The Brain and Mind Centre, Faculty of Medicine and Health, University of Sydney, 94 Mallet Street, Camperdown, New South Wales2050, Australia.
Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, United States of America (USA).
Bull World Health Organ. 2024 May 1;102(5):323-329. doi: 10.2471/BLT.23.290286. Epub 2024 Jan 31.
Despite increased advocacy and investments in mental health systems globally, there has been limited progress in reducing mental disorder prevalence. In this paper, we argue that meaningful advancements in population mental health necessitate addressing the fundamental sources of shared distress. Using a systems perspective, economic structures and policies are identified as the potential cause of causes of mental ill-health. Neoliberal ideologies, prioritizing economic optimization and continuous growth, contribute to the promotion of individualism, job insecurity, increasing demands on workers, parental stress, social disconnection and a broad range of manifestations well-recognized to erode mental health. We emphasize the need for mental health researchers and advocates to increasingly engage with the economic policy discourse to draw attention to mental health and well-being implications. We call for a shift towards a well-being economy to better align commercial interests with collective well-being and social prosperity. The involvement of individuals with lived mental ill-health experiences, practitioners and researchers is needed to mobilize communities for change and influence economic policies to safeguard well-being. Additionally, we call for the establishment of national mental wealth observatories to inform coordinated health, social and economic policies and realize the transition to a more sustainable well-being economy that offers promise for progress on population mental health outcomes.
尽管全球范围内在精神卫生系统方面的宣传和投资有所增加,但在降低精神障碍患病率方面进展有限。本文认为,要实现人群精神卫生方面的真正进步,就必须解决共同痛苦的根本根源。我们采用系统观点,将经济结构和政策确定为精神卫生不良的潜在根源。新自由主义意识形态优先考虑经济优化和持续增长,导致个人主义、工作不稳定、工人需求不断增加、父母压力、社会脱节以及一系列公认的会损害精神健康的现象盛行。我们强调精神卫生研究人员和倡导者需要更多地参与经济政策讨论,以引起对精神健康和幸福感的关注。我们呼吁转向福利经济,使商业利益更好地与集体福祉和社会繁荣保持一致。需要让有精神健康问题经历的个人、从业者和研究人员参与进来,以便动员社区进行变革,并影响经济政策来维护福祉。此外,我们呼吁建立国家精神财富观察站,为协调卫生、社会和经济政策提供信息,并实现向更可持续的福利经济的过渡,这有望在人群精神卫生结果方面取得进展。