GLOBAL MENTAL HEALTH ADVOCACY ROADMAP 2020 -2021GLOBAL MNTAL HALTH ADOAY ROADMAP 2020-2021 4 • The momentum of the Dutch Mind the Mind summit will be sustained through new announcements

GLOBAL MENTAL HEALTH ADVOCACYROADMAP2020 -2021

2GLOBAL MENTAL HEALTH ADVOCACY ROADMAP 2020-2021

A ROADMAP FOR GLOBAL MENTAL HEALTH

We want a world in which everyone, everywhere has someone and somewhere to turn to in support of their mental health. We will only achieve this with a significant increase in political and financial support for mental health in 2020 and 2021 to accelerate action to reach the Sustainable Development Goals (SDGs) by 2030 and achieve the right of everyone to good physical and mental health.

The Global Mental Health Advocacy Roadmap 2020-2021 sets out clear objectives and opportunities that will help achieve this. It is the product of the Global Mental Health Action Network in conjunction with the Office of the UN Secretary General, the WHO, UNICEF, Wellcome and a host of mental health champions across civil society, governments, international organisations and trusts and foundations. Two years of foundational work and consolidation by the global mental health community in 2018-2019 delivered notable progress (see box). But, the current state of momentum for mental health, especially high-level political, financial support and member state advocacy, is far from sufficient.

Only a proactive approach towards advocacy, action and acceleration to move the mental health and psychosocial wellbeing agenda forward will help deliver tangible and transformational change. Many opportunities exist to help achieve this vision over 2021 and beyond. A growing group of global champions, progressive governments and increasing grassroots efforts, are combining with greater involvement of those with lived experience, to accelerate efforts to achieve good mental health for all.

WHAT WE WILL ACHIEVE

• Increased political support for mental health through improved national policies and practice including:

• The promotion of mental health by key global institutions and organisations• The integration of mental health as an essential component of Universal Health Coverage

(UHC) national and international health plans

• The integration of mental health as a priority alongside physical health in the national and international response to, and recovery from, the COVID-19 pandemic

• Increased financial support for mental health and psychosocial wellbeing• The rights of all persons to good physical and mental health upheld in line with the Convention

on the rights of Persons with disabilities (CRPD)

• Mental health and psychosocial wellbeing better integrated across the life course (services and support for children, youth, maternal health)

• Prioritization of mental health and psychosocial support in emergency and conflict settings and integrated into peacebuilding

• Promotion of workplace practices conducive to mental and physical health and wellbeing• Increased political and financial support for mental health research with an emphasis on

identifying the best means to prevent and treat mental health conditions, and intensify efforts to deliver implementation research that scales up services and support.


THE OPPORTUNITY

Whilst there has been recent success is driving the mental health dialogue and agenda forward, the current state of momentum for mental health, particularly high-level political, financial support and member state advocacy, is far from sufficient. There is a lack of demonstrated country ambition and capacity to make required investments in country or global-level mental health and psychosocial wellbeing programmes as evidenced in the limited progress reported in the WHO Mental Health Atlas 2017. This needs to change if we are to achieve the goals and targets set under the WHO Mental Health Action Plan (2013-2030), and if we are to achieve integration into Universal Health Coverage (UHC), as well as the related Sustainable Development Goals (SDGs) and Human Rights policies.

This demands a strong proactive approach towards advocacy, action, and acceleration to move forward the mental health and psychosocial wellbeing agenda. Such acceleration will be critical as we enter the Decade of Action to deliver the SDGs by 2030. It cannot be distracted, but rather must leverage the impact of COVID-19 nationally and internationally.

Opportunities exist within a number of global champions, progressive governments, growing grassroots efforts and the engagement of people with lived experience, including young people. For mental health and psychosocial wellbeing, there is an energetic, broad and growing pool of spokes-people who are highly active. It will be key to focus efforts on impactful goals that go beyond simply awareness-raising and to use the platforms available to us to bring together groups of advocates in order to magnify their collective impact towards greater political and financial support for mental health and psychosocial wellbeing.

