientists’ inability to quantify the number of neurons generated by the adult’s brain in a day. However, investigations on neurogenesis in the hippocampus […]
• Managing Mental Health Medications for Depression and its Ethical Contradiction The second objective is to discover ethical contradictions in such treatment for people of various cultures and how different people perceive the disorder and react to the medication.
• Mental Health Conditions: Manifestations and Biases On my side, I hold to the bias that mental health conditions can only receive medication for it to be restored to normal.
• Preliminary Care Coordination Plan for Mental Health As the shift from hospital care to community-based one has occurred, it is first important to engage the patients in these communities and breach the gap of the lack of information.
• Benefits of Mindfulness Meditation for Mental Health At the age of 10, Maria was raped, and after that, the patient began to engage in prostitution to help her family financially since her mother and grandmother could not support everyone.
• Nurses’ Mental Health and Stress at Workplace This is the first research to present the viewpoints of mental health nurses on a resilience program. Theoretical ideas of resilience and understanding of mental health nurses’ resilience emerged through constant comparative study and integration […]
• The Impact of Coronavirus Pandemic on Teens’ Mental Health The study of the impact of the global pandemic on the mental state of adolescents and ways to combat them is of particular interest for this research paper.
• Cultural and Ethical Perspectives of Nurse Mental Health As a result, the given subject involves specific cultural and ethical perspectives and analysis of these perspectives is vital to analyze and implement policies as well as see the overall trend of the issue.
• Mental Health Treatment Analysis For the pharmacological treatment to control PTSD, the recent symptomatology experienced, comorbid conditions, and evidence of the efficiency of treatments before medication initiation are the factors that a clinician has to consider.
• The Problem of Mental Health in Florida The health of children is one of the major concerns of the healthcare sector as they are the future of the nation.
• Administration Errors in a Mental Health Hospital The selection of a representative group from the population of interest is among the prerequisites for the production of reliable and generalizable results.
• Mental Health and Its Social Determinants The article chosen for the analysis strives to explore the correlation between the social determinants and the development of mental illnesses in people in different stages of their lives.
• Discussion of Nurses’ Mental Health Issues This is explained by the high complexity and demands of work, which is exacerbated by the increase in responsibility and the number of patients due to the COVID-19 pandemic.
• “Parental Characteristics and Offspring Mental Health” by Jami The title of the article is “Parental characteristics and offspring mental health and related outcomes: A systematic review of genetically informative literature”.
• Effects of Tension in the Workplace Environment on the Mental Health of Nurses Due to the sharp increase in the need to focus, as well as the probability of workplace conflicts and the resulting emotional strain, workplace tensions in the nursing setting, specifically in nurses providing individual care, […]
• Gender Expectations: Impact on Mental Health Such feelings may be overwhelming, resulting in emotional distress and causing the individuals to attempt suicide to end the anguish. Alcohol and substance abuse may be the leading causes of suicide in Australia.
• Improving the Mental Health System The problem has brought attention to the WHO as well as the nursing arena to implement strategies to address the unmet needs in mental care, especially in the United States metropolitan areas.
• Social Media Damages Teenagers’ Mental Health Thus, the selected social group that could help improve teenagers’ mental health is sports coaches and organizers of sports activities in schools.
• Super Bowl LVI From Mental Health Perspective While individuals may never grasp entirely why they feel compelled to yell and shout from the stands, sports like the Super Bowl can be helpful for mental health in the context of leisure and the […]
• Therapeutic Techniques: Psychiatric Mental Health Nursing The technique involves focusing on one idea or word produced by the client; Aimed to help in a more detailed consideration of significant thoughts; Particularly relevant when working with patients who shift from subject […]
• The Problem of Mental Health Disparities Challenges and opportunities to meet the mental health needs of underserved and disenfranchised populations in the United States. The authors of this article explore ways to address psychological problems in adults arising from the gap […]
• Lifestyle Choices and Mental Health However, in this context, it is essential to clarify more information about the client’s lifestyle and verify the authenticity of the indicated factors.
• Mount Carmel Mental Health Hospital’s Framework It remains the only hospital with in-patient psychiatric and mental health care in Malta after the closing of the psychiatric unit at Mater Dei Hospital in 2020, and the construction of a new mental health […]
• Peplau’s Middle-Range Theory in Mental Health Nursing This paper addresses the topic of nursing theory by reviewing current research pertaining to hypothetico-deductive reasoning, suggesting the model’s potential value in the research of nurse education techniques and barriers to decision-making, and discussing the […]
• Mental Health Services for Healthcare Providers of Critical Patients For the examination of the specified problem, the suitable setting is one of the local hospitals willing to participate in the project, and the contact there will be an administrator with access to the essential […]
• Holes in Financial Plan of Mental Health Services In the case of the current project, first of all, it is hard to predict the real demand for mental health services among doctors.
• Community Outreach Program for Veterans’ Mental Health Outcomes The issue at the center of this document is the high level of suicide risk in the veteran population and the urgent need to address this problem through therapy to prevent suicide in veterans.
• Psychopharmacology and Mental Health Practice It is becoming increasingly necessary for a mental health practitioner to be familiar and knowledgeable about pharmacological aspects of the treatment of mental issues.
• Mental Health Needs of the New York Community That is why there is a clear need to study the physical and psychological state of the health of the population.
• Mental Health Disorder: Case Conceptualization Due to her developmental delays, she held back in kindergarten and is currently at risk of being held back again, and her attendance record is very poor.
• Negative Impacts of COVID-19 Lockdown on Mental Health Service Access The sampling of the selected study is relatively narrow, yet it allowed the researchers to conduct a detailed data analysis and was sufficient to identify the tendencies for follow-up visits.
• Social Interaction for Mental Health and Wellbeing Although, these features enable inmates to shape their social and health relationships, the likely hood of retreating the positive relationship between health and social incorporation found in several social backgrounds.
• Social Media and Women’s Mental Health From this point of view, the examination of the presented challenge is critical in order to ensure the mental health of the female population by timely addressing the mentioned obstacles and dispelling the illusions.
• Discussion of Students’ Mental Health This fact is revealed in the low number of students who decided to seek help from a mental health specialist in the past year.
• Mental Health Counseling Settings One advantage of a private practice is that decision-making is free from the influence of government agencies, charities, and other groups. However, a government agency setting is likely to have countless bureaucracies that would hinder […]
• Are Nurses Within the Aged Care Sector Equipped and Trained to Care for Mental Health Patients? Access to psychological care, the role and responsibilities of service providers, and the management of mental health care are among the gaps and challenges in the field.
• Psychological Wellness and Mental Health It is impossible to imagine the development of the sciences and civilization as a whole without focusing on mental health and areas of wellness.
• Burden of Stigma in Mental Health Help Seeking Afterward, he understood the concept and opted to recommend the need for the suffering people to share their traumatic events and experiences with their peers and qualified mental health professionals.
• Residential Programs for Teens With Mental Health Issues So, in addition to various activities, it is necessary to introduce mandatory work with specialists in psychology into the plan. The first thing organizations need to include in the program is bringing the spine into […]
• Post-Modern Perspective on Mental Health Nursing This is due to the replacement of traditional cultural structures by the commoditization of social living, consumption, and failure to support the mental health needs that result in psychopathology.
• Emotional Abuse and Role of Clinical Mental Health Counselor The main rationale for selecting the specified type of trauma is the fact that it is most likely to be unreported, both due to the fear stemming from the emotional violence and the lack of […]
• Mental Health and Exposure of Genes to the Environment Although the range of influence of a gene is determined by the size and functionality of the cell in which it is located, the formation of proteins, including those that form homeostasis, plays a key […]
• Motivational Interviewing for Mental Health Patients This is why it is imperative for the counsellor to be patient and honest with the client about their condition. Only when a patient is aware of their mental damage, can they amass the strength […]
• Building Provincial Mental Health Capacity in Primary Care Subsequently, to monitor the effectiveness of the project, evaluators scrutinized a mental health and addiction-oriented ECHO program in Ontario, Canada, at the end of the program.
• Mental Health Problems in Bisexuals Thus, the study appears to be insightful in the context of exploring the mental health of bisexuals. This article is informative, as it describes that the aforementioned factors appear to be influential considerably in the […]
• Mental Health in Bisexuals: Mental Health Issues The current research views the mental health of bisexuals from several different perspectives in order to evaluate all the possible mechanisms that could have contributed to mental health issues in bisexual individuals over the course […]
• Mental Health Counseling and Ethical Standards Relevant codes contribute to following the necessary rules to communicate and interact with clients and meeting the standards of professional collaboration.
• Mental Health of Community The Worcester Country Health Department has mental health services developed for both adults and youngsters. There are no eligibility criteria for using the materials and services of the department.
• Mental Health Project: Binge-Eating Disorder The result was the start of the Binge-Eating Disorder Association, a non-profit organization. The main role of the organization was to advocate, support, and help the binge-eating disorder society.
• Poverty, Partner Abuse, and Women’s Mental Health In general, the study aimed at investigating the interaction between poverty and the severity of abuse in women. The research question being studied in this article is how income intersects with partner violence and impacts […]
• Clinical Supervision in the Mental Health Practice Moreover, McNeill and Stoltenberg delved deeply into appreciating IDM’s refinement and evolution over time and the limitations it had at the time of the study. In this section of the book, McNeill and Stoltenberg explore […]
• Mental Health Crisis in Australian Young Men In particular, he organizes meetings of young people and tells them his story of beating depression and suicide survival in order to inspire them as the help from the side of the country’s health care […]
• Exploring Mental Health and Drug Use in West Africa The specific research objectives are the following: To explore the prevalence and occurrence of major mental health challenges in West African countries.
• Mental Health: T-Test and ANOVA in Clinical Practice The purpose of the study was to identify the causes of the first psychiatry consult and investigate patients’ perspectives on conditions that influence the reluctance in seeking mental health services and access in general.
• Community Risk Assessment: Mental Health Disorders: New York The identified area of focus in the community is the prevalence of mental health disorders. These resources will ensure an adequate and comprehensive assessment of the mental health conditions within the community.
• Mental Health and Struggles of African American Women This paper seeks to explore the origins of the strong black woman stereotype and its cultural portrayal and discuss the tolls of mental health and struggles that affect highly marginalized African American women in the […]
• Mental Health Issues: The Public Perception In order to address the issue, it is necessary to assess the current perception of people with mental health issues by the general public.
• The Intersection of COVID-19 and Mental Health However, using the statement of the study’s purpose, the research question appears to be the impacts of the COVID-19 pandemic on the mental, neurological, and substance use services in 130 WHO Member States.
• Mental Health Issues of Disabled People in Prison There is a need to enforce the rights of disabled people in prisons by understanding the causes of mental health issues and developing the necessary support systems.
• Mental Health in the US: Roles of Stakeholders The mental health courts also play vital roles in the management of challenges posed by individuals experiencing mental disturbances.
• Counseling on Mental Health & Disorders in Children Victims of bullying are helpless to an assortment of negative results. Tormented teenagers are bound to encounter long-haul harm to confidence and feeling of depression.
• Adolescent Mental Health: Why It Is a Problem Adolescent mental health constitutes a considerable public health issue recognized, among other things, as one of the 2020 Topics and Objectives on the Healthy People.
• Mental Health Information Disclosure and Moral Panic Therefore, to facilitate the wellbeing of the citizens and at the same time make sure that the rights of the mentally disadvantaged should not be infringed, one must consider the connection between the development of […]
• Mental Health Patients and Moral Panic The goal of the study is to reveal the inappropriateness of a mental health-centered approach to gun control public policy and emphasize the need for information dissemination and education in the sphere of mental health.
• Perinatal, Infant and Child Mental Health Thus, such a shift in the emotional, physiological, and social status of women in transition to motherhood may result in the development or worsening of mental health issues.
• Mental Health Self-Support Group The reason for choosing the identified group was based on the convenience principle the meetings were held in the vicinity of my house.
• The Mental Health Within Virginia During COVID-19 This applies to both the organization of time and the organization of space. This way, by the end of the pandemic, people will remain as healthy as they were at the beginning and will return […]
• The Impact of the ACA on Mental Health Practice This paper seeks to evaluate the efficacy of one of these policies, particularly the Affordable Care Act, in promoting mental health practice. Through a sequence of amendments and extensions, the ACA represents the healthcare system’s […]
• Stanford Health Care: The Impact of Culture on Mental Health The need to study the cultural aspect of the provision of healthcare services to African American patients is defined by their beliefs towards health, aging, and medicine.
• Mental Health Nursing Analysis In addition, the authors suspected that the length of stay in a mental hospital and the probability of readmission within one month are determined by the patient conditions during admission and the dangers they pose […]
• Question of Youngsters With Mental Health Problems It is projected that there will be a steady increase in the number of juvenile cases from 2011 up to 2025.
• Mental Health Patterns and Outcomes It is debatable and this means that there is no proof of mental health being related to or influenced by economic status.
• Current Mental Health Care Need
• Mental Health Nursing: A Treatment Plan for Mr. Pall
• Inter-Household Caregiving and Adult Children’s Mental Health
• Analysis of Mental Health in Crime
• The Psychiatric-Mental Health Assessment
• Maternal Mental Health and Prenatal Smoking
• Mental Health Paper: Depression
• Mental Health & Incidences of Homelessness in Australia
• Mental Health: Happiness and Social Interaction
• Mental Health Care: Various Issues
• Mental Health: Analysis of Schizophrenia
• Mental Health and Wellness in Aging Population
• Mental Health in Asian Culture
• Critique to Website the Internet Mental Health
• ABC Mental Health Clinic Case Analysis
• Drug Use and Mental Health Problems Among Adolescents
• The Substance Abuse and Mental Health Services Administration’s Center
• Improving Mental Health Care System in British Columbia
• Relationship Among Mental Health, Hypertension and Telomere Length
• Epidemiology Applied to Mental Health
• Mental Health Parity Act Analysis
• Insurance Barriers in Mental Health Population
• Mental Health in the United States
• Mental Health Service Provision in Australia
• Mental Health Condition Indicators
• Medication for Mental Health Conditions
• The Problem of Mental Health Recovery
• Mental Health Nursing of Cocaine Addiction
• Mental Health Nursing: Dementia
• A Comparative Study of Mental Health Between Players and Non Players
• Coronavirus Pandemic: Improvement of the Mental Health of the Patients
• Acceptability and Feasibility of Using Non-Specialist Health Workers to Deliver Mental Health Care
• Critique of Scottish Mental Health Strategy
• Mental Health and Suicidality in the United Kingdom
• Sedatives or Depressants in Individuals With a Mental Health Problem
• Ethical Dilemmas in Mental Health Treatment
• Crisis Intervention in Veteran’s Mental Health
• Levinson’s “Rain Man”: Reaction to a Movie From a Mental Health Perspective
• Current Market Strategies for Mental Health Services
• Vincent van Gogh’s Mental Health Problems
• Mental Health Care Analysis
• Effects of Drugs and Alcohol Use on Mental Health
• Confidentiality in Mental Health
• Mental Health Stigma From American Perspective
• Psychopathology. The United States National Mental Health
• Mental Health of Canadians Overview
• Unconscious Mind and Mental Health Treatment
• Ethical Dilemma in Mental Health Patient Care
• Burnout as a Mental Health Issue in the Workplace
• Mental Health and Grief Counseling Issues
• Teaching and Learning in Mental Health Nursing
• Mental Health Care Disparities in America
• Physical Healthcare Among Mental Health Patients
• Psychiatry. Promoting Recovery in Mental Health
• Cannabis Effects on Mental Health
• Social Media Users’ Personality and Mental Health
• Consumer-Centered Mental Health Education
• Mental Health Problems: Patient Care
• The Benefits of Fitness for Physical and Mental Health
• Optimal Mental Health Approaches: Depression & Anxiety
• Female Mental Health in Gilman’s “The Yellow Wallpaper”
• Mental Health Issues Identification in Schools
• Prisoners’ Physical and Mental Health Care Needs
• Protective Factors Promoting Mental Health
• Medi-Cal Expansion of Mental Health Services
• Mental Health Patients in the Post-Anaesthesia Care Unit
• Mental Health Promotion and Effective Interventions
• Psychiatric and Mental Health Nurses’ Roles
• Explaining Mental Health Inequalities in Northern Sweden
• The Role of Nurses in Managing Mental Health Issues
• Mental Health Care, Its Politics and Ethics
• Mental Health Issues and Substance Abuse: Dual Diagnosis
• Pre-Mental Health Counseling Assessment for Child
• Stigma Effects on Mental Health Treatment in Minorities
• Substance Abuser’s Mental Health Risks in 3D Model
• Understanding Student Perceptions of Mental Health
• Mental Health Practice in the UK
• Sociology of Mental Health and Gender
• Ethics in Psychology and the Mental Health Professions
• Mental Health Illness Problems Corrections
• Mental Health: Challenge of the Juvenile Justice System
• Mental Health as the Juvenile Justice System Challenge
• Psychological Assessment of Mental Health Issues
• Mental Health Among Latin American Adolescents
• Mental Health Care Services for Veterans
• Information Technology Company’s Employee Mental Health
• Soldiers’ Therapy in Military Mental Health Clinic
• Buddhist Traditional Healing in Mental Health
• Mental Health Strategies at the Workplace
• Mental Health: Research Methodologies Issues
• Mental Health Practice Model for Public Institutions
• Mental Health Disparities’ Data Collection
• Schizophrenia – Mental Health Disorder
• Female Mental Health in Sociocultural Conditions
• Mental Health: Screening and Assessment
• Mental Health Specialist Job and Career
• Mental Health Nursing: Health and Illness
• Human Resources for the Alcohol, Drug and Mental Health
• Transitions in Late Life – Mental Health Concerns
• Child’s Mental Health and Depression in Adulthood
• Medical Ethics in Mental Health Care
• Refugees and Mental Health
• Mental Health Issues in the Criminal Justice System
• Effective Mental Health Counseling
• Community Interventions for Improving Mental Health
• NYS Office of Mental Health
• Eliminating Stigmatization in Mental Health Diagnoses
• Mental Health Benefits in the Employee Benefits Package
• Security at the New York State Office of Mental Health
• Mental Health Counselor: Ethics and Professionalism
• Code of Ethics for Mental Health Professions
• The Critical Role of School Psychology in the School Mental Health Movement
• The Connection Between Poverty and Mental Health Problems
• Ambulance Personnel and Critical Incidents: Impact of Accident and Emergency Work on Mental Health and Emotional Well-Being
• Mental Health & Culture on Weight and Eating Disorders
• Mental Health: Bipolar Disorder Problem
• Child’s Mental Health: Factors and Impacts
• Supporting Children’s Mental Health
• A Beautiful Mind: A Mental Health Portrayal
• Mental Health and American Society
• Problems Related to Physical and Mental Health Issues
• What Are the Five Signs of Good Mental Health?
• What Impact Does Lack of Sleep Have on Our Physical Emotional and Mental Health?
• Who Suffers From Mental Health?
• How Can Technology Help Mental Health Professionals?
• How Does Mental Health Affect Poverty Rates?
• How Does Mental Health Effects Persons, Families, and Carers?
• Why Might the Experience of Child Sexual Abuse Lead to Mental Health Problems in Adulthood?
• What Causes Mental Health Problems?
• How Does Friendship Help With Your Mental Health?
• Why Should We Care About Mental Health?
• How Do Mental Health Problems Affect People With Anxiety Disorder?
• How Have COVID-19 Isolation Policies Affected Young Peoples’ Mental Health?
• How Does Technology Affect Mental Health?
• What Are the 4 Types of Mental Health?
• How Can Understand the Mental Health Benefits of Physical?
• What Is Another Word for Mental Health?
• How Might Developing Cultural Competence Improve Mental Health Services?
• How Does Music Therapy Promote Positive Mental Health?
• How Does Junk Food Affect Teenagers’ Mental Health?
• How Does Climate Weather Affect Mood Mental Health?
• How the Media Changes People’s Attitudes Towards Mental Health?
• How Does Occupational Stress Affect Mental Health?
• How Does Mental Health Affect Us Everday?
• How Does Physical Health Affect Mental Health Communications?
• How Do Society and Environment Affect People ‘S Mental Health?
• How Can Exercise Improve Your Mental Health?
• How Can I Help My Mental Health?
• How Can Injuries Cause Mental Health Issues?
• How Would Childhood Experiences Affect the Development of Their Mental Health?
• How Does Depression Affect Our Mental Health System?
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Mental Health Prevention and Promotion—A Narrative Review

