Establishing a Theory-Based Multi-Level Approach for Primary Prevention of Mental Disorders in Young People
Abstract
:1. Our Current Approach to Tackle Rising Youth Mental Health Problems is Unsustainable
2. Including Context as Well as Individual Risk and Resilience Factors
3. The Covid-19 Pandemic Provides Further Evidence of Multi-Dimensional and Multi-Level Determinants of Mental Health
4. A Public Health Approach to Prevention: Shifting the Population Mean
5. Public Mental Health Prevention to Tackle Individual and Social Determinants
6. Conclusions
Author Contributions
Funding
Acknowledgments
Conflicts of Interest
References
- GBD Results Tool. 2017. Available online: http://ghdx.healthdata.org/gbd-results-tool?params=gbd-api-2017-permalink/bd999a870fa2808a11ed33ca8dfad566 (accessed on 10 October 2020).
- Mokdad, A.H.; Forouzanfar, M.H.; Daoud, F.; Mokdad, A.A.; El Bcheraoui, C.; Moradi-Lakeh, M.; Kyu, H.H.; Barber, R.M.; Wagner, J.; Cercy, K.; et al. Global burden of diseases, injuries, and risk factors for young people’s health during 1990–2013: A systematic analysis for the Global Burden of Disease Study 2013. Lancet 2016, 387, 2383–2401. [Google Scholar] [CrossRef]
- Vos, T.; Abajobir, A.A.; Abbafati, C.; Abbas, K.M.; Abate, K.H.; Abd-Allah, F.; Abdulle, A.M.; Abebo, T.A.; Abera, S.F.; Aboyans, V.; et al. Global, regional, and national incidence, prevalence, and years lived with disability for 328 diseases and injuries for 195 countries, 1990–2016: A systematic analysis for the Global Burden of Disease Study 2016. Lancet 2017, 390, 1211–1259. [Google Scholar] [CrossRef] [Green Version]
- Mental Health of Children and Young People in England, 2020: Wave 1 Follow up to the 2017 Survey—NHS Digital. Available online: https://digital.nhs.uk/data-and-information/publications/statistical/mental-health-of-children-and-young-people-in-england/2020-wave-1-follow-up (accessed on 30 October 2020).
- Bor, W.; Dean, A.J.; Najman, J.; Hayatbakhsh, R. Are child and adolescent mental health problems increasing in the 21st century? A systematic review. Aust. N. Z. J. Psychiatry 2014, 48, 606–616. [Google Scholar] [CrossRef] [PubMed]
- Coley, R.L.; O’Brien, M.; Spielvogel, B. Secular Trends in Adolescent Depressive Symptoms: Growing Disparities between Advantaged and Disadvantaged Schools. J. Youth Adolesc. 2019, 48, 2087–2098. [Google Scholar] [CrossRef] [PubMed]
- Twenge, J.M.; Joiner, T.E.; Rogers, M.L.; Martin, G.N. Increases in Depressive Symptoms, Suicide-Related Outcomes, and Suicide Rates among U.S. Adolescents After 2010 and Links to Increased New Media Screen Time. Clin. Psychol. Sci. 2018, 6, 3–17. [Google Scholar] [CrossRef] [Green Version]
- Patalay, P.; Gage, S.H. Changes in millennial adolescent mental health and health-related behaviours over 10 years: A population cohort comparison study. Int. J. Epidemiol. 2019, 48, 1650–1664. [Google Scholar] [CrossRef]
- Li, J.Y.; Li, J.; Liang, J.H.; Qian, S.; Jia, R.X.; Wang, Y.Q.; Xu, Y. Depressive symptoms among children and adolescents in China: A systematic review and meta-analysis. Med. Sci. Monit. 2019, 25, 7459–7470. [Google Scholar] [CrossRef]
- Van Vuuren, C.L.; Uitenbroek, D.G.; Van Der Wal, M.F.; Chinapaw, M.J.M. Sociodemographic differences in 10-year time trends of emotional and behavioural problems among adolescents attending secondary schools in amsterdam, the netherlands. Eur. Child Adolesc. Psychiatry 2018, 27, 1621–1631. [Google Scholar] [CrossRef] [Green Version]
