Health Departament Deusto University Mmhe Comparative Mental Health Promotion

Health Departament

Deusto University

MMHE

Comparative Mental Health Promotion Policies Itämerikeskus, 29-30 May 2008 J. Agustin ozamiz



MMHE









The proper goal of investements in Health Promotion Programms are not the maintenance of programms per se, but the achivement of their goals and proposals. To asses the achievement of MHP goals is becaming a key question for policies adressed to invest in sustainable NHP programms. Objective indicators about the functioning and capacity of social systems in the field of MHP, may be useful to asses the sustainability of MHP prgramms. A systematic analysis of the context, or monitoring the contextual factors might predict why some MHP prgramms wither over time while others flourish (WHO). The drivers of health lie outside the health sector (Marmot 1999).

A Policy Analysis Framework

MMHE Context

•Actors as individuals •Actors as members of groups Content

Process (Gill Walt)

 Mental Health Policy analysis has

been quite scarcely developed or even we could say that has not been MMHE systematically developed with some structural methodology.  In general terms, we could mention just few studies using policy analysis methods, even in general health field.  To do this kind of analysis dialogue, wide participation and skilled researchers are needed.  Analytical skills and clear links between research and policy should be encouraged.

MMHE  Comparing outcomes of MHP policies

among diferent countries with some common social framework, but with diferent cultural, history and situations could be very useful methodology to give sure references to the administration.

Comparative Mental Health Promotion Policy

MMHE-

Context Factors

- Political

Demographical

- Cultural

- Technology

- Historical

- Expectations and Demands

- Legal

AGENDA Setting priorities

INDICATORS

Allocation of resources H. Care types

Social welfare model

Health system models

Economy - Funding - Governance - Insurance system

Interest Groups - Medical professionals - Associations - Champions - Actors

Semi structured Questionaire about:

MMHE  Contextual issues: Budget, Descentralization, Expectations, Historical issues.  Actors: Champions, NGO, Politicians,

values

 Process: Plans, Programms, Projects,

Policy approach, training and research

Contextual issues: MMHE 







Budget: Public Insurance, Where is, Who is responsible, Accountability, Quantity and percentage, Diferent posible founders and foundations; Existence of Research about efficiency. Descentralization: Level of descentralization, Relations between central and local health authorities; Strategies of descentralization, Autonomy for decision taking, Demography and concentration Expectations: Studies about expectations, Public opinion and mass media, Official proposals, Political discussions, Demands. Historical issues: Communication technology development level, History of MHP activities, Social Welfare Model, Health System Model, Previous programms; under what circunstances.

Actors: MMHE     

Champions: Identify persons or organizations; internal policiy makers; external advisors NGO: If they are special NGO, or some is also developing activities in MHP Politicians: Political parties, Individual Politics, Political groups or muvements Interest groups: Profesionals, Associations, entreprises, Civil Servants. Values: Ideologies, Political ideologies, Echological ideologies, Social capital; Accountability; Integrity.

Process MMHE      

Plans: Existence of written plans about MHP, Part of a more general plan. Quality and operativity of these plans Programms: Identify most relevant programms. Projects: Identify most relevant Projects Policy approach: Identify posible people or groups with a policy approach to carry out programmes. Training: Identify some training programme about skills in MHP planning or evaluation Research: Identify some research or institute for studies in the field.

MMHE 





Typologies may help to order the complexity generated by cross county comparison and different points in time and specific geographical issues. This methodology could also help to understand differences in planning and implementing good practices and programms. The goal could be to map MHP policies in EU using the template we have created.

MMHE l) a t pi

a C .

Context

S – n

.

W

.F

od .M

S l(

Co

e

sio e h

H

PM

s

ic

d In

r ato

Contents-Process-Actors