This Global Mental Health Advocacy Roadmap 2020-2021, identifies key milestones and political processes that will help to deliver an ambitious and highly visible agenda to galvanize action in 2020, 2021 and beyond.

THE OUTCOMES - WHAT SUCCESS WILL LOOK LIKE

• Updated WHO Comprehensive Mental Health Action Plan (2021-2030) launched with high level political support and additional funding pledged at the World Health Assembly and over the course of 2021. This support will reflect the better integration of mental health in Universal Health Coverage (UHC) plans; COVID-19 national and international level response and recovery plans; and financing mechanisms including the Global Fund to Fight AIDS, TB and Malaria.

• Increased sustainable multi-sectoral funding for mental health and psychosocial wellbeing to-wards the achievement of $1 billion in new global financing for prevention and care by 2023. This is in addition to reaching the target of national LMICs governments spending at least 5% and high income countries at least 10% of their health budgets on mental health across sectors.

POLITICAL, POLICY AND FUNDING COMMITMENTS

• A series of reports and initiatives will promote mental and psychosocial wellbeing health integration across the life course including in services and support for young children, youth, mothers and older people and contribute to pledges of political, policy and funding commitments at national and international level. The first phase of Countdown 2030 will be launched as an independent, data monitoring mechanism to track progress on mental health using multiple indicators.

MENTAL HEALTH THROUGH LIFE COURSE


• The momentum of the Dutch Mind the Mind summit will be sustained through new announcements by UN agencies to prioritise mental health and psychosocial support (MHPSS) in emergency and conflict settings; a Minimum Services Package (MSP) for MHPSS is launched and implemented across pilot countries; and a series of actions by the Red Cross movement to roll out MHPSS across its membership.

MENTAL HEALTH AND PSYCHOSOCIAL SUPPORT IN EMERGENCY AND CONFLICT SETTINGS

• Increased momentum and commitments by governments on upholding the rights of all persons to good physical and mental health - in line with Convention on the Rights of Persons with Disabilities (CRPD) in the run up to and at the French summit.

• Sustained action in support of the campaigns to end shackling (HRW led), end suicide illegality (UnitedGMH/GMHAN led); and end coversion therapy (Outright led).

MENTAL HEALTH AND HUMAN RIGHTS

• New global business initiative on workplace mental health launched 2021 with commitments including pledges of action by global CEOs. This will be in support of new mental health workplace guidelines launched by WHO and ILO in 2021. And an expansion and roll out of workplace mental health support for UN staff.

THE WORKPLACE AND MENTAL HEALTH

• Increased political and financial support for mental health research with an emphasis on: increasing the role of people with Lived Experience in research development and implementation; identifying the best means to prevent and treat mental health conditions with effective and scalable interventions; ensuring the best possible quality services and support particularly for those in LMICs and among the most vulnerable groups in society; and improving the measurement and access to data.

MENTAL HEALTH RESEARCH

We will measure our progress through a dashboard that will be published monthly on the Global Mental Health Action Network web pages.


As part of efforts to consolidate and galvanise unity for the global mental health community, in 2018 and 2019 a stronger foundation for increased action towards unified goals in the years ahead was made through a host of initiatives including:

• A Roundtable on mental health convened by the UN Secretary-General (UNSG) together with WHO and the Wellcome Trust, in London 2018, which took stock to help chart the collective way forward in global mental health

• A High-Level Meeting on Noncommunicable Diseases included for the first time substantial language on mental health in its Political Declaration at the UN General Assembly (UNGA) 2018

• A UN System Workplace Strategy on Mental Health and Well-being was launched by the UNSG

• The Lancet Commission on Global Mental Health and Sustainable Development was launched in 2018

• The High-Level Meeting on Universal Health Coverage (UHC) for the first time included substantial language on mental health in its Political Declaration at UNGA 2019

• The International Conference on Mental Health and Psychosocial Support (MHPSS) in Crisis Situations was convened in Amsterdam

• UNICEF and WHO hosted the Leading Minds Conference on Child and Adolescent Mental Health

• The Inter-Agency Standing Committee Principals had, for the first time ever, a discussion of mental health (i.e. heads of UN agencies)

• A resolution on Mental Health and Psychosocial Needs of People Affected by Emergencies was adopted by the Red Cross and Red Crescent Movement (RCRC)

• The Speak Your Mind Campaign of national campaigns that are globally united to call for greater political and financial support for mental health and uphold human rights was launched.