- Houtrow, A.J.; Larson, K.; Olson, L.M.; Newacheck, P.W.; Halfon, N. Changing trends of childhood disability, 2001–2011. Pediatrics 2014, 134, 530–538. [Google Scholar] [CrossRef] [Green Version]
- Collishaw, S. Annual research review: Secular trends in child and adolescent mental health. J. Child Psychol. Psychiatry 2015, 56, 370–393. [Google Scholar] [CrossRef]
- Patton, G.C.; Coffey, C.; Romaniuk, H.; Mackinnon, A.; Carlin, J.B.; Degenhardt, L.; Olsson, C.A.; Moran, P. The prognosis of common mental disorders in adolescents: A 14-year prospective cohort study. Lancet 2014, 383, 1404–1411. [Google Scholar] [CrossRef]
- Jones, P.B. Adult mental health disorders and their age at onset. Br. J. Psychiatry 2013, 202, 5–10. [Google Scholar] [CrossRef]
- Rocha, T.B.M.; Graeff-Martins, A.S.; Kieling, C.; Rohde, L.A. Provision of mental healthcare for children and adolescents: A worldwide view. Curr. Opin. Psychiatry 2015, 28, 330–335. [Google Scholar] [CrossRef]
- Saxena, S.; Thornicroft, G.; Knapp, M.; Whiteford, H. Resources for mental health: Scarcity, inequity, and inefficiency. Lancet 2007, 370, 878–889. [Google Scholar] [CrossRef]
- World Health Organization (WHO). Atlas: Child and Adolescent Mental Health Resources Global Concerns: Implications for the Future; World Health Organization: Geneva, Switzerland, 2005; Available online: https://apps.who.int/iris/handle/10665/43307 (accessed on 10 October 2020).
- Children’s Commissioner. Lightning Review: Access to Child and Adolescent Mental Health Services. 2016. Available online: https://www.childrenscommissioner.gov.uk/wp-content/uploads/2017/06/Childrens-Commissioners-Mental-Health-Lightning-Review.pdf (accessed on 28 October 2020).
- Alemán-Díaz, A.Y.; Backhaus, S.; Siebers, L.L.; Chukwujama, O.; Fenski, F.; Henking, C.N.; Kaminska, K.; Kuttumuratova, A.; Weber, M.W. Child and adolescent health in Europe: Monitoring implementation of policies and provision of services. Lancet Child Adolesc. Heal. 2018, 2, 891–904. [Google Scholar] [CrossRef]
- Tsuang, M.T.; Bar, J.L.; Stone, W.S.; Faraone, S. V Gene-environment interactions in mental disorders. World Psychiatry 2004, 3, 73–83. [Google Scholar] [PubMed]
- Arango, C.; Díaz-Caneja, C.M.; McGorry, P.D.; Rapoport, J.; Sommer, I.E.; Vorstman, J.A.; McDaid, D.; Marín, O.; Serrano-Drozdowskyj, E.; Freedman, R.; et al. Preventive strategies for mental health. Lancet Psychiatry 2018, 5, 591–604. [Google Scholar] [CrossRef]
- Carrasco-Barrios, M.T.; Huertas, P.; Martín, P.; Martín, C.; Castillejos-Anguiano, M.C.; Petkari, E.; Moreno-Küstner, B. Determinants of suicidality in the european general population: A systematic review and meta-analysis. Int. J. Environ. Res. Public Health 2020, 17, 4115. [Google Scholar] [CrossRef]
- Lund, C.; Brooke-Sumner, C.; Baingana, F.; Baron, E.C.; Breuer, E.; Chandra, P.; Haushofer, J.; Herrman, H.; Jordans, M.; Kieling, C.; et al. Social determinants of mental disorders and the Sustainable Development Goals: A systematic review of reviews. Lancet Psychiatry 2018, 5, 357–369. [Google Scholar] [CrossRef]
- Moreno-Peral, P.; Conejo-Cerón, S.; Motrico, E.; Rodríguez-Morejón, A.; Fernández, A.; García-Campayo, J.; Roca, M.; Serrano-Blanco, A.; Rubio-Valera, M.; Ángel Bellón, J. Risk factors for the onset of panic and generalised anxiety disorders in the general adult population: A systematic review of cohort studies. J. Affect. Disord. 2014, 168, 337–348. [Google Scholar] [CrossRef]
