The experiences of various countries make it possible to identify several essential steps for the development of a successful mental health policy.  The figure presents a framework of steps for developing a mental health policy, obtaining official approval and implementing the policy through plans and programmes.  The framework is a visual summary of the contents of this module.

In order to develop a written policy, plan and programme, it is necessary to assess the population’s mental health needs, gather evidence, consult with stakeholders, determine main areas for action and conduct pilot projects.  In order to implement the policy through plans and programmes, it is necessary to disseminate the policy, develop supporting organization, empower providers, develop intersectoral coordination, and build management and regulatory structures.

The steps are described in more detail in the next slides.

It is important to have a time schedule in mind when approaching a mental health policy. One to two years for development and five to ten years for implementing and achieving changes are probably realistic periods. A shorter time scale is likely to be impossible, while a time horizon that is too long may not satisfy many of the stakeholders and the general population. Different elements of policy, plans and programmes may require different time scales.

The persons in charge of mental health in the health ministry and health districts have to be competent, motivated and persistent in order to overcome the multiple obstacles that inevitably arise in this process.