Global mental health policy - where next?
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How can mental health get the policy traction it needs in developing countries? A new report from ODI for the Mental Health Innovation Network (MHIN) explores key obstacles and looks at strategies for better engagement with decision-makers. This presentation provides an overview of the report's main findings.
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Global mental health policy - where next?
- 2. Global mental health policy – where next? Findings from our report Global mental health from a policy perspective. Jessica Mackenzie, Research Fellow at the Overseas Development Institute, Research and Policy in Development (RAPID) Programme October 2014
- 3. ODI Report for the Mental Health Innovation Network (MHIN)
- 4. STIGMA UNDER-DIAGNOSE LOW FUNDING LIMITED DATA TREATMENT TYPE INFORMAL/HETEROGENEOUS Initial thoughts
- 5. CONTENTS OF THE REPORT Chapter 1 Theory & analytical framework Chapter 2 Characterist ics as a policy issue Chapter 3 Lessons from other movements Chapter 4 Engagement strategies
- 6. CONTENTS OF THE REPORT Chapter 1 Theory & analytical framework Chapter 2 Characterist ics as a policy issue Chapter 3 Lessons from other movements Chapter 4 Engagement strategies
- 7. CONTENTS OF THE REPORT Chapter 1 Theory & analytical framework Chapter 2 Characterist ics as a policy issue Chapter 3 Lessons from other movements Chapter 4 Engagement strategies
- 8. CONTENTS OF THE REPORT Chapter 1 Theory & analytical framework Chapter 2 Characterist ics as a policy issue Chapter 3 Lessons from other movements Chapter 4 Engagement strategies
- 9. CONTENTS OF THE REPORT Chapter 1 Theory & analytical framework Chapter 2 Characterist ics as a policy issue Chapter 3 Lessons from other movements Chapter 4 Engagemen t strategies
- 10. CHAPTER
- 11. CHAPTER 1 • Sabatier and Mazmanian (tractability of policy issues) • Shiffman and Smith (effectiveness of global health networks) • Knowledge Policy and Power (KPP) Framework (for assessing context, dynamics and power relationships behind policy barriers) Theoretical approach and frameworks
- 12. CHAPTER
- 13. CHARACTERISTICS OF MENTAL HEALTH AS A POLICY ISSUE 10
- 14. CHAPTER 2 HETEROGENITY STIGMA AGENCY SERVICE USER LACK OF DATA UNDER DIAGNOSIS INDIVIDUALISED TREATMENTS LOW FINANTIAL INVESTMENT ROLE INDIVIDUAL SECTOR INT. COMMITMENTS AND ENGAGEMENT EFFECTIVENESS NETWORKS CHARACTERISTICSOFMENTALHEALTHASAPOLICYISSUE
- 15. CHAPTER 2 HETEROGENITY STIGMA AGENCY SERVICE USER LACK OF DATA UNDER DIAGNOSIS INDIVIDUALISED TREATMENTS LOW FINANTIAL INVESTMENT ROLE INDIVIDUAL SECTOR INT. COMMITMENTS AND ENGAGEMENT EFFECTIVENESS NETWORKS CHARACTERISTICSOFMENTALHEALTHASAPOLICYISSUE
- 16. CHAPTER 2 HETEROGENITY STIGMA AGENCY SERVICE USER LACK OF DATA UNDER DIAGNOSIS INDIVIDUALISED TREATMENTS LOW FINANTIAL INVESTMENT ROLE INDIVIDUAL SECTOR INT. COMMITMENTS AND ENGAGEMENT EFFECTIVENESS NETWORKS CHARACTERISTICSOFMENTALHEALTHASAPOLICYISSUE
