Rowling Louise
Faculty of Education and Social Work, University of Sydney, New South Wales.
Health Promot J Austr. 2007 Dec;18(3):229-35. doi: 10.1071/he07229.
Mental health promotion and prevention have been key reform agendas for Australia's national mental health strategies for more than 15 years. Several important paradigmatic shifts have occurred within this reform as a result of the public health and mental health nexus.
A historical review of the development and implementation of MindMatters is used to exemplify the changes and outcomes of shifting policy and practice in school mental health promotion.
Achievements include a conceptualisation of mental health as a positive concept, addressing stigma, building capacity in the education sector and developing evaluation strategies to address complex, whole-school change. Key challenges have included professional paradigmatic differences and political and practical difficulties in nationally funded projects.
Quality school mental health promotion practices of creating supportive environments, taking a population health approach and working in settings and across sectors have been achieved to enhance the mental health of Australian secondary school communities.
15 年多来，促进心理健康和预防一直是澳大利亚国家心理健康战略的关键改革议程。由于公共卫生与心理健康的联系，这一改革过程中发生了几次重要的范式转变。
对“MindMatters”的发展与实施进行历史回顾，以例证学校心理健康促进方面政策和实践转变的变化与成果。
成就包括将心理健康概念化为一个积极概念、消除污名、建设教育部门能力以及制定评估策略以应对复杂的全校变革。主要挑战包括专业范式差异以及国家资助项目中的政治和实际困难。
通过营造支持性环境、采用人群健康方法以及在不同环境和跨部门开展工作，已实现高质量的学校心理健康促进实践，以增进澳大利亚中学社区的心理健康。
