The third element that we have to consider is striving for wellbeing. That goes beyond a health framework for mental health and wellbeing. It looks at the social determinants that we know affect mental health and wellbeing—so things like housing, things like our health services, things like having a job, things like people's family circumstances, and whether or not there is violence and abuse. We know those things that can precipitate a sense of despair, a sense of not having hope: things like isolation, deprivation and poverty, discrimination, social insecurity, financial insecurity—all of these things can lead a person to think about their place and their worth. 