What is mental health? Evidence towards a new definition from a mixed methods multidisciplinary international survey
- PMID: 26038353
- PMCID: PMC4458606
- DOI: 10.1136/bmjopen-2014-007079
What is mental health? Evidence towards a new definition from a mixed methods multidisciplinary international survey
Abstract
Objective: Lack of consensus on the definition of mental health has implications for research, policy and practice. This study aims to start an international, interdisciplinary and inclusive dialogue to answer the question: What are the core concepts of mental health?
Design and participants: 50 people with expertise in the field of mental health from 8 countries completed an online survey. They identified the extent to which 4 current definitions were adequate and what the core concepts of mental health were. A qualitative thematic analysis was conducted of their responses. The results were validated at a consensus meeting of 58 clinicians, researchers and people with lived experience.
Results: 46% of respondents rated the Public Health Agency of Canada (PHAC, 2006) definition as the most preferred, 30% stated that none of the 4 definitions were satisfactory and only 20% said the WHO (2001) definition was their preferred choice. The least preferred definition of mental health was the general definition of health adapted from Huber et al (2011). The core concepts of mental health were highly varied and reflected different processes people used to answer the question. These processes included the overarching perspective or point of reference of respondents (positionality), the frameworks used to describe the core concepts (paradigms, theories and models), and the way social and environmental factors were considered to act. The core concepts of mental health identified were mainly individual and functional, in that they related to the ability or capacity of a person to effectively deal with or change his/her environment. A preliminary model for the processes used to conceptualise mental health is presented.
Conclusions: Answers to the question, 'What are the core concepts of mental health?' are highly dependent on the empirical frame used. Understanding these empirical frames is key to developing a useful consensus definition for diverse populations.
Keywords: MENTAL HEALTH; agency; human rights; mental illness; primary health care; social determinants of health.
Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.
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References
-
- WHO. 2008 Policies and practices for mental health in Europe—meeting the challenges. http://www.euro.who.int/__data/assets/pdf_file/0006/96450/E91732.pdf.
-
- Carter JW, Hidreth HM, Knutson AL et al. . Mental health and the American Psychological Association. Ad hoc Planning Group on the Role of the APA in Mental Health Programs and Research. Am Psychol 1959;14:820–5. 10.1037/h0043919 - DOI
-
- Cattan M, Tilford S. Mental health promotion: a lifespan approach. New York, NY: McGraw-Hill International; 2006.
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