Embedding action on social and structural determinants of mental health into a national framework: An “immunisation schedule” for the prevention of common mental disorders

Abstract

Mental disorders are prevalent and associated with a substantial burden of disease. Effective prevention at a population level is crucial in alleviating this burden. Here, we argue that without coordinated action on the social determinants of health, it is difficult to envisage meaningful progress on preventing mental disorders at a population level. We highlight the importance and opportunity of a developmental life course approach to the prevention of mental disorders. This approach recognises that upstream, distal factors that occur early in life act as fundamental causes of mental health, and that varying targets and interventions may be needed at different stages across the lifespan. We draw on a well-established framework for disease prevention – immunisation schedules – to embed action on social determinants of health into a national framework for the prevention of mental disorders. We call for a substantial shift to meaningful, multi-disciplinary co-production with policymakers across sectors, educators, researchers, clinicians, minorities, First Nations groups, people with lived experience and young people, to produce widespread, sustainable solutions to preventing mental disorders.