- 17. CHAPTER 2 HETEROGENITY STIGMA AGENCY SERVICE USER LACK OF DATA UNDER DIAGNOSIS INDIVIDUALISED TREATMENTS LOW FINANTIAL INVESTMENT ROLE INDIVIDUAL SECTOR INT. COMMITMENTS AND ENGAGEMENT EFFECTIVENESS NETWORKS CHARACTERISTICSOFMENTALHEALTHASAPOLICYISSUE
- 18. CHAPTER 2 HETEROGENITY STIGMA AGENCY SERVICE USER LACK OF DATA UNDER DIAGNOSIS INDIVIDUALISED TREATMENTS LOW FINANTIAL INVESTMENT ROLE INDIVIDUAL SECTOR INT. COMMITMENTS AND ENGAGEMENT EFFECTIVENESS NETWORKS CHARACTERISTICSOFMENTALHEALTHASAPOLICYISSUE
- 19. CHAPTER 2 HETEROGENITY STIGMA AGENCY SERVICE USER LACK OF DATA UNDER DIAGNOSIS INDIVIDUALISED TREATMENTS LOW FINANTIAL INVESTMENT ROLE INDIVIDUAL SECTOR INT. COMMITMENTS AND ENGAGEMENT EFFECTIVENESS NETWORKS CHARACTERISTICSOFMENTALHEALTHASAPOLICYISSUE
- 20. CHAPTER 2 HETEROGENITY STIGMA AGENCY SERVICE USER LACK OF DATA UNDER DIAGNOSIS INDIVIDUALISED TREATMENTS LOW FINANTIAL INVESTMENT ROLE INDIVIDUAL SECTOR INT. COMMITMENTS AND ENGAGEMENT EFFECTIVENESS NETWORKS CHARACTERISTICSOFMENTALHEALTHASAPOLICYISSUE
- 21. CHAPTER 2 HETEROGENITY STIGMA AGENCY SERVICE USER LACK OF DATA UNDER DIAGNOSIS INDIVIDUALISED TREATMENTS LOW FINANTIAL INVESTMENT ROLE INDIVIDUAL SECTOR INT. COMMITMENTS AND ENGAGEMENT EFFECTIVENESS NETWORKS CHARACTERISTICSOFMENTALHEALTHASAPOLICYISSUE
- 22. CHAPTER 2 HETEROGENITY STIGMA AGENCY SERVICE USER LACK OF DATA UNDER DIAGNOSIS INDIVIDUALISED TREATMENTS LOW FINANTIAL INVESTMENT ROLE INDIVIDUAL SECTOR INT. COMMITMENTS AND ENGAGEMENT EFFECTIVENESS NETWORKS CHARACTERISTICSOFMENTALHEALTHASAPOLICYISSUE
- 23. CHAPTER 2 HETEROGENITY STIGMA AGENCY SERVICE USER LACK OF DATA UNDER DIAGNOSIS INDIVIDUALISED TREATMENTS LOW FINANTIAL INVESTMENT ROLE INDIVIDUAL SECTOR INT. COMMITMENTS AND ENGAGEMENT EFFECTIVENESS NETWORKS CHARACTERISTICSOFMENTALHEALTHASAPOLICYISSUE
- 24. CHAPTER
- 25. LESSONS LEARNED FROM OTHER SOCIAL MOVEMENTS 5
- 26. LESSONS LEARNED FROM OTHER SOCIAL MOVEMENTS 5 HIV Pneumonia Tuberculosis Alcohol Tobacco
- 27. A SIDE NOTE… ‘The effectiveness of global health policy networks’ Jeremy Shiffman A study funded by the Gates Foundation (2015)
- 28. DISCREPANCIES BETWEEN NETWORKS There are similar characteristics, yet very different success occurring
- 29. TOBACCO vs ALCOHOL DISCREPANCIES BETWEEN NETWORKS Disability affected years: 4.5% (alcohol) 3.7% (tobacco) Policy attention: Framework Convention on Tobacco Control No equivalent on Alcohol (…yet)
- 30. PNEUMONIA vs TUBERCULOSIS DISCREPANCIES BETWEEN NETWORKS Deaths: 1.5 million (pneumonia) – children only 1.1 million (tuberculosis) Policy attention: 180 countries DOTS Half see a doctor, medicines
- 31. CHAPTER 3 How did they do it? 1. Policy coherence with one united ‘policy request’ 2. Reframed the issue (severity, causal connection) 3. Advocacy and communication strategy 4. Institutions 5. Selectivity and timing.
