International Pathways to Mental Health Transformation

This study examines the key mental health policy agendas of seven countries, each involved in some effort at reform, if not transformation, of the mental health system. Utilizing the Institute of Medicine's Quality Chasm Series as an organizing framework, problems, visions, priorities, and strategies from Australia, Canada, England, Italy, New Zealand, Scotland, and the United States are reviewed and compared. One of the most important themes related to reform efforts includes the emergence of the recovery paradigm as the basis for the development of new mental health policies and the system of care. This theme as well as other issues and solutions that show great congruence across countries' reform agendas have a relevant impact on mental health workforce policies. The implications of these efforts for leadership and development of the global mental health workforce are considered along with opportunities for shared learning and collaboration.