In order to ensure the delivery of mental health interventions that respond to the needs of the population, multiple interactions have to take place among the different stakeholders. These interactions happen at different levels:

1. Interaction between the ministry of health and other sectors: Stakeholders with responsibility for funding (e.g. ministry of finance), with responsibility for provision (e.g. organization of providers) and with responsibility for regulation (e.g. professional associations).

2. Interaction between health districts and the ministry of health: One important issue is the degree of decentralization that the country requires in accordance with the general administrative structure, level of development of mental health services and social characteristics of the population.

3. Interaction between health districts and providers:  This includes management of mental health services, purchasing of mental health services, regulation of these services and coordination with other sectors delivering mental health interventions.

4. Interaction between consumers and providers: This requires coordination of mental health services, support for consumer and family groups, and advocacy for people with mental disorders.