Continua Model Of Mental Health Research Articles

Co-designing action-oriented mental health conversations: the case for integration in home and community care.

Background: The COVID-19 pandemic has reinforced concerns for the mental health and wellness of older adults worldwide. Older adults experiencing poor mental health may face both mental health stigma and ageism, which act as barriers to talking about mental health and seeking needed supports, care, and treatment. In Canada and elsewhere, there is a lack of mental health parity. The healthcare system’s focus on the physical healthcare needs of older adults creates missed opportunities for intentional conversations about mental health between providers and older patients during routine interactions.
 Aims: This project responds to aging and mental health research priorities identified by aging Canadians during the pandemic through surveys (n=1,000) and workshops (n= 52 participants). Top priorities included the need for research and action supporting: 1) skill-building in non-mental health specialists; and 2) the application of user-friendly tools to identify signs of positive and poor mental health. The aim of this multi-year research study is to co-design and test an evidence-based approach to starting mental health conversations between home and community care providers, older adults and/or their family caregivers.
 Methods: This study applies a participatory mixed methods design across three phases, guided by a working group of experts-by-lived-experience (n=30). Phase 1 involved a modified ADAPTE process including online workshops (n= 57 participants) and surveys (n=~1000) of older adults, caregivers, and health/social care providers across Canada. The workshops explored the use of an evidence-based visual model, called the Mental Health Continuum, to guide mental health conversations in home and community care. Phase 2 will involve co-design workshops with community health/social care providers in six communities (n= 3 rural; n=3 urban) across three Canadian provinces. Phase 3 will involve pilot and feasibility testing of the co-designed conversations in routine care. This abstract focuses on the findings from Phase 1. 
 Results: Workshop participants agreed that a visual model depicting mental health as a complex, multi-component construct ranging in state on a spectrum, was a helpful starting point for de-stigmatizing mental health between older adults, caregivers, and health/social care providers. However, participants felt the Mental Health Continuum needed to be adapted for use in promoting conversations in the context of home and community care. Suggested adaptations include the use of generic and action-oriented language across the model, more inclusive use of colours, capturing the element of change-over-time, removing clinical jargon from category names, and revising the signs and signals to be more aging context-relevant. Public consultation survey results are expected by the date of the conference. 
 Learnings: Engaging experts-by-lived-experience in all study phases is crucial for building on existing evidence in new research through a realist lens and ensuring widespread health issues are met with context-specific and relevant solutions. Workshops reinforced research priorities identified during the pandemic and confirmed the study’s potential to address challenges with integration of health and social care for older adults through de-stigmatizing mental health conversations.
 Next steps: The adapted Mental Health Continuum model will guide the co-design and pilot-testing work in Phases 2 and 3 of the research study.

4.P. Workshop: Mental health among adolescents – from epidemiological surveillance to school-based promotion

Abstract Tacitly it has been assumed that mental health would prevail in the absence of pathology. However, the relationship between mental illness and mental health is not symmetrical in the sense that the absence of the former necessarily means high levels of the latter. On the contrary, a growing body of evidence shows that high levels of well-being independently predict less subsequent mental illness and have a range of positive effects on individuals and society. If we continue to neglect positive conceptualisations of mental health and health assets in our research, we will end up with an impoverished picture of the distribution and determinants of mental health at the population level. Drawing from our experience with epidemiological surveillance and the development, testing and evaluation of a new manual-based intervention to promote adolescent mental health, the objective of this workshop will be to present how mental health can be conceptualized, monitored, and promoted using the two continua model of mental health. The latter holds that mental illness and mental health are two related but distinct dimensions as opposed to the conventional single continua model that puts mental illness at one end and mental health at the other as opposites. To accomplish the workshop in a coherent manner require four presentations. The first two presentations will illuminate the importance of including also mental well-being in epidemiological surveillance of mental health and an example will be made of this using a regional population survey among Swedish adolescents prior to and three years after the Covid-19 outbreak. The last two presentations will shift focus from measuring population needs to addressing these needs with a tailor made school-based intervention. The school with its compensatory mandate is an important arena for health-promoting interventions as it may positively influence students’ developmental trajectories into adulthood, especially their mental health. Likewise, mental health is important for the school and for society, since students who are mentally flourishing have an easier time learning things and better conditions to cope with school. However, there is a dearth of evaluated interventions designed specifically to promote mental well-being in adolescents. Current theories of hedonic and eudemonic well-being along with the solution-focused approach will be presented as frameworks for enhancing well-being in adolescents followed by its application in a new manual-based programme aimed at promoting mental well-being in upper secondary school. The Solution-focused Intervention for Mental health was developed over a period of five years in three feasibility studies. The last presentation will briefly describe from theory to practice how components of mental well-being are broken down to indicators, contextualised and given practical meaning in everyday life. Key messages • To properly assess adolescent mental health in a population, using the two continua model, means to measure and combine the results of both mental ill health and mental well-being. • The new Solution-focused Intervention for Mental health (SIM) is a manual-based program designed and tested to promote adolescent mental health in upper secondary school.