- Cerdá, M.; Sagdeo, A.; Johnson, J.; Galea, S. Genetic and environmental influences on psychiatric comorbidity: A systematic review. J. Affect. Disord. 2010, 126, 14–38. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- O’Brien, K.H. Social determinants of health: The how, who, and where screenings are occurring; a systematic review. Soc. Work Health Care 2019, 58, 719–745. [Google Scholar] [CrossRef] [PubMed]
- Alegría, M.; NeMoyer, A.; Falgàs Bagué, I.; Wang, Y.; Alvarez, K. Social Determinants of Mental Health: Where We Are and Where We Need to Go. Curr. Psychiatry Rep. 2018, 20, 95. [Google Scholar] [CrossRef]
- Patel, V.; Burns, J.K.; Dhingra, M.; Tarver, L.; Kohrt, B.A.; Lund, C. Income inequality and depression: A systematic review and meta-analysis of the association and a scoping review of mechanisms. World Psychiatry 2018, 17, 76–89. [Google Scholar] [CrossRef] [PubMed]
- Ribeiro, W.S.; Bauer, A.; Andrade, M.C.R.; York-Smith, M.; Pan, P.M.; Pingani, L.; Knapp, M.; Coutinho, E.S.F.; Evans-Lacko, S. Income inequality and mental illness-related morbidity and resilience: A systematic review and meta-analysis. Lancet Psychiatry 2017, 4, 554–562. [Google Scholar] [CrossRef]
- Arenas, D.J.; Thomas, A.; Wang, J.C.; DeLisser, H.M. A Systematic Review and Meta-analysis of Depression, Anxiety, and Sleep Disorders in US Adults with Food Insecurity. J. Gen. Intern. Med. 2019, 34, 2874–2882. [Google Scholar] [CrossRef]
- Hahad, O.; Lelieveld, J.; Birklein, F.; Lieb, K.; Daiber, A.; Münzel, T. Ambient air pollution increases the risk of cerebrovascular and neuropsychiatric disorders through induction of inflammation and oxidative stress. Int. J. Mol. Sci. 2020, 21, 4306. [Google Scholar] [CrossRef]
- Bronfenbrenner, U.; Morris, P.A. The Bioecological Model of Human Development. In Handbook of Child Psychology; Damon, W., Lerner, R.M., Lerne, R.M., Eds.; John Wiley & Sons, Inc.: Hoboken, NJ, USA, 2007. [Google Scholar] [CrossRef]
- Krieger, N. Epidemiology and the web of causation: Has anyone seen the spider? Soc. Sci. Med. 1994, 39, 887–903. [Google Scholar] [CrossRef]
- Dahlgren, G.; Whitehead, M. Policies and Strategies to Promote Social Equity in Health; Stockholm Institute for Further Studies: Stockholm, Sweden, 1991. [Google Scholar]
- Ungar, M.; Ghazinour, M.; Richter, J. Annual Research Review: What is resilience within the social ecology of human development? J. Child Psychol. Psychiatry 2013, 54, 348–366. [Google Scholar] [CrossRef]
- Tol, W.A.; Song, S.; Jordans, M.J. Annual Research Review: Resilience and mental health in children and adolescents living in areas of armed conflict--a systematic review of findings in low- and middle-income countries. J. Child Psychol. Psychiatry 2013, 54, 445–460. [Google Scholar] [CrossRef]
- McDaid, D. Making the Long-Term Economic Case for Investing in Mental Health to Contribute to Sustainability; European Union: Brussels, Belgium, 2011. [Google Scholar]
- Pearcey, S.; Shum, A.; Waite, P.; Patalay, P.; Creswell, C. Report 04: Changes in Children and Young People’s Emotional and behavIoural Difficulties through Lockdown. 2020. Available online: http://cospaceoxford.org/wp-content/uploads/2020/07/CoSPACE-Report-4-June-2020.pdf (accessed on 28 October 2020).
