Dr David Crepaz-Keay

Mental Health Today… and Tomorrow


Exploring current and future trends in mental health

The multi-author handbook Mental Health Today…and Tomorrow explores UK mental health theory, policy, practice, and current and future trends in the sector.



Mental Health Today… and Tomorrow: Exploring current and future trends in mental health is a forward thinking, multi-author handbook. It examines a range of current key issues in the field of mental health, whilst also looking to the future – where things are heading and where we want them to go.

Mental Health Today… and Tomorrow provides a comparative view of how things are done around the UK and beyond, explores the role of language used in mental health care and the use of technology, and offers some predictions for the future of services.

This handbook explores the whole lifespan, with chapters examining early interventions and mental health and wellbeing within school settings, mental health in the workplace, and finally the issues faced as people enter later life.

Mental Health Today… and Tomorrow has been written in partnership with the Mental Health Foundation.







The authors of Mental Health Today… and Tomorrow encourage anyone interested in mental health to read this book to extend their learning.

It is written in an accessible and informative style and will especially benefit:

  • Commissioners of mental health services
  • Front-line practitioners
  • Teams within social care, health, criminal justice and education
  • Professionals in social work, nursing, psychology, psychotherapy, counselling, family therapy, psycho-sexual counselling, education, probation, forensic mental health
  • Workers in adoption and fostering, residential care
  • Teachers and trainers.


ISBN: 9781910366332
Publication: 18 May 2015

  • Chapter 1: No time like the present
  • Chapter 2: Mental Well-being: Concepts and Controversies in Mental Health Policy and Practice
  • Chapter 3: Early Investment in Children’s Mental Health
  • Chapter 4: Building resilience and improving mental health and well-being within school settings
  • Chapter 5: From diagnosis, disease, and disorder to decision making, disability, and democratic rights – time for a paradigm shift?
  • Chapter 6: What is ‘parity of esteem’? Is it a useful concept?
  • Chapter 7: Mental health and work
  • Chapter 8: A Crisis of Meaning? Searching for an antidote to the pathological picturing of distress
  • Chapter 9: Is old age a mental illness?
  • Chapter 10: The future for mental health services: some possibilities
  • Chapter 11: Digital: Reality
  • Chapter 12: Self-Management and Peer Support. What makes it different, what makes it work
  • Chapter 13: Speaking about ourselves: finding language to make sense of personal and collective identities
  • Chapter 14: Service user involvement and peer support – yesterday, today and tomorrow
  • Chapter 15: Lessons from Lille.


Mental Health Today…and Tomorrow: Exploring current and future trends in mental health is edited by David Crepaz-Keay and includes chapters written by:

Dr David Crepaz-Keay
Dr David Crepaz-Keay is Head of Empowerment and Social Inclusion at the The Mental Health Foundation and has led the development, delivery and evaluation of 65 self-management courses for people with a severe psychiatric diagnosis across England and Wales; helped ensure effective involvement of mental health service users in the development of Together for Mental Health: A cross-government strategy for mental health and wellbeing in wales; and is part of a working group developing impact assessment tools for the strategy. He has been a technical advisor to the World Health Organization on empowerment issues chaired a WHO working group on developing indicators of involvement, and has spoken and written widely on involvement, empowerment, self-management and peer support.

David is an eloquent and passionate campaigner against discrimination on the grounds of mental health history. With over 25 years of involvement, first as a user of mental health services and later as a campaigner, he is also an advocate of service user voices being included in mental health service planning and delivery.

David was a Commissioner for Patient and Public Involvement in Health (January 2003 – August 2007). The Commission (CPPIH) was created to give the public a voice in decisions that affect their health. He was a founder member of the English national survivor user network (NSUN).

Before working in mental health, David wrote economic models at HM Treasury and models of underground water systems for the water industry. He is also a qualified cricket umpire.

Anne Beales MBE
Anne Beales is Director of Service User Involvement at Together: For Mental Wellbeing, a mental health charity and service provider. She has over 16 years’ experience working directly with those who access mental health services. In 2008 until 2014, Anne was appointed as one of just two service user consultants to the NHS Confederation Mental Health Network (MHN) and she served as part of the government Social Work Task Force, set up to examine the quality, recruitment and retention of the profession. Anne also sits on the Equalities Ministerial Advisory Group for Mental Health, has been appointed as a Trustee for Disability Rights UK and has recently been appointed to sit on the advisory board for Healthwatch England’s public enquiry into unsafe discharge.

She received an MBE for services to healthcare for her role setting up the Capital Project Trust, and was a founding member of NSUN, which she continues to support.

Andy Bell
Andy Bell is deputy chief executive at Centre for Mental Health, an independent charity seeking a fairer chance in life for people with mental health problems. Andy began at the centre in 2002 before which he worked at The King’s Fund. Andy is also a trustee of YoungMinds, the children and young people’s mental health charity.