LAYING THE FOUNDATION FOR PROGRESS ON GLOBAL MENTAL HEALTH


2020 2021Mobilise political commitment and increased investment for mental health.

Key moments:WHA; UNGA; French MH; Ministerial Meeting; UN Omnibus resolution

Leaders agree to deliver programmes & global targets to 2030 with resources committed.

Key moments:WEF; WHA; MH Action Plan launch

RESULTS

• Globally Agreed Plan• Mental health integrated in UHC• Greater financing• Improved rights• Better workplace mental health• MHPSS prioritised in emergency response & peacebuilding

THE ROADMAP FOR 2020

During 2020 we have built a multi-stakeholder movement to drive change and secure initial commitments from a range of key stakeholders - political leaders, global institutions, funders, businesses, civil society, researchers etc. The Global Mental Health Action Network has gone from 500 to 1000 members from over 90 countries. Webinars were held on global mental health from March onward involving speakers from around the world who were able to share their experiences of different issues and services provided to address them in different countries and contexts.

We were able to increase visibility for mental health and psychosocial wellbeing at national and global levels through jointly coordinated advocacy activities and events including launch of the new UN Joint Paper on COVID-19 and mental health in May backed with an open letter signed by 1000 leaders and campaigners calling for greater action on mental health; an event highlighting MHPSS in emergencies at ECOSOC with Minister Kaag in July; a global, coordinated campaign involving multiple partners for WMHD 2020 including 24 hour virtual march featuring 19 countries and 5 global themes and the WHO ‘Big Event’.


• The consultation took place on the WHO’s Comprehensive Mental Health Action Plan 2021-2030. Overall mental health has risen up the political agenda and an increased number of UN and other global agencies have voiced their support, including around World Mental Health Day with a synchronized mobilisation/activation around the importance of investment in mental health. New promises of action on mental health were also generated from national governments as part of the World Mental Health Day global campaign and WHO Big Event that focussed on the need for investment.

• Launch of the UN Secretary General’s report on the need for mental health integration in COVID-19 prevention, response and recovery plans, aligning with efforts to secure political and financial support for mental health as part of the COVID19 response plans at the national and global levels.

• Development of the case for integrating mental health in UHC, in partnership with UHC 2030 and other key allies with a new report launched by UnitedGMH and partners.

• The case for greater integration of mental health and additional funding through the Global Fund to Fight AIDS, TB and Malaria programmes was made by a growing number of governments and other stakeholders; and echoed by Peter Sands in his address for World Mental Health Day.

• Growing attention to mental health paid by the World Bank, inclusion of mental health in COVID-19 financing packages and dialogue around achieving greater integration of mental health and additional funding through both the Global Financing Facility (GFF) and the World Bank.

• A focus for children’s and young people’s mental health including the Wellcome launch of Active ingredients; the 2020 UNICEF WMHD campaign; and the report of Orygen on best practice services.

• Further action by national governments, international funders and UN agencies to improve Mental Health Psychosocial Social Support (MHPSS) provision in emergency and conflict settings and integrate mental health in peacebuilding.

• Accelerated action on support and delivery of the human right to good physical and mental health through support for new campaigns launched by Human Rights Watch (to end the practice of shackling), Outright International’s work on ending conversion therapy, and development of agenda for a French-hosted mental health ministerial summit in 2021.

• Initiation of several initiatives to increase focus on, and provide better support for, mental health in the workplace.

• Multiple reports on the impact of COVID-19 on mental health including the report of the UN Secretary General; the launch of work to explore better ways to prevent, diagnose and treat anxiety and depression by Wellcome; and the launch of a new International Alliance of Mental Health Research Funders (IAMHRF) report on mental health research funding and building the case for further investment.

