Mental Health Policy and Service Guidance Package ...

1 1 MONITORING ANDEVALUATION OFMENTAL HEALTHPOLICIES AND PLANSM ental Health Policy and Service Guidance Package Careful monitoring and evaluationof a country s Mental Health policyand plan are vital for improvingservices, treatment and careand for guiding futurepolicy directions. MONITORING ANDEVALUATION OFMENTAL HEALTHPOLICIES AND PLANSM ental Health Policy and Service Guidance Package World Health Organization rights reserved. Publications of the World Health Organization can be obtained from WHO Press,World Health Organization, 20 Avenue Appia, 1211 Geneva 27, Switzerland (tel. : +41 22 791 3264 ; fax :+41 22 791 4857 ; e-mail : Requests for permission to reproduce or translate WHOpublications whether for sale or for noncommercial distribution should be addressed to WHO Press,at the above address (fax : +41 22 791 4806 ; e-mail : The designations employed and the presentation of the material in this publication do not imply theexpression of any opinion whatsoever on the part of the World Health Organization concerning the legalstatus of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiersor boundaries.))

2 Dotted lines on maps represent approximate border lines for which there may not yet befull mention of specific companies or of certain manufacturers products does not imply that they areendorsed or recommended by the World Health Organization in preference to others of a similar nature thatare not mentioned. Errors and omissions excepted, the names of proprietary products are distinguishedby initial capital reasonable precautions have been taken by the World Health Organization to verify the informationcontained in this publication. However, the published material is being distributed without warranty ofany kind, either expressed or implied. The responsibility for the interpretation and use of the material lieswith the reader.

3 In no event shall the World Health Organization be liable for damages arising from publication contains the collective views of an international group of experts and does not necessarilyrepresent the decisions or the stated Policy of the World Health Library Cataloguing-in-Publication DataMonitoring and evaluation of Mental Health policies and plans.( Mental Health Policy and Service Guidance Package ) Health 978 92 4 154715 4(NLM classification : WM 30)Technical information concerning this publication can be obtained from :Dr Michelle Funk20 Avenue AppiaCH-1211, Geneva 27 SwitzerlandTel : +41 22 791 3855 Fax : +41 22 791 4160E-mail : and evaluation of Mental Health policies and ,World Health Organization, 2007 ( Mental Health Policies and Service Guidance Package ).

4 IiWorld Health OrganizationPrinted in China Suggested of Mental Health and Substance Health programs. I. World Health Organization. II. Mental Health Policy and Service Guidance Package was produced under thedirection of Dr Michelle Funk, coordinator , Mental Health Policy and ServiceDevelopment, and Dr Benedetto Saraceno, Director, Department of Mental Health andSubstance Abuse, World Health Organization. This module was prepared by Professor Melvyn Freeman, Human Sciences ResearchCouncil, Pretoria, South Africa, and Dr Michelle Funk, World Health Organization,Geneva, and technical coordination group :Dr Michelle Funk (WHO/HQ), Dr Andrew Cassels (WHO/HQ), Ms Natalie Drew(WHO/HQ), Dr Edwige Faydi (WHO/HQ), Dr Benedetto Saraceno (WHO/HQ), Dr CrickLund, Chief Research Officer, Mental Health and Poverty Project, University of CapeTown, Cape Town, South Africa, Professor Alan Flisher, Head, Division of Child andAdolescent Psychiatry, University of Cape Town, Cape Town, South Africa, Dr FrancesHughes, School of Nursing, Faculty of Medicine and Health Sciences, The University ofAuckland, Auckland, New Zealand, Professor Helen Hermman, Director of AcademicPrograms, Australian International Health Institute (AIHI)

5 , University of Melbourne,Victoria, Australia, Dr Stan Kutcher, Associate Dean, Clinical Research Centre,Dalhousie University, Halifax, Nova Scotia, Canada, Dr HWANG Tae-Yeon, Director,Department of Psychiatric Rehabilitation and Community Mental Health , KyonggiProvince, Republic of Korea, Dr Alberto Minoletti, Director Mental Health , Ministry ofHealth, Santiago, Chile, and Dr Vijay Ganju, Research Institute, National Association ofState Mental Health Program Directors, Alexandria, VA, assistance :Dr Th r se Agossou, WHO Regional Office for Africa (AFRO), Dr Jorge Rodriguez, WHOR egional Office for the Americas (AMRO), Dr Vijay Chandra, WHO Regional Office forSouth-East Asia (SEARO), Dr Matt Muijen, WHO Regional Office for Europe (EURO), Dr WANG Xiangdong, WHO Regional Office for the Western Pacific (WPRO), Dr Mohammad Taghi Yasamy, WHO Regional Office for the Eastern Mediterranean(EMRO), Dr Hugo A.