Assessing the mental health among adolescents using a two continua model approach

Abstract The latest World mental health report states that mental health is an integral component of health and well-being and is more than the absence of pathology. Indeed, the view of mental health is slowly shifting to an emphasis on positive health indicators as national authorities around the world are increasingly adopting the two continua model of mental health (TCM). Adopting the TCM has several important implications for public health practice. One is that the epidemiological surveillance will have to include measures of both mental illness and mental well-being. The purpose of this presentation is to illuminate the conceptual and practical use of the TCM in the analysis of adolescent mental health. The presentation will be limited to a focus on the theoretical underpinnings and methodological considerations made to operationalize and categorize mental health according to the TCM. It will consider the added value of the TCM to epidemiological surveillance as well as its implications for public health practice when it comes to meeting population needs with appropriate interventions. To construct the model, data from population-based regional public health surveys among adolescents including validated measures of both mental ill health and mental well-being was used. The Kessler 6 scale was used to estimate the proportion of adolescents with or without probable serious mental illness (SMI, >13) and the Mental Health Continuum - Short Form was used to estimate the proportion of adolescents with flourishing (FMH), moderate (MMH) or languishing (LMH) mental health according to the original categorization developed by Keyes. Combining these two dimensions of mental health and their respective categories will yield six mental health status groups: Complete mental health = FMH without SMI, Vulnerable = MMH without SMI, Most vulnerable = LMH without SMI, Symptomatic but content = SMI with FMH, Troubled = SMI with MMH, and Most troubled = SMI with LMH.

An investigation of the dual continua model of mental health in the context of eating disorder symptomatology using latent profile analysis.

The dual continua model of mental health suggests that mental well-being and mental illness are two distinct continua that are interrelated in their contributions to overall mental health. This study investigated the dual continua model in individuals with eating disorder symptoms. Female university students (N = 346) completed measures of mental well-being, eating disorder symptomatology, clinical impairment and psychological distress. Confirmatory factor and latent profile analyses were used to derive underlying mental health profiles. Results revealed two oblique factors representing the mental well-being and eating disorder symptomatology constructs and four unique mental health profiles that were partially consistent with the dual continua model emerged: 'flourishing', 'vulnerable', 'partially symptomatic and content', and 'languishing'. The derived mental health profiles had unique characteristics described by psychological distress and clinical impairment. The results did not provide conclusive evidence for the dual continua model as they could also be interpreted in a manner consistent with the unidimensional approach. While the dual continua model is a promising avenue to understand mental health in a way that looks beyond symptoms, these results caution against its rapid adoption and encourage future research to understand how eating disorder symptomatology and positive mental health assets contribute to overall mental health.

Art for Humanizing Mental Illness When Teaching Diagnosis

Teaching a class that covers psychiatric diagnoses is essential for graduate students in mental health professions both for the purpose of providing informed therapeutic services for their clients who may have been diagnosed with a mental illness, and, increasingly, for the provision of diagnosis as a licensed clinician in the United States. Art therapy educators designed an experiential learning approach rooted in two frameworks that humanize mental illness (Two Continua Model of Mental Health and Mental Illness, Power Threat Meaning) combined with reflective art viewing and making. A cumulative art assignment based on one-canvas painting fosters students’ critical perspectives through four observed patterns: appreciating impact of layering; understanding mental illness through art materials and processes; empathizing through reflecting on one’s own experiences; and recognizing the wholeness of those living with mental illness. The incorporation of response art in the psychopathology class has had the intended dual impact of instilling a humanizing approach to mental illness and fostering self-reflection.

