Interdisciplinary research framework for multisectoral mental health policy development

Petek, Ana; Novak, Miranda; Barry, Margaret M.

doi:10.1080/14623730.2017.1326398

Cited by 5 publications

(9 citation statements)

References 12 publications

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“…Coming back to the Croatian context that is the focus of this paper, Croatian MHP development is not very transparent or clearly described in literature (5,6), official documents or on the web of the Ministry of Health. The latest strategy, The National Strategy for Mental Health Protection for the Period from 2011 to 2016, was confirmed in 2010.…”

Section: Contemporary International and Croatian Mental Health Policymentioning

confidence: 98%

“…To znači da se treba proširiti izvan granica zdravstvenog sektora i kombinirati dijelove nekoliko standardnih vladinih resora. Moderna PMZ utemeljena na holističkom pristupu mentalnom zdravlju sastoji se od pet područja: skrb o mentalnom zdravlju i tretman mentalnih poremećaja; aktivnosti javnog zdravstva i prevencija mentalnih poremećaja; pozitivno mentalno zdravlje za sve i promocija mentalnog zdravlja; socijalne politike za jednakost ljudi s mentalnim poremećajima kao i njihovih obitelji; borba protiv stigmatizacije i diskriminacije sa svrhom dostojanstva i ljudskih prava osoba s mentalnim poremećajima (5,6).…”

Section: Contemporary International and Croatian Mental Health Policyunclassified

“…Društvene, političke i gospodarske promjene utječu na mentalno zdravlje ljudi širom svijeta te zahtijevaju veću odgovornost: na primjer, imigrantska kriza, nezaposlenost, društvene i zdravstvene nepravdedovode do zapanjujuće posljedice od 28-postotne prevalencije mentalnih poremećaja širom svijeta (3). Shvaćanje da su vlade odgovorne za zdravstvene implikacije svojih odluka te da je mentalno zdravlje populacije ključno za gospodarski napredak postaje dijelom globalnih i europskih akcijskih planova, kao i nužnim dijelom recentnog europskog pokreta Zdravlje u vention of mental disorders; positive mental health for all and promotion of mental health; social policies for equity of people with mental disorders and their families; and fighting stigmatization and discrimination in the name of dignity and human rights of people with mental disorders (5,6).…”

Section: Contemporary International and Croatian Mental Health Policyunclassified

“…Vratimo li se hrvatskom kontekstu, koji je u fokusu ovog rada, razvoj hrvatske politike mentalnog zdravlja nije baš transparentan ni jasno opisan u literaturi (5,6), službenim dokumentima ili na web-stranici Ministarstva zdravstva. Posljednja strategija "Nacionalna strategija zaštite mentalnog zdravlja za razdoblje od 2011. do 2016."…”

Section: Contemporary International and Croatian Mental Health Policyunclassified

“…There are no precise insights on these issues as this topic is heavily under-researched in Croatia, and Interdisciplinsko istraživanje hrvatske politike mentalnog zdravlja započele smo tijekom 2011. godine povezujući znanje iz područja promocije mentalnog znanja, prevencijske znanosti i javnih politika. Naša prethodna istraživanja i preliminarni rezultati pokazuju kako se u Hrvatskoj holistički pristup mentalnom zdravlju (4) još ne očituje u politici i da je mentalno zdravlje daleko od toga da bude politički prioritet (5,6). Naša je pretpostavka da je jedan od glavnih razloga za ovu situaciju niska razina prijenosa znanja pri stvaranju politike mentalnog zdravlja.…”

Section: Contemporary International and Croatian Mental Health Policyunclassified

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Expertise and Development of Croatian Mental Health Policy: the Perception of Mental Health Professionals

