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Mental Health Literacy: Past, Present, and Future
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“The conceptual framework presented in this review covers all the aspects defining MHL (Kutcher et al. 2016), including improving knowledge, attitudes, and confidence in dealing with mental health issues.”
From How the faculty across higher education institutes are facilitated to develop skills on student mental health and well-being? – A scoping review (2025) · cites this paper as Kutcher et al. 2016
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“The importance of MHL in helping to improve health outcomes for people and populations has been recognized, and some positive initial interventions directed at this goal have been applied.(16,19,26) Given the situation as it currently stands, numerous future directions for the further development and deployment of MHL…”
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“…including (1) uncertainty in regard to the clarity with which the vignettes describe all the salient behaviors associated with each disorder [7,24], (2) the potential for subtle wording issues to lead to particular results [14], and (3) concern over participants’ ability to discriminate…”
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Zenas, D. R., Nielsen, M. G., Fonager, K., Petersen, K. S., Szulevicz, T., & Overgaard, C. (2020) · Psychiatry Research · doi:10.1016/j.psychres.2020.113373 · Cited by 9
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Goel, A., Ali, R., Upsher, R., Padickaparambil, S., Byrom, N., & Ramachandran, S. (2025) · Perspectives: Policy and Practice in Higher Education · doi:10.1080/13603108.2024.2384979 · Cited by 9
“Additionally, it has been stated that, the nature of MHL programmes requires them to be integrated into the context of organizations implementing the same (Kelly, Anthony, and Jorm 2007).”
MacDonald, H., Lisnyj, K. T., & Papadopoulos, A. (2022) · Canadian Journal of Higher Education · doi:10.47678/cjhe.v52i2.189145 · Cited by 8
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Nishimura, T., Wakuta, M., Osuka, Y., Tsukui, N., Hirata, I., Takahashi, M., Adachi, M., Katayama, T., Aizaki, K., Sumiya, M., et al. (2024) · Frontiers in Public Health · doi:10.3389/fpubh.2024.1430011 · Cited by 8
“…disorders and their treatments, reducing associated stigma, and enhancing help-seeking efficacy (i.e., knowing when and where to seek help and developing competencies designed to improve mental health care and self-management capabilities), mental health literacy plays a crucial role (64, 65).”
BackgroundYani, D. I., Wong, J. C. M., Pikkarainen, M. A., Chua, J. Y. X., Wong, H. C., Goh, Y. S., & Shorey, S. (2025) · Journal of Advanced Nursing · doi:10.1111/jan.16742 · Cited by 15
Klim, P., LEVITT, A. J., Cheung, A., Loureiro, R., Fefergrad, M., Schaffer, A., Niederkrotenthaler, T., Sinyor, M., & Zaheer, J. (2022) · BMC Public Health · doi:10.1186/s12889-022-14058-z · Cited by 8
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Schladitz, K., Weitzel, E. C., Löbner, M., Soltmann, B., Jessen, F., Schmitt, J. M., Pfennig, A., Riedel-Heller, S. G., & Gühne, U. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph192114262 · Cited by 8
“This includes understanding how to obtain and maintain positive mental health, understanding mental illnesses and their treatment, decreasing stigma and enhancing help-seeking efficacy [15,16].”
BackgroundDepression Literacy: An Analysis of the Stigmatization of Depression in Thailand
Pruksarungruang, J., & Rhein, D. L. (2022) · SAGE Open · doi:10.1177/21582440221140376 · Cited by 9
“The rationale for extending the MHL and developing depression-specific instruments was an integral component of assessing the public understanding of mood disorders (Kutcher et al., 2016).”
BackgroundDie psychische Gesundheitskompetenz der Bevölkerung in Deutschland
König, L., Hamer, T., & Suhr, R. (2023) · Prävention und Gesundheitsförderung · doi:10.1007/s11553-023-01079-8 · Cited by 7
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The impact of public art education on college students’ mental health literacy
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Defining mental health literacy: a systematic literature review and educational inspiration
Zeng, S., Bailey, R. P., Peng, S., & Chen, X. (2024) · Journal of Public Mental Health · doi:10.1108/jpmh-04-2024-0055 · Cited by 12
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“Originally defined by Jorm et al. (1997) as knowledge primarily related to mental disorders, contemporary research has broadened the scope of MHL to encompass a more holistic understanding of mental health (Jorm, 2020; Kutcher et al., 2016).”
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“…mobilization (actively seeking social support or professional assistance), emotion regulation (managing negative emotions through techniques like mindfulness), and self-ef fi cacy improvement (boosting con fi dence in coping with challenges), thereby improving psychological resilience (43, 73).”
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“…conceptual definition of MHL, which includes knowledge of mental health promotion, ability to recognize and understand mental disorders and treatments, supporting help-seeking ability and reducing stigma [10,12,13] while acknowledging that not all included studies explicitly adopt this framework.”
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“Recently, the concept of mental health literacy has broadened to include maintaining positive mental health, understanding disorders and treatments, reducing the stigma associated with mental illness, and increasing awareness of mental health resources for managing mental illnesses [13, 14].”
