Shifting the Focus: A Case for a Positive Mental Health Framework in Europe

Abstract

This open letter advocates for a paradigm shift in European mental health policy by proposing the adoption of a European Positive Mental Health Framework. It argues that current approaches remain overly focused on severe mental health problems and institutional care, while overlooking the broader continuum of mental health. This includes mental wellbeing aspects such as emotional resilience, life satisfaction, and social connectedness. The authors highlight the need for robust, strength-based surveillance systems that track the core components and the enabling conditions of mental wellbeing. Drawing from international models such as Canada's Positive Mental Health Surveillance Indicator Framework and the OECD’s Well-being Framework, the letter underscores the feasibility and importance of coordinated, cross-country monitoring. Despite challenges in standardizing definitions and metrics, the letter emphasizes that harmonized data collection is essential for designing responsive and preventative mental health systems. It calls on the EU to build on existing scientific and policy initiatives, including the European Public Health Alliance’s indicator development, to create a framework that enables both comprehensive measurement and actionable change. By shifting focus toward positive mental health, the EU can not only better prevent illness but also enhance societal wellbeing resilience in the face of future crises.