Mental Health Strategy for Scotland: 2012-2015

The Scottish Government’s mental health strategy to 2015 sets out a range of key commitments across the full spectrum of mental health improvement, services and recovery to ensure delivery of effective, quality care and treatment for people with a mental illness, their carers and families.

This document is part of a collection


1. Terminology is important but difficult. In this document we use the term 'mental illness' where there is or may be a diagnosis of a particular and defined condition within a document such as "The ICD-10 Classification of Mental and Behavioural Disorders" published by the WHO; 'mental disorder' to refer to the broader category of mental illness, personality disorder and mental illness (which follows the definition in section 328 of the Mental Health (Care and Treatment) (Scotland) Act 2003 as well as substance misuse disorders); and "mental health problems" to refer to the more ambiguous territory which includes those with illness, but also people who may be experiencing challenges to their psychological wellbeing, but who do not have a persisting mental illness or disorder.

2. "Paying the Price - The cost of mental health care in England to 2026" - King's Fund, 2008 available at

3. Figures and graph from The European Mental Health Strategy, WHO Europe (forthcoming).

4. Figures from the General Register Office for Scotland (GROS) at

5. The figures for 2011 are published by GROS in August 2011 and will have become available after this document has been sent for printing. The data is published at

6. The period of readmission was for readmissions up to December 2010 and more information is available at The numbers of individuals readmitted within 365 days of discharge for Jan 08 - Dec 08 is not available due to data completeness issues during that period.

7. More information about delivery against the suicide target is available on the Scotland Performs website at

8. The report is available at with information at NHS Board or Trust level across the United Kingdom.

9. "Factors associated with duration of new antidepressant treatment: analysis of a large primary care database" British Journal of General Practice 2012; DOI: 10.3399/bjgp12X625166

10. National Mental Health Service Assessment: Towards Implementation of the Mental Health (Care and Treatment) (Scotland) Act 2003 Final Report. Available at

11. Available at

12. Available at

13. Information about each of the National Outcomes can be found at

14. Available at

15. Available at

16. Available at

17. Available at

18. Available at

19. Available at

20. Available at

21. "Mental health promotion and mental illness prevention: The economic case", Martin Knapp, David McDaid and Michael Parsonage (editors) Department of Health January 2011.

22. NHSScotland Quality Strategy - putting people at the heart of our NHS

23. Suicide Reporting System: Learning and Improving Review


25. Information about the award is available on the SQA website at

26. A copy of the Guidelines can be requested from

27. Information about the services can be found at

28. The website which offers support is at There is more information about how we intend to develop the use of Steps for Stress below.


30. Available at

31. "Stigma: An International Briefing Paper", WHO Europe, 2008

32. The Mental Health (Care and Treatment) (Scotland) Act 2003 can be found at

33. Available at

34. Available at

35. Available at

36. More information is available in the final section of this document and at

37. Available at

38. Available at

39. Available at

40. The website is at

41. The Early Years Framework, Scottish Government 2008 available at

42. More information about the Family Nurse partnership work is available at

43. "Attachment, the reflective self, and borderline states", Fonagy P., Steele M., Steele, H., Leigh T., Kennedy R., Mattoon G., & Target M. (1995) Pp 233-278 in Goldberg, S., Muir, R., & Kerr, J., (Eds) (1995) Attachment Theory: Social Development and Clinical Perspectives. Hillsdale, N. J.,: The Analytic Press.

44. "The mental health of children and adolescents in Great Britain" Office for National Statistics, 1999; "Growing Up in Scotland: Children's social, emotional and behavioural characteristics at entry to primary school" Paul Bradshaw and Sarah Tipping, Scottish Centre for Social Research.

45. The diagram is sourced from "What Works in Parenting Support? A Review of the International Literature" , Moran P, Ghate D, van der Werwe A: Research Report 574. London: Department for Education and Skills, 2004.

46. "The development of offending and antisocial behaviour from childhood: key findings from the Cambridge study in delinquent development", Farrington DP, J Child Psychol Psychiatry 1995 36:929­64, 1995.

47. "Very early predictors of conduct problems and crime: results from a national cohort study", Murray J, Irving B, Farrington DP, Colman I, Bloxson AJ, J Child Psychol Psychiatry 2010, 51:1198-1207

48. "Financial cost of social exclusion: follow up study of anti-social children into adulthood", Scott S, Knapp M, Henderson J, Maughen B., British Medical Journal 2001;323:191.

