Public mental health: required actions to address implementation failure in the context of COVID-19
Open accessAbstract
Mental disorders account for at least 18% of global disease burden, and the associated annual global costs are projected to be US$6 trillion by 2030. Evidence-based, cost-effective public mental health (PMH) interventions exist to prevent mental disorders from arising, prevent associated impacts of mental disorders (including through treatment), and promote mental wellbeing and resilience. However, only a small proportion of people with mental disorders receive minimally adequate treatment. Compared with treatment, there is even less coverage of interventions to prevent the associated impacts of mental disorders, prevent mental disorders from arising, or promote mental wellbeing and resilience. This implementation failure breaches the right to health, has increased during the COVID-19 pandemic, and results in preventable suffering, broad impacts, and associated economic costs. In this Health Policy paper, we outline specific actions to improve the coverage of PMH interventions, including PMH needs assessments, collaborative advocacy and leadership, PMH practice to inform policy and implementation, training and improvement of population literacy, settings-based and integrated approaches, use of digital technology, maximising existing resources, focus on high-return interventions, human rights approaches, legislation, and implementation research. Increased interest in PMH in populations and governments since the onset of the COVID-19 pandemic supports these actions. Improved implementation of PMH interventions can result in broad health, social, and economic impacts, even in the short-term, which support the achievement of a range of policy objectives, sustainable economic development, and recovery.
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Evidence-based primary prevention strategies addressing these risk and protective factors for mental disorders exist, yet their uptake at the population level remains limited.
“Evidence-based primary prevention strategies addressing these risk and protective factors for mental disorders exist, yet their uptake at the population level remains limited.34”
From Updated trends in the global prevalence and burden of mental disorders, 1990–2023: a systematic analysis for the Global Burden of Disease Study 2023 (2026) · cites this paper as [34]
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Self-citation
- Authors
- Campion, J., Javed, A., Lund, C., Sartorius, N., Saxena, S., Marmot, M., Allan, J., & Udomratn, P.
- Affiliations
- South London and Maudsley NHS Foundation Trust (GB)
- University of Warwick (GB)
- University of Cape Town (ZA)
- Harvard University (US)
- University College London (GB)
- Queensland Health (AU)
- Prince of Songkla University (TH)
- Corresponding author
- Campion, Jonathan
- ORCID
- Venue
- The Lancet Psychiatry
- Publisher
- Elsevier BV
- Published
- 2022-02
- Volume
- 9
- Issue
- 2
- Pages
- 169-182
- ISSN
- 2215-0366 (ISSN-L)
- PMC
- PMC8776278
- OpenAlex
- W4205754822
- Cited by
- 177
- References
- 114
- Citations by year
- 2026: 32 · 2025: 36 · 2024: 50 · 2023: 36 · 2022: 23
- FWCI
- 5.43
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- The Lancet Psychiatry (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Research Portal (King's College London) (submittedVersion, other-oa)
- Warwick Research Archive Portal (University of Warwick) (submittedVersion)
- Topics
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Keywords
- public mental health, implementation failure, COVID-19 pandemic, mental health treatment gap, right to health, mental health needs assessment, mental health advocacy, mental health policy, digital mental health tools, integrated care, rights-based approach, mental health law, implementation research, psychological well-being
- MeSH terms
- COVID-19, Mental Disorders, Health Policy, Humans, Mental Health, Mental Health Services, Public Health
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