Governance and mental health: contributions for public policy approach

Díaz-Castro, Lina; Arredondo, Armando; Pelcastre-Villafuerte, Blanca Estela; Hufty, Marc

doi:10.1590/S1518-8787.2017051006991

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Sumário

Review • Rev. Saúde Pública 51 • 2017 • https://doi.org/10.1590/S1518-8787.2017051006991 copy

Governance and mental health: contributions for public policy approach

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

OBJECTIVE

To analyze the conceptualization of the term governance on public mental health programs.

METHODS

In this systematic review, we analyzed the scientific literature published in the international scenario during 15 years (from 2000 to 2015). The databases analyzed were: Medline, CINAHL, PsycINFO and PubMed. Governance and mental health were the descriptors. We included relevant articles according to our subject of study and levels of analysis: (i) the concept of governance in mental health; (ii) process and decision spaces; (iii) strategic and pertinent actors who operate in the functioning of the health system, and (iv) social regulations. We excluded letters to the editor, news articles, comments and case reports, incomplete articles and articles whose approach did not include the object of study of this review.

RESULTS

We have found five conceptualizations of the term governance on mental health in the area of provision policies and service organization. The agents were both those who offer and those who receive the services: we identified several social norms.

CONCLUSIONS

The concept of governance in mental health includes standards of quality and attention centered on the patient, and incorporates the consumers of mental healthcare in the decision-making process.

Mental Health Services; Public Health Policy; Review; Policy Making

No.	Author	Year	Country/Region	Magazine	Level of analysis

					Actor	Pattern	Nodal point	Process
1	Rogers et al.³⁷	2002	ENG	J Ment Health	X			X
2	Wolff N⁴⁶	2002	UK	J Health Polit Polic	X	X	X
3	Newman et al.³²	2003	UK	J Intell Disabil Res	X			X
4	Linhorst et al.²⁶	2003	USA	Soc Serv Rev	X	X	X	X
5	Singh B³⁹	2003	AU	J Ment Health	X	X	X
6	Callaly et al.⁸	2005	AU, NZ	Australas Psychiatry	X
7	Arya et al.²	2005	AU, NZ	BMC Health Serv Res	X			X
8	Meenaghan et al.²⁹	2007	ENG	Journal of Mental Health	X	X		X
9	Gask et al.¹⁵	2008	ENG	BMC Health Serv Res	X	X		X
10	O´Connor et al.³⁵	2008	AU	BMC Health Serv Res	X	X		X
11	Draper et al.¹³	2009	SA	Health Policy Plann	X	X	X
12	Curtis et al.¹⁰	2010	USA	Psychiatr Rehabil J	X	X	X	X
13	Drake et al.¹²	2010	USA	Psychiatr Rehabil J	X	X	X	X
14	Lund et al.²⁷	2010	SA	Soc Psychiat Epidemiol		X
15	Niemi et al.³⁴	2010	VN	BMC Health Serv Res	X	X		X
16	Stelk et al.⁴⁰	2010	USA	Adm Policy Ment Health	X	X
17	Van Houtte E.⁴³	2010	USA	BMC Health Serv Res	X	X
18	Woltmann et al.⁴⁷	2010	USA	Psychiatr Rehabil J	X
19	Yasami et al.⁴⁸	2011	ET, IN, NP, SA, UG	PLoS Med	X
20	Frueh et al.¹⁴	2012	USA	B Menninger Clin	X	X		X
21	Hodges et al.²¹	2013	USA	Admin Soc Work	X	X		X

Category of analysis	Number of articles	Percentage of articles
Concept of governance	7	33.3
Actor	20	95.0
Strategic	20	95.0
Interest	10	48.0
Social standards	15	71.0
Meta standards	10	48.0
Constitutive standards	8	38.0
Regulative standards	8	38.0
Informal standards	4	19.0
Nodal points	6	29.0
Physical space	4	19.0
Virtual space	5	24.0
Processes	12	57.0
Clinical scenarios	12	57.0
Other scenarios, i.e., non-profit work. Not consolidated	8	38.0

Governance	Chronology of authors
Focus on mental health policies	Rogers et al.³⁷ (2002)	Wolff N.⁴⁶ (2002)	Newman et al.³² (2003)	Linhorst et al.²⁶ (2003)	Singh B.³⁹ (2003)	Callaly et al.⁸ (2005)		Arya et al.² (2005)	Meenaghan et al.²⁹ (2007)		Gask et al.¹⁵ (2008)	O´Connor et al.³⁵ (2008)	Draper et al.¹³ (2009)	Curtis et al.¹⁰ (2010)	Drake et al.¹² (2010)	Lund et al.²⁷ (2010)	Niemi et al.³⁴ (2010)	Stelk et al.⁴⁰ (2010)	Van Houtte E.⁴³ (2010)	Woltmann et al.⁴⁷ (2010)	Yasami et al.⁴⁸ (2011)	Frueh et al.¹⁴ (2012)	Hodges et al.²¹ (2013)
Framework in mental heath policies
Services supply	X	X					X	X			X*	X	X	X		X	X	X		X	X	X*	X
Organization of services			X	X	X		X	X		X		X	X	X	X		X	X*	X*			X*
Types of governance in mental health
Responsible	X	X*	X	X	X*		X	X		X	X*	X	X	X	X	X*	X*	X*	X*		X*	X	X*
Accountability processes	X		X	X				X		X		X		X*	X*							X*
Participatory				X	X*					X				X*	X*					X*			X*
Collaborative			X	X						X													X*
Based on evidence	X		X	X				X		X		X			X	X*	X*	X			X*
Communicative				X										X*	X*		X*
Equitable																X*						X*
Regulatory																			X*			X*	X*

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[1] Correspondence: Armando Arredondo. Instituto Nacional de Salud Pública. Av. Universidad, 655 Col. Santa María Ahuacatitlán CP 62100 Cuernavaca, Morelos, México. E-mail: armando.arredondo@insp.mx