Examining staff and faculty work–life balance and well-being using the dual continua model of mental health during COVID-19

The COVID-19 pandemic created work–life balance, mental health, and well-being challenges for higher education employees, both initially and years later. We investigated staff and faculty self-reported work–life balance and quality of life using the dual continua model of mental health at a medium-size university for 9 months during August 2021 to April 2022. The dual continua model of mental health states that high levels of well-being and psychological distress can co-occur, while a unidimensional model of mental health positions well-being and psychological distress on opposite ends of a unipolar continuum. The dual continua model overlaps with and is broader than the unidimensional model. Based on 299 responses, four groups of staff and faculty (high and low anxiety crossed with high and low life satisfaction) were formed. Consistent with the dual continua and inconsistent with the unidimensional model of mental health, high life satisfaction, regardless of anxiety level, was associated with higher levels of quality of life and work–life balance. Consistent with both the unidimensional and dual continua models, within faculty and staff reporting lower levels of life satisfaction, higher levels of anxiety were associated with lower quality of life and work-life balance. In addition, within the high or low anxious groups, higher life satisfaction was associated with lower levels of depression. Present data represent the only study that builds on previous literature in examining well-being and psychological distress using a dual continua model in staff and faculty at a mid-size university. Overall, present results suggest the dual continua model of mental health better characterizes the relationship of well-being and psychological distress in staff and faculty in a higher education setting than a unidimensional model

Evaluation of a mental health continuum model in two samples.

Evaluation of a mental health continuum model in two samples.

Disentangling between- and within-person associations of psychological distress and mental well-being: An experience sampling study examining the dual continua model of mental health among university students

The dual continua model assumes that psychological distress and mental well-being are two related, yet distinct dimensions of mental health. Previous studies did convincingly show the distinctiveness of these two dimensions using mainly cross-sectional research. Despite the importance to distinguish between- and within-person associations in psychological theories, to date, no study specifically distinguished between- and within-person associations for the relationship between distress and well-being. Therefore, the objective of this study was to validate whether the dual continua model actually holds when examined within individuals. Intensive longitudinal data were collected through experience sampling. The sample included 25 university students (mean age = 23.50 years, 56% female), who completed a baseline questionnaire as well as momentary measures of psychological distress and mental well-being three times per day for two weeks. 1,014 timepoints were analyzed using multilevel models and person-mean centering was applied to distinguish between- and within person associations. A significant moderate negative between-person association was found for the relationship between psychological distress and mental well-being (β = −.363, marginal R2 = 0.15, p < .001). The within-person association was also significant and similar in magnitude (β = −.432, marginal R2 = 0.18, p < .001) at the group level. Individual within-person associations between distress and well-being varied substantially, but were negative for almost all participants. This study is an important step towards validating the applicability and universality of this widely used model. The current findings provide preliminary evidence that the dual continua model does not only hold between people, but also on the level it is actually used for, namely within individual people.

Anxiety, trauma and well-being in health-care professionals during COVID-19 first wave in Spain: the moderating role of personal protection equipment availability

BackgroundThe effect of COVID-19 on Health-Care Professionals’ mental health has received increased attention in the last year’s literature. However, previous studies essentially evaluated psychopathological symptoms and not the presence of positive mental health. Therefore, the first objective of the present research is to evaluate health-care professionals’ mental illness (i.e., anxiety and traumatic intensity) and positive mental health (i.e., well-being) using the Complete State Model of Health. Our second objective is to study the effect of Personal Protection Equipment availability on professionals’ mental health.MethodsTwo-hundred and thirty-two health-care professionals working in Spain in the first line of COVID-19 patient care participated in the study. To measure anxiety, traumatic intensity and well-being participants completed the State Trait Anxiety Inventory, the Davidson Trauma Scale, and the Mental Health Continuum-Short Form. Pearson correlations were used to examine the relationships between all scales. In order to test the two continua model of mental health, we used parallel analysis and exploratory factor analysis. To analyze anxiety, traumatic intensity, and well-being differences between health-care professionals with and without Personal Protection Equipment availability we conducted different ANOVAS. To test our hypothesis regarding the moderating role of Personal Protection Equipment availability in the effect of mental illness on positive mental health, data were subjected to a hierarchical regression analysis.ResultsAs in previous studies, health-care professionals showed high levels of anxiety and traumatic intensity. They also presented low levels of well-being indicators. According to our hypothesis, results of parallel analysis and exploratory factorial analysis indicated that the measures of mental illness and positive mental health loaded on separate but correlated factors. Finally, Personal Protection Equipment availability moderated the effects of state anxiety and traumatic intensity on professionals’ well-being.ConclusionsHealth-care professionals’ mental illness and positive mental health reflect distinct continua, rather than the extreme ends of a single spectrum. Therefore, it is essential to measure both psychopathology and the presence of positive health to comprehensively evaluate professionals’ mental health. Finally, our results indicated that Personal Protection Equipment availability is essential not only for professionals’ physical health, but also for their mental health.