49. "Treating Children With Early-Onset Conduct Problems: Intervention Outcomes for Parent, Child, and Teacher Training", Webster-Stratton, C., Reid, J.M., and Hammond, M. 2004. Journal of Clinical Child and Adolescent Psychology.

50. "Randomised Controlled Trial of a Parenting Intervention in the Voluntary Sector for Reducing Conduct Problems in Children: Outcomes and Mechanisms of Change", Gardner, F. and Burton, J., Journal of Child Psychology and Psychiatry 2006 47:11. 1123-1132.

51. More information about the work the NSPCC is taking forward is available at

52. "Psychiatric disorder among British children looked after by local authorities: comparison with children living in private households", Ford, T., Vostanis, P., Meltzer, H. and Goodman, R., British Journal of Psychiatry 2007, 190, pp. 319-325.

53. Delivering for Mental Health, Scottish Executive, 2006 available at

54. Looked After Children and Young People; We Can and Must do Better, Scottish Executive, 2007 available at

55. More information about the GIRFEC approach is available at

56. "The Effectiveness of a Community Intensive Therapy Team on Young People's Mental Health Outcomes", Simpson, W., Cowie, L., Wilkinson, L., Lock N., & Monteith, G., 2009, Child and Adolescent Mental Health available at

57. The publication and further information can be found at

58. The Matrix is available at


60. For commonly used methods to increase physical activity,

61. Available at

62. "Links Project Report: developing the connections between General Practices and their Communities"

63. Available at

64. Available at

65. Available at

66. SIGN 74 is available at

67. Alcohol Framework for Action (2009)

68. The Challenge of Delivering Psychological Therapies for Older People in Scotland Report of Older People's Psychological Therapies Working Group, December, 2011.

69. Mentally Healthy Later Life Reference Group - Recommendations to inform Scottish Government's action plan to promote mentally healthy later life in Scotland (2010) NHS Health Scotland available at

70. More information about the Change Fund is available at

71. More information about health and social care integration is available at

72. Improving the Quality of Health Care for Mental and Substance-Use Conditions, IOM, page 11.

73. Available at

74. "Multimorbidity: redesigning health care for people who use it" available at

75. The final report is available at

76. The report is available at

77. The report is available at

78. More information is available at

79. Copies of all Mental Welfare Commission reports are available at

80. The Report is available at

81. See note 80

82. See note 53 for reference to Delivering for Mental Health.

83. A copy of the report "Mapping and review of physical health improvement activities for adults (16-65) experiencing severe and enduring mental illness" is available at

84. See note 35 for reference to Scottish Recovery Indicator.

85. More information about Releasing Time to Care can be found at and an early evaluation of impact at

86. See note 16 for reference for Towards a Mentally Flourishing Scotland.

87. See note 83 for reference to the review report.

88. "Vocational Rehabilitation What works, for whom and when?", Waddell G., Burton A.K., Kendall N.A.S., 2008, London available at

89. "Disability and employment in Scotland: a review of the evidence base" Riddell S., Banks P. and Tinklin T. Scottish Executive, 2005, available at

90. Information about the SRI 2 is available at

91. The most recent information about Rights, Relationships and Recovery together with a link to the original document is available at

92. More information about Wellness Recovery Actions Plans is available at

93. Materials which support this community of practice are available at

94. The materials are available at

95. "Vocational rehabilitation for people with severe mental illness", Crowther R., Marshall M., Bond G.R., Huxley P., the Cochrane Library, 2010, available at

96. "The effectiveness of supported employment for people with severe mental illness: a randomized controlled trial", Burns T., Catty J., Becker T., Drake R., Fioritti A., Knapp M., Lauber C., Tomov T., van Busschbach J., White S., Wiersma D., The Lancet, 2007, 370 1146-1152 available at

97. "Impact of supported employment on service cost and income of people with mental health needs" Schneider J., Boyce M., Johnson R., Secker J., Slade J., Grove B., Floyd M., Journal of Mental Health 2009 18(6) 533 available at

98. More information is available at

99. "Realising work potential. Defining the contribution of allied health professionals to vocational rehabilitation in mental health services", 2011, Scottish Government, available at; "Towards Work in Forensic Mental Health National Guidance for Allied Health Professionals" available at

100. The Report is available at

101. The response is available at

102. More information about Community Payback Orders is available at

103. The Strategy is available at

104. More information about mental health benchmarking and the mental health benchmarking toolkit is available at

105. Available at


Email: Ewen Cameron, Reshaping Care & Mental Health Division

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