Governance and Integration Challenges in Mental Health Services: A Multilevel Coordination Model
DOI:
https://doi.org/10.69760/gsrh.0250206021Keywords:
mental health governance, integrated care, service coordination, health system reformAbstract
Mental health systems worldwide face persistent challenges related to fragmentation, limited coordination, and inefficient governance structures. These problems reduce the effectiveness, accessibility, and sustainability of mental health services, particularly in developing and transition health systems. This article examines governance and integration challenges in mental health services from a multilevel perspective, with a focus on coordination mechanisms across clinical, institutional, and intersectoral domains. Drawing on international policy frameworks, including World Health Organization guidelines, and contemporary research on collaborative and integrated care models, the study analyzes structural and managerial barriers that hinder effective service delivery. Using a qualitative, system-level analytical approach, the article identifies key gaps in governance, horizontal and vertical integration, and interagency collaboration. Based on these findings, a multilevel integrated governance model is proposed, emphasizing strategic coordination, clinical integration, and community-based intersectoral cooperation. The proposed model aims to enhance service continuity, resource efficiency, and patient-centered care, offering practical implications for mental health policy reform and system strengthening in comparable health systems.
References
Bauer, S. M., & Hoge, M. A. (2017). Challenges in implementing collaborative mental health care: A systematic review. JAMA Psychiatry, 74(11), 1146–1153. https://doi.org/10.1001/jamapsychiatry.2017.2450
Collins, C. S. (2019). Financing integrated health care: Policy challenges and solutions. Health Affairs Press.
Goodman, L. A., & Salyers, M. P. (2017). Interagency collaboration in mental health and justice systems. Psychiatric Services, 68(1), 58–64. https://doi.org/10.1176/appi.ps.201600219
Gürsoy, G. (2023). Sektorlararası əməkdaşlıq və resursların səmərəli idarə olunması. İqtisadiyyat və İdarəetmə Jurnalı, 25(3), 112–125.
Harkness, S., et al. (2018). Integrated behavioral health: A primer for policy and practice. Journal of Health Care Management, 63(4), 234–245. https://doi.org/10.1097/JHM-D-17-00066
Katon, W., et al. (2012). Collaborative care for depression and anxiety. Archives of Internal Medicine, 172(5), 415–421. https://doi.org/10.1001/archinternmed.2012.123
Mead, S., et al. (2019). Recovery-oriented systems of care (ROSC): Lessons from international implementation. Psychiatric Rehabilitation Journal, 42(4), 361–370. https://doi.org/10.1037/prj0000374
Səhiyyə Nazirliyi. (2020). Psixi sağlamlıq xidmətlərinin təkmilləşdirilməsi üzrə milli strategiya (2020–2025). Bakı.
Strosahl, K. D. (2016). Brief interventions in integrated primary care. Journal of Clinical Psychology in Medical Settings, 23(1), 58–69. https://doi.org/10.1007/s10880-016-9453-5
Təhmasib, R. Ə. (2022). Səhiyyə idarəetmə sistemlərində vahid koordinasiya mexanizmləri. Elmi Əsərlər Toplusu, 15(2), 45–58.
Wang, P. S., et al. (2009). The global burden of mental disorders: An update from the World Health Organization. Journal of Public Health, 31(1), 1–7. https://doi.org/10.1093/pubmed/fdp034
World Health Organization. (2013). Mental health action plan 2013–2020. WHO Press.
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