Forsman Anna K, Fredén Lars, Lindqvist Rafael, Wahlbeck Kristian
Åbo Akademi University, Faculty of Education and Welfare Studies, Vaasa, Finland National Institute for Health and Welfare (THL), Vaasa, Finland
NU-Akademin Väst, University West, Trollhättan, Sweden.
Scand J Public Health. 2015 Aug;43(16 Suppl):66-72. doi: 10.1177/1403494814568599.
The field of public mental health has been defined by an expert group convened by the Nordic School of Public Health (NHV) as encompassing the experience, occurrence, distribution and trajectories of positive mental health and mental health problems and their determinants; mental health promotion and prevention of mental disorders; as well as mental health system policies, governance and organization. The mental health priorities of the Nordic Council of Ministers in 2010 signalled a mutual Nordic exchange of knowledge in the following thematic areas: child and adolescent mental health; working life and mental health; mental health in older people; strengthening the role of primary care in mental health service provision; stronger involvement of users and carers; and reduction of use of coercion in psychiatric care. Efforts to realize these priorities included commissioning the Nordic Research Academy for Mental Health, an NHV-based network of research institutions with a common interest in mental health research across the Nordic countries, to develop, organize and follow-up projects on public mental health. The research initiatives included mental health policy analysis, register-based research and research focused on the users' perspective in a Nordic context, as well as EU-level research policy analysis. The public mental health research conducted at the NHV highlighted the complexity of mental health and emphasized that the broad determinants of mental health need to be increasingly addressed in both public health research and practice. For example, health promotion actions, improved access to health care, a healthy alcohol policy and prevention of suicides and violence are all needed to reduce the life expectancy gap - a red flag indicator of public health inequalities. By exchanging knowledge and best practice, the collaboration between the Nordic countries contributes to the welfare of the region. The expertise and traditions developed at the NHV are of significant importance in this work.
由北欧公共卫生学院（NHV）召集的一个专家小组将公共心理健康领域定义为涵盖积极心理健康和心理健康问题的体验、发生、分布及发展轨迹及其决定因素；心理健康促进和精神障碍预防；以及心理健康系统政策、治理和组织。2010年北欧部长理事会的心理健康优先事项表明，北欧在以下主题领域相互交流知识：儿童和青少年心理健康；工作生活与心理健康；老年人心理健康；加强初级保健在心理健康服务提供中的作用；增强用户和护理人员的参与度；以及减少精神病护理中强制手段的使用。为实现这些优先事项所做的努力包括委托北欧心理健康研究学院开展工作，该学院是一个以NHV为基础的研究机构网络，北欧各国对心理健康研究有着共同兴趣，负责开展、组织和跟进公共心理健康项目。研究举措包括心理健康政策分析、基于登记册的研究以及聚焦北欧背景下用户视角的研究，还有欧盟层面的研究政策分析。NHV开展的公共心理健康研究凸显了心理健康的复杂性，并强调在公共卫生研究和实践中都需要越来越多地关注心理健康的广泛决定因素。例如，需要采取健康促进行动、改善医疗保健可及性、制定健康的酒精政策以及预防自杀和暴力，以缩小预期寿命差距——这是公共卫生不平等的一个警示指标。通过交流知识和最佳实践，北欧国家之间的合作促进了该地区的福祉。NHV所发展的专业知识和传统在这项工作中具有重要意义。