Novak

Petek

2019

Soc psih

Self Cite

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Prethodna su istraživanja pokazala da hrvatska politika mentalnog zdravlja nije politički prioritet, da joj nedostaje interdisciplinarnosti, međusektorske suradnje i holističkog pristupa. Slijedeći pretpostavku da je jedan od glavnih razloga za takvo polazište niska razina korištenja znanja pri stvaranju politike mentalnog zdravlja, ova studija pokušala je ispitati ulogu ekspertize i prijenosa znanja u razvoju hrvatske politike mentalnog zdravlja. Istraživanje je provedeno metodom snowball u proljeće 2018., obuhvatilo je 124 sudionika, stručnjaka iz različitih ustanova koje se bave mentalnim zdravljem. Za potrebe ove studije razvijen je upitnik "Razvoj hrvatske politike mentalnog zdravlja". Prikupljeni kvalitativni i kvantitativni podatci pokazali su da stručnjaci iz sektora mentalnog zdravlja kreiranje politike u svome polju opisuju kao nekvalitetno i u ovisnosti o visokim vladinim tijelima kojima upravlja politička elita nezainteresirana za mentalno zdravlje. Podatci također pokazuju da stručnjaci iz područja mentalnog zdravlja o poboljšanju politike mentalnog zdravlja razmišljaju u skladu s međunarodnim smjernicama. Pa ipak, sebe rijetko smatraju aktivnim činiteljima u procesu kreiranja politike. To nas vodi zaključku da stručnjaci trebaju podršku za umrežavanje, udruživanje radi zagovaranja i bolje međusektorske odnose kako bi utjecali na političku volju. / Previous research shows that Croatian mental health policy is not a political priority, that it lacks interdisciplinarity, intersectoral collaboration and a holistic approach. Following the assumption that one of the main reasons for this position is the low level of knowledge in mental health policy-making, this study was set to examine the role of expertise and knowledge translation in Croatian mental health policy development. The study was conducted during spring 2018 and has included 124 participants, professionals from different institutions dealing with mental health, using the snowball method. The questionnaire "Development of Croatian Mental Health Policy" was developed for the purpose of this study. The gathered qualitative and quantitative data shows that professionals in the mental health sector describe policymaking in the field as being of poor quality and highly dependent on top governmental bodies that are run by the political elite uninterested in mental health. The data also proves that mental health professionals in Croatia think about the improvement of mental health policy in line with international guidelines. Still, they rarely consider themselves an active force in policy-making. That leads us to the conclusion that experts and professionals need support to form networks, advocacy coalitions and better inter-sectoral relationships in order to influence the political will.

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Section: Contemporary International and Croatian Mental Health Policymentioning

confidence: 98%

Section: Contemporary International and Croatian Mental Health Policyunclassified

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Expertise and Development of Croatian Mental Health Policy: the Perception of Mental Health Professionals

Novak

Petek

2019

Soc psih

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Advancing Evidence-Based Action for Mental Health Promotion

Barry

2019

Implementing Mental Health Promotion

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The EVITA framework for evidence-based mental health policy agenda setting in low- and middle-income countries

Votruba

Grant

Thornicroft

2020

Health Policy and Planning

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Abstract The burden of mental illness is excessive, but many countries lack evidence-based policies to improve practice. Mental health research evidence translation into policymaking is a ‘wicked problem’, often failing despite a robust evidence base. In a recent systematic review, we identified a gap in frameworks on agenda setting and actionability, and pragmatic, effective tools to guide action to link research and policy are needed. Responding to this gap, we developed the new EVITA 1.1 (EVIdence To Agenda setting) conceptual framework for mental health research–policy interrelationships in low- and middle-income countries (LMICs). We (1) drafted a provisional framework (EVITA 1.0); (2) validated it for specific applicability to mental health; (3) conducted expert in-depth interviews to (a) validate components and mechanisms and (b) assess intelligibility, functionality, relevance, applicability and effectiveness. To guide interview validation, we developed a simple evaluation framework. (4) Using deductive framework analysis, we coded and identified themes and finalized the framework (EVITA 1.1). Theoretical agenda-setting elements were added, as targeting the policy agenda-setting stage was found to lead to greater policy traction. The framework was validated through expert in-depth interviews (n = 13) and revised. EVITA 1.1 consists of six core components [advocacy coalitions, (en)actors, evidence generators, external influences, intermediaries and political context] and four mechanisms (capacity, catalysts, communication/relationship/partnership building and framing). EVITA 1.1 is novel and unique because it very specifically addresses the mental health research–policy process in LMICs and includes policy agenda setting as a novel, effective mechanism. Based on a thorough methodology, and through its specific design and mechanisms, EVITA has the potential to improve the challenging process of research evidence translation into policy and practice in LMICs and to increase the engagement and capacity of mental health researchers, policy agencies/planners, think tanks, NGOs and others within the mental health research–policy interface. Next, EVITA 1.1 will be empirically tested in a case study.

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Interdisciplinary research framework for multisectoral mental health policy development

Cited by 5 publications

References 12 publications

Expertise and Development of Croatian Mental Health Policy: the Perception of Mental Health Professionals

Expertise and Development of Croatian Mental Health Policy: the Perception of Mental Health Professionals

Advancing Evidence-Based Action for Mental Health Promotion

The EVITA framework for evidence-based mental health policy agenda setting in low- and middle-income countries

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