Deusto University

Health Departament

MMHE

Comparative Mental Health

Promotion Policies

Itämerikeskus, 29-30 May 2008

J. Agustin ozamiz
  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.
MMHE  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
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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.
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 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
Context
MMHE- Factors - Political
Demographical - Cultural
- Technology - Historical
- Expectations and Demands - Legal
AGENDA
Setting priorities
Allocation of resources Social
INDICATORS welfare
H. Care types model
Health system models

Interest Groups
Economy
- Medical professionals
- Funding
- Associations
- Governance
- Champions
- Insurance system
- Actors
 Semi structured Questionaire
about:
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 Contextual issues: Budget,
Descentralization, Expectations, Historical
issues.

 Actors: Champions, NGO, Politicians,

values

 Process: Plans, Programms, Projects,

Policy approach, training and research
 Contextual issues:
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 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:
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 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
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 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.
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 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.
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Contents-Process-Actors