The influence of economic policies on social environments and mental health.

Jo-An Occhipinti, Adam Skinner,P Murali Doraiswamy,Shekhar Saxena,Harris A Eyre,William Hynes, Patricia Geli, Dilip V Jeste,Carol Graham, Christine Song,Ante Prodan, Goran Ujdur,John Buchanan,Sebastian Rosenberg, Paul Crosland,Ian B Hickie

Bulletin of the World Health Organization(2024)

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摘要
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.
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