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Moving Social Policy from Mental Illness to Public Wellbeing

Published online by Cambridge University Press:  06 December 2021

MATTHEW FISHER Open the ORCID record for MATTHEW FISHER [Opens in a new window]
MATTHEW FISHER*
Affiliation:
Southgate Institute for Health, Society & Equity, Flinders University, GPO Box 2100, Adelaide 5001, Australia email: [email protected]
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Abstract

In the face of global epidemics of mental ill-health, the future of social policy lies with promotion of public wellbeing. This article aims to provide an explanatory rationale and methods for a fundamental shift in social policy; away from a remedial focus on mental ill-health defined in terms of disease or aberrant behaviour and toward a focus on universal access to social conditions favourable to psychological wellbeing. The paper begins with prefacing argument about the urgent need for such a shift, noting the high rates of mental ill-health globally and the failure of current biomedical responses to reduce these. Building on recent theoretical work on public wellbeing and evidence on social determinants of mental health, the paper then proposes nine domains for social policy and broader public policy action, to create conditions supportive of wellbeing abilities. Finally, the paper presents several conceptual issues relating to the challenge of putting such action into practice and concludes that contemporary understanding of wellbeing offers a theory of change to shift social policy from mental illness to public wellbeing.

Keywords

wellbeingmental healthsocial determinants of healthhealth promotiontheory of change
Type
Article
Information
Journal of Social Policy , Volume 51 , Issue 3 , July 2022 , pp. 567 - 581
Copyright
© The Author(s), 2021. Published by Cambridge University Press

