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All of us? An exploration of the concept of mental health literacy based on young people’s responses to fictional mental health vignettes

Published online by Cambridge University Press:  29 January 2015

D. Chambers*
Affiliation:
ReachOut.com service, ReachOut Ireland, Cork, Ireland
F. Murphy
Affiliation:
ReachOut.com service, ReachOut Ireland, Cork, Ireland
H. S. Keeley
Affiliation:
Child and Adolescent Mental Health Services, North Cork, Health Service Executive South, Ireland
*
*Address for correspondence: D. Chambers, ReachOut Ireland, 6 George’s Quay, Cork, Ireland. (Email: chambers.derek@gmail.com)

Abstract

Objectives

Mental health literacy is increasingly referenced as a goal of mental health policy. However, the current definition of this concept has a relatively narrow focus on mental disorders. The objectives of this study were to explore mental health literacy through the use of vignettes and to begin to articulate a broader definition.

Methods

Six groups of young people (n=42) aged between 16 and 25 years old responded to open-ended questions about vignettes depicting fictional characters with diagnosable mental health problems. The responses were analysed using Foucault’s governmentality theory.

Results

The responses to the vignettes highlighted a range of determinants of our mental health. The young people suggested informal mental health-promoting techniques and highlighted the importance of talking. Ambiguity was reported in relation to the types of knowledge that are important in responding to mental health need. Finally, the responses were reflective of young people who are empathetic and view mental health from the perspective of our shared humanity, rather than as a marginal issue.

Conclusions

As mental health literacy is increasingly becoming a goal of mental health policy, it is timely that a shared understanding of this important concept is articulated. The current definition of mental health literacy is narrow in its focus on the recognition of mental disorders. A more broad-based definition of mental health literacy should be adopted by policy makers, reflecting the full range of determinants of mental health and recognising the importance of mental wellbeing.

Type
Original Research
Copyright
© College of Psychiatrists of Ireland 2015 

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References

Australian Department of Health and Ageing (2009). Fourth national mental health plan: an agenda for collaborative government action in mental health 2009–2014. ACT: Commonwealth of Australia, Canberra.Google Scholar
Coughlan, H, Cannon, M, Shiers, D, Power, P, Barry, C, Bates, T, Birchwood, M, Buckley, S, Chambers, D, Davidson, S, Duffy, M, Gavin, B, Healy, C, Healy, C, Keeley, H, Maher, M, Tanti, C, McGorry, P (2013). Towards a new paradigm of care: the international declaration on youth mental health. Early Intervention in Psychiatry 7, 103108.CrossRefGoogle ScholarPubMed
Coughlan, H, Tiedt, L, Clarke, M, Kelleher, I, Tabish, J, Molloy, C, Harley, M, Cannon, M (2014). Prevalence of DSM-IV mental disorders, deliberate self-harm and suicidal ideation in early adolescence: An Irish population-based study. Journal of Adolescence 37, 1, 19.CrossRefGoogle ScholarPubMed
Dean, M (2010). Governmentality: Power and Rule in Modern Society. Sage: London.Google Scholar
Department of Children and Youth Affairs (2014). Better Outcomes, Brighter Futures. The National Policy Framework for Children and Young People 2014–2020. Government Publications: Dublin.Google Scholar
Department of Health and Children (2006). A Vision for Change: Report of the Expert Group on Mental Health Policy. Government Publications: Dublin.Google Scholar
Dooley, B, Fitzgerald, A (2012). My World Survey: National Study of Youth Mental Health in Ireland. University College Dublin and Headstrong: Dublin, Ireland.Google ScholarPubMed
Foucault, M (2007). Security, Territory, Population: Lectures at the College de France (1977-1978). Palgrave: Basingstoke.Google Scholar
Fullagar, S (2008). Sites of somatic subjectivity: e-scaped mental health promotion and the biopolitics of depression. Social Theory and Health 6, 323341.CrossRefGoogle Scholar
Furnham, A, Blythe, C (2012). Schizophrenia literacy: the effect of direct experience with the illness. Psychiatry Research 198, 1823.CrossRefGoogle ScholarPubMed
Gulliver, A, Griffiths, K, Christensen, H (2010). Perceived barriers and facilitators to mental health help-seeking in young people: a systematic review. BMC Psychiatry 10, 113.CrossRefGoogle ScholarPubMed
Jorm, A (2000). Mental health literacy: public knowledge and beliefs about mental disorders. British Journal of Psychiatry 177, 396401.CrossRefGoogle ScholarPubMed
Jorm, A (2012). Mental health literacy: empowering the community to take action for better health. American Psychologist 67, 231243.CrossRefGoogle Scholar
Jorm, A, Korten, A, Jacomb, P, Christensen, H, Rodgers, B, Pollitt, P (1997). ‘Mental health literacy’: a survey of the public’s ability to recognise mental disorders and their beliefs about the effectiveness of treatment. Medical Journal of Australia 166, 182186.CrossRefGoogle ScholarPubMed
Jorm, A, Wright, AM (2008). Influences on young people’s stigmatising attitudes towards peers with mental disorders: national survey of young Australians and their parents. British Journal of Psychiatry 192, 144149.CrossRefGoogle Scholar
Kusan, S (2010). Cultured resonance, inverted synergy and maintaining cognitive-emotional terra firma via metacognition: in furtherance of a grounded theory of mental health literacy. The International Journal of Multidisciplinary Social Sciences 5, 1324.Google Scholar
Martin, M, Carr, A, Burke, L, Carroll, L, Byrne, S (2006). The Clonmel Project: Mental Health Service Needs of Children and Adolescents in the South East of Ireland. Health Service Executive: Clonmel, Ireland.Google Scholar
Mond, J (2014). Eating disorders ‘mental health literacy’: an introduction. Journal of Mental Health 23, 5154.CrossRefGoogle ScholarPubMed
Patel, V, Flisher, AJ, Hetrick, S, McGorry, P (2007). Mental health of young people: a global public health challenge. The Lancet 369, 13021313.CrossRefGoogle ScholarPubMed
Ritchie, J, Lewis, J, Elam, G (2004). Designing and selecting samples. In Qualitative Research Practice (ed. J Ritchie and J Lewis), pp. 77108. Sage Publications: London.Google Scholar
Rose, N (2007). The Politics of Life Itself: Biopolitics, Power and Subjectivity in the 21st Century. Princeton University Press: Princeton and Oxford.CrossRefGoogle Scholar
Rose, N, O’Malley, P, Valverde, M (2006). Governmentality. Annual Review of Law and Social Science 2, 83104.CrossRefGoogle Scholar
Sullivan, C, Arensman, E, Keeley, HS, Corcoran, P, Perry, I (2004). Young People’s Mental Health: A Report of the Findings from the Lifestyle and Coping Survey. National Suicide Research Foundation: Cork, Ireland.Google Scholar
The Scottish Government (2003). National Programme for Improving Mental Health and Well-being: Action Plan 2003–2006. Edinburgh: Scotland.Google Scholar