6 Cohen, Pan American Health Organization, Mexico, Dr VictorAparicio Bassauri, Pan American Health Organization, Panama, Dr Catherine Le Gal s-Camus (WHO/HQ), Dr Tom Barrett (WHO/HQ), Dr Mark Van Ommeren, (WHO/HQ), Dr Shekhar Saxena (WHO/HQ), Dr Jodie Morris (WHO/HQ), Antonio Lora (HealthAuthority Region of Lombardy, Milan, Italy, Dr Dan Chisholm (WHO/HQ) and Dr R. Srinivasa Murthy, Mental Health , Office of the WHO Representative for Iraq,Amman, and secretarial support :Ms Adeline Loo (WHO/HQ) and Mrs Elodie Martin (WHO/HQ)Layout and graphic design : Scan GraphicProofreading : Ms Margaret SmithiiiivWHO also wishes to thank the following people for their expert opinions andtechnical input to this module.)

7 Dr Rushi BakshiSenior Program Officer, Royal Netherlands Embassy,New Delhi, IndiaProfessor Myron BelferProfessor of Psychiatry, Department of SocialMedicine, Harvard Medical School, Boston, USADr Jos Miguel Caldas de AlmeidaDepartamento de Sa de Mental , Faculdade deCiencias M dicas, Universidade Nova de Lisboa,Campo dos M rtires da P tria, Lisbon, PortugalDr Sonia ChehilDalhousie University, Department of Psychiatry,Halifax, Nova Scotia, CanadaDr Dixon ChibandaPsychiatrist, University of Zimbabwe, Medical School,Dept. of Psychiatry, Harare, ZimbabweDr M Parameshvara DevaProfessor of Psychiatry, MARA University ofTechnology, Shah Alam, MalaysiaDr Margaret GriggSenior Nurse Advisor, Mental Health Branch,Department of Human services ,Melbourne, Victoria, AustraliaProfessor Martin KnappProfessor of Social Policy , London School ofEconomics, London, United KingdomMrs Christelle KotzenbergCluster Manager, Non-communicable diseases,Department of Health , Pretoria, South AfricaDr Ray LazarusProject Manager, Chronic Mental Health Care,Gauteng Department of Health ,Johannesburg, South AfricaProfessor Julian LeffProfessor of Social and Cultural Psychiatry, Instituteof Psychiatry, London.

8 United KingdomDr Itzhak LevavAdviser on research, Policy and external relations, Mental Health services , Ministry of Health ,Jerusalem, IsraelDr Tatijana MandicSEE MNH Project, Country Project Manager, HealthCentre Podgorica, MontenegroDr Irina MatytsinaSafety Advisor, Department of International Safetyand Pharmacovigilance Lundbeck A/S, Valby, DenmarkMs Penny MitchellSchool of Population Health , University of Melbourne,Victoria, AustraliaDr Sheila Zaramba NdyanabangiPrincipal Medical Officer Mental Health , Ministry ofHealth, Box 7272, Kampala, UgandaDr Samuel OkpakuProfessor and Chair, Department of Psychiatry andBehavioral Sciences, Meharry Medical College,Nashville, TN, USADr Vladimir OrtakovCountry Project coordinator for the Stability Pact, Mental Health Project for South East Europe, Skopje,the former Yugoslav Republic of MacedoniaMs Camilla ParkerLegal and Policy Consultant, Open Society Institute,St Albans, United KingdomDr Dainius PurasHead and Associate Professor, Centre of ChildPsychiatry and Social Pediatrics, Vilnius University,Vilnius, LithuaniaMr Bakary SonkoNational Mental Health coordinator , CampamaPsychiatric Unit, Royal Victoria Hospital,Banjul, GambiaDr Astrid StuckelbergerExpert for the Swiss Mental Health Policy and Plan,Public Health School, University of Geneva,Geneva, SwitzerlandvDr Yong-Jin SuhCoordinator of education and research.

9 Departmentof Psychiatric Rehabilitation and Community MentalHealth, Yongin Mental Hospital,Kyonggi Province, Republic of KoreaProfessor Graham ThornicroftHead of Health services Research Department,Institute of Psychiatry, London, United KingdomProfessor of Psychiatry, King George MedicalUniversity, Lucknow, India This document is an output from a project funded by the UK Department for InternationalDevelopment (DFID) for the benefit of developing countries. The views expressed are notnecessarily those of DFID. Careful monitoring and evaluationof a country s Mental Health policyand plan are vital for improvingservices, treatment and careand for guiding futurepolicy directions.

10 ViviiTable of ContentsPrefaceviiiExecutive Summary2 Aims and target is monitoring and evaluation ? of a Mental Health Policy and plan requiring and evaluating a Mental Health Policy and methods for evaluating a Mental Health Policy and data collection research192. Framework for setting up and conducting evaluation of the Policy and plan20 Step the purpose and scope of the monitoring and evaluation22 Step the evaluators and funding for the evaluation22 Step and managing ethical issues24 Step and implementing the operational plan for the the evaluation data, including unintended outcomes,and reporting the study : An evaluation of a national Mental Health Policy and planin a hypothetical Policy and plan of the the framework for setting up and conducting the evaluationof the Policy and of the process for developing the Mental Health policyand plan and their and evaluating implementation of the the Policy objectives1064.