- 32. CHAPTER 3 How did they do it? 1. Policy coherence with one united ‘policy request’ 2. Reframed the issue (severity, causal connection) 3. Advocacy and communication strategy 4. Institutions 5. Selectivity and timing.
- 33. CHAPTER 3 How did they do it? 1. Policy coherence with one united ‘policy request’ 2. Reframed the issue (severity, causal connection) 3. Advocacy and communication strategy 4. Institutions 5. Selectivity and timing.
- 34. CHAPTER 3 How did they do it? 1. Policy coherence with one united ‘policy request’ 2. Reframed the issue (severity, causal connection) 3. Advocacy and communication strategy 4. Institutions 5. Selectivity and timing.
- 35. CHAPTER 3 How did they do it? 1. Policy coherence with one united ‘policy request’ 2. Reframed the issue (severity, causal connection) 3. Advocacy and communication strategy 4. Institutions 5. Selectivity and timing.
- 36. CHAPTER 3 How did they do it? 1. Policy coherence with one united ‘policy request’ 2. Reframed the issue (severity, causal connection) 3. Advocacy and communication strategy 4. Institutions 5. Selectivity and timing.
- 37. CHAPTER
- 38. WHAT CAN THE NETWORK TAKE FROM THIS? 4.1
- 39. CHAPTER 4 Lessons applied to Mental Health 1. Coherent, single ‘policy request’ ( or ‘policy ask’) 2. Costs 3. Institutions with targets 4. Anticipate focusing events 5. Strategic network operations 6. Severity of the issue 7. Knowledge Exchange 8. Monitoring and Evaluation system for policy influence
- 40. CHAPTER 4 Knowledge Exchange: Tools 1. Tactical examples 2. Capturing engagement techniques 3. ‘How to’ guides for policy influence 4. Stories of change, episode studies 5. Upcoming focussing events 6. Policy windows 7. Monitoring and Evaluation tools
- 41. CHAPTER 4
- 42. WHAT CAN YOU TAKE FROM THIS? 4.2
- 43. WHAT DO YOU NEED TO GET THE JOB DONE? Requests for policy engagement assistance identified by the projects 30% 15% 13% 12% 8% 8% 6% 4% 4% Influencing PM Research comms Creating incentives Lessons from others In Mental Health Understanding PM Processes better Building relationships with intermediaries Support from community leaders and champions Global/local policy changes Toolkits/templates
- 44. 1. ACCESS AND INFLUENCING POLICY MAKERS LOCALLY CHAPTER 4 Alignment, Influence and Interest Matrix (AIIM) Knowledge Policy and Power Analysis (KPP)
- 45. 1. ACCESS AND INFLUENCING POLICY MAKERS LOCALLY CHAPTER 4 Alignment, Influence and Interest Matrix (AIIM) Knowledge Policy and Power Analysis (KPP) Some immediate help?
- 46. CHAPTER 4
- 47. 2. BETTER RESEARCH COMMUNICATIONS CHAPTER 4 How to write a policy brief How to communicate with policy makers in person How to engage the media
- 48. TOOLKITS CHAPTER 4 Nine Steps for Developing a Scale up Strategy. A Guide on how to write a policy brief How to broker knowledge and communicate it more effectively Obvious and not-so-obvious strategies to disseminate research Eight Strategies for Research into Practice, The Science of Improving Lives – Moving Evidence into Action
- 49. 4. LEARNING FROM OTHERS IN MENTAL HEALTH CHAPTER 4 Existing GCC conferences Knowledge exchange Workshops in-country for whole teams
- 50. 7. GATHERING SUPPORT FROM COMMUNITY LEADERS AND CHAMPIONS CHAPTER 4 Literature Toolkits Engaging innovative advocates as public health champions: www.fhi360.org/resource/ engaging-innovative-advocates- public-health-champions
- 51. Draft is available Finalised: November 2014 MHIN website MHIN to follow through on: Knowledge Exchange Training activities ODI ROMA NEXT STEPS
- 52. Question time
- 53. Does the vacuum help you? Did anything in the survey results surprise you? Is a ‘Tipping Point’ emerging?
- 54. DOWNLOAD THE FULL REPORT http://bit.ly/17uCfYe THANK YOU!
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