Mark Brown
Mark Brown is Development Director of Social Enterprise, Social Spider CIC. He founded and edited One in Four between 2006 and 2014, a national mental health magazine written by people with mental health difficulties for people with mental health. Increasingly, Mark focuses on mental health and social and digital innovation. In 2014 he was recognised by Health Service Journal and Nursing Times as a ‘Social Media Pioneer’. In 2014, with funding from Public Health England, he launched A Day in the Life, a crowd-sourced blogging project to create a snapshot of life in England as lived by people with mental health difficulties.

Eva Cyhlarova
Dr Eva Cyhlarova is an independent researcher working in health and social care and specialising in mental health. She is a Research Associate of the Centre for Mental Health, London, and Visiting Academic at the Department of Physiology, Anatomy and Genetics, University of Oxford. For the last five years, she was the Head of Research at the Mental Health Foundation, managing a portfolio of research projects across mental health, learning disabilities and dementia. Following a DPhil in Experimental Psychology at the University of Oxford, she worked as a Senior Research Scientist at the Department of Physiology, Anatomy and Genetics in the Oxford managing a number of large-scale projects on neurodevelopmental disorders. She also worked as a Senior Medical Writer and an Account Manager in a Medical Communications Agency. Eva also holds a Master’s Degree in Psychosocial Sciences and a Bachelor’s Degree in Philosophy and Religion. Her research interests include service improvement, user-led approaches, self-management and services user involvement.

Isabella Goldie
Isabella Goldie is the Director of Delivery and Development for the Mental Health Foundation, and from 2005-2014 was Head of Scotland for the organisation. Isabella oversaw the merger of the Foundation with the Scottish Development Centre for Mental Health and is responsible for leading the 10-year Review of Mental Health Services for the Scottish Government. Previous appointments include 12 years voluntary sector service experience within Glasgow Association for Mental Health (GAMH) in a range of posts, and during this period Isabella sat as an invited member on the International Centre for Clubhouse Development Faculty Board.

She has a Master’s degree in Public Mental Health from the University of Glasgow and trained and worked as a registered mental health nurse (RMN) for nine years within NHS GG&C.

Jolie Goodman
Jolie combines her artistic work with a career in the mental health sector. Her work in mental health has been rooted in her personal desire to bring about change and improvement in the services that people receive. She has over a decade of experience as a group facilitator and is currently working part time for the Mental Health Foundation as, Manager & Lead Facilitator, of the project, Later Life Self-help Groups in Extra Care/Retirement Housing. As an artist Jolie makes a variety of work examples of which can be seen on her website www.joliegoodman.co.uk. She paints portraits for commissions, and makes illustrations for organisations including the Lancet Psychiatry.

Naomi James
Naomi James is the Research and Regional Development Manager for NSUN where her main role is to strengthen the direct political voice of people with experience of trauma and distress, reviewing mental health policy and influencing the development of mental health services. Naomi is involved with several research projects involving England-wide co-ordination of people and groups to improve emotional well-being. Naomi’s work has also involved managing the National Involvement Partnership, and she gave evidence to the parliamentary health select committee for the post-legislative scrutiny and review of the 2007 amendments to the Mental Health Act (2013).

Passionate about improving inclusive practices in research and for mobilising communities, Naomi’s on-going study investigates the practice of Participatory Video for Mental Health. Naomi has a background in the Arts with a BA in Fine Art and MA in Glass and Video Production.

Paula Lavis BA Hons, BSc Hons, Dip Inf.
Paula has worked in the children and young people’s mental health sector for about 15 years. Most of her experience is from working in the voluntary sector in a policy development role, but she has also worked in government and for professional bodies. She has a background in psychology, and is currently the Co-ordinator and Policy Lead for the Children and Young People’s Mental Health Coalition.

Simon Lawton-Smith
Simon Lawton-Smith was Head of Policy at the Mental Health Foundation from 2008 to 2013. Between 2003 and 2008, he was Senior Fellow in Mental Health at the King’s Fund, where he led the Fund’s mental health work programme, linking policy development with service development and research projects. From 1997 to 2003 he was Head of Public Affairs at national service-provider mental health charity Together. He is author/co-author of a range of reports and articles on mental health issues and has been chair of the anti-stigma mental health charity ok2b. From 1979 to 1997 Simon worked on a range of policy issues in the civil service, at the Department of Health, the Northern Ireland Office and the Cabinet Office.

Lily Makurah Bsc (hons) PGdip MPH
A National Programme Manager in Public Health England’s Public Mental Health Team, Lily has wide experience at public health policy planning, delivery and implementation gained over 20 years of working in local authorities, Department of Health, NHS and NGOs. Lily’s experience at both national and local level in the North west, North East, the South of England and London has had an emphasis on improving outcomes for children and young people as a high priority. Lily’s PHE role has a particular focus on mental health promotion and the prevention of mental illness. Her work to secure improvements in public mental health across England includes partnerships with NHS England, local government, third sector and other key stakeholders.

