Science advisory report on effective interventions in mental health promotion and mental disorder

165 Pages·2010·1.05 MB·English

Science advisory report on effective
interventions in mental health promotion
and mental disorder prevention

INSTITUT NATIONAL
DE SANTÉ PUBLIQUE
DU QUÉBEC

Science advisory report on effective
interventions in mental health promotion
and mental disorder prevention
Direction du développement
des individus et des communautés
May 2008
AUTHORS
Nicole Desjardins, Institut national de santé publique du Québec
Geneviève D’Amours, Agence de la santé et des services sociaux de l’Outaouais/Direction de santé publique
Julie Poissant, Institut national de santé publique du Québec
Sylvianne Manseau, Institut national de santé publique du Québec
WITH THE COLLABORATION OF
Anne Foro, Université de Montréal
Daniel Beauregard, Institut national de santé publique du Québec
UNDER THE SCIENTIFIC COORDINATION OF
Johanne Laverdure, Institut national de santé publique du Québec
MEMBERS OF THE ADVISORY COMMITTEE
Luc Blanchet, Hôpital Jean-Talon
Louise Fournier, Institut national de santé publique du Québec
Claire F. Gagné, Agence de la santé et des services sociaux de Montréal/Direction de santé publique
Marthe Hamel, ministère de la Santé et des Services sociaux
Marie Julien, Agence de la santé et des services sociaux de la Montérégie/Direction de santé publique
Brian Mishara, Université du Québec à Montréal
Caroline De Pokomandy Morin, ministère de la Santé et des Services sociaux
AND WITH INPUT FROM
Nicole April, Institut national de santé publique du Québec
Lyne Arcand, Institut national de santé publique du Québec
Chantale Audet, Institut national de santé publique du Québec
Noël-André Delisle, Agence de la santé et des services sociaux de la Montérégie/Direction de santé publique
Marthe Deschesnes, Institut national de santé publique du Québec
Jasline Flores, Institut national de santé publique du Québec
Louise Guyon, Institut national de santé publique du Québec
Ginette Lafontaine, Agence de la santé et des services sociaux de la Montérégie/Direction de santé publique
Serge Moisan, Agence de la santé et des services sociaux de la Montérégie/Direction de santé publique
Réal Morin, Institut national de santé publique du Québec
Christine Pakenham, ministère de la Santé et des Services sociaux
Marie-Claude Roberge, Institut national de santé publique du Québec
Guy Thibault, ministère de l’Éducation, du Loisir et du Sport
Christian Viens, Agence de la santé et des services sociaux de la Montérégie/Direction de santé publique
LAYOUT AND PROOFREADING
Claire Goulet, Marie-France Lepage, Marie-Josée Allie, Sophie Michel, Geneviève D’Amours, and Liane Comeau
TRANSLATION
Stevenson & Writers Inc.
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LEGAL DEPOSIT – 3rd QUARTER 2010
BIBLIOTHÈQUE ET ARCHIVES NATIONALES DU QUÉBEC
LIBRARY AND ARCHIVES CANADA
ISBN: 978-2-550-53267-5 (FRENCH PRINTED VERSION)
ISBN: 978-2-550-53268-2 (FRENCH PDF)
ISBN: 978-2-550-59500-7 (PDF)

