title: Setting-based interventions to promote mental health at the university: a systematic review.
abstract: OBJECTIVE
  Universities are dynamic environments. But university life presents challenges that may affect the mental health of its community. Higher education institutions provide opportunities to promote public health. Our objective is to summarise the current evidence on strategies to promote mental health at the university, following a setting-based model.
  
  
  METHODS
  We conducted a systematic literature review following standard methods. Published literature that evaluated structural and organizations strategies to promote mental health at the university was selected.
  
  
  RESULTS
  19 papers were included. The majority of the studies were targeting the students, with only four aiming to promote employees' mental health. The most promising strategies to promote mental wellbeing included changes in the way students are taught and assessed. On the other hand, social marketing strategies had not impact on mental health. There is inconclusive evidence related to the effectiveness of policies to promote mental health.
  
  
  CONCLUSIONS
  Universities should invest in creating supportive physical, social and academic environments that promote student and staff mental wellbeing. However, the current body of evidence is scarce and more research is needed to recommend what are the best strategies.
authors.affiliation: Mental Health Policy Unit-Brain and Mind Centre University of Sydney, Faculty of Health Sciences, University of Sydney, Sydney, Australia. ana.fernandez@sydney.edu.au.
authors.forename: A
authors.identifier: http://orcid.org/0000-0002-0333-1345
authors.initials: A
authors.lastname: Fernandez
authors.affiliation: Healthy Sydney University, The University of Sydney, Sydney, Australia.
authors.forename: E
authors.initials: E
authors.lastname: Howse
authors.affiliation: Department of Research and Teaching, Sant Joan de Deu Foundation, Barcelona, Spain.|Spanish Network for Preventive Activities and Health Promotion in Primary Care (redIAPP), Barcelona, Spain.|School of Pharmacy, Universitat de Barcelona, Barcelona, Spain.
authors.forename: M
authors.initials: M
authors.lastname: Rubio-Valera
authors.affiliation: University Library, University of Sydney, Sydney, Australia.
authors.forename: K
authors.initials: K
authors.lastname: Thorncraft
authors.affiliation: Ageing, Work and Health Research Unit, Faculty of Health Sciences, University of Sydney, Sydney, Australia.
authors.forename: J
authors.initials: J
authors.lastname: Noone
authors.affiliation: Student Support Services, The University of Sydney, Sydney, Australia.|Discipline of Behavioural and Social Sciences in Health, Faculty of Health Sciences, The University of Sydney, Sydney, Australia.|St Andrew's College, The University of Sydney, Sydney, Australia.
authors.forename: X
authors.initials: X
authors.lastname: Luu
authors.affiliation: Royal Prince Alfred Hospital, Camperdown, New South Wales, Australia.
authors.forename: B
authors.initials: B
authors.lastname: Veness
authors.affiliation: Healthy Sydney University, The University of Sydney, Sydney, Australia.|Sancta Sophia College, University of Sydney, Sydney, Australia.
authors.forename: M
authors.initials: M
authors.lastname: Leech
authors.affiliation: Healthy Sydney University, The University of Sydney, Sydney, Australia.|Centre for Disability Research and Policy, Faculty of Health Sciences, University of Sydney, Sydney, Australia.
authors.forename: G
authors.initials: G
authors.lastname: Llewellyn
authors.affiliation: Mental Health Policy Unit-Brain and Mind Centre University of Sydney, Faculty of Health Sciences, University of Sydney, Sydney, Australia.|Centre for Disability Research and Policy, Faculty of Health Sciences, University of Sydney, Sydney, Australia.
authors.forename: L
authors.initials: L
authors.lastname: Salvador-Carulla
mesh_terms: D003479:Curriculum; D005178:Faculty / Q000523:psychology*; D006293:Health Promotion / Q000458:organization & administration*; D006801:Humans; D008603:Mental Health; D057766:Policy; D012944:Social Support; D013334:Students / Q000523:psychology*; D014495:Universities
keywords: Mental health promotion; Setting-based approach; University