LBI Foundation, Adelaide, SA, Australia.
College of Psychology School of Health, Medical and Applied Sciences, Appleton Institute, Central Queensland University, Adelaide, SA, Australia.
Front Public Health. 2023 Dec 13;11:1271954. doi: 10.3389/fpubh.2023.1271954. eCollection 2023.
With mental illness remaining a significant burden of disease, there is an ongoing need for community-based health promotion, prevention, and responses (or "mental health promotion activities"). The health promotion, community development, and positive psychology literature identifies significant heterogeneity in the design and delivery of these activities. This variability spans: (1) individual vs. group outcomes, (2) psychological vs. sociological determinants of change, (3) promoting wellbeing vs. reducing mental health symptoms, and (4) the degree activities are contextualized vs. standardized in design and delivery. Mental health promotion activities do not easily accomplish this level of complexity within design and implementation. This has led to the emergence of the complexity-informed health promotion literature and the need for innovative tools, methods, and theories to drive this endeavor. This article directly responds to this call. It introduces "wellbeing-responsive community": a vision and outcome hierarchy (or growth target) for intentionally delivered mental health promotion. The construct enables the design and implementation of interventions that intentionally respond to complexity and contextualization through the drivers of co-creation, intentionality, and local empowerment. It represents a community (support team, programme, agency, network, school, or region) that has the shared language, knowledge, methods, and skills to work together in shared intent. In other words, to integrate best-practice science with their local knowledge systems and existing strengths, and intentionally co-create and deliver contextualized wellbeing solutions at both the individual and community levels that span the "system" (e.g., whole-of-community) to the "moment" (e.g., intentional support and care). Co-creation, as applied through a transdisciplinary lens, is emerging as an evidence-based method to respond to complexity. This article describes the rationale and evidence underpinning the conceptualization of a wellbeing-responsive community through the integration of three key disciplines: (1) positive psychology, (2) ecological or systems approaches, and (3) intentional practice (implementation science). A definitional, contextual, and applied overview of the wellbeing-responsive community is provided, including a hierarchy of outcomes and associated definitions. Its purported application across education, mental health, community service, and organizational settings is discussed, including its potential role in making complexity-informed health promotion practical for all knowledge users.
随着精神疾病仍然是一个重大的疾病负担,社区为基础的健康促进、预防和应对(或"心理健康促进活动")仍然是一个持续的需求。健康促进、社区发展和积极心理学文献确定了这些活动在设计和实施方面存在显著的异质性。这种变异性跨越了:(1)个体与群体的结果,(2)心理与社会变革的决定因素,(3)促进幸福感与减少心理健康症状,以及(4)活动在设计和实施方面的语境化与标准化程度。心理健康促进活动在设计和实施中不容易达到这种复杂程度。这导致了复杂知情健康促进文献的出现,以及需要创新的工具、方法和理论来推动这一努力。本文直接回应了这一呼吁。它介绍了"幸福感响应型社区":一个有目的的心理健康促进的愿景和结果层次结构(或增长目标)。该结构使设计和实施干预措施成为可能,这些干预措施通过共同创造、意图和地方赋权的驱动力,有意应对复杂性和语境化。它代表了一个社区(支持团队、计划、机构、网络、学校或地区),拥有共同的语言、知识、方法和技能,以便在共同的意图下共同努力。换句话说,就是将最佳实践科学与当地的知识系统和现有优势相结合,并在个人和社区层面上有意地共同创造和提供跨"系统"(例如,整个社区)到"时刻"(例如,有意的支持和关怀)的语境化幸福感解决方案。通过跨学科视角应用的共同创造,正在成为应对复杂性的一种基于证据的方法。本文通过整合三个关键学科:(1)积极心理学,(2)生态或系统方法,以及(3)意图实践(实施科学),描述了通过共同创造来回应复杂性的基本原理和证据。提供了幸福感响应型社区的概念化的定义、背景和应用概述,包括结果层次结构和相关定义。讨论了其在教育、心理健康、社区服务和组织环境中的应用,包括其在使复杂知情健康促进对所有知识使用者都实用方面的潜在作用。