- Imran, N.; Aamer, I.; Sharif, M.I.; Bodla, Z.H.; Naveed, S. Psychological burden of quarantine in children and adolescents: A rapid systematic review and proposed solutions. Pakistan J. Med. Sci. 2020, 36, 1106–1116. [Google Scholar] [CrossRef] [PubMed]
- De Araújo, L.A.; Veloso, C.F.; de Campos Souza, M.; de Azevedo, J.M.C.; Tarro, G. The potential impact of the COVID-19 pandemic on child growth and development: A systematic review. J. Pediatr. (Rio. J) 2020, 23. [Google Scholar] [CrossRef]
- Xie, X.; Xue, Q.; Zhou, Y.; Zhu, K.; Liu, Q.; Zhang, J.; Song, R. Mental health status among children in home confinement during the coronavirus disease 2019 outbreak in Hubei Province, China. JAMA Pediatr. 2020, 174, 898–900. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Stavridou, A.; Stergiopoulou, A.A.; Panagouli, E.; Mesiris, G.; Thirios, A.; Mougiakos, T.; Troupis, T.; Psaltopoulou, T.; Tsolia, M.; Sergentanis, T.N.; et al. Psychosocial consequences of COVID-19 in children, adolescents and young adults: A systematic review. Psychiatry Clin. Neurosci. 2020, 25. [Google Scholar] [CrossRef]
- Loades, M.E.; Chatburn, E.; Higson-Sweeney, N.; Reynolds, S.; Shafran, R.; Brigden, A.; Linney, C.; McManus, M.N.; Borwick, C.; Crawley, E. Rapid Systematic Review: The Impact of Social Isolation and Loneliness on the Mental Health of Children and Adolescents in the Context of COVID-19. J. Am. Acad. Child Adolesc. Psychiatry 2020, 59, 1218–1239. [Google Scholar] [CrossRef] [PubMed]
- Vindegaard, N.; Benros, M.E. COVID-19 pandemic and mental health consequences: Systematic review of the current evidence. Brain. Behav. Immun. 2020, 89, 531–542. [Google Scholar] [CrossRef] [PubMed]
- Troyer, E.A.; Kohn, J.N.; Hong, S. Are we facing a crashing wave of neuropsychiatric sequelae of COVID-19? Neuropsychiatric symptoms and potential immunologic mechanisms. Brain. Behav. Immun. 2020, 87, 34–39. [Google Scholar] [CrossRef] [PubMed]
- Rogers, J.P.; Chesney, E.; Oliver, D.; Pollak, T.A.; McGuire, P.; Fusar-Poli, P.; Zandi, M.S.; Lewis, G.; David, A.S. Psychiatric and neuropsychiatric presentations associated with severe coronavirus infections: A systematic review and meta-analysis with comparison to the COVID-19 pandemic. Lancet Psychiatry 2020, 7, 611–627. [Google Scholar] [CrossRef]
- Fegert, J.M.; Vitiello, B.; Plener, P.L.; Clemens, V. Challenges and burden of the Coronavirus 2019 (COVID-19) pandemic for child and adolescent mental health: A narrative review to highlight clinical and research needs in the acute phase and the long return to normality. Child Adolesc. Psychiatry Ment. Health 2020, 14, 20. [Google Scholar] [CrossRef]
- Holmes, E.A.; O’Connor, R.C.; Perry, V.H.; Tracey, I.; Wessely, S.; Arseneault, L.; Ballard, C.; Christensen, H.; Cohen Silver, R.; Everall, I.; et al. Multidisciplinary research priorities for the COVID-19 pandemic: A call for action for mental health science. Lancet Psychiatry 2020, 7, 547–560. [Google Scholar] [CrossRef]
