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Why Systems Need Changing and How a Public Mental Health Approach Can Work
Louise Reader
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This book presents an innovative public mental health model addressing the global crisis of declining mental health among adolescents. Despite the scholarly and public media attention given to post-pandemic adolescent mental health, few published sources present a sustainable, scalable and multisector collaborative solution that includes attention to the social determinants of health, equity, and prevention, together with mental health literacy education and early intervention. This book takes a public health approach to address this need and is inspired by the authors' experience creating and implementing change in adolescent mental health systems.
While prevention, together with diagnosis and treatment, are the most effective ways to address mental illness, a systems-level approach has only recently appeared in the applied mental health scientific literature. Unlike cardiovascular disease and cancer, mental health promotion and mental illness prevention have been slow to gain traction in the U.S. However, leading professional associations are beginning to acknowledge the value of a public health approach to adolescent mental health and the need to support public health and mental health intersectoral policies.
The concepts presented in this volume draw on three primary systems: public health, mental health and education. The authors present 24 recommendations that are relevant for scholars, practitioners and leaders involved in adolescent mental health. Among the topics covered:
Adolescent Public Mental Health is essential reading for professionals in mental health, public health, social work, and medicine who are interested in moving to a more integrative, multisectoral approach to adolescent mental health. Educators and academic institutions who teach our future leaders will benefit from understanding the new model, which can be seamlessly included in secondary school education. Clinicians, practitioners, school principals and superintendents can adopt the model and collaborative processes, described in the demonstration project, to respond to the mental health challenges they encounter every day.
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Patricia Gail Bray, PhD is a dedicated Public Health and nonprofit executive deeply committed to fostering systems and social change, equity and research-informed multidisciplinary initiatives, specifically with marginalized populations. She holds an adjunct appointment at UTHealth Houston’s School of Public Health in Texas and is president of Westlake Health Consulting, LLC. Her extensive expertise includes applying scientific methodologies to co-developing and scaling complex collaborative programs and models at the intersection of medicine and public health. She has 30 years of experience working with the Texas Medical Center healthcare systems, including seven years at The Menninger Clinic. She received her Public Health doctoral degree from UTHealth Houston’s School of Public Health.
Arthur Maerlender, PhD, ABPP-CN is Board Certified in Clinical Neuropsychology, a Research Associate Professor at the Center for Brain, Biology & Behavior at the University of Nebraska and Adjunct Professor at the University of Nebraska Medical Center in the department of Neurological Sciences. Additionally, he is an Associate Professor and Senior Research Fellow, Department of Psychology, at Saint Anselm College in New Hampshire. He has worked with Dr. Bray for the past eight years, advising and mentoring her work at Menninger. Currently, he is an integral voice for the important intersection between mental health, education and public health. He received his doctoral degree from University of Notre Dame in Counseling Psychology.
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