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WHO (2014) Social Determinants of Mental Health
Category: Key Guidance, MH Plans & Policies
Audience: Implementing agencies, Governments, Donors
Use this life course framework for assessing the social determinants of mental health as a means to learn about the forces that shape mental health and well-being and to explore actions that promote and protect mental health.
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Supplementary Reading
Category: Key Guidance, MH Plans & Policies
Audience: Implementing agencies, Governments, Donors
A paper Mental Health Policy and Strategic Plan (2015) that describes the key components that need to be addressed in a mental health policy including: human rights, service organization and delivery, human resources, sustainable financing, civil society and advocacy, quality improvement, information systems, and evaluation.
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WHO Infosheet: Mental Health Policies and Actions Plans
Category: Specific Tools & Materials, MH Policy & Legislation
Audience: Implementing agencies, Governments, Donors
Quick summary with key issues & basic definitions related to mental health policy and national action plans.
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WHO Infosheet: Mental Health Legislation & Human Rights
Category: Specific Tools & Materials, MH Policy & Legislation
Audience: Implementing agencies, Governments, Donors
Quick summary with information on promoting the rights of people with mental illness, key messages for government, and guidance on involving mental health service users and families.
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Other WHO Information Sheets
Category: Specific Tools & Materials, MH Policy & Legislation
Audience: Implementing agencies, Governments, Donors
Overview of the stepped process for developing a mental health policy and plan
The optimal mix of services for mental health
Mental health services integrated into primary health care (PHC)
Human resources & training for mental health
Nursing matters
Developing effective mental health policies and plans in Africa: 7 key lessons (MHaPP)
Best practices: mental health policy and planning -
WHO Mental Health Policy and Plan Checklists
Category: Specific Tools & Materials, MH Policy & Legislation
Audience: Implementing agencies, Governments, Donors
Use these tools to help draft a mental health policy and plan as well as to evaluate their adequacy in terms of content and the process used for developing them.
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MHF (2007) Pathways to Policy: A Toolkit for Grassroots Involvement in Mental Health Policy
Category: Specific Tools & Materials, MH Policy & Legislation
Audience: Implementing agencies, Governments, Donors
Use this resource which identifies a number of ways users and NGOs can engage in policy. The document includes a policy framework adaptable to various contexts.
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MHIN (2014) Global Mental Health from a Policy Perspective: A Context Analysis
Category: Specific Tools & Materials, MH Policy & Legislation
Audience: Implementing agencies, Governments, Donors
Read this analysis to learn engagement strategies that can help to influence global mental health policy. The report draws upon the experience of different social movements across global health to provide lessons for this field.
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WHO (2012) Quality Rights Toolkit: Assessing and Improving Quality and Human Rights in Mental Health and Social Care Facilities
Category: Specific Tools & Materials, MH Policy & Legislation
Audience: Implementing agencies, Governments, Donors
Use this toolkit for support in assessing and improving the quality and human rights of mental health and social care facilities.
Note: While this tool does not endorse long-stay facilities as an appropriate setting for treatment and care, as long as this type of facility continues to exist in countries all over the world, there is a need to prevent violations and promote the rights of those residing in them.
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MHIN & Overseas Development Institute (2015) Global Mental Health Policy Influence Toolkit
Category: Specific Tools & Materials, MH Policy & Legislation
Audience: Implementing agencies, Governments, Donors
Use this toolkit for a set of tools to influence policy and develop engagement strategies. These tools can guide activities that change the way policy-makers engage with a specific project and encourage them to incorporate recommendations into policy.
A key tool for user of this toolkit is Tool 4: Identifying and Accessing Champions, on page 18.

Cross Cutting Component. Advocate, Coordinate & Network
Coordination, networking and advocacy take place at various levels (national, regional and community) and promote regular flows of information, help fill gaps, strengthen referral between service providers, support inclusion of national expertise and community voices, and raise awareness on mental health issues among key stakeholders such as governments.

WHY is this component needed?
When planning and implementing an integrated mental health program, it is important to communicate with national actors and other international agencies from the start, to make sure the program fits within the larger context and is well understood by different stakeholders. Coordination and networking are necessary to obtain relevant input from different stakeholders and keep them informed about the program. Advocacy activities can help promote the human rights of persons with mental disorders and reduce stigma and discrimination. Such activities also support equitable access to quality mental health services while ensuring that mental health is on the national agenda of governments and humanitarian actors including donors. Advocacy can ultimately lead to improvements in policy, resource allocation, legislation and service development.

HOW is this component done?
Coordination, networking and advocacy efforts are conducted with key stakeholders (e.g. local and international NGOs, national and local government, UN agencies, civil society organizations, program managers, mental health professionals, and PHC staff). This can include:
- Regular coordination, discussions and collaboration with MoH and district level government agencies, and peripheral health facilities and with other relevant stakeholders at the community level.
- Facility level and community-based awareness activities that tackle issues of stigma and provide information about mental health and accessing services.
- Advocacy for allocating needed resources and efforts for integration of mental health within general health care.
- Support to mental health service user and carer groups in leading advocacy efforts at various levels, including government, facility and community levels.

MINIMUM elements of advocacy, coordination & networking
- Ensure to communicate about your MH PHC integration project as part of MHPSS coordination groups and other relevant clusters and working groups (e.g. Health Cluster, Protection Cluster).
- Work in line with existing national mental health strategies, plans or policies1.
- Identify pre-existing advocacy efforts led by group such as service users, or other relevant civil society organizations and link with any champions in the government who have an interest in supporting mental health.
- Carry out and/or participate in mapping of other agencies and their activities, to facilitate the finding of opportunities for partnerships, and alignment of agendas (see step 1: Assess & Plan for MH Integration).
1 Access resources within Mental Health Plans & Polices subcategory below to understand and support national mental health plans and policies.

COMPREHENSIVE additional elements of advocacy, coordination...
- Conduct information sessions about mental health PHC integration at MHPSS and non-MHPSS coordination groups (e.g. MHPSS, health, protection, wash, nutrition, etc.), describing cross sectoral importance.
- Work with government representatives and others on developing and/or implementing national mental health policies and plans in line with global recommendations.
- Promote the participation of persons with mental disorders in decision making processes on issues affecting them, including policy, law, and service reform.
- Identify the key factors for maximizing mental health sustainability and scalability, including advocating for the expansion and improvement of universally accessible and affordable mental health services (e.g. including mental health as part of the basic service package for health, including mental health in public or private coverage and insurance benefits.

KEY CONSIDERATIONS
- Do use locals with communications and media expertise in national advocacy efforts.
- Do involve mental health service users to help promote their rights and receive valuable input to guide programs and activities.
- Do support participation of various vulnerable groups identified in the community.
- Do develop, adapt and disseminate targeted key messages for building awareness on mental health and mental health services within communities.
- Do identify opportunities to advocate for staff & self-care, ethical considerations, and human rights.
- Do take ethical and protection considerations into account when involving mental health service users and their families or specific groups in the community that may be vulnerable.
- Do not conduct any MHPSS assessments, trainings or service provision without coordinating with local leadership, and other relevant sectors and agencies.
- Do not plan or carry out MH advocacy activities and events without involving key stakeholders, including MH service users and their families.