- Hoffman, J.A.; Miller, E.A. Addressing the Consequences of School Closure Due to COVID-19 on Children’s Physical and Mental Well-Being. World Med. Heal. Policy 2020, 12, 300–310. [Google Scholar] [CrossRef]
- Orben, A.; Tomova, L.; Blakemore, S.J. The effects of social deprivation on adolescent development and mental health. Lancet Child Adolesc. Heal. 2020, 4, 634–640. [Google Scholar] [CrossRef]
- Lee, J. Mental health effects of school closures during COVID-19. Lancet Child Adolesc. Heal. 2020, 4, 421. [Google Scholar] [CrossRef]
- YoungMinds Coronavirus Report: Impact on Young People with Mental Health Needs. Available online: https://youngminds.org.uk/about-us/reports/coronavirus-impact-on-young-people-with-mental-health-needs/ (accessed on 28 October 2020).
- Duong, M.T.; Bruns, E.J.; Lee, K.; Cox, S.; Coifman, J.; Mayworm, A.; Lyon, A.R. Rates of Mental Health Service Utilization by Children and Adolescents in Schools and Other Common Service Settings: A Systematic Review and Meta-Analysis. Adm. Policy Ment. Heal. Ment. Heal. Serv. Res. 2020. [Google Scholar] [CrossRef] [PubMed]
- Straatmann, V.S.; Lai, E.; Lange, T.; Campbell, M.C.; Wickham, S.; Andersen, A.M.N.; Strandberg-Larsen, K.; Taylor-Robinson, D. How do early-life factors explain social inequalities in adolescent mental health? Findings from the UK Millennium Cohort Study. J. Epidemiol. Community Health 2019, 73, 1049–1060. [Google Scholar] [CrossRef] [Green Version]
- Wickham, S.; Whitehead, M.; Taylor-Robinson, D.; Barr, B. The effect of a transition into poverty on child and maternal mental health: A longitudinal analysis of the UK Millennium Cohort Study. Lancet Public Heal. 2017, 2, e141–e148. [Google Scholar] [CrossRef] [Green Version]
- Reiss, F. Socioeconomic inequalities and mental health problems in children and adolescents: A systematic review. Soc. Sci. Med. 2013, 90, 24–31. [Google Scholar] [CrossRef]
- Luo, M.; Guo, L.; Yu, M.; Wang, H. The psychological and mental impact of coronavirus disease 2019 (COVID-19) on medical staff and general public—A systematic review and meta-analysis. Psychiatry Res. 2020, 291, 113190. [Google Scholar] [CrossRef]
- Xiong, J.; Lipsitz, O.; Nasri, F.; Lui, L.M.W.; Gill, H.; Phan, L.; Chen-Li, D.; Iacobucci, M.; Ho, R.; Majeed, A.; et al. Impact of COVID-19 pandemic on mental health in the general population: A systematic review. J. Affect. Disord. 2020, 277, 55–64. [Google Scholar] [CrossRef]
- Henssler, J.; Stock, F.; van Bohemen, J.; Walter, H.; Heinz, A.; Brandt, L. Mental health effects of infection containment strategies: Quarantine and isolation—A systematic review and meta-analysis. Eur. Arch. Psychiatry Clin. Neurosci. 2020, 6, 1–12. [Google Scholar] [CrossRef]
- Hossain, M.M.; Sultana, A.; Purohit, N. Mental health outcomes of quarantine and isolation for infection prevention: A systematic umbrella review of the global evidence. Epidemiol. Health 2020, 42, e2020038. [Google Scholar] [CrossRef]
