Mental Health Promotion: A Lifespan Approach

By Mima Cattan; Sylvia Tilford | Go to book overview

6 Adulthood: increasing
responsibility and middle-age
(25–45 years and 45–65 years)

Editors’ foreword

Mima Cattan

Sylvia Tilford

Adulthood is a time of major life transitions. This chapter considers the particular issues affecting mental health in adulthood, recognizing that many of these can be equally relevant in early adulthood and in later life. Specific mental health issues discussed here include relationships and parenting, mental health in the workplace, and, for the 45–65 year age group, preparing for retirement. The impact of migration as a global mental health issue is also explored. Many of the examples given are excellent illustrations of multi-agency, multiple methods, mental health promotion interventions, which have long-term impact on communities rather than simply on individuals. Housing, homelessness and work/unemployment are of particular interest with regards to inequalities in (mental) health. This is followed by an exploration of current evidence and examples of good practice. The authors note that there are still major gaps in our understanding of effectiveness in mental health promotion for specific age groups in adulthood. The chapter concludes with a discussion of the application of theory to current practice.


Introduction

Adulthood presents particular demands, responsibilities and achievements. Although the years of economic productivity are not confined to this age group it is the one which makes the major contribution to income generation in societies and to the support of non-productive age groups. Work is a dominant activity through which people make a living and achieve life satisfaction. It is also a period where many have a range of responsibilities for others especially as parents of young children in the earlier years and ongoing parental roles together with degrees of care and support for others, especially in the middle years. In addition there are varying levels of involvement in community activities. There are significant differences between parts of the world in the organization of adult life and the ages at which there is full adoption of adult responsibilities. In some parenting begins from later teenage years and life expectancy is such that many will not have a period of older age, or even middle-age. In the UK the mean age of having children has risen steadily so that active parenting of young

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Mental Health Promotion: A Lifespan Approach
Table of contents

Table of contents

  • Mental Health Promotion - A Lifespan Approach iii
  • Contents v
  • List of Figures, Tables and Boxes vi
  • List of Contributors viii
  • Foreword xi
  • Preface xiii
  • Acknowledgements xv
  • List of Abbreviations xvi
  • 1: Introduction 1
  • 2: What Is Mental Health? 8
  • 3: Mental Health Promotion 33
  • 4: Infancy and Childhood (0–5 Years and 6–12 Years) 64
  • 5: Adolescence and Emerging Adulthood (12–17 Years and 18–24 Years) 100
  • 6: Adulthood 137
  • 7: Older People 176
  • 8: Concluding Comments and the Future of Mental Health Promotion 214
  • Appendix 1 226
  • Appendix 2 228
  • Appendix 3 230
  • Glossary 232
  • Index 236
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