Flourishing or Languishing? The Relationship Between Mental Health, Health Locus of Control and Generalised Self-Efficacy.

Mental health is a core component of overall wellbeing and can contribute to positive functioning and purpose in life. Mental health is purportedly related to the constructs of generalised self-efficacy (GSE) and health locus of control (LOC). Most research, however, has explored GSE and LOC and their relationship with psychopathology, or defined mental health as a lack of psychopathology indicators. This contradicts the two continua model of mental health, as it does not incorporate positive mental functioning. The current study sought to re-examine the relationship between health LOC, GSE, and mental health, whilst controlling for potential confounding factors. It was anticipated that health LOC and GSE would predict mental health. A sample of 224 adults completed an online survey comprised of validated psychometric tools scales. Regression analyses were conducted to determine whether health LOC and GSE predicted mental health, after controlling for self-esteem, social support, and coping. Results indicated that GSE was a significant unique positive predictor of mental health. Health locus of control was not a significant predictor of mental health. Limitations were present, including a cross-sectional research design and use of convenience sampling. This study builds upon existing research in providing a better understanding of contributors to mental health, which may assist in the development of evidence-based mental health promotion interventions.

Supplemental Material for Evaluation of a Mental Health Continuum Model in Two Samples

Supplemental Material for Evaluation of a Mental Health Continuum Model in Two Samples

Fear of happiness through the prism of the dual continua model of mental health.

Two studies were conducted to investigate fear of happiness through the lens of the dual continua model of mental health. In Study 1, we examined whether depression (indicator of mental illness) and happiness (indicator of mental health) predicted fear of happiness through a Structural Equation Model. In Study 2, we ran a quasi-experimental design to examine differences in affect (positive and negative), happiness and depression when engaging in either fearless or fearful beliefs of happiness. Fear of happiness was positively and negatively predicted by depression and happiness, respectively. Fearless individuals reported higher positive affect and happiness, and lower negative affect and depression, than fearful individuals. Fearing happiness might act as a maladaptive self-verifying motive to enhance one's perspective of the world. Given the likelihood of modifying maladaptive cognitive patterns, we highlight different psychological interventions that can address the negative impact of fearful beliefs of happiness.

University Student Mental Well-Being during COVID-19 Outbreak: What Are the Relationships between Information Seeking, Perceived Risk and Personal Resources Related to the Academic Context?

In light of rising concern about the coronavirus pandemic crisis, a growing number of universities across the world have either postponed or canceled all campus and other activities. This posed new challenges for university students. Based on the classification proposed in the Mental Health Continuum model by Keyes, the aims were to estimate university students’ prevalence of mental health during lookdown outbreak, and to examine the associations between mental health and, respectively, academic stress, self-efficacy, satisfaction for degree course, locus of control, COVID-19 risk perception, taking into account the level of information seeking about pandemic. Overall, 1124 Italian university students completed a self-report questionnaire. Data were analyzed using descriptive and correlational analyses. Results showed that 22.3% of participants were flourishing, and levels of mental well-being appeared in line with normative values in young Italian adults; levels of academic stress were not significantly higher than those found in other student samples before the COVID-19 outbreak. Students with high levels of information seeking presented higher levels of well-being and risk perception. Results could be considered useful to realize training pathways, to help the university students to improve their well-being, post-pandemic.

Self-reflection and screening mental health on Canadian campuses: validation of the mental health continuum model

BackgroundThis study describes the psychometric testing of the Mental Health Continuum (MHC) model the Canadian Department of National Defense developed initially, among undergraduates of three Canadian universities. The MHC is a tool that consists of 6 items to guide students the way to attend to, or monitor, signs and behavior indicators of their mental health status and suggest appropriate actions to improve their mental health.MethodsOnline survey data were collected from 4206 undergraduate students in three universities in two Canadian provinces during the spring of 2015 and winter of 2016. Participants completed an online survey questionnaire that consisted of the MHC questionnaire, the Kessler Psychological Distress Scale (K-10), and demographic information, including age, gender, and year of study.ResultsFactor analysis using the principal components method followed by a two-step internal replication analysis showed that the MHC tool was two-dimensional and that all six domains assessed were crucial. The construct (convergent) validity of the MHC tool was tested against the K-10, and the correlation analysis results were strong overall, as well as within subgroups defined by gender, year of study, and university.ConclusionsThe MHC is a useful tool that helps college students reflect on and enhance their mental health.