Associated data.

Extant literature has established the effectiveness of various mental health promotion and prevention strategies, including novel interventions. However, comprehensive literature encompassing all these aspects and challenges and opportunities in implementing such interventions in different settings is still lacking. Therefore, in the current review, we aimed to synthesize existing literature on various mental health promotion and prevention interventions and their effectiveness. Additionally, we intend to highlight various novel approaches to mental health care and their implications across different resource settings and provide future directions. The review highlights the (1) concept of preventive psychiatry, including various mental health promotions and prevention approaches, (2) current level of evidence of various mental health preventive interventions, including the novel interventions, and (3) challenges and opportunities in implementing concepts of preventive psychiatry and related interventions across the settings. Although preventive psychiatry is a well-known concept, it is a poorly utilized public health strategy to address the population's mental health needs. It has wide-ranging implications for the wellbeing of society and individuals, including those suffering from chronic medical problems. The researchers and policymakers are increasingly realizing the potential of preventive psychiatry; however, its implementation is poor in low-resource settings. Utilizing novel interventions, such as mobile-and-internet-based interventions and blended and stepped-care models of care can address the vast mental health need of the population. Additionally, it provides mental health services in a less-stigmatizing and easily accessible, and flexible manner. Furthermore, employing decision support systems/algorithms for patient management and personalized care and utilizing the digital platform for the non-specialists' training in mental health care are valuable additions to the existing mental health support system. However, more research concerning this is required worldwide, especially in the low-and-middle-income countries.

Introduction

Mental disorder has been recognized as a significant public health concern and one of the leading causes of disability worldwide, particularly with the loss of productive years of the sufferer's life ( 1 ). The Global Burden of Disease report (2019) highlights an increase, from around 80 million to over 125 million, in the worldwide number of Disability-Adjusted Life Years (DALYs) attributable to mental disorders. With this surge, mental disorders have moved into the top 10 significant causes of DALYs worldwide over the last three decades ( 2 ). Furthermore, this data does not include substance use disorders (SUDs), which, if included, would increase the estimated burden manifolds. Moreover, if the caregiver-related burden is accounted for, this figure would be much higher. Individual, social, cultural, political, and economic issues are critical mental wellbeing determinants. An increasing burden of mental diseases can, in turn, contribute to deterioration in physical health and poorer social and economic growth of a country ( 3 ). Mental health expenditure is roughly 3–4% of their Gross Domestic Products (GDPs) in developed regions of the world; however, the figure is abysmally low in low-and-middle-income countries (LMICs) ( 4 ). Untreated mental health and behavioral problems in childhood and adolescents, in particular, have profound long-term social and economic adverse consequences, including increased contact with the criminal justice system, lower employment rate and lesser wages among those employed, and interpersonal difficulties ( 5 – 8 ).

Need for Mental Health (MH) Prevention

Longitudinal studies suggest that individuals with a lower level of positive wellbeing are more likely to acquire mental illness ( 9 ). Conversely, factors that promote positive wellbeing and resilience among individuals are critical in preventing mental illnesses and better outcomes among those with mental illness ( 10 , 11 ). For example, in patients with depressive disorders, higher premorbid resilience is associated with earlier responses ( 12 ). On the contrary, patients with bipolar affective- and recurrent depressive disorders who have a lower premorbid quality of life are at higher risk of relapses ( 13 ).

Recently there has been an increased emphasis on the need to promote wellbeing and positive mental health in preventing the development of mental disorders, for poor mental health has significant social and economic implications ( 14 – 16 ). Research also suggests that mental health promotion and preventative measures are cost-effective in preventing or reducing mental illness-related morbidity, both at the society and individual level ( 17 ).

Although the World Health Organization (WHO) defines health as “a state of complete physical, mental, and social wellbeing and not merely an absence of disease or infirmity,” there has been little effort at the global level or stagnation in implementing effective mental health services ( 18 ). Moreover, when it comes to the research on mental health (vis-a-viz physical health), promotive and preventive mental health aspects have received less attention vis-a-viz physical health. Instead, greater emphasis has been given to the illness aspect, such as research on psychopathology, mental disorders, and treatment ( 19 , 20 ). Often, physicians and psychiatrists are unfamiliar with various concepts, approaches, and interventions directed toward mental health promotion and prevention ( 11 , 21 ).

Prevention and promotion of mental health are essential, notably in reducing the growing magnitude of mental illnesses. However, while health promotion and disease prevention are universally regarded concepts in public health, their strategic application for mental health promotion and prevention are often elusive. Furthermore, given the evidence of substantial links between psychological and physical health, the non-incorporation of preventive mental health services is deplorable and has serious ramifications. Therefore, policymakers and health practitioners must be sensitized about linkages between mental- and physical health to effectively implement various mental health promotive and preventive interventions, including in individuals with chronic physical illnesses ( 18 ).

The magnitude of the mental health problems can be gauged by the fact that about 10–20% of young individuals worldwide experience depression ( 22 ). As described above, poor mental health during childhood is associated with adverse health (e.g., substance use and abuse), social (e.g., delinquency), academic (e.g., school failure), and economic (high risk of poverty) adverse outcomes in adulthood ( 23 ). Childhood and adolescence are critical periods for setting the ground for physical growth and mental wellbeing ( 22 ). Therefore, interventions promoting positive psychology empower youth with the life skills and opportunities to reach their full potential and cope with life's challenges. Comprehensive mental health interventions involving families, schools, and communities have resulted in positive physical and psychological health outcomes. However, the data is limited to high-income countries (HICs) ( 24 – 28 ).

In contrast, in low and middle-income countries (LMICs) that bear the greatest brunt of mental health problems, including massive, coupled with a high treatment gap, such interventions remained neglected in public health ( 29 , 30 ). This issue warrants prompt attention, particularly when global development strategies such as Millennium Development Goals (MDGs) realize the importance of mental health ( 31 ). Furthermore, studies have consistently reported that people with socioeconomic disadvantages are at a higher risk of mental illness and associated adverse outcomes; partly, it is attributed to the inequitable distribution of mental health services ( 32 – 35 ).

Scope of Mental Health Promotion and Prevention in the Current Situation

Literature provides considerable evidence on the effectiveness of various preventive mental health interventions targeting risk and protective factors for various mental illnesses ( 18 , 36 – 42 ). There is also modest evidence of the effectiveness of programs focusing on early identification and intervention for severe mental diseases (e.g., schizophrenia and psychotic illness, and bipolar affective disorders) as well as common mental disorders (e.g., anxiety, depression, stress-related disorders) ( 43 – 46 ). These preventive measures have also been evaluated for their cost-effectiveness with promising findings. In addition, novel interventions such as digital-based interventions and novel therapies (e.g., adventure therapy, community pharmacy program, and Home-based Nurse family partnership program) to address the mental health problems have yielded positive results. Likewise, data is emerging from LMICs, showing at least moderate evidence of mental health promotion intervention effectiveness. However, most of the available literature and intervention is restricted mainly to the HICs ( 47 ). Therefore, their replicability in LMICs needs to be established and, also, there is a need to develop locally suited interventions.

Fortunately, there has been considerable progress in preventive psychiatry over recent decades, including research on it. In the light of these advances, there is an accelerated interest among researchers, clinicians, governments, and policymakers to harness the potentialities of the preventive strategies to improve the availability, accessibility, and utility of such services for the community.

The Concept of Preventive Psychiatry

Origins of preventive psychiatry.

The history of preventive psychiatry can be traced back to the early 1900's with the foundation of the national mental health association (erstwhile mental health association), the committee on mental hygiene in New York, and the mental health hygiene movement ( 48 ). The latter emphasized the need for physicians to develop empathy and recognize and treat mental illness early, leading to greater awareness about mental health prevention ( 49 ). Despite that, preventive psychiatry remained an alien concept for many, including mental health professionals, particularly when the etiology of most psychiatric disorders was either unknown or poorly understood. However, recent advances in our understanding of the phenomena underlying psychiatric disorders and availability of the neuroimaging and electrophysiological techniques concerning mental illness and its prognosis has again brought the preventive psychiatry in the forefront ( 1 ).

Levels of Prevention

The literal meaning of “prevention” is “the act of preventing something from happening” ( 50 ); the entity being prevented can range from the risk factors of the development of the illness, the onset of illness, or the recurrence of the illness or associated disability. The concept of prevention emerged primarily from infectious diseases; measures like mass vaccination and sanitation promotion have helped prevent the development of the diseases and subsequent fatalities. The original preventive model proposed by the Commission on Chronic Illness in 1957 included primary, secondary, and tertiary preventions ( 48 ).

The Concept of Primary, Secondary, and Tertiary Prevention

The stages of prevention target distinct aspects of the illness's natural course; the primary prevention acts at the stage of pre-pathogenesis, that is, when the disease is yet to occur, whereas the secondary and tertiary prevention target the phase after the onset of the disease ( 51 ). Primary prevention includes health promotion and specific protection, while secondary and tertairy preventions include early diagnosis and treatment and measures to decrease disability and rehabilitation, respectively ( 51 ) ( Figure 1 ).

The concept of primary and secondary prevention [adopted from prevention: Primary, Secondary, Tertiary by Bauman et al. ( 51 )].

The primary prevention targets those individuals vulnerable to developing mental disorders and their consequences because of their bio-psycho-social attributes. Therefore, it can be viewed as an intervention to prevent an illness, thereby preventing mental health morbidity and potential social and economic adversities. The preventive strategies under it usually target the general population or individuals at risk. Secondary and tertiary prevention targets those who have already developed the illness, aiming to reduce impairment and morbidity as soon as possible. However, these measures usually occur in a person who has already developed an illness, therefore facing related suffering, hence may not always be successful in curing or managing the illness. Thus, secondary and tertiary prevention measures target the already exposed or diagnosed individuals.

