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Related Experiment Videos

Developing a holistic policy and intervention framework for global mental health.

Akwatu Khenti1, Stéfanie Fréel2, Ruth Trainor3

  • 1Office of Transformative Global Health, Centre for Addiction and Mental Health, Toronto, Ontario, Canada, Dalla Lana School of Public Health, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.

Health Policy and Planning
|April 3, 2015
PubMed
Summary

This study introduces a global mental health capacity building framework, emphasizing holistic health, cultural relevance, partnerships, collaborative learning, and sustainability for improved accessibility and quality worldwide.

Keywords:
Addictioncapacity buildingglobal healthmental healthprimary health care

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Area of Science:

  • Global Mental Health
  • Health Systems Strengthening
  • Capacity Building Frameworks

Background:

  • Significant global disparities exist in mental health service accessibility and quality.
  • Limited evaluation of diverse approaches hinders identification of best practices for mental health capacity building.
  • The Centre for Addiction and Mental Health (CAMH) developed a framework based on a decade of global health work.

Purpose of the Study:

  • To present a novel framework for global mental health capacity building.
  • To offer a potentially promising or best practice approach for addressing mental health challenges.
  • To ground the framework in scientific evidence, learning theories, health equity, and human rights principles.

Main Methods:

  • Utilized a developmental evaluation approach to construct the framework.
  • Grounded the framework in CAMH's research, program evaluation, and practical experience.
  • Acknowledged the complexity and evolving nature of global mental health collaborations.

Main Results:

  • A multilevel framework comprising five core components: holistic health, cultural/socioeconomic relevance, partnerships, collaborative action-based learning, and sustainability.
  • Illustrated framework application with three international case studies and four policy implications.
  • Discussed lessons learned, limitations, and future opportunities for global mental health initiatives.

Conclusions:

  • The developed framework is holistic and adaptable for policy and intervention in global mental health.
  • The framework's iterative learning process allows for application and scaling across diverse settings with modifications.
  • Promotes a structured approach to enhance mental health capacity building globally.