World Psychiatric Association-Asian Journal of Psychiatry Commission on Public Mental Health

Dinesh Bhugra, King's College London
Michael Liebrenz, University of Bern
Antonio Ventriglio, Università degli Studi di Foggia
Roger Ng, World Psychiatric Association
Afzal Javed, Fountain House
Anindya Kar, Advanced Neuropsychiatry Institute
Egor Chumakov, Saint Petersburg State University
Helena Moura, Universidade de Brasília
Edgardo Tolentino, Ateneo de Manila University
Susham Gupta, East London NHS Foundation Trust
Roxanna Ruiz, University of Francisco Moaroquin
Tarek Okasha, Ain Shams University
Margaret S. Chisolm, Johns Hopkins University School of Medicine
Joao Castaldelli-Maia, Universidade de São Paulo
Julio Torales, National Hospital of Paraguay
Alexander Smith, University of Bern

Abstract

Although there is considerable evidence showing that the prevention of mental illnesses and adverse outcomes and mental health promotion can help people lead better and more functional lives, public mental health remains overlooked in the broader contexts of psychiatry and public health. Likewise, in undergraduate and postgraduate medical curricula, prevention and mental health promotion have often been ignored. However, there has been a recent increase in interest in public mental health, including an emphasis on the prevention of psychiatric disorders and improving individual and community wellbeing to support life trajectories, from childhood through to adulthood and into older age. These lifespan approaches have significant potential to reduce the onset of mental illnesses and the related burdens for the individual and communities, as well as mitigating social, economic, and political costs. Informed by principles of social justice and respect for human rights, this may be especially important for addressing salient problems in communities with distinct vulnerabilities, where prominent disadvantages and barriers for care delivery exist. Therefore, this Commission aims to address these topics, providing a narrative overview of relevant literature and suggesting ways forward. Additionally, proposals for improving mental health and preventing mental illnesses and adverse outcomes are presented, particularly amongst at-risk populations.