The Concept of Universal, Selective, and Indicated Prevention

The classification of health prevention based on primary/secondary/tertiary prevention is limited in being highly centered on the etiology of the illness; it does not consider the interaction between underlying etiology and risk factors of an illness. Gordon proposed another model of prevention that focuses on the degree of risk an individual is at, and accordingly, the intensity of intervention is determined. He has classified it into universal, selective, and indicated prevention. A universal preventive strategy targets the whole population irrespective of individual risk (e.g., maintaining healthy, psychoactive substance-free lifestyles); selective prevention is targeted to those at a higher risk than the general population (socio-economically disadvantaged population, e.g., migrants, a victim of a disaster, destitute, etc.). The indicated prevention aims at those who have established risk factors and are at a high risk of getting the disease (e.g., family history of psychiatric illness, history of substance use, certain personality types, etc.). Nevertheless, on the other hand, these two classifications (the primary, secondary, and tertiary prevention; and universal, selective, and indicated prevention) have been intended for and are more appropriate for physical illnesses with a clear etiology or risk factors ( 48 ).

In 1994, the Institute of Medicine (IOM) Committee on Prevention of Mental Disorders proposed a new paradigm that classified primary preventive measures for mental illnesses into three categories. These are indicated, selected, and universal preventive interventions (refer Figure 2 ). According to this paradigm, primary prevention was limited to interventions done before the onset of the mental illness ( 48 ). In contrast, secondary and tertiary prevention encompasses treatment and maintenance measures ( Figure 2 ).

The interventions for mental illness as classified by the Institute of Medicine (IOM) Committee on Prevention of Mental Disorders [adopted from Mrazek and Haggerty ( 48 )].

Although the boundaries between prevention and treatment are often more overlapping than being exclusive, the new paradigm can be used to avoid confusion stemming from the common belief that prevention can take place at all parts of mental health management ( 48 ). The onset of mental illnesses can be prevented by risk reduction interventions, which can involve reducing risk factors in an individual and strengthening protective elements in them. It aims to target modifiable factors, both risk, and protective factors, associated with the development of the illness through various general and specific interventions. These interventions can work across the lifespan. The benefits are not restricted to reduction or delay in the onset of illness but also in terms of severity or duration of illness ( 48 ).On the spectrum of mental health interventions, universal preventive interventions are directed at the whole population without identifiable risk factors. The interventions are beneficial for the general population or sub-groups. Prenatal care and childhood vaccination are examples of preventative measures that have benefited both physical and mental health. Selective preventive mental health interventions are directed at people or a subgroup with a significantly higher risk of developing mental disorders than the general population. Risk groups are those who, because of their vulnerabilities, are at higher risk of developing mental illnesses, e.g., infants with low-birth-weight (LBW), vulnerable children with learning difficulties or victims of maltreatment, elderlies, etc. Specific interventions are home visits and new-born day care facilities for LBW infants, preschool programs for all children living in resource-deprived areas, support groups for vulnerable elderlies, etc. Indicated preventive interventions focus on high-risk individuals who have developed minor but observable signs or symptoms of mental disorder or genetic risk factors for mental illness. However, they have not fulfilled the criteria of a diagnosable mental disorder. For instance, the parent-child interaction training program is an indicated prevention strategy that offers support to children whose parents have recognized them as having behavioral difficulties.

The overall objective of mental health promotion and prevention is to reduce the incidence of new cases, additionally delaying the emergence of mental illness. However, promotion and prevention in mental health complement each other rather than being mutually exclusive. Moreover, combining these two within the overall public health framework reduces stigma, increases cost-effectiveness, and provides multiple positive outcomes ( 18 ).

How Prevention in Psychiatry Differs From Other Medical Disorders

Compared to physical illnesses, diagnosing a mental illness is more challenging, particularly when there is still a lack of objective assessment methods, including diagnostic tools and biomarkers. Therefore, the diagnosis of mental disorders is heavily influenced by the assessors' theoretical perspectives and subjectivity. Moreover, mental illnesses can still be considered despite an individual not fulfilling the proper diagnostic criteria led down in classificatory systems, but there is detectable dysfunction. Furthermore, the precise timing of disorder initiation or transition from subclinical to clinical condition is often uncertain and inconclusive ( 48 ). Therefore, prevention strategies are well-delineated and clear in the case of physical disorders while it's still less prevalent in mental health parlance.

Terms, Definitions, and Concepts

The terms mental health, health promotion, and prevention have been differently defined and interpreted. It is further complicated by overlapping boundaries of the concept of promotion and prevention. Some commonly used terms in mental health prevention have been tabulated ( Table 1 ) ( 18 ).

Commonly used terms in mental health prevention.

Mental Health Promotion and Protection

The term “mental health promotion” also has definitional challenges as it signifies different things to different individuals. For some, it means the treatment of mental illness; for others, it means preventing the occurrence of mental illness; while for others, it means increasing the ability to manage frustration, stress, and difficulties by strengthening one's resilience and coping abilities ( 54 ). It involves promoting the value of mental health and improving the coping capacities of individuals rather than amelioration of symptoms and deficits.

Mental health promotion is a broad concept that encompasses the entire population, and it advocates for a strengths-based approach and tries to address the broader determinants of mental health. The objective is to eliminate health inequalities via empowerment, collaboration, and participation. There is mounting evidence that mental health promotion interventions improve mental health, lower the risk of developing mental disorders ( 48 , 55 , 56 ) and have socioeconomic benefits ( 24 ). In addition, it strives to increase an individual's capacity for psychosocial wellbeing and adversity adaptation ( 11 ).

However, the concepts of mental health promotion, protection, and prevention are intrinsically linked and intertwined. Furthermore, most mental diseases result from complex interaction risk and protective factors instead of a definite etiology. Facilitating the development and timely attainment of developmental milestones across an individual's lifespan is critical for positive mental health ( 57 ). Although mental health promotion and prevention are essential aspects of public health with wide-ranging benefits, their feasibility and implementation are marred by financial and resource constraints. The lack of cost-effectiveness studies, particularly from the LMICs, further restricts its full realization ( 47 , 58 , 59 ).

Despite the significance of the topic and a considerable amount of literature on it, a comprehensive review is still lacking that would cover the concept of mental health promotion and prevention and simultaneously discusses various interventions, including the novel techniques delivered across the lifespan, in different settings, and level of prevention. Therefore, this review aims to analyze the existing literature on various mental health promotion and prevention-based interventions and their effectiveness. Furthermore, its attempts to highlight the implications of such intervention in low-resource settings and provides future directions. Such literature would add to the existing literature on mental health promotion and prevention research and provide key insights into the effectiveness of such interventions and their feasibility and replicability in various settings.

Methodology

For the current review, key terms like “mental health promotion,” OR “protection,” OR “prevention,” OR “mitigation” were used to search relevant literature on Google Scholar, PubMed, and Cochrane library databases, considering a time period between 2000 to 2019 ( Supplementary Material 1 ). However, we have restricted our search till 2019 for non-original articles (reviews, commentaries, viewpoints, etc.), assuming that it would also cover most of the original articles published until then. Additionally, we included original papers from the last 5 years (2016–2021) so that they do not get missed out if not covered under any published review. The time restriction of 2019 for non-original articles was applied to exclude papers published during the Coronavirus disease (COVID-19) pandemic as the latter was a significant event, bringing about substantial change and hence, it warranted a different approach to cater to the MH needs of the population, including MH prevention measures. Moreover, the COVID-19 pandemic resulted in the flooding of novel interventions for mental health prevention and promotion, specifically targeting the pandemic and its consequences, which, if included, could have biased the findings of the current review on various MH promotion and prevention interventions.

A time frame of about 20 years was taken to see the effectiveness of various MH promotion and protection interventions as it would take substantial time to be appreciated in real-world situations. Therefore, the current paper has put greater reliance on the review articles published during the last two decades, assuming that it would cover most of the original articles published until then.

The above search yielded 320 records: 225 articles from Google scholar, 59 articles from PubMed, and 36 articles from the Cochrane database flow-diagram of records screening. All the records were title/abstract screened by all the authors to establish the suitability of those records for the current review; a bibliographic- and gray literature search was also performed. In case of any doubts or differences in opinion, it was resolved by mutual discussion. Only those articles directly related to mental health promotion, primary prevention, and related interventions were included in the current review. In contrast, records that discussed any specific conditions/disorders (post-traumatic stress disorders, suicide, depression, etc.), specific intervention (e.g., specific suicide prevention intervention) that too for a particular population (e.g., disaster victims) lack generalizability in terms of mental health promotion or prevention, those not available in the English language, and whose full text was unavailable were excluded. The findings of the review were described narratively.

Interventions for Mental Health Promotion and Prevention and Their Evidence

Various interventions have been designed for mental health promotion and prevention. They are delivered and evaluated across the regions (high-income countries to low-resource settings, including disaster-affiliated regions of the world), settings (community-based, school-based, family-based, or individualized); utilized different psychological constructs and therapies (cognitive behavioral therapy, behavioral interventions, coping skills training, interpersonal therapies, general health education, etc.); and delivered by different professionals/facilitators (school-teachers, mental health professionals or paraprofessionals, peers, etc.). The details of the studies, interventions used, and outcomes have been provided in Supplementary Table 1 . Below we provide the synthesized findings of the available research.

The majority of the available studies were quantitative and experimental. Randomized controlled trials comprised a sizeable proportion of the studies; others were quasi-experimental studies and, a few, qualitative studies. The studies primarily focussed on school students or the younger population, while others were explicitly concerned with the mental health of young females ( 60 ). Newer data is emerging on mental health promotion and prevention interventions for elderlies (e.g., dementia) ( 61 ). The majority of the research had taken a broad approach to mental health promotion ( 62 ). However, some studies have focused on universal prevention ( 63 , 64 ) or selective prevention ( 65 – 68 ). For instance, the Resourceful Adolescent Program (RAPA) was implemented across the schools and has utilized cognitive-behavioral and interpersonal therapies and reported a significant improvement in depressive symptoms. Some of the interventions were directed at enhancing an individual's characteristics like resilience, behavior regulation, and coping skills (ZIPPY's Friends) ( 69 ), while others have focused on the promotion of social and emotional competencies among the school children and attempted to reduce the gap in such competencies across the socio-economic classes (“Up” program) ( 70 ) or utilized expressive abilities of the war-affected children (Writing for Recover (WfR) intervention) ( 71 ) to bring about an improvement in their psychological problems (a type of selective prevention) ( 62 ) or harnessing the potential of Art, in the community-based intervention, to improve self-efficacy, thus preventing mental disorders (MAD about Art program) ( 72 ). Yet, others have focused on strengthening family ( 60 , 73 ), community relationships ( 62 ), and targeting modifiable risk factors across the life course to prevent dementia among the elderlies and also to support the carers of such patients ( 61 ).

Furthermore, more of the studies were conducted and evaluated in the developed parts of the world, while emerging economies, as anticipated, far lagged in such interventions or related research. The interventions that are specifically adapted for local resources, such as school-based programs involving paraprofessionals and teachers in the delivery of mental health interventions, were shown to be more effective ( 62 , 74 ). Likewise, tailored approaches for low-resource settings such as LMICs may also be more effective ( 63 ). Some of these studies also highlight the beneficial role of a multi-dimensional approach ( 68 , 75 ) and interventions targeting early lifespan ( 76 , 77 ).

Newer Insights: How to Harness Digital Technology and Novel Methods of MH Promotion and Protection

With the advent of digital technology and simultaneous traction on mental health promotion and prevention interventions, preventive psychiatrists and public health experts have developed novel techniques to deliver mental health promotive and preventive interventions. These encompass different settings (e.g., school, home, workplace, the community at large, etc.) and levels of prevention (universal, selective, indicated) ( 78 – 80 ).

The advanced technologies and novel interventions have broadened the scope of MH promotion and prevention, such as addressing the mental health issues of individuals with chronic medical illness ( 81 , 82 ), severe mental disorders ( 83 ), children and adolescents with mental health problems, and geriatric population ( 78 ). Further, it has increased the accessibility and acceptability of such interventions in a non-stigmatizing and tailored manner. Moreover, they can be integrated into the routine life of the individuals.

For instance, Internet-and Mobile-based interventions (IMIs) have been utilized to monitor health behavior as a form of MH prevention and a stand-alone self-help intervention. Moreover, the blended approach has expanded the scope of MH promotive and preventive interventions such as face-to-face interventions coupled with remote therapies. Simultaneously, it has given way to the stepped-care (step down or step-up care) approach of treatment and its continuation ( 79 ). Also, being more interactive and engaging is particularly useful for the youth.

The blended model of care has utilized IMIs to a varying degree and at various stages of the psychological interventions. This includes IMIs as a supplementary approach to the face-to-face-interventions (FTFI), FTFI augmented by behavior intervention technologies (BITs), BITs augmented by remote human support, and fully automated BITs ( 84 ).

The stepped care model of mental health promotion and prevention strategies includes a stepped-up approach, wherein BITs are utilized to manage the prodromal symptoms, thereby preventing the onset of the full-blown episode. In the Stepped-down approach, the more intensive treatments (in-patient or out-patient based interventions) are followed and supplemented with the BITs to prevent relapse of the mental illness, such as for previously admitted patients with depression or substance use disorders ( 85 , 86 ).

Similarly, the latest research has developed newer interventions for strengthening the psychological resilience of the public or at-risk individuals, which can be delivered at the level of the home, such as, e.g., nurse family partnership program (to provide support to the young and vulnerable mothers and prevent childhood maltreatment) ( 87 ); family healing together program aimed at improving the mental health of the family members living with persons with mental illness (PwMI) ( 88 ). In addition, various novel interventions for MH promotion and prevention have been highlighted in the Table 2 .

Depiction of various novel mental health promotion and prevention strategies.

a/w, associated with; A-V, audio-visual; b/w, between; CBT, Cognitive Behavioral Therapy; CES-Dep., Center for Epidemiologic Studies-Depression scale; CG, control group; FU, follow-up; GAD, generalized anxiety disorders-7; IA, intervention arm; HCWs, Health Care Workers; LMIC, low and middle-income countries; MDD, major depressive disorders; mgt, management; MH, mental health; MHP, mental health professional; MINI, mini neuropsychiatric interview; NNT, number needed to treat; PHQ-9, patient health questionnaire; TAU, treatment as usual .

Furthermore, school/educational institutes-based interventions such as school-Mental Health Magazines to increase mental health literacy among the teachers and students have been developed ( 80 ). In addition, workplace mental health promotional activities have targeted the administrators, e.g., guided “e-learning” for the managers that have shown to decrease the mental health problems of the employees ( 102 ).

Likewise, digital technologies have also been harnessed in strengthening community mental health promotive/preventive services, such as the mental health first aid (MHFA) Books on Prescription initiative in New Zealand provided information and self-help tools through library networks and trained book “prescribers,” particularly in rural and remote areas ( 103 ).

Apart from the common mental disorders such as depression, anxiety, and behavioral disorders in the childhood/adolescents, novel interventions have been utilized to prevent the development of or management of medical, including preventing premature mortality and psychological issues among the individuals with severe mental illnesses (SMIs), e.g., Lets' talk about tobacco-web based intervention and motivational interviewing to prevent tobacco use, weight reduction measures, and promotion of healthy lifestyles (exercise, sleep, and balanced diets) through individualized devices, thereby reducing the risk of cardiovascular disorders ( 83 ). Similarly, efforts have been made to improve such individuals' coping skills and employment chances through the WorkingWell mobile application in the US ( 104 ).

