LAUSR

resource settings that interventions promoting a positive school social climate and reducing bullying can substantially reduce symptoms of common mental disorder. Other promising platforms include those based in local communities (e.g., girls clubs) and the new social environments created by digital media. Interventions well beyond those traditionally regarded as the focus for prevention of mental disorders will also be important. Cash transfers have been widely adopted by governments in other areas of health and social policy, and seem to bring reductions in symptoms of mental disorder and promotion of well-being in low-resource settings where psychological interventions based on cognitive behaviour therapy have little or no effect. Such findings suggest the value of inclusion of mental health into trials of non-mental health interventions. The dramatic deterioration in community mental health during the COVID-19 pandemic heightens the imperative for psychiatry to shift beyond its comfort zone of the individual patient, and engage with the social, structural and political determinants of mental health.