Municipal strategies and meeting minutes' descriptions of the promotion of children's mental health: a document analysis

Scand J Public Health. 2021 Jul;49(5):519-528. doi: 10.1177/1403494820961902. Epub 2020 Oct 8.

Abstract

Aims: Little is known about how municipal strategies, programmes and plans pay attention to the promotion of children's mental health and whether it is discussed and reported in the municipal councils, boards and committees. The purpose of this study was to examine how municipalities in one Finnish region promote mental health, with a focus on the promotion of children's mental health.

Methods: Document analysis was used as a research method. Documents were selected for a one-year period (2018) from three municipalities of the North Savo region. Analysed documents (n=269) were municipal strategies, programmes and plans, as well as meeting minutes of municipal councils, boards and committees. Eight domains of the structural indicators of mental health were used as an analysis frame.

Results: In total, 1169 mentions related to the structural indicators of mental health were found in the documents. In strategies, programmes and plans, parenting-related mentions were found most often. Regarding the minutes, the issues discussed and reported about the wellbeing of children focused on practical issues, such as the construction of day care buildings.

Conclusions: Document analysis indicated that mental health promotion involved mostly the society and environment and not as much the age and setting. There was a lack of mentions regarding preschool experiences and family support/childcare and the promotion of mental health through schools and education, especially in the meeting minutes of municipal councils, boards and committees.

Keywords: Mental health promotion; children; decision-making; document analysis; municipality.

Publication types

  • Review

MeSH terms

  • Child
  • Cities
  • Finland
  • Health Promotion / methods*
  • Humans
  • Mental Health*