KEY ADVOCACY ACTIVITIES AND ACHIEVEMENTS FOR 2020


KEY ADVOCACY ACTIVITIES AND GOALS FOR 2021

In 2021, we intend to build the multi-stakeholder movement to drive change and secure initial commitments from a range of key stakeholders political leaders, global institutions, funders, businesses, civil society, researchers etc. We will secure alignment and agreement on 2021 global convening moment/s and the champions to lead a ‘Year of Global Action’ in 2021 which will part of building increased visibility for mental health and psychosocial wellbeing at national and globallevels through jointly coordinated advocacy activities and events.

POLITICAL, POLICY AND FUNDING COMMITMENTS Member states are due to approve the updated WHO Mental Health Action Plan (2021-2030) as the blueprint for global and national action on mental health to 2030, this needs to be supported with complementary plans by other stakeholders including business and civil society. Therefore the vision is to deliver:

• A series of commitments - announced at high level political moments throughout the year - to deliver the WHO Action Plan and more broadly improve and scale up mental health research, prevention, intervention and support including improving the rights of those living with mental health conditions.

• Momentum ahead of the World Health Assembly 2021 (WHA) will be built through the WHO Executive Board meeting, the IMF and World Bank Spring Meetings, and the Commonwealth Health Ministers meeting; along with the G7 and G20 health minister meetings. This will be driven by the GMHAN, the UN, the Alliance of Champions, the Group of Friends, the mental health donors group and the French government as conveners of the mental health summit.

• Following the WHA, further commitments of support, and reinforcement of the importance of delivering the Plan will be secured in the meetings and statements of the G7 and G20, the UNGA, the campaign leading up to and on World Mental Health Day and the French mental health summit. The commitments will be integrated as part of Universal Health Coverage plans to increase sustainability and focus on mental health across health systems and built into the COVID19 response and recovery plans at national and global level. This will need to be championed by WHO, the World Bank and other key international agencies.

• Delivery of greater integration of mental health and additional funding will be achieved globally and nationally through member state economic support from the World Bank and Global Financing Facility. This will require engagement up to and during the World Bank Spring and Annual meetings by both member states and influential stakeholders.

• Agreement on the integration of mental health in the Global Fund 2023-2028 Strategy will also increase future funding for mental health. The final consultations and key decisions on this work will take place in Q1-Q2 2021 and will need to leverage the momentum of the French summit’s focus on the issue to secure agreement by Global Fund board members.

• The integration of mental health will be reflected in the new and updated strategies of UN agencies including WHO, UNFPA and UNICEF and these will be important opportunities to increase national and international action on mental health.


A series of reports and initiatives will promote mental and psychosocial wellbeing health integration across the life course including in services and support for young children, youth,mothers and older people including:

• The implementation of the WHO Global Action plan on Dementia and the focus on dementia and mental health at the G7 and G20 meetings in order to accelerate progress e.g. building on the G7 Dementia summit of 2013 and subsequent follow up.

• The launch and follow up to the new UNICEF State of the World’s Children Report around World Mental Health Day with a focus on child and youth mental health.

• The launch of the first phase of Countdown 2030 as an independent, data monitoring mech-anism that will enable the international community to track progress on mental health using multiple indicators.

MENTAL HEALTH THROUGH LIFE COURSE

• Sustainment of the Dutch initiative following the Mind the Mind summit in 2019, will continue throughout 2021 including omnibus resolution passed by UNGA leads to UN agencies prioritising MHPSS in emergency and conflict settings; a MHPSS Minimum Services Package implemented across pilot countries; integration of mental health in peacebuilding; and increased national government, bilateral and international financing for mental health in emergency and conflict settings.

• Roll out of the Red Cross initiative will include integrating MHPSS into all first aid training and a report back on this to the Red Cross movement at the end of 2021.

MENTAL HEALTH AND PSYCHOSOCIAL SUPPORT IN EMERGENCY AND CONFLICT SETTINGS

• Increased momentum around upholding the rights of all persons to good physical and men-tal health - in line with Convention on the Rights of Persons with Disabilities (CRPD) and the Human Rights Council Resolution - including through a consultation by the Office of the High Commissioner on Human Rights supported by WHO in May on mental health law and what needs to change; and, with the support and leadership of the French government, potential commitments to amend national legislation secured in the run up to and at the French summit.

