POLICY AND SYSTEMS
EDITORIAL:THEMED CONTENT:WHO SPECIAL ISSUE
Knowledge gaps in implementing global mental
health activities
S. Saxena
1
and G. Belkin
2
*
1
Director, Department of Mental Health and Substance Abuse, World Health Organization, Geneva, Switzerland
2
Editor in Chief, Global Mental Health, New York City, NY
Global Mental Health (2017), 4, e23, page 1 of 3. doi:10.1017/gmh.2017.20
Global mental health has rapidly attracted increasing
attention by health policy makers and researchers dur-
ing the last 10 years. The groundwork for this shift
was laid in data being made available on the prevalence
(Demyttenaere et al. 2004) and burden (Lopez et al. 2006)
of mental disorders and also on the resources allocated
to mental health within countries (WHO, 2001, 2005,
2011, 2015). Publication of a series of review papers on
specific areas within global mental health (Lancet
Series on Global Mental Health, 2007, 2011) and on
Grand Challenges in Global Mental Health (Collins
et al. 2011) focused attention on what was known and
also on what were the gaps in knowledge. On the side
of policy makers, mental health has been discussed at
ministerial level in the Commonwealth, the Asia-
Pacific Economic Commission, and in the World
Health Assembly consisting of 194 ministers of health.
The latter discussion led to the adoption of
Comprehensive Mental Health Action Plan 2013–2020
(WHO, 2013), first time in the history of World Health
Organization.
The Mental Health Action Plan of WHO captures
this global engagement, and is clearly focused on
action. It has four objectives: to improve leadership
and governance, health and social care, promotion
and prevention, and information and research. It also
identifies key cross-cutting principles encompassing
universal health coverage, human rights, evidence
based practice, life-course approach, multi-sectoral
approach and empowerment of persons with mental
disorders and psychosocial disabilities. The Action
Plan is based on the vision of ‘a world in which mental
health is valued, promoted and protected, mental
disorders are prevented and persons affected by
these disorders are able to exercise the full range of
human rights and to access high-quality, culturally-
appropriate health and social care in a timely way to
promote recovery, all in order to attain the highest
possible level of health and participate fully in society
and at work free from stigmatization and discrimin-
ation’ The Plan calls for specific actions to be taken
by member states, WHO secretariat and international
and national partners. As the action plan is getting
implemented, world leaders have also made an even
larger commitment to mental health by including it
in the United Nations Sustainable Development
Goals 2015–2030. This places mental health within
the global development agenda.
Do we have all the knowledge that we need to
implement the Plan or the mental health and wellbeing
component of UN Sustainable Development Goals?
The clear answer is no. Existing knowledge has been
critical in setting the high-level agendas for action,
but there remain knowledge gaps that need to be filled.
Nonetheless, having these global goals and shared
aims is an important start to advance and align grow-
ing research activity in mental health services design
and implementation, especially in low- and middle-
income countries (LMICs). Efforts by researchers and
innovators supported by funders like the Grand
Challenges Canada (GCC website), National Institute
* Address for correspondence: G. Belkin, Global Mental Health.
(Email: gary.belkin@nyumc.org)
© The Author(s) 2017. This is an Open Access article, distributed under the terms of the Creative Commons Attribution
licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in
any medium, provided the original work is properly cited.
global mental health
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