Frontiers | The human functioning revolution: implications for health systems and sciences

). The increased prevalence of non-communicable diseases and chronic health conditions—which lead to a decline in functioning—is concerning, and from the perspective of society they warrant increased investment in prevention and cure. But the impact of these trends also points to the need to prepare our healthcare systems to focus on optimizing functioning .

This article explicates more fully WHO’s notion of human functioning, illustrates its potential impact on health and society at large, and argues that societies can profit by implementing functioning systematically as the third indicator of health. Specifically, we first explain functioning as a rethinking of health, one that more clearly exposes the conceptual and empirical link between health and both individual well-being and societal welfare.

Recognizing the salience of the lived experience of health in people’s lives was the starting point of a rethinking of health incorporated into WHO’s development of the ICF. The foundational premise was that human functioning was not simply a consequence of health conditions such as diseases and injuries, but was actuallyof the lived experience of health states.

This, then, is the revolution in our understanding of health represented by the notion of human functioning: from the perspective of lived health, the actual performance of activities in one’s actual environment, functioning constitutes the bridge between biological health and our well-being, understood either as an objective good—human flourishing—or subjectively as happiness, both affective and cognitive.

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We’re still prioritising physical health over mental health at workNew research has found that 70% of Brits prioritise physical health over mental wellbeing especially in working environments, and many still believe physical ailments are taken more seriously.
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Prevalence and risk factors for postnatal mental health problems in mothers of infants admitted to neonatal care: analysis of two population-based surveys in England - BMC Pregnancy and ChildbirthBackground Previous research suggests that mothers whose infants are admitted to neonatal units (NNU) experience higher rates of mental health problems compared to the general perinatal population. This study examined the prevalence and factors associated with postnatal depression, anxiety, post-traumatic stress (PTS), and comorbidity of these mental health problems for mothers of infants admitted to NNU, six months after childbirth. Methods This was a secondary analysis of two cross-sectional, population-based National Maternity Surveys in England in 2018 and 2020. Postnatal depression, anxiety, and PTS were assessed using standardised measures. Associations between sociodemographic, pregnancy- and birth-related factors and postnatal depression, anxiety, PTS, and comorbidity of these mental health problems were explored using modified Poisson regression and multinomial logistic regression. Results Eight thousand five hundred thirty-nine women were included in the analysis, of whom 935 were mothers of infants admitted to NNU. Prevalence of postnatal mental health problems among mothers of infants admitted to NNU was 23.7% (95%CI: 20.6–27.2) for depression, 16.0% (95%CI: 13.4–19.0) for anxiety, 14.6% (95%CI: 12.2–17.5) for PTS, 8.2% (95%CI: 6.5–10.3) for two comorbid mental health problems, and 7.5% (95%CI: 5.7–10.0) for three comorbid mental health problems six months after giving birth. These rates were consistently higher compared to mothers whose infants were not admitted to NNU (19.3% (95%CI: 18.3–20.4) for depression, 14.0% (95%CI: 13.1–15.0) for anxiety, 10.3% (95%CI: 9.5–11.1) for PTS, 8.5% (95%CI: 7.8–9.3) for two comorbid mental health problems, and 4.2% (95%CI: 3.6–4.8) for three comorbid mental health problems six months after giving birth. Among mothers of infants admitted to NNU (N = 935), the strongest risk factors for mental health problems were having a long-term mental health problem and antenatal anxiety, while social support and satisfaction with
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Police officers to stop attending mental health incidentsThe move is designed to free up officers to spend more time on their core roles, rather than dealing with patients in need of medical help from experts.
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Concerns raised over plans for Met to stop attending mental health calls except in emergencyConcerns have been raised over plans by the Metropolitan Police to stop attending mental health calls except in an emergency. AyshahTull reports.
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