Copyright © eContent Management Pty Ltd. Health Sociology Review (2014) 23(3): 166–177.
166 Volume 23, Issue 3, December 2014 H
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hese last few years, increasing publications
about the predominance of poor mental
health and its high cost associated with increas-
ing health care and social services use, as well
as loss in economic productivity, led to vari-
ous international recommendations in order to
prevent mental disorders and to promote indi-
vidual well-being (World Health Organization,
2001, 2006). In that matter, various World Health
Organisation (WHO) reports, aimed at health
policy planners and practitioners, recommend
developing, disseminating and implementing
prevention and promotion programs. The pub-
lic health benefits and cost-effectiveness of these
programs must be confirmed by ‘the conscientious,
explicit and judicious use of current best evidence’
found in the international scientific review of
literature (World Health Organization, 2004,
2005). The WHO underlines the importance of
relying on systematic and experimental research
(such as randomized controlled trials) to evalu-
ate the impact of programs on diminishing risk
and on promoting protective biopsychosocial
evidence-based factors. The WHO also recom-
mends to ‘enhance their dissemination and adoption
worldwide in order to facilitate their large-scale imple-
mentation’ (World Health Organization, 2004,
p. 53).The dissemination of evidence-based pre-
vention and promotion programs through the
proliferation of international scientific journals
1
and articles, guidelines and recommendations
made by various private and public health orga-
nizations, also came along with the considerable
development of new scientific disciplines such as
genetics, neuroscience and behavioral medicine.
These new scientific disciplines have led to new
conceptions of mental and behavioral function-
ing and to new types of interventions (World
Health Organisation, 2013).
Over the years, these global health concep-
tions and strategies have substantially influ-
enced the development of mental health
policies in a number of countries. Various
mental health guidelines and recommenda-
tions have been published in the United States,
Canada and Australia to ‘assist practitioners as
they plan, implement and evaluate mental health
The public health dogma of evidence-based mental disorders prevention
and mental health promotion: French professionals’ beliefs in regard to
parenting programs
CÉCILE DELAWARDE*, THOMAS SAÏAS
+,!
AND XAVIER BRIFFAULT*
*CERMES3 – CNRS UMR 8211, EHESS, INSERM U988, Université Paris Descartes, Sorbonne Paris-
Cité, Paris, France;
+
Département de psychologie, Université du Québec à Montréal, Montréal,
QC, Canada;
!
Laboratoire de Psychopathologie et Processus de Santé, Université Paris Descartes,
Sorbonne Paris-Cité, Paris, France
Abstract: In the last few years, various international public health organizations such as the World Health
Organization or the European Commission have recommended the worldwide dissemination of evidence-based mental
health prevention programs. is public health ideal, relying on new scientific disciplines, is at the origin of multiple con-
troversies in a number of countries. is article contributes to bring a reflection on the ways political experts, researchers
and practitioners have integrated these new preventive strategies. More precisely, the objective is to present and to discuss the
results of a qualitative study on French professionals’ representations and theoretical perspectives with regards to evidence-
based parenting programs. Results are based on ethnographical inquiries in French public health institutions and on 12
semi-structured interviews with professionals. e results demonstrate three ways to conceive parenting support, themselves
attached to distinct anthropological, socio-political and interventional models.
Keywords: public health policies, mental health prevention, evidence-based, parenting support, representations,
sociology
1
For example, creation of Evidence-Based Mental Health –
BMJ journal.