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Quebec is committed to disseminating effective promotion and prevention practices in the school context. For over five years, through an intersectoral approach, Healthy Schools, partners in education and health have been asked to work together interdependently and collaboratively to reinforce actions that will support youth throughout their development.

Mental health is the capacity of individuals and groups to interact with one another and the environment in ways that promote subjective well-being, optimal development and the use of cognitive, affective and relational abilities. This definition focuses on the fact that mental health is not limited to the absence of disease, but is a positive state.

In the past two decades, work and employment relations have undergone huge transformations. With regards to work organization, new management methods have resulted in high intensity work, bringing about an increase in the pace and rhythm of work, tighter control on individual production and elimination of idleness.

Several mental health problems begin at an early age, influencing mental health throughout adulthood. Many experts working in mental health prevention and promotion maintain that school is the best place to implement programs promoting mental health. It is a place where children spend a considerable amount of time, making it easy to reach all children, including those living in vulnerable conditions.

The stepped care model seems to be a promising approach for improving quality of care for people with common mental disorders. To recap, stepped care is a health care model where interventions are prioritized according to patient needs. When the patient’s health does not improve following the interventions offered, progression towards more complex care is considered. This model would improve the current organization of mental health services.

Supported Self-Management (SSM) is gaining increasing recognition as an essential component in the treatment of people suffering from anxiety and depressive disorders. Most practice guidelines (NICE, CANMAT) recommend it. Finally, it is also part of the Chronic Care Model, which is progressively more popular for both physical illnesses and mental disorders.

The prenatal period and early childhood years set a crucial foundation for an individual’s mental health. Protective and risk factors contribute to making children stronger or more vulnerable in the short, medium or long term, even though they may be subsequently altered by other factors. As a result, these periods are especially favourable for both the promotion of mental health and the prevention of mental disorders.