- McElroy, E.; Patalay, P.; Moltrecht, B.; Shevlin, M.; Shum, A.; Creswell, C.; Waite, P. Demographic and health factors associated with pandemic anxiety in the context of COVID-19. Br. J. Health Psychol. 2020, 25. [Google Scholar] [CrossRef]
- Iob, E.; Steptoe, A.; Fancourt, D. Abuse, self-harm and suicidal ideation in the UK during the COVID-19 pandemic. Br. J. Psychiatry 2020, 217, 543–546. [Google Scholar] [CrossRef] [PubMed]
- Wright, L.; Steptoe, A.; Fancourt, D. Are we all in this together? Longitudinal assessment of cumulative adversities by socioeconomic position in the first 3 weeks of lockdown in the UK. J. Epidemiol. Community Health 2020, 74, 683–688. [Google Scholar] [PubMed]
- Burgess, R. COVID-19 mental-health responses neglect social realities. Nature 2020. [Google Scholar] [CrossRef] [PubMed]
- Rose, G. Sick individuals and sick populations. Int. J. Epidemiol. 1985, 14, 32–38. [Google Scholar] [CrossRef] [Green Version]
- Mehta, N.; Croudace, T.; Davies, S.C. Public mental health: Evidenced-based priorities. Lancet 2015, 385, 1472–1475. [Google Scholar] [CrossRef]
- Hosman, C.; Jane-Llopis, E.; Saxena, S. (Eds.) Prevention of Mental Disorders: Effective Interventions and Policy Options; Oxford University Press: Oxford, UK, 2005. [Google Scholar]
- Caspi, A.; Houts, R.M.; Belsky, D.W.; Goldman-Mellor, S.J.; Harrington, H.; Israel, S.; Meier, M.H.; Ramrakha, S.; Shalev, I.; Poulton, R.; et al. The p factor: One general psychopathology factor in the structure of psychiatric disorders? Clin. Psychol. Sci. 2014, 2, 119–137. [Google Scholar] [CrossRef]
- Polek, E.; Neufeld, S.A.S.; Wilkinson, P.; Goodyer, I.; St Clair, M.; Prabhu, G.; Dolan, R.; Bullmore, E.T.; Fonagy, P.; Stochl, J.; et al. How do the prevalence and relative risk of non-suicidal self-injury and suicidal thoughts vary across the population distribution of common mental distress (the p factor)? Observational analyses replicated in two independent UK cohorts of young people. BMJ Open 2020, 10, e032494. [Google Scholar] [CrossRef]
- Patalay, P.; Fonagy, P.; Deighton, J.; Belsky, J.; Vostanis, P.; Wolpert, M. A general psychopathology factor in early adolescence. Br. J. Psychiatry 2015, 207, 15–22. [Google Scholar] [CrossRef]
- Stochl, J.; Khandaker, G.M.; Lewis, G.; Perez, J.; Goodyer, I.M.; Zammit, S.; Sullivan, S.; Croudace, T.J.; Jones, P.B. Mood, anxiety and psychotic phenomena measure a common psychopathological factor. Psychol. Med. 2015, 45, 1483–1493. [Google Scholar] [CrossRef] [PubMed]
- Krueger, R.F. The structure of common mental disorders. Arch. Gen. Psychiatry 1999, 56, 921–926. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Galante, J.; Dufour, G.; Vainre, M.; Wagner, A.P.; Stochl, J.; Benton, A.; Lathia, N.; Howarth, E.; Jones, P.B. A mindfulness-based intervention to increase resilience to stress in university students (the Mindful Student Study): A pragmatic randomised controlled trial. Lancet Public Health 2018, 3, e72–e81. [Google Scholar] [CrossRef] [Green Version]