Apart from the digital-based interventions, newer, non-digital-based interventions have also been utilized to promote mental health and prevent mental disorders among individuals with chronic medical conditions. One such approach in adventure therapy aims to support and strengthen the multi-dimensional aspects of self. It includes the physical, emotional or cognitive, social, spiritual, psychological, or developmental rehabilitation of the children and adolescents with cancer. Moreover, it is delivered in the natural environment outside the hospital premises, shifting the focus from the illness model to the wellness model ( 81 ). Another strength of this intervention is it can be delivered by the nurses and facilitate peer support and teamwork.

Another novel approach to MH prevention is gut-microbiota and dietary interventions. Such interventions have been explored with promising results for the early developmental disorders (Attention deficit hyperactive disorder, Autism spectrum disorders, etc.) ( 105 ). It works under the framework of the shared vulnerability model for common mental disorders and other non-communicable diseases and harnesses the neuroplasticity potential of the developing brain. Dietary and lifestyle modifications have been recommended for major depressive disorders by the Clinical Practice Guidelines in Australia ( 106 ). As most childhood mental and physical disorders are determined at the level of the in-utero and early after the birth period, targeting maternal nutrition is another vital strategy. The utility has been expanded from maternal nutrition to women of childbearing age. The various novel mental health promotion and prevention strategies are shown in Table 2 .

Newer research is emerging that has utilized the digital platform for training non-specialists in diagnosis and managing individuals with mental health problems, such as Atmiyata Intervention and The SMART MH Project in India, and The Allillanchu Project in Peru, to name a few ( 99 ). Such frameworks facilitate task-sharing by the non-specialist and help in reducing the treatment gap in these countries. Likewise, digital algorithms or decision support systems have been developed to make mental health services more transparent, personalized, outcome-driven, collaborative, and integrative; one such example is DocuMental, a clinical decision support system (DSS). Similarly, frameworks like i-PROACH, a cloud-based intelligent platform for research outcome assessment and care in mental health, have expanded the scope of the mental health support system, including promoting research in mental health ( 100 ). In addition, COVID-19 pandemic has resulted in wider dissemination of the applications based on the evidence-based psycho-social interventions such as National Health Service's (NHS's) Mind app and Headspace (teaching meditation via a website or a phone application) that have utilized mindfulness-based practices to address the psychological problems of the population ( 101 ).

Challenges in Implementing Novel MH Promotion and Prevention Strategies

Although novel interventions, particularly internet and mobile-based interventions (IMIs), are effective models for MH promotion and prevention, their cost-effectiveness requires further exploration. Moreover, their feasibility and acceptability in LMICs could be challenging. Some of these could be attributed to poor digital literacy, digital/network-related limitations, privacy issues, and society's preparedness to implement these interventions.

These interventions need to be customized and adapted according to local needs and context, for which implementation and evaluative research are warranted. In addition, the infusion of more human and financial resources for such activities is required. Some reports highlight that many of these interventions do not align with the preferences and use the pattern of the service utilizers. For instance, one explorative research on mental health app-based interventions targeting youth found that despite the burgeoning applications, they are not aligned with the youth's media preferences and learning patterns. They are less interactive, have fewer audio-visual displays, are not youth-specific, are less dynamic, and are a single touch app ( 107 ).

Furthermore, such novel interventions usually come with high costs. In low-resource settings where service utilizers have limited finances, their willingness to use such services may be doubtful. Moreover, insurance companies, including those in high-income countries (HICs), may not be willing to fund such novel interventions, which restricts the accessibility and availability of interventions.

Research points to the feasibility and effectiveness of incorporating such novel interventions in routine services such as school, community, primary care, or settings, e.g., in low-resource settings, the resource persons like teachers, community health workers, and primary care physicians are already overburdened. Therefore, their willingness to take up additional tasks may raise skepticism. Moreover, the attitudinal barrier to moving from the traditional service delivery model to the novel methods may also impede.

Considering the low MH budget and less priority on the MH prevention and promotion activities in most low-resource settings, the uptake of such interventions in the public health framework may be lesser despite the latter's proven high cost-effectiveness. In contrast, policymakers may be more inclined to invest in the therapeutic aspects of MH.

Such interventions open avenues for personalized and precision medicine/health care vs. the traditional model of MH promotion and preventive interventions ( 108 , 109 ). For instance, multivariate prediction algorithms with methods of machine learning and incorporating biological research, such as genetics, may help in devising tailored, particularly for selected and indicated prevention, interventions for depression, suicide, relapse prevention, etc. ( 79 ). Therefore, more research in this area is warranted.

To be more clinically relevant, greater biological research in MH prevention is required to identify those at higher risk of developing given mental disorders due to the existing risk factors/prominent stress ( 110 ). For instance, researchers have utilized the transcriptional approach to identify a biological fingerprint for susceptibility (denoting abnormal early stress response) to develop post-traumatic stress disorders among the psychological trauma survivors by analyzing the expression of the Peripheral blood mononuclear cell gene expression profiles ( 111 ). Identifying such biological markers would help target at-risk individuals through tailored and intensive interventions as a form of selected prevention.

Similarly, such novel interventions can help in targeting the underlying risk such as substance use, poor stress management, family history, personality traits, etc. and protective factors, e.g., positive coping techniques, social support, resilience, etc., that influences the given MH outcome ( 79 ). Therefore, again, it opens the scope of tailored interventions rather than a one-size-fits-all model of selective and indicated prevention for various MH conditions.

Furthermore, such interventions can be more accessible for the hard-to-reach populations and those with significant mental health stigma. Finally, they play a huge role in ensuring the continuity of care, particularly when community-based MH services are either limited or not available. For instance, IMIs can maintain the improvement of symptoms among individuals previously managed in-patient, such as for suicide, SUDs, etc., or receive intensive treatment like cognitive behavior therapy (CBT) for depression or anxiety, thereby helping relapse prevention ( 86 , 112 ). Hence, such modules need to be developed and tested in low-resource settings.

IMIs (and other novel interventions) being less stigmatizing and easily accessible, provide a platform to engage individuals with chronic medical problems, e.g., epilepsy, cancer, cardiovascular diseases, etc., and non-mental health professionals, thereby making it more relevant and appealing for them.

Lastly, research on prevention-interventions needs to be more robust to adjust for the pre-intervention matching, high attrition rate, studying the characteristics of treatment completers vs. dropouts, and utilizing the intention-to-treat analysis to gauge the effect of such novel interventions ( 78 ).

Recommendations for Low-and-Middle-Income Countries

Although there is growing research on the effectiveness and utility of mental health promotion/prevention interventions across the lifespan and settings, low-resource settings suffer from specific limitations that restrict the full realization of such public health strategies, including implementing the novel intervention. To overcome these challenges, some of the potential solutions/recommendations are as follows:

• The mental health literacy of the population should be enhanced through information, education, and communication (IEC) activities. In addition, these activities should reduce stigma related to mental problems, early identification, and help-seeking for mental health-related issues.
• Involving teachers, workplace managers, community leaders, non-mental health professionals, and allied health staff in mental health promotion and prevention is crucial.
• Mental health concepts and related promotion and prevention should be incorporated into the education curriculum, particularly at the medical undergraduate level.
• Training non-specialists such as community health workers on mental health-related issues across an individual's life course and intervening would be an effective strategy.
• Collaborating with specialists from other disciplines, including complementary and alternative medicines, would be crucial. A provision of an integrated health system would help in increasing awareness, early identification, and prompt intervention for at-risk individuals.
• Low-resource settings need to develop mental health promotion interventions such as community-and school-based interventions, as these would be more culturally relevant, acceptable, and scalable.
• Utilizing a digital platform for scaling mental health services (e.g., telepsychiatry services to at-risk populations) and training the key individuals in the community would be a cost-effective framework that must be explored.
• Infusion of higher financial and human resources in this area would be a critical step, as, without adequate resources, research, service development, and implementation would be challenging.
• It would also be helpful to identify vulnerable populations and intervene in them to prevent the development of clinical psychiatric disorders.
• Lastly, involving individuals with lived experiences at the level of mental health planning, intervention development, and delivery would be cost-effective.

Clinicians, researchers, public health experts, and policymakers have increasingly realized mental health promotion and prevention. Investment in Preventive psychiatry appears to be essential considering the substantial burden of mental and neurological disorders and the significant treatment gap. Literature suggests that MH promotive and preventive interventions are feasible and effective across the lifespan and settings. Moreover, various novel interventions (e.g., internet-and mobile-based interventions, new therapies) have been developed worldwide and proven effective for mental health promotion and prevention; such interventions are limited mainly to HICs.

Despite the significance of preventive psychiatry in the current world and having a wide-ranging implication for the wellbeing of society and individuals, including those suffering from chronic medical problems, it is a poorly utilized public health field to address the population's mental health needs. Lately, researchers and policymakers have realized the untapped potentialities of preventive psychiatry. However, its implementation in low-resource settings is still in infancy and marred by several challenges. The utilization of novel interventions, such as digital-based interventions, and blended and stepped-care models of care, can address the enormous mental health need of the population. Additionally, it provides mental health services in a less-stigmatizing and easily accessible, and flexible manner. More research concerning this is required from the LMICs.

Author Contributions

VS, AK, and SG: methodology, literature search, manuscript preparation, and manuscript review. All authors contributed to the article and approved the submitted version.

Conflict of Interest

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Publisher's Note

All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.

Supplementary Material

The Supplementary Material for this article can be found online at: https://www.frontiersin.org/articles/10.3389/fpsyt.2022.898009/full#supplementary-material

Home — Essay Samples — Nursing & Health — Psychiatry & Mental Health — Mental Health

Argumentative Essays About Mental Health

Hook examples for mental health essays, the personal experience hook.

Share a personal anecdote or experience related to mental health. Describe your journey or the experiences of someone close to you, highlighting the challenges and the importance of mental well-being.

The Stigma-Breaking Hook

Begin by discussing the stigma surrounding mental health. Explain how society's perceptions can hinder individuals from seeking help and why it's crucial to challenge these stereotypes.

The Statistics and Prevalence Hook

Start with shocking statistics or data on the prevalence of mental health issues. Highlight the scale of the problem and its impact on individuals and communities.

The Historical Perspective Hook

Explore the historical treatment of mental health. Discuss how society's understanding of mental illnesses has evolved over time and the significance of these changes.

The Celebrities and Advocacy Hook

Highlight the advocacy efforts of well-known figures who have openly discussed their mental health struggles. Explain how their stories have helped reduce stigma and raise awareness.

The Impact on Daily Life Hook

Discuss how mental health issues affect everyday life, including relationships, work, and overall well-being. Share relatable scenarios to engage readers emotionally.

The Psychological Insights Hook

Introduce a psychological concept or theory related to mental health. Explain its relevance and how it can provide valuable insights into human behavior and emotions.

The Global Mental Health Hook

Examine mental health on a global scale. Discuss disparities in access to mental health care and the impact of cultural factors on mental well-being.

The Resilience and Recovery Hook

Share stories of individuals who have overcome mental health challenges and emphasize the themes of resilience, recovery, and hope. Showcase the importance of seeking help and support.

The Call to Action Hook

Conclude your essay with a compelling call to action. Encourage readers to prioritize their mental health, seek help when needed, and advocate for better mental health care and awareness.

Proposal Essay Examples on Mental Health

When delving into the realm of proposal essays , it's crucial to explore a diverse array of topics that capture the complexities of societal issues. In this context, mental health emerges as a critical area deserving attention and analysis. Below, you'll find a curated list of proposal essay topics centered around mental health, aiming to spark insightful discussions and potential solutions.

• The Impact of Social Media on Mental Health Awareness
• Improving Access to Mental Health Services in Rural Communities
• Addressing Stigma Surrounding Mental Illness in Schools
• Implementing Mental Health Education Programs in the Workplace
• Enhancing Support Systems for Veterans' Mental Health
• Exploring Alternative Therapies for Managing Anxiety and Depression
• Promoting Mental Wellness Among College Students
• Integrating Mental Health Screening into Primary Care Settings
• Combatting Loneliness and Isolation Among the Elderly
• Creating Support Networks for Families of Individuals with Mental Illness

The Importance of Autonomy in Counselling

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The Importance of Understanding of Self-knowledge and The Subconscious Mind

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A mental illness, referred to as a mental disorder or psychiatric disorder, is a condition characterized by disrupted behavioral or mental patterns that result in considerable distress or impairment to an individual's personal functioning.

Anxiety disorders, mood disorders, psychotic disorders, personality disorders, eating disorders, sleep disorders, sexuality related disorders, other disorders.

Genetic and biological factors: Having a family history of mental illness can elevate the likelihood of experiencing such conditions. Additionally, specific genetic variations and imbalances in brain chemistry can contribute to an individual's susceptibility to mental health disorders. Environmental factors: Adverse childhood experiences, including trauma, abuse, neglect, or growing up in a stressful and unstable environment, increase the vulnerability to developing mental health issues. Psychological factors: Certain traits like high levels of neuroticism or low self-esteem can also contribute to an individual's susceptibility to mental health problems. Substance abuse: Alcohol and drug abuse is strongly associated with an increased risk of mental health disorders. Medical conditions: Certain medical conditions and chronic illnesses, such as cardiovascular disease, cancer, or neurological disorders, can be linked to a heightened risk of mental illness.

Emotional disturbances: persistent sadness, anxiety, irritability, mood swings, or a general sense of emptiness. Cognitive impairments: mental health disorders can affect cognitive processes such as thinking, concentration, memory, and decision-making. Individuals may experience difficulties in focusing, problem-solving, or retaining information. Behavioral changes: withdrawal from social activities, changes in sleep patterns, appetite fluctuations, increased substance use, self-harm, or engaging in risky behaviors. Distorted perceptions: hallucinations (perceiving things that are not there) or delusions (strongly held beliefs that are not based on reality). Impairment in functioning: mental illness often interferes with an individual's ability to function effectively in their daily life. This can include challenges in personal relationships, occupational difficulties, impaired academic performance, or a decline in overall quality of life. Physical symptoms: headaches, digestive problems, fatigue, or unexplained aches and pains.

Psychotherapy: also referred to as talk therapy, involves collaborating with a trained therapist to explore thoughts, emotions, and behaviors. Its purpose is to gain insights, develop coping skills, and foster positive transformations. Medication: certain mental disorders can be aided by medication, such as antidepressants, antianxiety drugs, or mood stabilizers. These medications assist in regulating brain chemistry and alleviating symptoms. Lifestyle changes: adopting a healthy lifestyle, including regular exercise, balanced nutrition, sufficient sleep, and effective stress management, can contribute to enhancing mental well-being. Support groups: becoming part of support groups or engaging in group therapy can provide a sense of community and empathy, allowing for the exchange of experiences and receiving support from peers. Alternative therapies: some individuals find alternative treatments like yoga, meditation, art therapy, or acupuncture beneficial. These practices can reduce stress, promote relaxation, and enhance emotional well-being. Hospitalization or intensive treatment programs: in severe cases or during mental health emergencies, hospitalization or intensive treatment programs may be required to ensure safety, stabilization, and access to specialized care.