Well-being profiles in adolescence: psychometric properties and latent profile analysis of the mental health continuum model \u2013 a methodological study

BackgroundThe Adolescent Mental Health Continuum Short Form (MHC-SF) is a psychometrically valid tool to evaluate the domains of subjective well-being, but there is a lack of investigations which could distinguish subgroups with distinct subjective well-being profiles based on this measurement. Therefore, after testing the competing measurement models of the MHC-SF, our main aim was to identify subjective well-being profiles in a large adolescent sample.MethodsOn a representative Hungarian adolescent sample (N = 1572; 51% girl; mean age was 15.39, SD = 2.26) confirmatory factor analyses (CFA) and exploratory structural equation modeling (ESEM) were used to test the factor stucture of the Adolescent MHC-SF. In addition, gender invariance of the best fitting model was also tested. Latent Profile Analyses (LPA) were conducted to reveal distinct subgroups and these profiles were then compared.ResultsResults support the bifactor model of MHC-SF: the general and specific well-being factors which were invariant across gender. LPA yielded four subgroups, three of them have been theoretically hypothesized in previous works (i.e. flourishing, moderate mental health, languishing), but an emotionally vulnerable subgroup also emerged. Compared to the languishing group, this new subgroup demonstrated higher scores on prosocial behaviour, but had comparable level of loneliness and internalizing symptoms.ConclusionsOur results suggest that the MHC-SF is a reliable and valid instrument for assessing overall well-being and its components. In addition, the identification of young people to be at risk for low mental health may help us to tailor mental health promotion programs to their special needs.

Paranoid Thinking and Wellbeing. The Role of Doubt in Pharmacological and Metacognitive Therapies.

Introduction Pathological confidence in one’s thoughts is a key mechanism of chronic paranoid thinking. For this reason, many of the current therapies focus on trying to reduce it. In fact, the way some antipsychotics (e.g., haloperidol) work seems to be through the induction of doubt. Because of the impact of these pathological thoughts on positive health, studying the well-being of people who experience paranoid thoughts is fundamental. The first objective of this research is to apply the Complete State Model of Health (CSMH) to a sample of patients characterized by the presence of paranoid thinking. Our second objective is to evaluate the impact of therapies based on reducing pathological confidence on patients’ well-being.MethodsSixty participants with SCID-5 confirmed DSM-5 diagnosis related with paranoid thinking and without mood symptoms were recruited. In order to test the existence of a two continua model of mental health (CSMH), we conducted a parallel analysis and an exploratory factor analysis. To test our hypothesis regarding the partially mediating role of doubt between paranoid thinking and patients’ well-being, we conducted a biased corrected bootstrapping procedure.ResultsAs expected, two different unipolar dimensions emerged from the measures used to assess paranoid thinking and positive health (two continua model of mental health). When patients received metacognitive and pharmacological treatment, more paranoid thinking led to more doubt in all thoughts, which in turn affected well-being. The analyses carried out confirmed the partial mediating role of doubt.ConclusionDespite the efficacy shown by both metacognitive therapies and antipsychotics, it seems that they not only reduce pathological confidence, but can also affect other thoughts not linked to delirium. This effect of generalization of doubt in all thoughts negatively affected patients’ well-being and quality of life.

Examining the Differential Effects of a Universal SEL Curriculum on Student Functioning Through the Dual Continua Model of Mental Health.

Social-emotional learning (SEL) curricula, such as Second Step, are increasingly being adopted and implemented as universal supports in schools in order to prevent social-emotional and behavioral problems and promote wellbeing and success. Notwithstanding the empirical support for SEL as a universal prevention strategy, a closer look at the literature indicates that students display differential responses to SEL based on their behavioral functioning at baseline; those students with the highest need benefit the most from SEL. The primary purpose of this study was to evaluate whether a widely-adopted SEL program produces significant effects for different theoretically-constructed groups of students who are representative of the full spectrum of students in a school. Using data from a large-scale randomized controlled trial evaluating Second Step, analyses examined the extent to which group membership according to the dual continua model of mental health differentially changed based on whether the student was in the intervention or control condition. Overall, results evidenced significant effects favoring the intervention condition across groups in line with our general hypotheses, although both conditions experienced transitions in membership. As expected, those in the intervention condition experienced greater transition between groups, which was indicative of either treatment or prevention effects. Implications, limitations, and future directions of the findings for SEL programming in schools are discussed.