• Sustained action in support of the campaigns to end shackling (HRW led) and end coversion therapy (Outright led); and the launch of a new report and country level campaign to end suicide illegality (UnitedGMH/GMHAN led).

• The WHO Quality Rights guidance and technical packages on community based mental health services will be launched and rolled out as a means to drive greater focus on rights-based men-tal health.

MENTAL HEALTH AND HUMAN RIGHTS


• A new global business initiative on workplace mental health will be launched 2021 with commitments including pledges of action by global CEOs. Alongside the CEO Pledge, the

initiative will focus on building a global community of practitioners who can share best practice and experiences. It will also connect the global business community with evidenced-based research and practice to accelerate progress in workplace mental health.

This is being driven by multinational companies and both WHO and ILO will be engaged in the launch and follow up. The initiative will support the launch of the new mental health workplace guidelines by WHO and ILO in 2021.

• An expansion and roll out of workplace mental health support for UN staff will be a means to engage other employers worldwide.

THE WORKPLACE AND MENTAL HEALTH

• A new working group on mental health research convened by the GMHAN will work towards a concerted effort to increase political and financial support for mental health research; publicise key findings and use research to drive policy reform and service improvements; and increase transparency and reporting around mental health research funding.

• Key areas of work will include: identifying and supporting common approaches and measurement tools; investing in new research focused on those mental health conditions with the least effective current treatments; and intensifying efforts to deliver implementation research to scale up quality services and support particularly to those in LMICs and among the most vulnerable groups.

MENTAL HEALTH RESEARCH

ROLES KEY STAKEHOLDERS WILL PLAY

WHO MEMBER STATES

NATIONAL GOVERNMENTS

FUNDERS (BILATERAL,

MULTILATERAL AND

PHILANTHROPIC)

• Approve the updated WHO Comprehensive Mental Health Action Plan (2021-2030) at the WHA May 2021 and announce high level political support and additional funding to enable implementation at global and national level.

• The implementation of at least the first 6 countries under the WHO Special Initiative

• Build on previous commitments and leverage new opportunities in 2020-2021, to accelerate action on mental health including improv-ing human rights from Davos 2021 through WHA, G7, G20, UNGA and World Mental Health Day 2021.

• Integrate mental health in COVID-19 response and recovery plans and in UHC plans

• Increase sustainable funding for mental health towards achieving $1 billion in new global financing for prevention and care by 2023.

• Support national governments to reach the target of national LMICS governments spending at least 5% and high income countries at least 10% of their health budgets on mental health.



UN AGENCIES & INTERNATIONAL ORGANISATIONS

CIVIL SOCIETY

RESEARCHERS & ACADEMICS

• Lead and mobilise around World Mental Health Day annually; ensure UN-system wide support to deliver WHO Mental Health action Plan 2021-2030 and SDG 3; invest in MHPSS in emergency and conflict settings


• Develop and deliver coordinated mobilisation around world Mental Health Day and accompanying call to action

• Advocate for delivering of Roadmap goals

• Include people with Lived Experience in the design and delivery of mental health research

• Identify and support common approaches and measurement tools• Invest in new research focused on those mental health conditions with

the least effective current treatments

• Intensify efforts to deliver implementation research to scale up quality services and support particularly to those in LM ICs and among the most vulnerable groups

WORKPLACE

• Fully implement the UN Workplace Mental Health and well-Being Strategy

• Launch new global business initiatives on workplace mental health in 2021 with commitments

• Support and implement the new mental health workplace guidelines launched by WHO and ILO in 2021


KEY DATES AND EVENTS 2020 - 2022

BEYOND 2021

Given 2020 has been significantly impacted by COVID-19 we have included the key dates already known for 2022 and plan to further update this Roadmap with plans for 2022 in the coming months with an initial set of 2022 deliverables drafted by December 2020 for discussion.

