Abstract

OR public health professionals, the prevention of disease and the promotion of health are core concerns. The prevention of mental disorder has been an area that has geng 1 1 3 erated inflated claims about potential for success and sometimes highly acrimonious debate. Yet, data indi(ese9 cating that 1s% of the population suffers from mental disorder (1) and the contention (2) that we are facing a pandemic of mental disorder compel us to the realization that strategies to reduce its incidence must be part of public health policy. This paper will consider the current status of the primary prevention of mental disorders and its place in a public mental health agenda. However, in order to avoid what Leighton (3) referred to as the "Lord Ronald Syndrome" (getting on one's horse and riding off madly in all directions), the issue of prevention and public mental health policy has to be considered within the context of two other issues: the community mental health movement, and psychiatric epidemiology.

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