- Connell, J.; Barkham, M.; Mellor-Clark, J. The effectiveness of UK student counselling services: An analysis using the CORE System. Br. J. Guid. Couns. 2008, 36, 1–18. [Google Scholar] [CrossRef]
- Galante, J.; Dufour, G.; Benton, A.; Howarth, E.; Vainre, M.; Croudace, T.J.; Wagner, A.P.; Stochl, J.; Jones, P.B. Protocol for the Mindful Student Study: A randomised controlled trial of the provision of a mindfulness intervention to support university students’ well-being and resilience to stress. BMJ Open 2016, 6, e012300. [Google Scholar] [CrossRef] [Green Version]
- Shinde, S.; Weiss, H.A.; Varghese, B.; Khandeparkar, P.; Pereira, B.; Sharma, A.; Gupta, R.; Ross, D.A.; Patton, G.; Patel, V. Promoting school climate and health outcomes with the SEHER multi-component secondary school intervention in Bihar, India: A cluster-randomised controlled trial. Lancet 2018, 392, 2465–2477. [Google Scholar] [CrossRef]
- Kutcher, S.; Wei, Y. School mental health: A necessary component of youth mental health policy and plans. World Psychiatry 2020, 19, 174–175. [Google Scholar] [CrossRef]
- Bafunno, D.; Catino, A.; Lamorgese, V.; Del Bene, G.; Longo, V.; Montrone, M.; Pesola, F.; Pizzutilo, P.; Cassiano, S.; Mastrandrea, A.; et al. Impact of tobacco control interventions on smoking initiation, cessation, and prevalence: A systematic review. J. Thorac. Dis. 2020, 12, 3844–3856. [Google Scholar] [CrossRef]
- World Health Organization (WHO). Fact Sheet: Tobacco. Available online: https://www.who.int/news-room/fact-sheets/detail/tobacco (accessed on 28 October 2020).
- Garcia-Carrion, R.; Villarejo, B.C.; Villardón-Gallego, L. Children and adolescents mental health: A systematic review of interaction-based interventions in schools and communities. Front. Psychol. 2019, 10, 918. [Google Scholar] [CrossRef]
- Castillo, E.G.; Ijadi-Maghsoodi, R.; Shadravan, S.; Moore, E.; Mensah, M.O.; Docherty, M.; Aguilera Nunez, M.G.; Barcelo, N.; Goodsmith, N.; Halpin, L.E.; et al. Community Interventions to Promote Mental Health and Social Equity. Curr. Psychiatry Rep. 2019, 21, 35. [Google Scholar] [CrossRef] [Green Version]
- Rao, D.; Elshafei, A.; Nguyen, M.; Hatzenbuehler, M.L.; Frey, S.; Go, V.F. A systematic review of multi-level stigma interventions: State of the science and future directions. BMC Med. 2019, 17, 41. [Google Scholar] [CrossRef]
- Cleary, P.D.; Gross, C.P.; Zaslavsky, A.M.; Taplin, S.H. Multilevel interventions: Study design and analysis issues. J. Natl. Cancer Inst. Monogr. 2012, 2012, 49–55. [Google Scholar] [CrossRef] [PubMed]
- Weiner, B.; Dorsey, S. Multilevel Interventions: State of the Science in Global Mental Health. Available online: https://www.nimh.nih.gov/news/media/2018/multilevel-interventions-state-of-the-science-in-global-mental-health.shtml (accessed on 28 October 2020).
