Mental disorders are among the most prevalent sources of disease burden in the world. Increasing recognition of this burden has led to an explosion of scientific research as well as widespread public attention. Understanding causes and consequences of mental health and mental disorders from the perspective of public health involves unique methods and concepts from many disciplines, including population-based surveys in a life course framework. Prevention and control of mental disorders involves design and execution of intervention trials to prevent disorder in individuals who are currently healthy, and to minimize future consequences for those with current disorder or a history of disorder. Interventions of this type are important because good mental health protects against onset of a variety of mental disorders, as well as being a valued outcome in itself. The complexity of the brain and its relationship to social life requires concepts, methods, and syntheses that are new for epidemiology and public health. Public Mental Health provides a comprehensive introduction and reference for the public health approach to mental and behavioral disorders, and to promotion of mental health. The volume's chapter authors and coauthors are drawn from the internationally renowned faculty of the Department of Mental Health of the Johns Hopkins Bloomberg School of Public Health, a department uniquely positioned to create this important resource for researchers, students, and public health practitioners. The volume explicates the latest methodologies for studying the occurrence of mental disorders in populations and provides estimates of burden, cultural differences, natural history, and disparities between population subgroups. It includes reviews of genes as sources of risk for mental disorders, the occurrence of stresses and their timing over the life span, and crises and disasters as sources of risk. The book includes chapters on the structure and functioning of the mental health service system in the United States, and around the world, and a comprehensive review of population-based strategies of intervention to lower risk. A final chapter lays out a path for the evolution of public mental health in the future.
SECTION I: THE NATURE OF MENTAL AND BEHAVIORAL DISORDERS
1. The Burden of Mental Disorders
William W. Eaton, Pierre Alexandre, O. Joseph Bienvenu, Diana Clarke, Silvia S. Martins, Gerald Nestadt, Benjamin Zablotsky
2. The Perspectives of Psychiatry: The Public Health Approach
Paul McHugh
3. Global Mental Health Issues: Culture and Psychopathology
Judith K. Bass, William W. Eaton, Sharon Abramowitz, Norman Sartorius
SECTION II: METHODS
4. Assessment of Distress, Disorder, Impairment and Need in the Population
William W. Eaton, Ramin Mojtabai, Elizabeth A. Stuart, Jeannie-Marie S. Leoutsakos, S. Janet Kuramoto
5. An Introduction to Quantitative Methods Especially Relevant for Public Mental Health
Elizabeth A. Stuart, Jeannie-Marie Sheppard Leoutsakos, Alden L. Gross, S. Janet Kuramoto, William W. Eaton
SECTION III: DESCRIPTIVE EPIDEMIOLOGY
6. The Population Dynamics of Mental Disorders
William W. Eaton, Pierre Alexandre, Ronald C. Kessler, Silvia S. Martins, Preben Bo Mortensen, George W. Rebok, Carla Storr, Kim Roth
7. The Relationship of Adult Mental Disorders to Race, Socioeconomic Status, Marital Status, and Urbanicity of Residence
Silvia S. Martins, Jean Ko, Sachiko Kuwabara, Diana Clarke, Pierre Alexandre, Peter Zandi, Tamar Mendelson, Preben Bo Mortensen, William W. Eaton
SECTION IV: MECHANISMS OF RISK
8. Genes as a Source of Risk for Mental Disorders
Peter P. Zandi, Brion Maher
9. Mental Disorders Across the Life Span and the Role of Executive Function Networks
Michelle C. Carlson, Dana Eldreth, Yi-Fang Chuang
10. Models of Stress and Adapting To Risk: A Life-Course, Developmental Perspective
Catherine P. Bradshaw, George W. Rebok, Benjamin Zablotsky, Lareina N. LaFlair, Tamar Mendelson, William W. Eaton
11. Adapting To Acute Crisis
Carla L. Storr, Melissa Azur, Judith K. Bass, Holly C. Wilcox
SECTION V: THE BEHAVIORAL HEALTH CARE SERVICE SYSTEM
12. Mental Health and the Law
Deborah Agus
13. American Mental Health Services: Perspective through Care Patterns for 100 Adults, With Aggregate Facility, Service and Cost Estimates
Ronald W. Manderscheid, Pierre Alexandre, Anita Everett, Phillip Leaf
14. Community and Public Mental Health Services in the US: History And Programs
Anita Everett, Su Yeon Lee
15. Pathways to Care: Need, Attitudes, Barriers
Ramin Mojtabai, William W. Eaton, Pallab K. Maulik
16. Mental Health Systems around The World
Shekhar Saxena, Judith Bass, Anita Everett, William Eaton, Atieh Novin
SECTION VI: PREVENTION AND THE FUTURE
17. The Logic and Practice of the Prevention of Mental Disorders
Tamar Mendelson, Elise T. Pas, Julie A. Leis, Catherine P. Bradshaw, George W. Rebok, Wallace Mandell
18. Progress Made, But Much More to Be Done
Phillip Leaf, Laysha Ostrow, Ronald W. Manderscheid, David L. Shern, William W. Eaton
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