Preventing Mental Ill-Health: Informing public health planning and mental health practice - Tapa dura

"We have made huge progress in recent years in raising the profile of public mental health and improving population well-being. However, the need to prevent mental illness has sometimes been overlooked. This excellent and clearly argued book corrects the balance by placing prevention its rightful place as a key part of the mental health agenda." - Dr Andrew McCulloch, CEO, The Mental Health Foundation

"Mental ill-health is the global epidemic of our modern age and prevention and early intervention are key areas in public mental health. This book provides a comprehensive and authoritative overview of the literature in this area which offers us the prospect that the prevention of mental ill health is a reality for the twenty-first century." - Dr Jed Boardman, Senior Lecturer in Social Psychiatry

"[This book] is an invaluable tool in the hands of mental health professionals interested in prevention. Additionally, researchers will find new ideas by just reading the critical arguments of Jennifer Newton in her stimulating book. ... I feel confident that "Preventing Mental Ill-health" will serve its purpose and will be received with enthusiasm. The author is to be thanked for enriching the Behavioral Medicine literature with yet another important addition." - Professor George N. Christodoulou, President-elect, World Federation for Mental Health

Is there any evidence that we can reduce the incidence of mental ill health? Is it possible to prevent recurrence of mental ill health?

Aspirations to achieve both these goals have featured in mental health policy and practice for over 100 years. This comprehensive and accessible book draws on research on the development and persistence of behavioural problems in childhood, adult depression and schizophrenia. The association between social disadvantage and mental ill health, as well as the need for preventive care to start from conception and the crucial importance of maternal mental health, are discussed.

A variety of prominent programmes which have good evidence of efficacy are described. These include:

• Targeted approaches with individuals and families
• Macro policies affecting housing and employment
• Lifestyle contributions such as diet and exercise

However, some attempts to achieve preventive benefits have not succeeded, and reflecting on these problems is an important feature of this review.

Jennifer Newton has written extensively on these issues for over twenty years, and her careful examination of the research literature provides a succinct overview of the state of current knowledge which will benefit mental health professionals, and students of health psychology and public health. It also takes a life course perspective, and considers how, when and why vulnerability persists through childhood into adult life, so will interest those whose work focuses on child well-being.