The significance of the subject of mental illness cannot be overstated, as it holds profound relevance for individuals, families, and society at large. The far-reaching impact of mental health conditions on countless people globally necessitates attention and understanding. These conditions impose substantial suffering, impair daily functioning, and tragically, may even lead to loss of life. Recognizing and comprehending mental illness is imperative to foster awareness, combat societal stigma, and enable timely intervention. Prioritizing mental health enables the enhancement of overall well-being and life quality for those affected, while also driving the development of effective treatment methods, improved accessibility to resources, and the cultivation of supportive environments that nurture healing and resilience.

The topic of mental illness is immensely deserving of an essay due to its profound significance in today's society. Exploring mental illness provides an opportunity to raise awareness, challenge misconceptions, and promote understanding. By delving into this subject, one can shed light on the experiences of individuals facing mental health challenges, the impact on their lives, and the broader societal implications. It allows for an examination of the available resources, treatment approaches, and the need for improved mental healthcare systems. Addressing mental illness in an essay contributes to reducing stigma, fostering empathy, and inspiring action to create a more compassionate and supportive environment for those affected.

1. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing. 2. World Health Organization. (2019). Mental disorders. Retrieved from https://www.who.int/news-room/fact-sheets/detail/mental-disorders 3. Kessler, R. C., Chiu, W. T., Demler, O., & Walters, E. E. (2005). Prevalence, severity, and comorbidity of twelve-month DSM-IV disorders in the National Comorbidity Survey Replication (NCS-R). Archives of General Psychiatry, 62(6), 617-627. 4. National Institute of Mental Health. (n.d.). Mental health information. Retrieved from https://www.nimh.nih.gov/health/topics/index.shtml 5. Substance Abuse and Mental Health Services Administration. (2019). Key substance use and mental health indicators in the United States: Results from the 2018 National Survey on Drug Use and Health. Rockville, MD: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration. 6. Greenberg, G. (2013). The book of woe: The DSM and the unmaking of psychiatry. New York, NY: Penguin Books. 7. Corrigan, P. W., Druss, B. G., & Perlick, D. A. (2014). The impact of mental illness stigma on seeking and participating in mental health care. Psychological Science in the Public Interest, 15(2), 37-70. 8. Pincus, H. A., Davis, W. W., & McQueen, L. E. (2017). "Subthreshold" mental disorders: A review and synthesis of studies on minor depression and other "brand names." British Journal of Psychiatry, 190(4), 288-294. 9. Sartorius, N. (2017). Stigma and mental health. Lancet Psychiatry, 4(10), 777-778. 10. Patel, V., Saxena, S., Lund, C., Thornicroft, G., Baingana, F., Bolton, P., ... & Unützer, J. (2018). The Lancet Commission on global mental health and sustainable development. The Lancet, 392(10157), 1553-1598.

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Is it OK to discuss mental health in an essay?

Mental health struggles can create challenges you must overcome during your education and could be an opportunity for you to show how you’ve handled challenges and overcome obstacles. If you’re considering writing your essay for college admission on this topic, consider talking to your school counselor or with an English teacher on how to frame the essay.

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100+ argumentative essay topics on mental health | example & outline, bob cardens.

• September 2, 2022
• Essay Topics and Ideas

Argumentative Essay Topics on Mental Health. Mental health is an important and often overlooked topic. In this article, we’ll explore some argumentative essay topics related to mental health .

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Argumentative Essay Topics about Mental Health

1. Is there a connection between mental health and physical health? 2. How does mental illness affect a person’s ability to function in society? 3. What are the most effective treatments for mental illness? 4. Are there any effective prevention strategies for mental illness? 5. What is the relationship between mental health and substance abuse? 6. How does poverty affect mental health? 7. What are the most common mental disorders? 8. What are the consequences of untreated mental illness? 9. What are the risk factors for developing mental illness? 10. How can mental illness be effectively diagnosed?

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Argumentative essay topics about depression

1. Depression is a real mental health condition.

2. Depression is more than just feeling sad.

3. Depression can lead to serious physical health problems.

4. Depression is treatable with medication and therapy.

5. People with depression can lead happy, fulfilling lives.

6. Untreated depression can be deadly.

7. Depression is often misunderstood and stigmatized.

8. Depression is not a sign of weakness or a character flaw.

9. Anyone can develop depression, even people who seem to have it all together.

10. There is no single cause of depression, but there are risk factors that can make someone more likely to develop the condition.

Argumentative Essay Topics on Mental Health. Mental health is an important and often overlooked topic. In this article, we’ll explore some argumentative essay topics related to mental health.

Argumentative essay about mental health in schools

1. Mental health should be taught in schools. 2. There should be more support for mental health in schools. 3. Mental health should be taken more seriously in schools. 4. Schools should do more to prevent mental health problems. 5. Schools should do more to help students with mental health problems. 6. Mental health problems are increasing in schools. 7. school counselors are not trained to deal with mental health issues 8. most school don’t have a mental health policy 9. lack of awareness about mental health among school staff 10. stigma and discrimination against mental health patients

Argumentative essay on mental health stigma

Argumentative essay topics about mental health can be very controversial and sensitive. However, there are many people who are open to discussing these topics and raising awareness about mental health. Here are twenty argumentative essay topics about mental health that you can use for your next essay.

1. How does society view mental health? 2. Do we need to break the stigma around mental health? 3. How can we better support those with mental health conditions? 4. What is the link between mental health and addiction? 5. How does trauma affect mental health? 6. What are the most effective treatments for mental health conditions? 7. Are there any natural remedies for mental health conditions? 8. How does diet affect mental health? 9. How does exercise affect mental health? 10. What is the link between sleep and mental health? 11. What are the warning signs of a mental health condition? 12. When should someone seek professional help for a mental health condition? 13. How can family and friends support someone with a mental health condition? 14. What are the most common myths about mental health? 15. How does stigma impact those with mental health conditions?

16. How can we destigmatize mental health? 17. What is the link between mental health and violence? 18. How does mental health affect overall health? 19. What are the most common mental health disorders? 20. What are the most effective treatments for mental health disorders?

Mental health debate topics for students

1. The definition of mental health 2. The different types of mental illness 3. The causes of mental illness 4. The treatments for mental illness 5. The side effects of mental illness 6. The impact of mental illness on society 7. The cost of mental health care 8. Mental health in the workplace 9. Mental health in the media 10. Stigma and discrimination against those with mental illness 11. The impact of trauma on mental health 12. Mental health during pregnancy and postpartum 13. Children’s mental health 14. Geriatric mental health 15. Global perspectives on mental health 16. Religion and mental health 17. Cultural competence in mental health care 18. Social media and mental health 19.Nutrition and mental health

20. Exercise and mental health

Expository essay topics about mental illness

1. How does mental illness affect one’s ability to work? 2. What are the most common types of mental illness? 3. How can mental illness be prevented? 4. What are the most effective treatments for mental illness? 5. How does mental illness impact relationships? 6. What are the financial costs of mental illness? 7. How does stigma affect those with mental illness? 8. What are the most common myths about mental illness? 9. How does mental illness differ from addiction? 10. What are the early warning signs of mental illness?

Debates about mental health

1. The definition of mental health is contested and argued by professionals in the field. 2. Some people argue that mental health is a social construction, while others believe that it is a real and valid medical condition. 3. Mental health is often stigmatized in society, and those who suffer from mental illness are often seen as weak or crazy. 4. Mental health is often viewed as something that can be cured, when in reality it is a lifelong battle for many people. 5. Mental illness is often seen as an individual responsibility to deal with, when in reality it affects not just the individual but also their families and loved ones. 6. It is often said that people with mental illness are not able to function in society, when in fact many people with mental illness are high-functioning individuals. 7. Mental health is often viewed as an all-or-nothing proposition, when in reality there is a spectrum of mental health conditions that range from mild to severe. 8. People with mental illness are often treated differently than other people, and they are often discriminated against. 9. There is a lot of misinformation about mental health, and this leads tomisunderstanding and fear. 10. Mental health is a complex issue, and there is no one-size-fits-all solution to addressing it.

Persuasive topics related to mental health

1. The link between mental health and physical health. 2. The benefits of therapy and counseling. 3. The importance of early intervention for mental health issues. 4. The impact of trauma on mental health. 5. The correlation between mental health and substance abuse. 6. The connection between mental health and chronic illness. 7. The relationship between mental health and chronic pain. 8. Mental health in the workplace. 9. Mental health in the military. 10. Mental health in schools. 11. Children’s mental health issues. 12. Teens and mental health issues. 13. Elderly mental health issues. 14. Cultural issues and mental health. 15. Religion and mental health. 16. The stigma of mental illness. 17. Mental health awareness and education. 18. Mental health advocacy. 19. Funding for mental health services. 20. Access to mental health care.

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The effects of mental disorder are apparent and pervasive, in suffering, loss of freedom and life opportunities, negative impacts on use of education, work satisfaction and productivity, complications in law, institutions of healthcare, intensive scientific research into causes and cures and so on. Suffering, loss of functioning, and perceived threat are among the personal and social experiences that can lead to mental health services. Once the problems are brought to the attention of mental health services and mental disorder is diagnosed, a range of possible outcomes is licensed, including offer of treatment, funding and perhaps, depending on severity and other circumstances, paid leave from work due to illness, possible shame and stigma, and in extreme cases compulsory admission to hospital, or acceptance of no or diminished responsibility in the Courts. Mental health professionals engage with the problems inside institutional structures using manuals for diagnosis and providing treatments that are increasingly required to be backed by scientific evidence of effectiveness. The social and institutional outcomes of assigning a diagnosis are important topics for social scientific theory and research. However, earlier in the chain of events and consequences are the social manifestations of mental disorder, open for all to see, and most importantly the personal and interpersonal effects, experienced by the people with the problems, their families and friends.

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Mental health care is hard to find, especially for people with Medicare or Medicaid

Rhitu Chatterjee

With rates of suicide and opioid deaths rising in the past decade and children's mental health declared a national emergency , the United States faces an unprecedented mental health crisis. But access to mental health care for a significant portion of Americans — including some of the most vulnerable populations — is extremely limited, according to a new government report released Wednesday.

The report, from the Department of Health and Human Services' Office of Inspector General, finds that Medicare and Medicaid have a dire shortage of mental health care providers.

The report looked at 20 counties with people on Medicaid, traditional Medicare and Medicare Advantage plans, which together serve more than 130 million enrollees — more than 40% of the U.S. population, says Meridith Seife , the deputy regional inspector general and the lead author of the report.

Medicaid serves people on low incomes, and Medicare is mainly for people 65 years or older and those who are younger with chronic disabilities.

The report found fewer than five active mental health care providers for every 1,000 enrollees. On average, Medicare Advantage has 4.7 providers per 1,000 enrollees, whereas traditional Medicare has 2.9 providers and Medicaid has 3.1 providers for the same number of enrollees. Some counties fare even worse, with not even a single provider for every 1,000 enrollees.

"When you have so few providers available to see this many enrollees, patients start running into significant problems finding care," says Seife.

The findings are especially troubling given the level of need for mental health care in this population, she says.

"On Medicare, you have 1 in 4 Medicare enrollees who are living with a mental illness," she says. "Yet less than half of those people are receiving treatment."

Among people on Medicaid, 1 in 3 have a mental illness, and 1 in 5 have a substance use disorder. "So the need is tremendous."

The results are "scary" but "not very surprising," says Deborah Steinberg , senior health policy attorney at the nonprofit Legal Action Center. "We know that people in Medicare and Medicaid are often underserved populations, and this is especially true for mental health and substance use disorder care."

Among those individuals able to find and connect with a provider, many see their provider several times a year, according to the report. And many have to drive a long way for their appointments.

"We have roughly 1 in 4 patients that had to travel more than an hour to their appointments, and 1 in 10 had to travel more than an hour and a half each way," notes Seife. Some patients traveled two hours each way for mental health care, she says.

Mental illnesses and substance use disorders are chronic conditions that people need ongoing care for, says Steinberg. "And when they have to travel an hour, more than an hour, for an appointment throughout the year, that becomes unreasonable. It becomes untenable."

"We know that behavioral health workforce shortages are widespread," says Heather Saunders , a senior research manager on the Medicaid team at KFF, the health policy research organization. "This is across all payers, all populations, with about half of the U.S. population living in a workforce shortage."

But as the report found, that's not the whole story for Medicare and Medicaid. Only about a third of mental health care providers in the counties studied see Medicare and Medicaid patients. That means a majority of the workforce doesn't participate in these programs.

This has been well documented in Medicaid, notes Saunders. "Only a fraction" of providers in provider directories see Medicaid patients, she says. "And when they do see Medicaid patients, they often only see a few."

Lower reimbursement rates and a high administrative burden prevent more providers from participating in Medicaid and Medicare, the report notes.

"In the Medicare program, they set a physician fee rate," explains Steinberg. "Then for certain providers, which includes clinical social workers, mental health counselors and marriage and family therapists, they get reimbursed at 75% of that rate."

Medicaid reimbursements for psychiatric services are even lower when compared with Medicare , says Ellen Weber , senior vice president for health initiatives at the Legal Action Center.

"They're baking in those discriminatory standards when they are setting those rates," says Steinberg.

The new report recommends that the Centers for Medicare & Medicaid Services (CMS) take steps to increase payments to providers and lower administrative requirements. In a statement, CMS said it has responded to those recommendations within the report.

According to research by Saunders and her colleagues at KFF, many states have already started to take action on these fronts to improve participation in Medicaid.

Several have upped their payments to mental health providers. "But the scale of those increases ranged widely across states," says Saunders, "with some states limiting the increase to one provider type or one type of service, but other states having rate increases that were more across the board."

Some states have also tried to simplify and streamline paperwork, she adds. "Making it less complex, making it easier to understand," says Saunders.

But it's too soon to know whether those efforts have made a significant impact on improving access to providers.

CMS has also taken steps to address provider shortages, says Steinberg.

"CMS has tried to increase some of the reimbursement rates without actually fixing that structural problem," says Steinberg. "Trying to add a little bit here and there, but it's not enough, especially when they're only adding a percent to the total rate. It's a really small increase."

The agency has also started covering treatments and providers it didn't use to cover before.

"In 2020, Medicare started covering opioid treatment programs, which is where a lot of folks can go to get medications for their substance use disorder," says Steinberg.

And starting this year, Medicare also covers "mental health counselors, which includes addiction counselors, as well as marriage and family therapists," she adds.

While noteworthy and important, a lot more needs to be done, says Steinberg. "For example, in the substance use disorder space, a lot of addiction counselors do not have a master's degree. And that's one of their requirements to be a counselor in the Medicare program right now."

Removing those stringent requirements and adding other kinds of providers, like peer support specialists, is key to improving access. And the cost of not accessing care is high, she adds.

"Over the past two decades, [in] the older adult population, the number of overdose deaths has increased fourfold — quadrupled," says Steinberg. "So this is affecting people. It is causing deaths. It is causing people to go to the hospital. It increases [health care] costs."

• Centers for Medicare & Medicaid Services
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Guest Essay

Anxious Parents Are the Ones Who Need Help

By Mathilde Ross

Dr. Ross is a senior staff psychiatrist at Boston University Health Services.

This month, across the country, a new cohort of students is being accepted into colleges. And, if recent trends continue, the start of the new school year will kick off another record-breaking season for anxiety on campus.

I’m talking about the parents. The kids are mostly fine.