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References

Alkire, S. (2015), ‘Capability approach and well-being measurement for public policy’, OPHI Working Paper 94. Oxford: Oxford University.Google Scholar
Atkinson, S. (2011), ‘Moves to measure wellbeing must support a social model of health’, British Medical Journal, 343, d7323.CrossRefGoogle ScholarPubMed
Bambra, C., Fox, D. and Scott-Samuel, A. (2005), ‘Towards a politics of health’, Health Promotion International, 20, 2, 187–193.CrossRefGoogle ScholarPubMed
Bradford, N. (2005), ‘Place-based Public Policy: Towards a New Urban and Community Agenda for Canada’, Research Report F-51. Ottawa: Canadian Policy Research Networks.Google Scholar
Bratman, G., Hamilton, J. and Daily, G. (2012), ‘The impacts of nature experience on human cognitive function and mental health’, Annals of the New York Academy of Sciences, 1249, 1, 118–136.CrossRefGoogle ScholarPubMed
Büchs, M. and Koch, M. (2017), Postgrowth and wellbeing: Challenges to sustainable welfare, London: Palgrave Macmillan.CrossRefGoogle Scholar
Cacioppo, J. and Cacioppo, S. (2014), ‘Social relationships and health: The toxic effects of perceived social isolation’, Social and Personality Psychology Compass, 8, 2, 58–72.CrossRefGoogle ScholarPubMed
Chrousos, G.P. (2009), ‘Stress and disorders of the stress system’, Nature Reviews Endocrinology, 5, 374–381.CrossRefGoogle ScholarPubMed
Commission on the Social Determinants of Health (2008), Closing the gap in a generation: Health equity through action on the social determinants of health, Geneva: World Health Organization.Google Scholar
Connolly, M. and Seymour, E. (2015), ‘Why theories of change matter’, WCER Working Paper No. 2015-2, Wisconsin: Wisconsin Centre for Education ResearchGoogle Scholar
de Leeuw, E. (2017), ‘Engagement of sectors other than health in integrated health governance, policy, and action’, Annual Review of Public Health, 38, 329–349.CrossRefGoogle ScholarPubMed
Dudgeon, P., Milroy, H. and Walker, R. (eds.) (2014), Working together: Aboriginal and Torres Strait Islander mental health and wellbeing principles and practice (2nd Ed), Perth: Telethon Institute for Child Health Research, University of Western Australia.Google Scholar
Farre, A. and Rapley, T. (2017), ‘The new old (and old new) medical model: four decades navigating the biomedical and psychosocial understandings of health and illness’, Healthcare, 5, 4, 88.CrossRefGoogle ScholarPubMed
Fisher, M. (2019), ‘A theory of public wellbeing’, BMC Public Health, 19, 1, 1–12.CrossRefGoogle ScholarPubMed
Fisher, M. and Baum, F. (2010), ‘The social determinants of mental health: Implications for research and health promotion’, Australia and New Zealand Journal of Psychiatry, 44, 12, 1057–63.CrossRefGoogle ScholarPubMed
Fisher, M., Baum, F., MacDougall, C., Newman, L. and McDermott, D. (2016), ‘To what extent do Australian health policy documents address social determinants of health and health equity?’ Journal of Social Policy, 45, 3, 545–564.CrossRefGoogle Scholar
Fisher, M., Freeeman, T., Mackean, T., Friel, S. and Baum, F. (2020), Universal Health Coverage for non-communicable diseases and health equity: Lessons from Australian Primary Health Care. International Journal of Health Policy and Management, doi: 10.34172/IJHPM.2020.232.CrossRefGoogle Scholar
Fisher, M., Mackean, T., George, E., Friel, S. and Baum, F. (2021), Stakeholder perceptions of policy implementation for Indigenous health and cultural safety: A study of Australia’s ‘Closing the Gap’ policies. Australian Journal of Public Administration, 8, 2, 239–260.CrossRefGoogle Scholar
Fryers, T., Melzer, D. and Jenkins, R. (2003), ‘Social inequalities and the common mental disorders: A systematic review of the evidence’, Social Psychiatry and Psychiatric Epidemiology, 38, 229–237.CrossRefGoogle ScholarPubMed
Gough, I. (2015), ‘Climate change and sustainable welfare: The centrality of human needs’, Cambridge Journal of Economics, 39, 5, 1191–1214.CrossRefGoogle Scholar
Government of Scotland (2021), Scotland’s National Performance Framework: Our purpose, values and national outcomes, Edinburgh: Government of Scotland.Google Scholar
Green, J. (2000), ‘The role of theory in evidence-based health promotion practice’, Health Education Research, 15, 2, 125–129.CrossRefGoogle ScholarPubMed
Huppert, F. A. and Ruggeri, K. (2018), ‘Policy challenges: Well-being as a priority in public mental health’, in Bhugra, D., Bhui, K., Yeung, S., Wong, S. and Gilman, S. E. (eds.), Oxford Textbook of Public Mental Health, Oxford: Oxford University Press, doi: 10.1093/med/9780198792994.003.0015 Google Scholar
Jorm, A., Patten, S., Brugha, T. and Mojtabai, R. (2017), ‘Has increased provision of treatment reduced the prevalence of common mental disorders? Review of the evidence from four countries,’ World Psychiatry, 16, 1, 90–99.CrossRefGoogle ScholarPubMed
Kristenson, M., Eriksen, H. R., Sluiter, J. K., Starke, D. and Ursin, H. (2004), ‘Psychobiological mechanisms of socioeconomic differences in health’, Social Science & Medicine, 58, 8, 1511–1522.CrossRefGoogle ScholarPubMed
Krueger, P. M. and Chang, V. W. (2008), ‘Being poor and coping with stress: Health behaviors and the risk of death’, American Journal of Public Health, 98, 5, 889–896.CrossRefGoogle ScholarPubMed
Maslach, C., Jackson, S. E., Leiter, M. P., Schaufeli, W. B. and Schwab, R. L. (1986), Maslach burnout inventory, Palo Alto, CA: Consulting Psychologists Press.Google Scholar
McClelland, A. (2015), ‘What is social policy?’ in McClelland, A. and Smyth, P.. (eds.), Social policy in Australia: Understanding for action (3rd ed.), (pp. 3–11), Sydney: Oxford University Press.Google Scholar
McGreevy, M., Harris, P., Delaney-Crowe, T., Fisher, M., Sainsbury, P., Riley, E. and Baum, F. (2020), ‘How well do Australian government urban planning policies respond to the social determinants of health and health equity?’ Land Use Policy, 99, 105053.CrossRefGoogle Scholar
Morsy, L. and Rothstein, R. (2019), Toxic stress and children’s outcomes, Washington DC: Economic Policy Institute.Google Scholar
Mustard, J. F. (2008), ‘Investing in the Early Years: Closing the gap between what we know and what we do’, Adelaide Thinker in Residence. Adelaide: Department of the Premier and Cabinet, South Australia.Google Scholar
Newman, L. S. (1993), ‘How individualists interpret behavior: Idiocentrism and spontaneous trait inference’, Social Cognition, 1, 2, 243–269.CrossRefGoogle Scholar
Ochsner, K. N., Ray, R. D., Cooper, J. C., Robertson, E. R., Chopra, S., Gabrieli, J. D. E. and Gross, J. J. (2004), ‘For better or worse: neural systems supporting the cognitive down- and up-regulation of negative emotion’, Neuroimage, 23, 483–499.CrossRefGoogle ScholarPubMed
Rehm, J. and Shield, K. (2019), ‘Global burden of disease and the impact of mental and addictive disorders’, Current Psychiatry Reports, 21, 2, 10.CrossRefGoogle ScholarPubMed
Rucklidge, J. J. and Kaplan, B. J. (2016), ‘Nutrition and Mental Health’, Cinical Psychological Science, 4, 6, 1082–1084.CrossRefGoogle Scholar
Sen, A. (2008), ‘Capability and well-being’ in Nussbaum, M. and Sen, A. (eds.), The quality of life, (pp. 270–294) 3rd ed. Oxford: Oxford Scholarship Online.Google Scholar
Stewart, J., Gold, J., Harte, V. and Sambrook, S. (2011), ‘What is theory?’ Journal of European Industrial Training, 35, 221–229.CrossRefGoogle Scholar
Thoits, P. A. (2010), ‘Stress and health: Major findings and policy implications’, Journal of Health and Social Behavior, 51, S41.CrossRefGoogle ScholarPubMed
Treasury New Zealand (2019), The Wellbeing Budget, Wellington: Government of New Zealand.Google Scholar
Vigo, D., Thornicroft, G. and Atun, R. (2016), ‘Estimating the true global burden of mental illness’, The Lancet Psychiatry, 3, 2, 171–178.CrossRefGoogle ScholarPubMed
Wilkins, K. and Beaudet, M. P. (1998), ‘Work stress and health’, Health Reports, 10, 3, 47–62.Google ScholarPubMed