©Gouvernement du Québec (2010)
Science advisory report on effective interventions
in mental health promotion and mental disorder prevention
TABLE OF CONTENTS
LIST OF TABLES ................................................................................................................... III
LIST OF FIGURES .................................................................................................................. V
INTRODUCTION ...................................................................................................................... 1
1. LIMITATIONS OF THE ADVISORY ................................................................................. 3
2. WHY INVEST IN MENTAL HEALTH PROMOTION AND MENTAL
DISORDER PREVENTION? ............................................................................................ 5
2.1. Burden and costs associated with mental disorders ............................................... 5
3. DEFINITION OF THE PRINCIPAL CONCEPTS USED IN THE ADVISORY .................. 9
3.1. Mental health .......................................................................................................... 9
3.2. Mental health problems and mental disorders ...................................................... 10
3.3. Mental health promotion and mental disorder prevention ..................................... 10
4. METHODOLOGY ........................................................................................................... 13
4.1. Choice of model and measures ............................................................................ 13
4.1.1. Literature review ...................................................................................... 13
4.1.2. Model selection criteria ............................................................................ 13
4.1.3. The measure selection process ............................................................... 14
4.2. Evaluation of the relevance and effectiveness of the measures ........................... 14
4.2.1. Literature review ...................................................................................... 14
4.2.2. Criteria for defining relevance .................................................................. 14
4.2.3. Criteria for defining effectiveness ............................................................ 16
5. CONCEPTUAL MODEL ................................................................................................. 19
5.1. Choice of a model ................................................................................................. 19
5.2. Conceptual model adopted ................................................................................... 22
6. MEASURES AND RECOMMENDATIONS FOR CHILDREN AGED 0 TO 5 YEARS
AND THEIR FAMILIES................................................................................................... 27
6.1. Measures selected ............................................................................................... 27
6.1.1. Nutritional interventions for at-risk children .............................................. 29
6.1.2. Public policy and measures targeting work/family balance ..................... 31
6.1.3. Home visiting programs for at-risk families .............................................. 33
6.1.4. Group training programs in parenting skills ............................................. 37
6.1.5. Preschool interventions for at-risk families .............................................. 39
6.1.6. Pre- and postnatal depression screening and intervention ...................... 41
6.1.7. Brief interventions to prevent substance abuse among
pregnant women ...................................................................................... 43
6.2. Recommendations ................................................................................................ 45
6.2.1. Measures to be consolidated in the province’s public health services
program ................................................................................................... 45
6.2.2. Measures requiring adaptation, development or further research ........... 47
Institut national de santé publique du Québec I
Science advisory report on effective interventions
in mental health promotion and mental disorder prevention
7. MEASURES AND RECOMMENDATIONS FOR YOUTH AGED 6 TO 17 YEARS ....... 49
7.1. Measures selected ............................................................................................... 50
7.1.1. Health Promoting School approaches ..................................................... 51
7.1.2. Mental health promotion programs in school settings ............................. 53
7.1.3. Interventions to improve the school environment .................................... 57
7.1.4. Parenting skills training programs for parents of youth with
behavioural problems .............................................................................. 61
7.1.5. Interventions to prevent violence ............................................................. 63
7.1.6. Interventions to prevent substance abuse ............................................... 69
7.1.7. Interventions for youth at risk for depression or anxiety .......................... 71
7.1.8. Interventions for youth with separated parents ....................................... 75
7.1.9. Interventions for grieving youth ............................................................... 77
7.1.10. Interventions for youth with a parent suffering from a
mental disorder ........................................................................................ 79
7.2. Recommendations ............................................................................................... 81
7.2.1. Measures to be consolidated in the province’s public health services
program ................................................................................................... 81
7.2.2. Measures requiring adaptation, development or further research ........... 84
8. MEASURES AND RECOMMENDATIONS FOR YOUNG ADULTS AND ADULTS ..... 87
8.1. Measures selected ............................................................................................... 87
8.1.1. Interventions to improve mental health literacy ....................................... 89
8.1.2. Interventions to promote mental health and prevent mental disorders
in the workplace ...................................................................................... 93
8.1.3. Interventions to support informal caregivers ........................................... 97
8.1.4. Interventions to support community development ................................. 101
8.1.5. Interventions to promote physical activity .............................................. 105
8.1.6. Screening and interventions to prevent domestic violence ................... 109
8.1.7. Systematic screening for depression and interventions with adults ...... 111
8.2. Recommendations ............................................................................................. 115
8.2.1. Measures to be consolidated in the province’s public health services
program ................................................................................................. 115
8.2.2. Measures for adults requiring adaptation, development or
further research ..................................................................................... 119
CONCLUSION ..................................................................................................................... 121
REFERENCES .................................................................................................................... 123
APPENDIX 1. KEY DOCUMENTS .................................................................................... 143
APPENDIX 2. OTTAWA CHARTER STRATEGIES ......................................................... 147
APPENDIX 3. LEVELS OF EVIDENCE ............................................................................ 151
II Institut national de santé publique du Québec
Science advisory report on effective interventions
in mental health promotion and mental disorder prevention
LIST OF TABLES
Table 1. Data on the scope of mental problems and disorders in Canada and in
Québec.............................................................................................................. 6
Table 2. Level of evidence scale ................................................................................... 17
Table 3. Opinion scale regarding evidence ................................................................... 17
Table 4. Analysis of the key elements of mental health promotion and mental
disorder prevention ......................................................................................... 20
Table 5. Definition of categories of factors .................................................................... 25
Table 6. Measures for children from birth to age 5 to be consolidated in the
province’s public health services program ...................................................... 45
Table 7. Measures requiring adaptation, development or further research for
children from birth to age 5 ............................................................................. 47
Table 8. Measures for youth between the ages of 6 and 17 to be consolidated in
the province’s public health services program ................................................ 81
Table 9. Measures for youth aged 6 to 17 years requiring adaptation,
development or further research ..................................................................... 84
Table 10. Measures for adults to be consolidated in the province’s public health
services program ........................................................................................... 115
Table 11. Measures for adults requiring adaptation, development or research work ... 119
Institut national de santé publique du Québec III

Science advisory report on effective interventions
in mental health promotion and mental disorder prevention
LIST OF FIGURES
Figure 1. Albee’s formula ............................................................................................... 19
Figure 2. The MacDonald and O’Hara formula (1998) ................................................... 20
Figure 3. New formula adopted ...................................................................................... 22
Figure 4. Conceptual model ........................................................................................... 23
Institut national de santé publique du Québec V