Let me explain. Most emotions, even unpleasant ones, are normal. But the word is out about increasing rates of mental health problems on campus, and that’s got parents worrying. Fair enough. The statistics are startling — in 2022, nearly 14 percent of 18- to 25-year-olds reported having serious thoughts about suicide.

But parents are allowing their anxiety to take over, and it’s not helping anyone, least of all their children. If a child calls home too much, there must be a crisis! And if a child calls too little, there must be a crisis! Either way, the panicked parent picks up the phone and calls the college counseling center to talk to someone like me.

I am a psychiatrist who has worked at a major university’s mental health clinic for 16 years. Much of next year’s freshman class was born the year before I started working here. Technically, my job is to keep my door open and help students through crises, big and small. But I have also developed a comprehensive approach to the assessment and treatment of anxious parents.

The typical call from a parent begins like this: “I think my son/daughter is suffering from anxiety.” My typical reply is: “Anxiety in this setting is usually normal, because major life transitions like living away from home for the first time are commonly associated with elevated anxiety.” Parents used to be satisfied with this kind of answer, thanked me, hung up, called their children and encouraged them to think long-term: “This too shall pass.” And most everyone carried on.

But these days this kind of thinking just convinces parents that I don’t know what I’m talking about. In the circular logic of mental health awareness, a clinician’s reassurance that situational anxiety is most likely normal and time-limited leads a parent to believe that the clinician may be missing a serious mental health condition.

Today’s parents are suffering from anxiety about anxiety, which is actually much more serious than anxiety. It’s self-fulfilling and not easily soothed by logic or evidence, such as the knowledge that most everyone adjusts to college just fine.

Anxiety about anxiety has gotten so bad that some parents actually worry if their student isn’t anxious. This puts a lot of pressure on unanxious students — it creates anxiety about anxiety about anxiety. (This happens all the time. Well-meaning parents tell their kid to make an appointment with our office to make sure their adjustment to college is going OK.) If the student says she’s fine, the parents worry that she isn’t being forthright. This is the conundrum of anxiety about anxiety — there’s really no easy way to combat it.

But I do have some advice for parents. The first thing I’d like to say, and I mean it in the kindest possible way, is: Get a grip.

As for your kids, I would like to help you with some age-appropriate remedies. If your child calls during the first weeks of college feeling anxious, consider saying any of the following: You’ll get through this; this is normal; we’ll laugh about this phone call at Thanksgiving. Or, say anything that was helpful to you the last time you started something new. Alternatively, you could say nothing. Just listening really helps. It’s the entire basis of my profession.

If the anxiety is connected to academic performance — for instance, if your child is having difficulty following the professor and thinks everyone in class is smarter — consider saying, “Do the reading.” Several times a semester, a student I’ve counseled tells me he or she discovered the secret to college: Show up for class prepared! This is often whispered rather sheepishly, even though my office is private.

Anxiety about oral presentations is also quite common. You know what I tell students? “Rehearse your speech.” Parents, you can say things like this, too. Practice it: “Son, you wouldn’t believe how helpful practice is.”

I can prepare you for advanced topics, too. Let’s say your child is exhausted and having trouble waking up for class; he thinks he has a medical problem or maybe a sleep disorder. Consider telling him to go to bed earlier. Common sense is still allowed.

What if a roommate is too loud or too quiet, too messy or too neat? Advise your kid to talk to the roommate, to take the conversation to the problem’s source.

If your child is worrying about something more serious, like failing out of college: This is quite common in the first few weeks on campus. Truth be told, failing all of one’s classes and being expelled as a result, all within the first semester, is essentially impossible and is particularly rare among those students who are worrying about it. The administrative process simply doesn’t happen that fast. Besides, you haven’t paid enough tuition yet.

I’m making my job sound easy, and it’s not. I’m making kids sound simple, and they’re not. They are my life’s work. Some kids walk through my door in serious pain. But most don’t. Most just need a responsible adult to show them the way. And most of what I do can be handled by any adult who has been through a thing or two, which is to say, any parent.

I worry that the current obsession with mental health awareness is disempowering parents from helping their adult children handle ordinary things. People are increasingly fearful that any normal emotion is a sign of something serious. But if you send your adult children to a mental health professional at the first sign of distress, you deprive yourself of the opportunity to strengthen your relationship with them. This is the beginning of their adult relationship with you. Show them the way.

The transition to college is full of excitement and its cousin, anxiety. I enjoy shepherding young people through this rite of passage. Parents should try enjoying it, too.

Mathilde Ross is a senior staff psychiatrist at Boston University Health Services.

The Times is committed to publishing a diversity of letters to the editor. We’d like to hear what you think about this or any of our articles. Here are some tips . And here’s our email: [email protected] .

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• Open access
• Published: 12 December 2023

Examining the role of community resilience and social capital on mental health in public health emergency and disaster response: a scoping review

• C. E. Hall 1 , 2 ,
• H. Wehling 1 ,
• J. Stansfield 3 ,
• J. South 3 ,
• S. K. Brooks 2 ,
• N. Greenberg 2 , 4 ,
• R. Amlôt 1 &
• D. Weston 1  

BMC Public Health volume  23 , Article number:  2482 ( 2023 ) Cite this article

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The ability of the public to remain psychologically resilient in the face of public health emergencies and disasters (such as the COVID-19 pandemic) is a key factor in the effectiveness of a national response to such events. Community resilience and social capital are often perceived as beneficial and ensuring that a community is socially and psychologically resilient may aid emergency response and recovery. This review presents a synthesis of literature which answers the following research questions: How are community resilience and social capital quantified in research?; What is the impact of community resilience on mental wellbeing?; What is the impact of infectious disease outbreaks, disasters and emergencies on community resilience and social capital?; and, What types of interventions enhance community resilience and social capital?

A scoping review procedure was followed. Searches were run across Medline, PsycInfo, and EMBASE, with search terms covering both community resilience and social capital, public health emergencies, and mental health. 26 papers met the inclusion criteria.

The majority of retained papers originated in the USA, used a survey methodology to collect data, and involved a natural disaster. There was no common method for measuring community resilience or social capital. The association between community resilience and social capital with mental health was regarded as positive in most cases. However, we found that community resilience, and social capital, were initially negatively impacted by public health emergencies and enhanced by social group activities.

Several key recommendations are proposed based on the outcomes from the review, which include: the need for a standardised and validated approach to measuring both community resilience and social capital; that there should be enhanced effort to improve preparedness to public health emergencies in communities by gauging current levels of community resilience and social capital; that community resilience and social capital should be bolstered if areas are at risk of disasters or public health emergencies; the need to ensure that suitable short-term support is provided to communities with high resilience in the immediate aftermath of a public health emergency or disaster; the importance of conducting robust evaluation of community resilience initiatives deployed during the COVID-19 pandemic.

Peer Review reports

For the general population, public health emergencies and disasters (e.g., natural disasters; infectious disease outbreaks; Chemical, Biological, Radiological or Nuclear incidents) can give rise to a plethora of negative outcomes relating to both health (e.g. increased mental health problems [ 1 , 2 , 3 , 4 ]) and the economy (e.g., increased unemployment and decreased levels of tourism [ 4 , 5 , 6 ]). COVID-19 is a current, and ongoing, example of a public health emergency which has affected over 421 million individuals worldwide [ 7 ]. The long term implications of COVID-19 are not yet known, but there are likely to be repercussions for physical health, mental health, and other non-health related outcomes for a substantial time to come [ 8 , 9 ]. As a result, it is critical to establish methods which may inform approaches to alleviate the longer-term negative consequences that are likely to emerge in the aftermath of both COVID-19 and any future public health emergency.

The definition of resilience often differs within the literature, but ultimately resilience is considered a dynamic process of adaptation. It is related to processes and capabilities at the individual, community and system level that result in good health and social outcomes, in spite of negative events, serious threats and hazards [ 10 ]. Furthermore, Ziglio [ 10 ] refers to four key types of resilience capacity: adaptive, the ability to withstand and adjust to unfavourable conditions and shocks; absorptive, the ability to withstand but also to recover and manage using available assets and skills; anticipatory, the ability to predict and minimize vulnerability; and transformative, transformative change so that systems better cope with new conditions.

There is no one settled definition of community resilience (CR). However, it generally relates to the ability of a community to withstand, adapt and permit growth in adverse circumstances due to social structures, networks and interdependencies within the community [ 11 ]. Social capital (SC) is considered a major determinant of CR [ 12 , 13 ], and reflects strength of a social network, community reciprocity, and trust in people and institutions [ 14 ]. These aspects of community are usually conceptualised primarily as protective factors that enable communities to cope and adapt collectively to threats. SC is often broken down into further categories [ 15 ], for example: cognitive SC (i.e. perceptions of community relations, such as trust, mutual help and attachment) and structural SC (i.e. what actually happens within the community, such as participation, socialising) [ 16 ]; or, bonding SC (i.e. connections among individuals who are emotionally close, and result in bonds to a particular group [ 17 ]) and bridging SC (i.e. acquaintances or individuals loosely connected that span different social groups [ 18 ]). Generally, CR is perceived to be primarily beneficial for multiple reasons (e.g. increased social support [ 18 , 19 ], protection of mental health [ 20 , 21 ]), and strengthening community resilience is a stated health goal of the World Health Organisation [ 22 ] when aiming to alleviate health inequalities and protect wellbeing. This is also reflected by organisations such as Public Health England (now split into the UK Health Security Agency and the Office for Health Improvement and Disparities) [ 23 ] and more recently, CR has been targeted through the endorsement of Community Champions (who are volunteers trained to support and to help improve health and wellbeing. Community Champions also reflect their local communities in terms of population demographics for example age, ethnicity and gender) as part of the COVID-19 response in the UK (e.g. [ 24 , 25 ]).

Despite the vested interest in bolstering communities, the research base establishing: how to understand and measure CR and SC; the effect of CR and SC, both during and following a public health emergency (such as the COVID-19 pandemic); and which types of CR or SC are the most effective to engage, is relatively small. Given the importance of ensuring resilience against, and swift recovery from, public health emergencies, it is critically important to establish and understand the evidence base for these approaches. As a result, the current review sought to answer the following research questions: (1) How are CR and SC quantified in research?; (2) What is the impact of community resilience on mental wellbeing?; (3) What is the impact of infectious disease outbreaks, disasters and emergencies on community resilience and social capital?; and, (4) What types of interventions enhance community resilience and social capital?

By collating research in order to answer these research questions, the authors have been able to propose several key recommendations that could be used to both enhance and evaluate CR and SC effectively to facilitate the long-term recovery from COVID-19, and also to inform the use of CR and SC in any future public health disasters and emergencies.

A scoping review methodology was followed due to the ease of summarising literature on a given topic for policy makers and practitioners [ 26 ], and is detailed in the following sections.

Identification of relevant studies

An initial search strategy was developed by authors CH and DW and included terms which related to: CR and SC, given the absence of a consistent definition of CR, and the link between CR and SC, the review focuses on both CR and SC to identify as much relevant literature as possible (adapted for purpose from Annex 1: [ 27 ], as well as through consultation with review commissioners); public health emergencies and disasters [ 28 , 29 , 30 , 31 ], and psychological wellbeing and recovery (derived a priori from literature). To ensure a focus on both public health and psychological research, the final search was carried across Medline, PsycInfo, and EMBASE using OVID. The final search took place on the 18th of May 2020, the search strategy used for all three databases can be found in Supplementary file 1 .

Selection criteria

The inclusion and exclusion criteria were developed alongside the search strategy. Initially the criteria were relatively inclusive and were subject to iterative development to reflect the authors’ familiarisation with the literature. For example, the decision was taken to exclude research which focused exclusively on social support and did not mention communities as an initial title/abstract search suggested that the majority of this literature did not meet the requirements of our research question.

The full and final inclusion and exclusion criteria used can be found in Supplementary file 2 . In summary, authors decided to focus on the general population (i.e., non-specialist, e.g. non-healthcare worker or government official) to allow the review to remain community focused. The research must also have assessed the impact of CR and/or SC on mental health and wellbeing, resilience, and recovery during and following public health emergencies and infectious disease outbreaks which affect communities (to ensure the research is relevant to the review aims), have conducted primary research, and have a full text available or provided by the first author when contacted.

Charting the data

All papers were first title and abstract screened by CH or DW. Papers then were full text reviewed by CH to ensure each paper met the required eligibility criteria, if unsure about a paper it was also full text reviewed by DW. All papers that were retained post full-text review were subjected to a standardised data extraction procedure. A table was made for the purpose of extracting the following data: title, authors, origin, year of publication, study design, aim, disaster type, sample size and characteristics, variables examined, results, restrictions/limitations, and recommendations. Supplementary file 3 details the charting the data process.

Analytical method

Data was synthesised using a Framework approach [ 32 ], a common method for analysing qualitative research. This method was chosen as it was originally used for large-scale social policy research [ 33 ] as it seeks to identify: what works, for whom, in what conditions, and why [ 34 ]. This approach is also useful for identifying commonalities and differences in qualitative data and potential relationships between different parts of the data [ 33 ]. An a priori framework was established by CH and DW. Extracted data was synthesised in relation to each research question, and the process was iterative to ensure maximum saturation using the available data.

Study selection

The final search strategy yielded 3584 records. Following the removal of duplicates, 2191 records remained and were included in title and abstract screening. A PRISMA flow diagram is presented in Fig.  1 .

PRISMA flow diagram

At the title and abstract screening stage, the process became more iterative as the inclusion criteria were developed and refined. For the first iteration of screening, CH or DW sorted all records into ‘include,’ ‘exclude,’ and ‘unsure’. All ‘unsure’ papers were re-assessed by CH, and a random selection of ~ 20% of these were also assessed by DW. Where there was disagreement between authors the records were retained, and full text screened. The remaining papers were reviewed by CH, and all records were categorised into ‘include’ and ‘exclude’. Following full-text screening, 26 papers were retained for use in the review.

Study characteristics

This section of the review addresses study characteristics of those which met the inclusion criteria, which comprises: date of publication, country of origin, study design, study location, disaster, and variables examined.

Date of publication

Publication dates across the 26 papers spanned from 2008 to 2020 (see Fig.  2 ). The number of papers published was relatively low and consistent across this timescale (i.e. 1–2 per year, except 2010 and 2013 when none were published) up until 2017 where the number of papers peaked at 5. From 2017 to 2020 there were 15 papers published in total. The amount of papers published in recent years suggests a shift in research and interest towards CR and SC in a disaster/ public health emergency context.

Graph to show retained papers date of publication

Country of origin

The locations of the first authors’ institutes at the time of publication were extracted to provide a geographical spread of the retained papers. The majority originated from the USA [ 35 , 36 , 37 , 38 , 39 , 40 , 41 ], followed by China [ 42 , 43 , 44 , 45 , 46 ], Japan [ 47 , 48 , 49 , 50 ], Australia [ 51 , 52 , 53 ], The Netherlands [ 54 , 55 ], New Zealand [ 56 ], Peru [ 57 ], Iran [ 58 ], Austria [ 59 ], and Croatia [ 60 ].

There were multiple methodological approaches carried out across retained papers. The most common formats included surveys or questionnaires [ 36 , 37 , 38 , 42 , 46 , 47 , 48 , 49 , 50 , 53 , 54 , 55 , 57 , 59 ], followed by interviews [ 39 , 40 , 43 , 51 , 52 , 60 ]. Four papers used both surveys and interviews [ 35 , 41 , 45 , 58 ], and two papers conducted data analysis (one using open access data from a Social Survey [ 44 ] and one using a Primary Health Organisations Register [ 56 ]).