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“The concept was later expanded to include help-seeking, self-help, and helping others (Jorm, 2012), and further broadened by Canadian scholars to incorporate stigma reduction and mental health promotion (Kutcher et al., 2016).”
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“Recent evidence has demonstrated that the most e ff ective strategy for overcoming barriers and di ffi culties in help-seeking is to enhance Mental Health Literacy (MHL), which has received global attention in mental health interventions (Kutcher et al., 2016; Sebbens et al., 2016).”
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Kirchhoff, S., Freţian, A. M., Schulenkorf, T., Bollweg, T. M., & Bauer, U. (2022) · Prävention und Gesundheitsförderung · doi:10.1007/s11553-022-00982-w · Cited by 6
“Die MHL gemäß Kutcher et al. (2016) umfasst 4 Komponenten: 1) Wissen über Förderung und Erhaltung psychischer Gesundheit, 2) Wissen zu psychischen Erkrankungen und Behandlungsmöglichkeiten, 3) Verringerung von Stigmatisierung psychischer Erkrankungen und 4) Stärkung der Wirksamkeit bei der…”
BackgroundRaji, F., Morsy, N., Mahsoon, A. N., & Sharif, L. (2022) · Belitung Nursing Journal · doi:10.33546/bnj.2247 · Cited by 6
“Mental health literacy (MHL) denotes a construct of the health literacy domain that underlines an individual’s knowledge of mental wellness (Kutcher et al., 2016; Milin et al., 2016).”
BackgroundMohammadi, A. Q., Johnston, L., & Ojha, K. (2023) · Razi International Medical Journal · doi:10.56101/rimj.v3i1.91 · Cited by 6
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“Disorder Recognition case vignettes generate inconsistent results (Furnham & Hamid, 2014) and remain non-psychometric (Kutcher et al., 2016).”
Kutcher, S. (2016) · Archives of Depression and Anxiety · doi:10.17352/2455-5460.000011 · Cited by 6
Self-citationSharing Narratives to Foster Mental Health Literacy in Teacher Candidates
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Ekornes, S. M. (2020) · Pastoral Care in Education · doi:10.1080/02643944.2020.1751686 · Cited by 10
Pine, R., Mbinta, J. F., Morenga, L. T., & Fleming, T. M. (2021) · JMIR Research Protocols · doi:10.2196/31588 · Cited by 6
Mental health literacy screening of students in Hispanic Serving Institutions
Kalkbrenner, M. T., Neukrug, E. S., & Arteaga, L. E. E. (2022) · Journal of Counseling & Development · doi:10.1002/jcad.12428 · Cited by 6
Ojio, Y., Shiozawa, T., Gregorio, E., Leynes, M. C., Hernandez, P. M. R., Estrada, C. A., Fuyama, T., Kobayashi, J., & Satake, N. (2024) · Early Intervention in Psychiatry · doi:10.1111/eip.13545 · Cited by 7
Yamaguchi, S., Foo, J. C., & Sasaki, T. (2024) · Journal of Mental Health · doi:10.1080/09638237.2024.2390376 · Cited by 6
“As MHL education should be conducted appropriate to the developmental stage of the recipient (Kutcher et al., 2016), further refinement of the program and question set may be needed to teach broader concepts of MHL to senior-high school students.”
Li, S., Sakata, N., & Donn, G. (2025) · Frontiers in Psychology · doi:10.3389/fpsyg.2025.1329029 · Cited by 8
“Kutcher et al. (2016) suggested that mental health literacy interventions must fit the context in which they are to be deployed.”
Culturally Adapted Mental Health Education Programs for Migrant Populations: A Scoping Review
Thayyilayil, S. A., Yohani, S. C., Cyuzuzo, L., Kennedy, M., & Salami, B. O. (2026) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph23010072 · Cited by 7
“These components align with expanded definitions of mental health literacy that extend beyond knowledge acquisition to include reducing stigma and improving help-seeking behaviors [46,47].”
Craddock, J. B., Adams, V., Gladden, A., Netty, B., & Ajenifuja, O. (2021) · Journal of the Society for Social Work and Research · doi:10.1086/716188 · Cited by 5
van der Meer, A. S., Durlach, F., Szota, K., & Christiansen, H. (2023) · Frontiers in Psychology · doi:10.3389/fpsyg.2023.1107889 · Cited by 5
“Following this, some MHL researchers argue that also stigma, positive mental health, and help-seeking efficacy should be added to the MHL definition (Kutcher et al., 2019; Spiker and Hammer, 2019).”
BackgroundTranslation and cross-cultural adaptation of the Chinese version of the HLS-EU-Q47
Zhang, M., Lu, Z., Song, C., Ling, Y., Li, W., & Zuo, C. (2024) · Health Promotion International · doi:10.1093/heapro/daae083 · Cited by 5
A systematic review: increasing mental health literacy in students through “The Guide”
Nazari, A., Garmaroudi, G., & Rabiei, M. (2024) · Discover Psychology · doi:10.1007/s44202-024-00219-1 · Cited by 9
Lynch, L., Moorhead, A., Long, M., & Steele, I. H. (2025) · Journal of Child & Adolescent Trauma · doi:10.1007/s40653-024-00650-5 · Cited by 5
“The second concept, mental health literacy , describes how an individual recognises problems, describes and manages emotions, as well as their knowledge about treatment and services (Gulliver et al., 2010; Kutcher et al., 2016; Rickwood et al., 2007).”