The Working Mind: A Meta-Analysis of a Workplace Mental Health and Stigma Reduction Program.

This article describes a meta-analysis of The Working Mind, a program that was developed to address workplace mental health. The basic program addresses issues related to stigma in the workplace, the use of a mental health continuum model to evaluate signs and indicators of mental illness, and the development of coping skills. A manager version further addresses issues such as how to work with an employee who struggles with mental health issues, workplace accommodations, and overall management issues. A total of 8 replications evaluated program effects on stigma, self-reported resilience, and coping abilities. The implementation of the program was associated with moderate reductions in stigma and increased self-reported resilience and coping abilities. These results were generally consistent across settings and showed nonsignificant differences when various potential moderators of the program were evaluated (e.g., employees versus managers, public versus private sector, gender, age). Qualitative comments collected at the end of the program suggested that many program participants found the program to be helpful and that the skills were being employed. Directions for future research, including the need for a randomized trial of The Working Mind, are discussed. Overall, the results suggest that the program is successful in its aims, but further inquiry is encouraged.

Having an Eating Disorder and Still Being Able to Flourish? Examination of Pathological Symptoms and Well-Being as Two Continua of Mental Health in a Clinical Sample.

Introduction: Eating Disorders (EDs) are serious psychiatric disorders, impacting physical and psychosocial functioning, often with a chronic course and high mortality rates. The two continua model of mental health states that mental health is a complete state, that is, not merely the absence of mental illness, but also the presence of mental health. This model was studied among ED patients by examining the presence and correlates of well-being and psychopathology. In addition, the levels of well-being were compared to the Dutch general population.Method: A total of 468 female ED patients participated in this study during application and intake at a specialized ED treatment Center in the Netherlands. They filled out questionnaires about well-being (MHC-SF), general psychopathology (OQ-45), and ED psychopathology (EDE-Q). Categorical andmean well-being levels were calculated. Also, the relationships between these variables were examined with Pearson correlation and multiple hierarchical regression analysis.Results: ED patients showed lower levels of emotional, psychological, and social well-being on average compared to the general population. About 26% of the ED patients experienced low levels of well-being (languishing). However, also 13% experienced high levels of well-being (flourishing), varying between 9% in Anorexia Nervosa to 25% in Binge Eating Disorder. ED psychopathology and general well-being showed a moderate negative correlation. For patients with Bulimia Nervosa and Binge Eating Disorder however no such correlation was found. Lower general psychopathology, not having a history of hospitalization for the ED, and adaptive personal functioning were correlated with well-being among ED patients.Conclusion: This study shows initial support for the two continua model of mental health among ED patients. Psychopathology and well-being should be considered as related, but distinct dimensions of mental health in ED patients. Further research should focus on the possible reciprocal relationships between psychopathology and well-being during recovery. It is recommended to monitor well-being during treatment and to implement interventions for well-being to realize complete recovery for those patients with inadequate levels of well-being.

Mental health in teachers: Relationships with job satisfaction, efficacy beliefs, burnout and depression

Several studies showed that mental well-being varies based on employment status. A comprehensive assessment of well-being, covering both hedonic and eudaimonic aspects, has been considered essential to capture an individual’s positive mental health. Aims: Based on the classification proposed in the Mental Health Continuum model by Keyes (2005), aims were to estimate teachers’ prevalence of mental health, and to examine the associations between mental health and, respectively, burnout, depression, teacher self-efficacy, teacher collective efficacy and job satisfaction, taking into account the job status. 285 high school teachers completed a self-report questionnaire. Data were analyzed using descriptive and correlational analyses. Findings showed that 38.7% of participants were flourishing, 53.2% were moderately mentally healthy, and 8.2% were languishing. The flourishing group reported lower prevalence of depression and burnout, and higher levels of job satisfaction and efficacy beliefs than the other two groups. Significant differences between the permanent and temporary teachers emerged. Interventions to improve teachers’ well-being should take into account factors as teachers’ self-efficacy, collective efficacy, as well as teachers’ perception of job satisfaction, and the adverse impact that the condition of temporary teacher could have on work.