There is an increasing need for mental health promotion strategies that effectively engage men. Although researchers have examined the effectiveness of diverse mental wellness interventions in male-dominated industries, and reviewed suicide prevention, early intervention, and health promotion interventions for boys and men, few have focused on sex-specific program effects. The purpose of this review was to (a) extend the previous reviews to examine the effectiveness of mental health promotion programs in males, and (b) evaluate the integration of gender-specific influences in the content and delivery of men’s mental health promotion programs. A search of MEDLINE, CINAHL, PsycINFO, and EMBASE databases for articles published between January 2006 and December 2016 was conducted. Findings from the 25 included studies indicated that a variety of strategies offered within (9 studies) and outside (16 studies) the workplace show promise for promoting men’s mental health. Although stress was a common area of focus (14 studies), the majority of studies targeted multiple outcomes, including some indicators of positive well-being such as self-efficacy, resilience, self-esteem, work performance, and happiness/quality of life. The majority of programs were offered to both men and women, and six studies explicitly integrated gender-related influences in male-specific programs in ways that recognized men’s interests and preferences.

The workplace provides an important setting to promote men's mental health, yet few studies have explored the gendered views of men and workplace representatives in male-dominated industries about workplace mental health promotion. Consultations with working men (N ϭ 23) and interviews with seven representatives from male-dominated industries in northern British Columbia, Canada were conducted. Findings highlight the impact of masculine workplace cultures on men's mental health and practices that limit men's disclosures about vulnerabilities, as well as discussions about promoting mental health. Within such milieus a healthy mind was viewed as vital for workplace safety. Participant recommendations focused on reducing stigma, promoting enjoyable activities, and creating sustainable efforts toward building social cohesion. Overall, efforts to promote mental health in male-dominated industries should be tailored for the unique needs of men and should include paid time to engage in wellness activities and positive strategies that facilitate group comradery. Given male-dominated workplaces in particular constitute unique contexts where adherence to masculine ideals is normed, the findings hold potential for advancing mental health promotion programs designed to reach men. Public Significance StatementIn this qualitative study, working men and workplace representatives provided insight into avenues for promoting men's mental health, including the need to reduce stigma, to capitalize on and build comradery, and to focus on enjoyable activities. These findings have implications for the development of workplace mental health promotion programs for men.

Individuals with severe mental illness experience reduced access to appropriate and timely primary care. This reduced access has been linked to various barriers and may negatively affect health outcomes. The purpose of this project is to identify the characteristics of nurse practitioner (NP) practice that may reduce the most common barriers to accessing primary care encountered by individuals with severe mental illness.(SMI). The most common barriers to access can be broadly described by three themes and include suboptimal therapeutic relationships, complex service delivery, and stigma. A systematic review of the literature indicated that NPs possess a number of practice characteristics that help overcome barriers to accessing primary care. These characteristics can be described as collaborative practice, a holistic approach, and flexible practice formats. NP practice characteristics have the potential to reduce barriers to care for individuals with SMI and improve access to primary care.