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How do you develop a preventive public mental health strategy? Case of Liverpool

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E-mail: Department of Mental Health	Unit:
Answer: A successful public mental health strategy requires long-term commitment, multi-agency working and co-ordination, as well as a sense of common purpose from all stakeholders in Liverpool.		Hampstead Heath, London, in May
Sequence: Assign a number (with decimals) determining the sequence of your question.: The City of Liverpool. 2009. "The Joint Strategic Framework for Public Mental Health 2009–2012". Department of Public Health June 2009		Map: 2011-02-01 00:00:00

Greater emphasis on prevention
Greater emphasis on prevention and the responsibility individuals have themselves. Unhealthy choices and missed prevention opportunities are in part the cause of the growth in the prevalence of conditions such as diabetes, depression, and chronic obstructive pulmonary disease.	Working with their local partners, every primary care trust will commission comprehensive wellbeing and prevention services.
World Class Commissioning is necessary
National consultations (Department of Health, 2007) have confirmed the importance that mental health and well-being has for the public and this is strengthened by the extensive research evidence that supports this strategy.	The introduction of World Class Commissioning offers many opportunities to improve the mental health and well-being of our local population through earlier interventions.
from diagnosis and treatment toprevention and well-being
The determination to intervene earlier confirms the vision statement from DH that world class commissioning will be ‘pivotal in shifting the focus of care from diagnosis and treatment to prevention and well-being’ (Department of Health, 2008).	Consideration will need to be given to longer-term commissioning plans and intentions to realise this objective and to maintain a developing equilibrium between newly commissioned services for earlier intervention and those that provide treatment, care support and recovery pathways for those experiencing mental illnesss.
The need anddetermination for the commissioningand implementation of preventionservices is paramount
Even with optimal services in place only 40% of the burden of mental illness is averted – the need and determination for the commissioning and implementation of prevention services is paramount. (O’Hara K, Stansfield J, Crowson T. 2008) The saving in costs, (both human and economic) by reducing, for example, conduct disorder and in promoting positive mental health in children through earlier intervention is evidenced below: - Preventing conduct disorders in those children who are most disturbed would save around £150,000 per case in lifetime costs	- Promoting positive mental health in those children with moderate mental health would yield benefits over the life course of around £75,000 per case (Friedli L. 2008) - In comparison the intervention cost, per child, for parenting programmes would be in the range £1,350 to £6,000
Reference2: Our Health, Our Care, Our Say (2007) DH
Reference3: Department of Health (2008) DH/Commissioning, World Class Commissioning. Vision Summary
Reference4: O’Hara K, Stansfield J, Crowson T (2008) World Class Commissioning for improved mental health and well-being in NIMHE Mental Health Promotion Update. April. Gateway No 9700 pp 10–12
Reference5: Friedli L (2008) mental Health Promotion: The Economic Case for Investment. In in NIMHE Mental Health Promotion Update. April. Gateway No 9700 pp 13–14

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