Study location

The majority of the studies were carried out in Japan [ 36 , 42 , 44 , 47 , 48 , 49 , 50 ], followed by the USA [ 35 , 37 , 38 , 39 , 40 , 41 ], China [ 43 , 45 , 46 , 53 ], Australia [ 51 , 52 ], and the UK [ 54 , 55 ]. The remaining studies were carried out in Croatia [ 60 ], Peru [ 57 ], Austria [ 59 ], New Zealand [ 56 ] and Iran [ 58 ].

Multiple different types of disaster were researched across the retained papers. Earthquakes were the most common type of disaster examined [ 45 , 47 , 49 , 50 , 53 , 56 , 57 , 58 ], followed by research which assessed the impact of two disastrous events which had happened in the same area (e.g. Hurricane Katrina and the Deepwater Horizon oil spill in Mississippi, and the Great East Japan earthquake and Tsunami; [ 36 , 37 , 38 , 42 , 44 , 48 ]). Other disaster types included: flooding [ 51 , 54 , 55 , 59 , 60 ], hurricanes [ 35 , 39 , 41 ], infectious disease outbreaks [ 43 , 46 ], oil spillage [ 40 ], and drought [ 52 ].

Variables of interest examined

Across the 26 retained papers: eight referred to examining the impact of SC [ 35 , 37 , 39 , 41 , 46 , 49 , 55 , 60 ]; eight examined the impact of cognitive and structural SC as separate entities [ 40 , 42 , 45 , 48 , 50 , 54 , 57 , 59 ]; one examined bridging and bonding SC as separate entities [ 58 ]; two examined the impact of CR [ 38 , 56 ]; and two employed a qualitative methodology but drew findings in relation to bonding and bridging SC, and SC generally [ 51 , 52 ]. Additionally, five papers examined the impact of the following variables: ‘community social cohesion’ [ 36 ], ‘neighbourhood connectedness’ [ 44 ], ‘social support at the community level’ [ 47 ], ‘community connectedness’ [ 43 ] and ‘sense of community’ [ 53 ]. Table  1 provides additional details on this.

How is CR and SC measured or quantified in research?

The measures used to examine CR and SC are presented Table  1 . It is apparent that there is no uniformity in how SC or CR is measured across the research. Multiple measures are used throughout the retained studies, and nearly all are unique. Additionally, SC was examined at multiple different levels (e.g. cognitive and structural, bonding and bridging), and in multiple different forms (e.g. community connectedness, community cohesion).

What is the association between CR and SC on mental wellbeing?

To best compare research, the following section reports on CR, and facets of SC separately. Please see Supplementary file 4  for additional information on retained papers methods of measuring mental wellbeing.

• Community resilience

CR relates to the ability of a community to withstand, adapt and permit growth in adverse circumstances due to social structures, networks and interdependencies within the community [ 11 ].

The impact of CR on mental wellbeing was consistently positive. For example, research indicated that there was a positive association between CR and number of common mental health (i.e. anxiety and mood) treatments post-disaster [ 56 ]. Similarly, other research suggests that CR is positively related to psychological resilience, which is inversely related to depressive symptoms) [ 37 ]. The same research also concluded that CR is protective of psychological resilience and is therefore protective of depressive symptoms [ 37 ].

• Social capital

SC reflects the strength of a social network, community reciprocity, and trust in people and institutions [ 14 ]. These aspects of community are usually conceptualised primarily as protective factors that enable communities to cope and adapt collectively to threats.

There were inconsistencies across research which examined the impact of abstract SC (i.e. not refined into bonding/bridging or structural/cognitive) on mental wellbeing. However, for the majority of cases, research deems SC to be beneficial. For example, research has concluded that, SC is protective against post-traumatic stress disorder [ 55 ], anxiety [ 46 ], psychological distress [ 50 ], and stress [ 46 ]. Additionally, SC has been found to facilitate post-traumatic growth [ 38 ], and also to be useful to be drawn upon in times of stress [ 52 ], both of which could be protective of mental health. Similarly, research has also found that emotional recovery following a disaster is more difficult for those who report to have low levels of SC [ 51 ].

Conversely, however, research has also concluded that when other situational factors (e.g. personal resources) were controlled for, a positive relationship between community resources and life satisfaction was no longer significant [ 60 ]. Furthermore, some research has concluded that a high level of SC can result in a community facing greater stress immediately post disaster. Indeed, one retained paper found that high levels of SC correlate with higher levels of post-traumatic stress immediately following a disaster [ 39 ]. However, in the later stages following a disaster, this relationship can reverse, with SC subsequently providing an aid to recovery [ 41 ]. By way of explanation, some researchers have suggested that communities with stronger SC carry the greatest load in terms of helping others (i.e. family, friends and neighbours) as well as themselves immediately following the disaster, but then as time passes the communities recover at a faster rate as they are able to rely on their social networks for support [ 41 ].

Cognitive and structural social capital

Cognitive SC refers to perceptions of community relations, such as trust, mutual help and attachment, and structural SC refers to what actually happens within the community, such as participation, socialising [ 16 ].

Cognitive SC has been found to be protective [ 49 ] against PTSD [ 54 , 57 ], depression [ 40 , 54 ]) mild mood disorder; [ 48 ]), anxiety [ 48 , 54 ] and increase self-efficacy [ 59 ].

For structural SC, research is again inconsistent. On the one hand, structural SC has been found to: increase perceived self-efficacy, be protective of depression [ 40 ], buffer the impact of housing damage on cognitive decline [ 42 ] and provide support during disasters and over the recovery period [ 59 ]. However, on the other hand, it has been found to have no association with PTSD [ 54 , 57 ] or depression, and is also associated with a higher prevalence of anxiety [ 54 ]. Similarly, it is also suggested by additional research that structural SC can harm women’s mental health, either due to the pressure of expectations to help and support others or feelings of isolation [ 49 ].

Bonding and bridging social capital

Bonding SC refers to connections among individuals who are emotionally close, and result in bonds to a particular group [ 17 ], and bridging SC refers to acquaintances or individuals loosely connected that span different social groups [ 18 ].

One research study concluded that both bonding and bridging SC were protective against post-traumatic stress disorder symptoms [ 58 ]. Bridging capital was deemed to be around twice as effective in buffering against post-traumatic stress disorder than bonding SC [ 58 ].

Other community variables

Community social cohesion was significantly associated with a lower risk of post-traumatic stress disorder symptom development [ 35 ], and this was apparent even whilst controlling for depressive symptoms at baseline and disaster impact variables (e.g. loss of family member or housing damage) [ 36 ]. Similarly, sense of community, community connectedness, social support at the community level and neighbourhood connectedness all provided protective benefits for a range of mental health, wellbeing and recovery variables, including: depression [ 53 ], subjective wellbeing (in older adults only) [ 43 ], psychological distress [ 47 ], happiness [ 44 ] and life satisfaction [ 53 ].

Research has also concluded that community level social support is protective against mild mood and anxiety disorder, but only for individuals who have had no previous disaster experience [ 48 ]. Additionally, a study which separated SC into social cohesion and social participation concluded that at a community level, social cohesion is protective against depression [ 49 ] whereas social participation at community level is associated with an increased risk of depression amongst women [ 49 ].

What is the impact of Infectious disease outbreaks / disasters and emergencies on community resilience?

From a cross-sectional perspective, research has indicated that disasters and emergencies can have a negative effect on certain types of SC. Specifically, cognitive SC has been found to be impacted by disaster impact, whereas structural SC has gone unaffected [ 45 ]. Disaster impact has also been shown to have a negative effect on community relationships more generally [ 52 ].

Additionally, of the eight studies which collected data at multiple time points [ 35 , 36 , 41 , 42 , 47 , 49 , 56 , 60 ], three reported the effect of a disaster on the level of SC within a community [ 40 , 42 , 49 ]. All three of these studies concluded that disasters may have a negative impact on the levels of SC within a community. The first study found that the Deepwater Horizon oil spill had a negative effect on SC and social support, and this in turn explained an overall increase in the levels of depression within the community [ 40 ]. A possible explanation for the negative effect lays in ‘corrosive communities’, known for increased social conflict and reduced social support, that are sometimes created following oil spills [ 40 ]. It is proposed that corrosive communities often emerge due to a loss of natural resources that bring social groups together (e.g., for recreational activities), as well as social disparity (e.g., due to unequal distribution of economic impact) becoming apparent in the community following disaster [ 40 ]. The second study found that SC (in the form of social cohesion, informal socialising and social participation) decreased after the 2011 earthquake and tsunami in Japan; it was suggested that this change correlated with incidence of cognitive decline [ 42 ]. However, the third study reported more mixed effects based on physical circumstances of the communities’ natural environment: Following an earthquake, those who lived in mountainous areas with an initial high level of pre-community SC saw a decrease in SC post disaster [ 49 ]. However, communities in flat areas (which were home to younger residents and had a higher population density) saw an increase in SC [ 49 ]. It was proposed that this difference could be due to the need for those who lived in mountainous areas to seek prolonged refuge due to subsequent landslides [ 49 ].

What types of intervention enhance CR and SC and protect survivors?

There were mixed effects across the 26 retained papers when examining the effect of CR and SC on mental wellbeing. However, there is evidence that an increase in SC [ 56 , 57 ], with a focus on cognitive SC [ 57 ], namely by: building social networks [ 45 , 51 , 53 ], enhancing feelings of social cohesion [ 35 , 36 ] and promoting a sense of community [ 53 ], can result in an increase in CR and potentially protect survivors’ wellbeing and mental health following a disaster. An increase in SC may also aid in decreasing the need for individual psychological interventions in the aftermath of a disaster [ 55 ]. As a result, recommendations and suggested methods to bolster CR and SC from the retained papers have been extracted and separated into general methods, preparedness and policy level implementation.

General methods

Suggested methods to build SC included organising recreational activity-based groups [ 44 ] to broaden [ 51 , 53 ] and preserve current social networks [ 42 ], introducing initiatives to increase social cohesion and trust [ 51 ], and volunteering to increase the number of social ties between residents [ 59 ]. Research also notes that it is important to take a ‘no one left behind approach’ when organising recreational and social community events, as failure to do so could induce feelings of isolation for some members of the community [ 49 ]. Furthermore, gender differences should also be considered as research indicates that males and females may react differently to community level SC (as evidence suggests males are instead more impacted by individual level SC; in comparison to women who have larger and more diverse social networks [ 49 ]). Therefore, interventions which aim to raise community level social participation, with the aim of expanding social connections and gaining support, may be beneficial [ 42 , 47 ].

Preparedness

In order to prepare for disasters, it may be beneficial to introduce community-targeted methods or interventions to increase levels of SC and CR as these may aid in ameliorating the consequences of a public health emergency or disaster [ 57 ]. To indicate which communities have low levels of SC, one study suggests implementing a 3-item scale of social cohesion to map areas and target interventions [ 42 ].

It is important to consider that communities with a high level of SC may have a lower level of risk perception, due to the established connections and supportive network they have with those around them [ 61 ]. However, for the purpose of preparedness, this is not ideal as perception of risk is a key factor when seeking to encourage behavioural adherence. This could be overcome by introducing communication strategies which emphasise the necessity of social support, but also highlights the need for additional measures to reduce residual risk [ 59 ]. Furthermore, support in the form of financial assistance to foster current community initiatives may prove beneficial to rural areas, for example through the use of an asset-based community development framework [ 52 ].

Policy level

At a policy level, the included papers suggest a range of ways that CR and SC could be bolstered and used. These include: providing financial support for community initiatives and collective coping strategies, (e.g. using asset-based community development [ 52 ]); ensuring policies for long-term recovery focus on community sustainable development (e.g. community festival and community centre activities) [ 44 ]; and development of a network amongst cooperative corporations formed for reconstruction and to organise self-help recovery sessions among residents of adjacent areas [ 58 ].

This scoping review sought to synthesise literature concerning the role of SC and CR during public health emergencies and disasters. Specifically, in this review we have examined: the methods used to measure CR and SC; the impact of CR and SC on mental wellbeing during disasters and emergencies; the impact of disasters and emergencies on CR and SC; and the types of interventions which can be used to enhance CR. To do this, data was extracted from 26 peer-reviewed journal articles. From this synthesis, several key themes have been identified, which can be used to develop guidelines and recommendations for deploying CR and SC in a public health emergency or disaster context. These key themes and resulting recommendations are summarised below.

Firstly, this review established that there is no consistent or standardised approach to measuring CR or SC within the general population. This finding is consistent with a review conducted by the World Health Organization which concludes that despite there being a number of frameworks that contain indicators across different determinants of health, there is a lack of consensus on priority areas for measurement and no widely accepted indicator [ 27 ]. As a result, there are many measures of CR and SC apparent within the literature (e.g., [ 62 , 63 ]), an example of a developed and validated measure is provided by Sherrieb, Norris and Galea [ 64 ]. Similarly, the definitions of CR and SC differ widely between researchers, which created a barrier to comparing and summarising information. Therefore, future research could seek to compare various interpretations of CR and to identify any overlapping concepts. However, a previous systemic review conducted by Patel et al. (2017) concludes that there are nine core elements of CR (local knowledge, community networks and relationships, communication, health, governance and leadership, resources, economic investment, preparedness, and mental outlook), with 19 further sub-elements therein [ 30 ]. Therefore, as CR is a multi-dimensional construct, the implications from the findings are that multiple aspects of social infrastructure may need to be considered.

Secondly, our synthesis of research concerning the role of CR and SC for ensuring mental health and wellbeing during, or following, a public health emergency or disaster revealed mixed effects. Much of the research indicates either a generally protective effect on mental health and wellbeing, or no effect; however, the literature demonstrates some potential for a high level of CR/SC to backfire and result in a negative effect for populations during, or following, a public health emergency or disaster. Considered together, our synthesis indicates that cognitive SC is the only facet of SC which was perceived as universally protective across all retained papers. This is consistent with a systematic review which also concludes that: (a) community level cognitive SC is associated with a lower risk of common mental disorders, while; (b) community level structural SC had inconsistent effects [ 65 ].

Further examination of additional data extracted from studies which found that CR/SC had a negative effect on mental health and wellbeing revealed no commonalities that might explain these effects (Please see Supplementary file 5 for additional information)

One potential explanation may come from a retained paper which found that high levels of SC result in an increase in stress level immediately post disaster [ 41 ]. This was suggested to be due to individuals having greater burdens due to wishing to help and support their wide networks as well as themselves. However, as time passes the levels of SC allow the community to come together and recover at a faster rate [ 41 ]. As this was the only retained paper which produced this finding, it would be beneficial for future research to examine boundary conditions for the positive effects of CR/SC; that is, to explore circumstances under which CR/SC may be more likely to put communities at greater risk. This further research should also include additional longitudinal research to validate the conclusions drawn by [ 41 ] as resilience is a dynamic process of adaption.