Shapiro, E., Al‐Krenawi, A., Zukerman, G., Melamed, M., Shtibi, C. D., & Korn, L. (2024) · Society and Mental Health · doi:10.1177/21568693241276535 · Cited by 5
Brandt, I., Some, S. Y. M., Millogo, O., Sourabié, O., Burns, J., Shinde, S., Haucke, M. N., Sivewright, N., Neumann, C., Bajaria, S., et al. (2025) · BMC Public Health · doi:10.1186/s12889-025-21325-2 · Cited by 5
Logie, C. H., Okumu, M., Admassu, Z., Mackenzie, F., Gittings, L., Kortenaar, J., Khan, N., Hakiza, R., Musoke, D. K., Nakitende, A., et al. (2025) · Cambridge Prisms Global Mental Health · doi:10.1017/gmh.2025.3 · Cited by 4
Khalil, A., Yatcilla, J., Christie, N., & Zhou, X. (2025) · Journal of Racial and Ethnic Health Disparities · doi:10.1007/s40615-025-02555-x · Cited by 6
“For example, racial-ethnic minority individuals may have lower mental health literacy; they may not understand what ASD symptoms are and when and where to seek help [43].”
Kloek, M., Zsigo, C., Primbs, R., Iglhaut, L., Kaubisch, S., Piechaczek, C., Keim, P., Feldmann, L., Schulte‐Körne, G., & Greimel, E. (2025) · Frontiers in Digital Health · doi:10.3389/fdgth.2025.1640366 · Cited by 7
Advancing Evidence-Based Action for Mental Health Promotion
Barry, M. M. (2019) · Springer eBooks · doi:10.1007/978-3-030-23455-3_3 · Cited by 5
Identifying predictors of university students' mental well-being during the COVID-19 pandemic
Hamzah, S. R., Musa, S. N. S., Badruldin, M. N. W. B., Amiludin, N. A., Zameram, Q. A., Kamaruzaman, M. J. M., Said, N. N., & Haniff, N. A. A. (2023) · Kontakt · doi:10.32725/kont.2023.003 · Cited by 7
“Kutcher et al. (2016) describe MHL as the understanding of how to find and sustain positive mental health, being aware of mental disorders and able to seek treatments, avoiding the stigma that is associated with mental disorders, and managing help-seeking behavior.”
BackgroundCosta, T. F. O., Moreno‐Poyato, A. R., Sampaio, F. M. C., Lluch‐Canut, T., & Sequeira, C. (2023) · BMC Nursing · doi:10.1186/s12912-023-01255-3 · Cited by 5
Al-Adhami, M., Wångdahl, J. M., Salari, R., & Åkerman, E. (2023) · BMC Health Services Research · doi:10.1186/s12913-023-09524-2 · Cited by 5
Adu, P., Jurcik, T., Demah, E., Korang, P. T., & Grigoryev, D. S. (2023) · International Journal of Social Psychiatry · doi:10.1177/00207640231206055 · Cited by 5
“…to capture all components of MHL, and evidence regarding the use of vignettes to improve MHL is limited as it becomes difficult to differentiate between simple symptoms of disorders and full syndromes and daily experience of distress (Pescosolido et al., 2008; see a review, Kutcher et al., 2016).”
Background
Metadata
- Authors
- Kutcher, S., Wei, Y., & Coniglio, C.
- Affiliations
- Dalhousie University (CA)
- BC Mental Health & Substance Use Services (CA)
- Corresponding author
- Kutcher, Stan
- Venue
- The Canadian Journal of Psychiatry
- Publisher
- SAGE Publications
- Published
- 2016-03
- Volume
- 61
- Issue
- 3
- Pages
- 154-158
- ISSN
- 0706-7437 (ISSN-L)
- 1497-0015
- PMC
- PMC4813415
- OpenAlex
- W2333387201
- Cited by
- 918
- References
- 29
- Citations by year
- 2026: 143 · 2025: 152 · 2024: 151 · 2023: 119 · 2022: 107 · 2021: 85 · 2020: 82 · 2019: 35 · 2018: 21 · 2017: 14 · 2016: 6
- FWCI
- 39.83
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The Canadian Journal of Psychiatry (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Health Canada
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
- Health Sciences › Health Professions › General Health Professions › Health Literacy and Information Accessibility
- Health Sciences › Health Professions › General Health Professions › Mental Health and Patient Involvement
- Keywords
- mental health literacy, mental illness, public understanding of mental health
- MeSH terms
- Mental Disorders, Humans, Health Knowledge, Attitudes, Practice, Mental Health, Health Literacy
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