SUMMARY REPORT
A Report of the World Health Organization, Department of Mental Health and Substance Abuse in collaboration with the Prevention Research Centre of the Universities of Nijmegen and Maastricht
Table of contents
Preface 7
Development of the Summary Report 9
Acknowledgements 10
Key messages 13
Introduction: What is evidence-based prevention and promotion in mental health? 15
Prevention of mental disorders: a public health priority 15
Promotion of mental health and prevention of mental disorders 16
Developing the evidence for successful programmes and policies 18
Part I: Evidence-based risk and protective factors 20
The concept of risk and protective factors 20
Social, environmental and economic determinants 21
Individual and family-related determinants 22
Part II: Macro-strategies to reduce risk and improve quality of life 24
Improving nutrition 24
Improving housing 24
Improving access to education 24
Reducing economic insecurity 25
Strengthening community networks 25
Reducing the harm from addictive substances 26
Part III: Reducing stressors and enhancing resilience 27
Promoting a healthy start in life 27
Reducing child abuse and neglect 29
Coping with parental mental illness 29
Enhancing resilience and reducing risk behaviour in schools 30
Dealing with family disruption 31
Intervening at the workplace 32
Supporting refugees 34
Ageing mentally healthy 34
6 •PREVENTION OF MENTAL DISORDERS
Part IV. Preventing mental disorders 37
Conduct disorders, aggression and violence 37
Depression and depressive symptomatology 39
Anxiety disorders 42
Eating disorders 43
Substance-related disorders 45
Psychotic disorders 47
Suicide 49
Part V: The way forward 52
Steps to be taken 52
Needs assessment and programme development 52
Dissemination and adoption 53
Adaptation and tailoring 54
Implementation 54
Evaluation and monitoring 55
Ensuring sustainability 56
Conditions needed 56
Policy 56
Capacity building and training 57
Research and advocacy 57
Resources and infrastructures 59




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