Thirdly, disasters and emergencies were generally found to have a negative effect on levels of SC. One retained paper found a mixed effect of SC in relation to an earthquake, however this paper separated participants by area in which they lived (i.e., mountainous vs. flat), which explains this inconsistent effect [ 49 ]. Dangerous areas (i.e. mountainous) saw a decrease in community SC in comparison to safer areas following the earthquake (an effect the authors attributed to the need to seek prolonged refuge), whereas participants from the safer areas (which are home to younger residents with a higher population density) saw an increase in SC [ 49 ]. This is consistent with the idea that being able to participate socially is a key element of SC [ 12 ]. Overall, however, this was the only retained paper which produced a variable finding in relation to the effect of disaster on levels of CR/SC.

Finally, research identified through our synthesis promotes the idea of bolstering SC (particularly cognitive SC) and cohesion in communities likely to be affected by disaster to improve levels of CR. This finding provides further understanding of the relationship between CR and SC; an association that has been reported in various articles seeking to provide conceptual frameworks (e.g., [ 66 , 67 ]) as well as indicator/measurement frameworks [ 27 ]. Therefore, this could be done by creating and promoting initiatives which foster SC and create bonds within the community. Papers included in the current review suggest that recreational-based activity groups and volunteering are potential methods for fostering SC and creating community bonds [ 44 , 51 , 59 ]. Similarly, further research demonstrates that feelings of social cohesion are enhanced by general social activities (e.g. fairs and parades [ 18 ]). Also, actively encouraging activities, programs and interventions which enhance connectedness and SC have been reported to be desirable to increase CR [ 68 ]. This suggestion is supported by a recent scoping review of literature [ 67 ] examined community champion approaches for the COVID-19 pandemic response and recovery and established that creating and promoting SC focused initiatives within the community during pandemic response is highly beneficial [ 67 ]. In terms of preparedness, research states that it may be beneficial for levels of SC and CR in communities at risk to be assessed, to allow targeted interventions where the population may be at most risk following an incident [ 42 , 44 ]. Additionally, from a more critical perspective, we acknowledge that ‘resilience’ can often be perceived as a focus on individual capacity to adapt to adversity rather than changing or mitigating the causes of adverse conditions [ 69 , 70 ]. Therefore, CR requires an integrated system approach across individual, community and structural levels [ 17 ]. Also, it is important that community members are engaged in defining and agreeing how community resilience is measured [ 27 ] rather than it being imposed by system leads or decision-makers.

In the aftermath of the pandemic, is it expected that there will be long-term repercussions both from an economic [ 8 ] and a mental health perspective [ 71 ]. Furthermore, the findings from this review suggest that although those in areas with high levels of SC may be negatively affected in the acute stage, as time passes, they have potential to rebound at a faster rate than those with lower levels of SC. Ongoing evaluation of the effectiveness of current initiatives as the COVID-19 pandemic progresses into a recovery phase will be invaluable for supplementing the evidence base identified through this review.

• Recommendations

As a result of this review, a number of recommendations are suggested for policy and practice during public health emergencies and recovery.

Future research should seek to establish a standardised and validated approach to measuring and defining CR and SC within communities. There are ongoing efforts in this area, for example [ 72 ]. Additionally, community members should be involved in the process of defining how CR is measured.

There should be an enhanced effort to improve preparedness for public health emergencies and disasters in local communities by gauging current levels of SC and CR within communities using a standardised measure. This approach could support specific targeting of populations with low levels of CR/SC in case of a disaster or public health emergency, whilst also allowing for consideration of support for those with high levels of CR (as these populations can be heavily impacted initially following a disaster). By distinguishing levels of SC and CR, tailored community-centred approaches could be implemented, such as those listed in a guide released by PHE in 2015 [ 73 ].

CR and SC (specifically cognitive SC) should be bolstered if communities are at risk of experiencing a disaster or public health emergency. This can be achieved by using interventions which aim to increase a sense of community and create new social ties (e.g., recreational group activities, volunteering). Additionally, when aiming to achieve this, it is important to be mindful of the risk of increased levels of CR/SC to backfire, as well as seeking to advocate an integrated system approach across individual, community and structural levels.

It is necessary to be aware that although communities with high existing levels of resilience / SC may experience short-term negative consequences following a disaster, over time these communities might be able to recover at a faster rate. It is therefore important to ensure that suitable short-term support is provided to these communities in the immediate aftermath of a public health emergency or disaster.

Robust evaluation of the community resilience initiatives deployed during the COVID-19 pandemic response is essential to inform the evidence base concerning the effectiveness of CR/ SC. These evaluations should continue through the response phase and into the recovery phase to help develop our understanding of the long-term consequences of such interventions.

Limitations

Despite this review being the first in this specific topic area, there are limitations that must be considered. Firstly, it is necessary to note that communities are generally highly diverse and the term ‘community’ in academic literature is a subject of much debate (see: [ 74 ]), therefore this must be considered when comparing and collating research involving communities. Additionally, the measures of CR and SC differ substantially across research, including across the 26 retained papers used in the current review. This makes the act of comparing and collating research findings very difficult. This issue is highlighted as a key outcome from this review, and suggestions for how to overcome this in future research are provided. Additionally, we acknowledge that there will be a relationship between CR & SC even where studies measure only at individual or community level. A review [ 75 ] on articulating a hypothesis of the link to health inequalities suggests that wider structural determinants of health need to be accounted for. Secondly, despite the final search strategy encompassing terms for both CR and SC, only one retained paper directly measured CR; thus, making the research findings more relevant to SC. Future research could seek to focus on CR to allow for a comparison of findings. Thirdly, the review was conducted early in the COVID-19 pandemic and so does not include more recent publications focusing on resilience specifically in the context of COVID-19. Regardless of this fact, the synthesis of, and recommendations drawn from, the reviewed studies are agnostic to time and specific incident and contain critical elements necessary to address as the pandemic moves from response to recovery. Further research should review the effectiveness of specific interventions during the COVID-19 pandemic for collation in a subsequent update to this current paper. Fourthly, the current review synthesises findings from countries with individualistic and collectivistic cultures, which may account for some variation in the findings. Lastly, despite choosing a scoping review method for ease of synthesising a wide literature base for use by public health emergency researchers in a relatively tight timeframe, there are disadvantages of a scoping review approach to consider: (1) quality appraisal of retained studies was not carried out; (2) due to the broad nature of a scoping review, more refined and targeted reviews of literature (e.g., systematic reviews) may be able to provide more detailed research outcomes. Therefore, future research should seek to use alternative methods (e.g., empirical research, systematic reviews of literature) to add to the evidence base on CR and SC impact and use in public health practice.

This review sought to establish: (1) How CR and SC are quantified in research?; (2) The impact of community resilience on mental wellbeing?; (3) The impact of infectious disease outbreaks, disasters and emergencies on community resilience and social capital?; and, (4) What types of interventions enhance community resilience and social capital?. The chosen search strategy yielded 26 relevant papers from which we were able extract information relating to the aims of this review.

Results from the review revealed that CR and SC are not measured consistently across research. The impact of CR / SC on mental health and wellbeing during emergencies and disasters is mixed (with some potential for backlash), however the literature does identify cognitive SC as particularly protective. Although only a small number of papers compared CR or SC before and after a disaster, the findings were relatively consistent: SC or CR is negatively impacted by a disaster. Methods suggested to bolster SC in communities were centred around social activities, such as recreational group activities and volunteering. Recommendations for both research and practice (with a particular focus on the ongoing COVID-19 pandemic) are also presented.

Availability of data and materials

The datasets used and/or analysed during the current study are available from the corresponding author on reasonable request.

Abbreviations

Social Capital

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This study was supported by the National Institute for Health Research Research Unit (NIHR HPRU) in Emergency Preparedness and Response, a partnership between Public Health England, King’s College London and the University of East Anglia. The views expressed are those of the author(s) and not necessarily those of the NIHR, Public Health England, the UK Health Security Agency or the Department of Health and Social Care [Grant number: NIHR20008900]. Part of this work has been funded by the Office for Health Improvement and Disparities, Department of Health and Social Care, as part of a Collaborative Agreement with Leeds Beckett University.

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DW, JSo and JSt had the main idea for the review. The search strategy and eligibility criteria were devised by CH, DW, JSo and JSt. CH conducted the database searches. CH and DW conducted duplicate, title and abstract and full text screening in accordance with inclusion criteria. CH conducted data extraction, CH and DW carried out the analysis and drafted the initial manuscript. All authors provided critical revision of intellectual content. All authors approved the final manuscript.

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Hall, C.E., Wehling, H., Stansfield, J. et al. Examining the role of community resilience and social capital on mental health in public health emergency and disaster response: a scoping review. BMC Public Health 23 , 2482 (2023). https://doi.org/10.1186/s12889-023-17242-x

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The Menstrual Mood Disorder You’ve Never Heard About

E ver since she was a teenager, Tanya knew her mood swings were a problem. She had periodic bouts of anger and depression that left her wanting to die. Her life was a roller coaster of highs and lows but doctors couldn’t figure out what was wrong. Five years ago, she decided she’d had enough. She wanted to end her life.

Tanya managed to talk herself out of it and instead did some googling. She stumbled across a website about premenstrual dysphoric disorder (PMDD), a menstrual mood disorder, that impacts roughly 3 to 8% of menstruators. PMDD means having severe and debilitating mood swings right around one’s period. Around a third of people with PMDD have attempted suicide, and over  70% have regular suicidal ideation .

“It just hit me,” Tanya told me. “I went through my life and so many moments made sense.” She called her doctor the next day. He sent her to get tested for diabetes.

Tanya finally managed to get a PMDD diagnosis in 2019 at the age of 26, but she was haunted by the question: Why had she never heard of PMDD before and why was it so hard to get a diagnosis?

Although research shows suicidal ideation is linked to specific times during the menstrual cycle, today most people still haven’t heard of PMDD, including doctors. According to a 2022 survey of PMDD patients, over a third said their general practitioners had no knowledge of premenstrual disorders, and about 40% said their mental-health-care providers had no knowledge of premenstrual disorders. But PMDD has been around since periods have been around and we’ve known about it for nearly a century.

So why aren’t we getting people the help they need? The answer, as history shows, is more complicated than we think.

While the menstrual cycle has been notoriously understudied, the first papers on PMDD appeared in 1930s. In the 1950s British physician Dr. Katrina Dalton began studying PMDD —or “premenstrual syndrome” as she called it, and opened a clinic in London . Still, PMDD mostly flew under the radar until 1980, when Dalton served as a medical expert for three women accused of crime. During the trials Dalton showed that the women committed the crimes right before their period, and that their symptoms disappeared with treatment. She was able to get them a reduced sentence.

Overnight there was a media boom around PMS. The magazine Glamour even polled readers about the validity of using PMS as a legal defense: (24% were for, 71% against, and 5% unsure). As a result, the growing awareness around PMS bled over to the medical community. In 1984 psychiatrist Robert Spitzer proposed PMS should be added to the Diagnostic and Statistical Manual of Mental Disorders (DSM), the handbook used by doctors to diagnosis mental health problems. Spitzer was the chair of the committee revising the third version of the DSM, and he’d been getting several invites to conferences about PMS. Adding PMS to the DSM meant that the medical community was recognizing it as a formal disorder that could be diagnosed and treated.

Read More: 5 Foods That Ease PMS Symptoms

However, experts were divided on where to draw the line between PMDD (the severe, debilitating mood swings) and PMS (garden variety grumpiness and irritability). When the Washington Post asked experts about the prevalence of PMS in 1984, estimates ranged from 3% to 90% of women . In a sense, both of these estimates were true: only a few people have severe symptoms, but up to 90% of people do have mild symptoms before their period. It became clear that experts were conflating PMDD and PMS and this was reflected in popular culture. Suddenly, anyone who had a period was seen as unstable. Products with sexist jokes abounded, such as greeting cards that read “What’s the difference between a woman with PMS and a terrorist? Answer: You can negotiate with a terrorist.”

Controversy erupted. A group of feminists spearheaded a campaign to stop PMDD’s inclusion in the DSM. They argued that including PMDD would be tantamount to calling menstruation a mental illness. Much of their reaction was rooted in the atmosphere of the ‘70s and ‘80s as women were fighting for gender equality on several fronts from work to reproductive rights. In the 1970s, for the first time, over half of women were working outside the home. The Supreme Court ruled to protect the right to abortion in Roe v. Wade. However, this equality was also precarious and under threat—conservatives defeated the Equal Rights Amendment which would have prohibited gender discrimination. For feminists, PMDD and the sexist jokes it generated seemed to be another attempt to discredit women and chip away at the progress feminists had made for women’s rights.

One of PMDD’s major critics, Dr. Joan Chrisler, attended a lecture in the 1970s, early on in her career on why there were no great women artists or novelists. The conclusion: women’s creativity declines when they are menstruating. This inspired Chrisler to devote her career to fighting menstrual stigma. In an era rife with sexism, adding PMDD to the DSM set off alarm bells.

Read More: A History of How Employers Have Addressed Women’s Periods

To further complicate matters, in the early 2000s, drug manufacturer Eli Lilly stuck its finger in the pie. Eli Lilly’s patent on its blockbuster drug Prozac, which treated depression, was set to expire and it’s share prices had tanked. The company desperately needed a new market that would buy Prozac.

Eli Lilly landed on PMDD as their next likely market. Early studies already suggested that Prozac could treat PMDD, but the problem was that experts were still debating whether PMDD belonged in the DSM as an official diagnosis at all. Undaunted, Eli Lilly embarked on a massive campaign to market Prozac to people with PMDD. It sponsored a round table discussion on Prozac’s effectiveness for PMDD, which found that at least 60% of patients with PMDD respond to antidepressants. It repackaged Prozac as “Serafem” a play on the word “seraphim”, the angels who guard the throne of God. If that wasn’t enough to drive home the point, they changed Prozac’s green and yellow pills to pink and purple. Finally, they rolled out a series of ads that suggested any woman who was feeling grumpy should consider medication. The ads didn’t distinguish between PMDD and PMS. Rather, they imply any sign of irritability in women should be treated.

This unleashed another wave of furor. Feminists were insulted—and rightfully so. The last thing the women’s movement needed was a drug companies suggesting a woman’s anger is a mental health condition. The media had a field day writing about drug companies “inventing” new diseases and marketing drugs without diagnoses. (Tragically, Prozac actually works on PMDD. Studies have found SSRIs like Prozac can relieve PMDD symptoms in up to twelve hours, even though it takes weeks to work for anxiety and depression.)

In some ways the feminists lost their battle. PMDD eventually did become a diagnosis in the DSM in 2013, nearly three decades after it’d been first debated in the ‘80s. In other ways, they won the war. Dr. Tory Eisenlohr-Moul, a premenstrual mood disorder researcher at the University of Illinois Chicago, estimates that the backlash around PMDD set care back by 10 to 15 years. She pointed out there’s been a chilling effect on the conversation around the link between menstruation and mood. Doctors are afraid to bring it up, because they don’t want patients to think they are sexist.

Yet, in reality, the biggest victims of the fight over PMDD’s existence are people who have PMDD and the people who love them. Today, thousands of people still suffer because they don’t know they have PMDD.

Tanya’s PMDD diagnosis changed her life. While she elected not to try medication, the diagnosis alone helped her understand her breakdowns, and helped her explain what was going on to family and friends. She decided to train in psychotherapy so she can help other people understand PMDD. “My tutor has been a counselor for 10 years and still hasn’t heard of PMDD,” she said. “I want to help people work through this pain.”

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