Date Event Location Activity Status

May 7 2020

UNSG highlights COVID-19 &

Mental HealthVirtual

UNSG publishes new report on COVID-19 and mental health; meets mental health activists and campaigners from different countries; over 1000 leaders sign open letter calling for investment in mental health during COVID-19

Completed

July 2020 ECOSOC Virtual

Event on MHPSS in emergencies and conflict settings with Dutch Minister Kaag

Completed

Sep 2020 UNGA

New York

Side event on MHPSS in emergency and conflict settings and integration with peacebuilding; organised by the Dutch government and partners

Completed

Oct 2020 Global

World Mental Health Day campaign

Theme: “Greater Investment: Greater Access” #TimetoInvest #Movement-ForMentalHealth

Completed

Oct 2020 Global

World Mental Health Day ‘Big Event’

WHO global event to highlight mental health and the need for investment Completed

Nov2020

GlobalGlobal Fund Board meeting

Discussion on future 2022-27 strategy; potentially integrate mental health Completed

Nov2020

GlobalIAMHRFLaunch IAMHRF report on financing mental health research Completed

9th Dec 2020 New YorkUN meeting

Meeting of UN agencies involved in MHPSS in emergency and conflict settings; link to peacebuilding

In progress

10th Dec 2020 Global

UHC and Mental Health

Launch report making case for integration of mental health in COVID-19 with GMHAN and UHC2030

In progress



Dec 2020 COSP to CPRD Global

Conference of the States Parties (COSP) to the CRPD - series of events on mental health

In progress

April 2021

WB Spring Meetings

WashingtonDiscussion of COVID-19 response and UHC; potential highlight mental health integration

TBC

April 2021 WHO Geneva

Launch of Quality Rights Community based guidance and technical packages

In progress

May 2021 GenevaWHA

Launch WHO Comprehensive MH Action Plan (2021-2030); WHO Mental Health Atlas report; WHO Mental Health Report (2021); commitments in response from Health Ministers

In progress

May 2021 Geneva

OHCHROffice of the High Commissioner on Human Rights (OHCHR) consultation on mental health and human rights in Geneva in 2021.

TBC

TBC 2021 TBC TBC

Parliamentary Assembly of the Council of Europe (PACE) adopts a new resolution on mental health and human rights

ItalyG20Announcements of support for mental health and dementia TBC TBC

UKG7Announcements of support for mental health and dementia TBC (Dementia summit planned)

TBC

GlobalLaunch Countdown 2030 independent progress report on child/carer mental health in key countries

In progress

TBC 2021

TBC 2021

TBC 2021

New YorkUNGAIncludes mental health side event; End Violence Against Children high level event

TBCSept 2021

VirtualUnitedGMH & Partners

Launch illegality of suicide report& campaign In progressOct

2021

GlobalUNICEFGlobal celebration of year of action; additional commitments made especially at country level

In progress10th Oct

2021



October 2021

Mental Health France Focus on mental health and rights; and the Global FundIn progress

Ministerial Meeting

Nov 2021

GF Board meeting

GenevaGlobal Fund Strategy Approved (aim to integrate mental health)

In progress

Dec2021

GlobalRed CrossMid-term report on MHPSS initiative following conference December 2019 TBC

Jan2022 Davos

WEF Annual Meeting

Announcements on mental health in the workplace; support of greater action on mental health - business, philanthropy

TBC

May 2022

GenevaWHALaunch WHO Comprehensive Alcohol Action Plan

New YorkUNGASummit on Adolescent Wellbeing includes mental health as a key theme

GlobalLancet

Commission Report on

Stigma

Launch of new report on mental health and stigma and how to address it

GlobalTheme TBC – global celebration of year of action; additional commitments made especially at country level

TBC

Sep 2022

Oct 2022

Oct2022

Mental Health Ministerial

MeetingHost and theme TBC TBCOct

2022

UHC dayAnnouncements of integration of mental health in UHC plans

TBCDec2022

In progress

In progress

In progress

World Mental Health Day

Documents

GLOBAL MENTAL HEALTH ADVOCACY ROADMAP 2020 -2021GLOBAL MNTAL HALTH ADOAY ROADMAP 2020-2021 4 • The momentum of the Dutch Mind the Mind summit will be sustained through new announcements