- Evans, R.E.; Craig, P.; Hoddinott, P.; Littlecott, H.; Moore, L.; Murphy, S.; O’Cathain, A.; Pfadenhauer, L.; Rehfuess, E.; Segrott, J.; et al. When and how do ‘effective’interventions need to be adapted and/or re-evaluated in new contexts? The need for guidance. J. Epidemiol. Community Health 2019, 73. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Howarth, E.; Devers, K.; Moore, G.; O’Cathain, A.; Dixon-Woods, M. Contextual issues and qualitative research. In Challenges, Solutions and Future Directions in the Evaluation of Service Innovations in Health Care and Public Health; NIHR Journals Library: Southampton, UK, 2016. [Google Scholar]
- Lund, C.; De Silva, M.; Plagerson, S.; Cooper, S.; Chisholm, D.; Das, J.; Knapp, M.; Patel, V. Poverty and mental disorders: Breaking the cycle in low-income and middle-income countries. Lancet 2011, 378, 1502–1514. [Google Scholar] [CrossRef] [Green Version]
- Shamrova, D.P.; Cummings, C.E. Participatory action research (PAR) with children and youth: An integrative review of methodology and PAR outcomes for participants, organizations, and communities. Child. Youth Serv. Rev. 2017, 81, 400–412. [Google Scholar] [CrossRef]
- Sellars, E.; Pavarini, G.; Michelson, D.; Creswell, C.; Fazel, M. Young people’s advisory groups in health research: Scoping review and mapping of practices. Arch. Dis. Child. 2020. [Google Scholar] [CrossRef] [PubMed]
- Fazel, M.; Hoagwood, K. School mental health: Integrating Youth Voices to Shift the Paradigm. Lancet Child Adolesc. Health 2020, in press. [Google Scholar]
- Burgess, R.A.; Jain, S.; Petersen, I.; Lund, C. Social interventions: A new era for global mental health? The Lancet Psychiatry 2020, 7, 118–119. [Google Scholar] [CrossRef]
- Trickett, E.J.; Beehler, S. The Ecology of Multilevel Interventions to Reduce Social Inequalities in Health. Am. Behav. Sci. 2013, 57, 1227–1246. [Google Scholar] [CrossRef]
- Hall, K.L.; Oh, A.; Perez, L.G.; Rice, E.L.; Patel, M.; Czajkowski, S.; Klesges, L. The ecology of multilevel intervention research. Transl. Behav. Med. 2018, 8, 968–978. [Google Scholar] [CrossRef]
Determinant | Demographic | Socio-Cultural | Economic | Environmental |
---|---|---|---|---|
COVID-19 unrelated | Gender | Adversity and stressful life events | Socio-economic disadvantage | Urbanicity |
Age | Poor family, peer, and community connections | Poverty | Neighbourhood safety | |
Discrimination | Financial strain | Air pollution | ||
Income inequality | Climate change | |||
Employment conditions | ||||
Food insecurity | ||||
Housing instability | ||||
COVID-19 related | Social isolation | Job loss or instability | ||
Social deprivation | Socio-economic uncertainty | |||
Loss of loved ones | Inequity | |||
Domestic violence and child maltreatment during isolation periods | Transition into income poverty during early childhood | |||
Stigma | Accommodation issues | |||
Fear of infecting others | ||||
Exposure to frightful news | ||||
Lack of control |
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Lo Moro, G.; Soneson, E.; Jones, P.B.; Galante, J. Establishing a Theory-Based Multi-Level Approach for Primary Prevention of Mental Disorders in Young People. Int. J. Environ. Res. Public Health 2020, 17, 9445. https://doi.org/10.3390/ijerph17249445
Lo Moro G, Soneson E, Jones PB, Galante J. Establishing a Theory-Based Multi-Level Approach for Primary Prevention of Mental Disorders in Young People. International Journal of Environmental Research and Public Health. 2020; 17(24):9445. https://doi.org/10.3390/ijerph17249445
Chicago/Turabian StyleLo Moro, Giuseppina, Emma Soneson, Peter B. Jones, and Julieta Galante. 2020. "Establishing a Theory-Based Multi-Level Approach for Primary Prevention of Mental Disorders in Young People" International Journal of Environmental Research and Public Health 17, no. 24: 9445. https://doi.org/10.3390/ijerph17249445