Barbara McIntosh
Barbara has worked across children, family and adult services in the NHS, Social Services and the voluntary sector, focusing on mental health, learning disability and long-term conditions. She has a particular interest in prevention and early intervention in children’s mental health. She was a Director and National Head of Children’s Programmes over a ten-year period at the Mental Health Foundation. Barbara previously worked at the King’s Fund and London University.

Barbara is currently a Director of Health Watch Sutton, a Non Executive Director at Swanton Care and a Trustee at HFT and the Richard James Trust. She has a BA in Anthropology and Social Work from McMaster University in Canada and an MSc in Health and Social Policy from the London School of Economics.

Chris O’Sullivan
Chris led SUPPORT at the Scottish Development Centre, an EU Public Health Programme Project providing policy and research support to the European Commission in developing and implementing an EU wide approach to public mental health. Before joining SDC in 2006, Chris worked for ‘see me’, Scotland’s national anti-stigma campaign, and until December 2012 he served as Chair of Trustees for Action on Depression. Chris leads the Policy and Development team in Scotland, which works with a range of partners to support capacity building for mental health, and to raise awareness of mental health. The team works locally, nationally and internationally to ensure that practice and policy reflect the best available evidence, and include lived experience wherever possible.

Chris is currently working with the Scottish Government on a major technology project to support people to self-manage distress. In 2011 Chris was selected as a founding member of the Royal Society of Edinburgh Young Academy of Scotland.

Emma Perry
Emma Perry is a researcher with a background in criminal justice, education and mental health. Her PhD provided a critique of cognitive-behavioural rehabilitation programmes run by the probation service. She has written articles on the construction of gender and class in criminal justice settings and has co-authored a review of the social class gap in educational achievement for the Royal Society of Arts. She is also an editorial board member of the Journal of Gender Studies.

Emma is currently Research Project Co-ordinator at NSUN where her has focused on service user involvement in mental health commissioning. She has written a review of values-based commissioning in the West Midlands and worked with Mind to produce an accessible guide to commissioning for service users. In addition to her work on the language of mental health, Emma has also written an overview of service user involvement in health and social care policy as part of the National Involvement Partnership project.

Claire Robson
Claire Robson works as a senior public health specialist, leading on improving public health outcomes for school aged children within Public Health England’s Children, Young People and Families team. Claire has over 20 years’ experience in health improvement policy and practice spanning children and young people, workplace and education settings, tobacco control and mental health. Claire holds a Masters degree in Health Promotion and is currently working towards registration with the Faculty of Public Health as a Public Health Consultant.

Sarah Stewart-Brown BM BCh, PhD FFPH
Sarah Stewart-Brown is professor of public health at Warwick Medical School, University of Warwick. Her research interests focus on public mental health and child public health, and her research relating to parenting has played a key role in the development of policy relating to parenting support in the UK.

Sarah chairs Public Health England’s Expert Advisory Group on Mental Health and Wellbeing, is Vice Chair of the Public Health England Mental Health and Wellbeing Corporate Board and sits on the Public Health England Corporate Board on Reducing Disease and Disability and the Ministerial Advisory Committee implementing the English Strategy ‘No Health without Mental Health’. She advises both Scottish and Welsh Governments on public mental health in a variety of contexts. She is chair of the UK Faculty of Public Health’s Mental Health Committee.

Sarah has published extensively and holds a Doctor of Philosophy Degree from Bristol University and is a fellow of the UK Faculty of Public Health, Royal College of Physicians of London, and the UK Royal College of Paediatrics and Child Health.

Toby Williamson
Toby joined the Mental Health Foundation in 2002 as Head of Development and Later Life where he is responsible for the Foundation’s mental health in later life and dementia programme, as well as leading on its mental capacity work. This has included qualitative and quantitative research, mental capacity best interests decisions, values in mental health and service development projects in a wide range of areas.

Toby has led on policy work at the Foundation and for 18 months was seconded to work at the Ministry of Justice on their Mental Capacity Act Implementation Programme. He has previously worked and managed adult mental health services where he was involved in setting up and managing a variety of services for people with severe and enduring mental health problems living in the community.

Toby has a BA (Hons) in Social Administration and Sociology (Bristol University), a Post-graduate Diploma in Mental Health Innovations (LSE) and a Post-graduate Diploma in Care Policy & Management (London Metropolitan).

Emily Wooster
Emily has worked in the not-for-profit sector for 14 years with particular expertise in mental health policy analysis, having worked for both Mind and the Mental Health Foundation. She has had numerous publications in magazines and academic journals and has provided training and capacity building in the UK and overseas in participatory approaches to social research and campaigning. Emily has recently taken up the post of Head of Development for Wales for the Mental Health Foundation, having led on their policy work before that.


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