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24 GLOBAL
MENTAL
HEALTH
ADVOCACY
ROADMAP
2023-2024
 GLOBAL MENTAL HEALTH ADVOCACY ROADMAP 2023-2024

We want a world in which

The Global Mental Health Advocacy Roadmap 2023-2024 sets out clear objectives
everyone, everywhere has
and opportunities that will help achieve this. It is the product of United for
someone and somewhere to
Global Mental Health (UnitedGMH), on behalf of the Global Mental Health Action
turn to in support of their Network (GMHAN) in conjunction with the Office of the UN Secretary General,
mental health and wellbeing. WHO, UNICEF and a host of mental health champions across civil society,
governments, international organisations and trusts and foundations. Five years
of foundational work and consolidation by the global mental health community
We will only achieve this
in 2018-2022 have delivered notable progress (see boxes below).
with a significant increase in
political and financial support In the past 2 years, partly due to the impact of COVID-19, the level of discussion
for mental health to accelerate on mental health has increased in many countries. However, high-level political,
action to reach the Sustainable financial support and member state advocacy, remains far from sufficient.
Only a proactive approach towards advocacy, action and acceleration to move
Development Goals (SDGs) by
the mental health and psychosocial wellbeing agenda forward will help deliver
2030 and achieve the right of
tangible and transformational change. Many opportunities exist to help achieve
everyone to good physical and this vision over 2023 and beyond. A growing group of global champions,
mental health*.

23
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. Recent progress is detailed in the box below.

OVERALL AIMS FOR THE GLOBAL MENTAL

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HEALTH COMMUNITY 2020-2030
1. Global and National Policy Reform
• The promotion of mental health by key global institutions and organisations, including UN
agencies, the World Bank Group and the Global Fund to Fight AIDS, TB and Malaria.
• The integration of mental health across sectors and in plans to achieve the UN Sustainable
*This document uses Development Goals (SDGs) through the promotion of a social determinants approach to
‘mental health’ as a mental health.
shorthand for ‘mental
health and psychosocial • Increased and improved financial support for mental health through domestic and
support’ (MHPSS) – but international investments; and including as a costed component of Emergency Preparedness
we are clear that both and Response Plans.
elements are equally
important. Mental health • Greater prioritisation of child and youth mental health in policies and financing nationally
includes emotional, and internationally.
psychological, and social
wellbeing.

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• Prioritisation of MHPSS in emergency, migration and conflict settings and integrated into
peacebuilding interventions. THE OPPORTUNITY
• Prioritisation of MHPSS in climate change resilience and response and increased Over the past 5 years (2018-2022) mental health has risen sharply up the political agenda.
investment in mental health as part of the efforts to combat climate change. Accelerated by the impact of COVID-19, a broad cross section of society is now calling for greater
action. Young people have been joined by parents and employers, from sectors as diverse
• Promotion of workplace practices conducive to mental and physical health and wellbeing.
as banking, music and sport, demanding change and seeking to put in place better mental
health policies and practice for all. It is now widely accepted that mental health impacts people
2. Integration of Mental Health in Universal Health Coverage throughout the life course including during their most productive years. Research from The
Wellcome Trust shows 92% of people consider mental health as important or more important
• The inclusion of mental health as an essential component of Universal Health Coverage
than physical health for overall wellbeing.
(UHC) plans at international and national levels, especially in the preparations for, and the
deliverables of, the UN High-Level Meeting on UHC in September 2023.
Whilst there is more discussion of mental health in political fora, the workplace, on social media
• A parity between mental health and other Non-Communicable Disease issues in key and among friends and families than ever before, the dramatic rise in levels of discussion are
discussions on the topics and in NCD fora e.g. not reflected in the still woefully limited levels of funding. The combined impact of a challenging
• The elevation of mental health as a priority alongside physical health in the national and economic outlook, COVID-19, and the impacts of other social determinants such as the climate
international response to, and recovery from global health emergencies, specifically and ecological crisis has increased the demand for mental health support – for all ages. Yet
the COVID-19 pandemic. these same factors have restricted supply due to reduced spending, lack of human capacity and
restriction of movement. And there remains considerable stigma surrounding mental health.

3. U
 phold the Rights of All Persons to the Highest Attainable Today there is greater recognition than ever before of the social determinants of mental health -
Level of Mental Health from the economic to the environmental - and a multi-sectoral approach will be required. In part
due to COVID-19 and due to the sustained momentum global mental health has, the sector is
• In line with the Convention on the Rights of Persons with Disabilities (CRPD) including the
attracting new donors and those who have traditionally funded mental health are increasing their
scaling up of alternatives to coercion in health and judicial settings and opposed to further
investments. 2023 and beyond will be critical. The increased attention needs to be translated
developments in legislation, policy and programmes that are contrary to rights-based
into action - both financial investment and greater human capacity to deliver the changes
approaches.
required to achieve good mental health for all.
• Reduction in mental health stigma and discrimination in all settings and in law including:
decriminalisation of suicide; and promoting a human rights-based approach to mental
health as a requirement for quality services.
THE ROADMAP FOR 2023-2024:
4. Strengthened Monitoring and Accountability While citizens will demand more mental health support, around the world, governments’
• Better collection and harmonisation of disaggregated data. Use of data encouraged by all commitments to act may wane without significant additional pressure by the mental health
stakeholders to help ensure political momentum delivers better mental health for all. community due to competing needs and limited public funding. Many countries are experiencing
significant economic challenges due to a combination of factors, and this means the very poorest
in society are likely to fall further behind economically and this is likely to negatively impact
5. Development and Dissemination of Best Practice mental health. Moreover, LMICs are among those most impacted by a combination of economic,
• Increased political and financial support for mental health research. security and environmental challenges, hence a focus on these countries is particularly important
to helping ensure everyone’s right to good mental health is upheld.
• Identifying the best means to prevent and treat mental health conditions.
• Intensified efforts to deliver implementation research that scales up services and support. A series of international political moments could potentially galvanise action on mental health at
global and national level in 2023-2024 and beyond. The 2023 UN SDGs Summit can help highlight
progress (or lack of progress) towards the mental health related SDGs and is a moment to press
for greater action. The process leading up to, and the discussions at, the UN High Level Meeting
on UHC will be critically important to redressing the balance between physical and mental
health in terms of political prioritisation, reforms and funding. Moreover in 2023 there are also
important moments to advance action on child, youth and caregiver mental health including
Women Deliver and the Global Forum for Adolescents. And it is anticipated that the Call to Action

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organised by the Mexican Government as a follow up to the discussion at the UN Security Council
on MHPSS will lead to a UN Resolution on Mental Health which could be a significant opportunity THE OUTCOMES - WHAT SUCCESS WILL
to advance political attention for mental health. At a regional level, the European Commission is
scheduled to launch a new mental health initiative in 2023.
LOOK LIKE IN 2023-24
Political, Policy and Funding Commitments
Further key moments in 2024 include the Summit of the Future where long term concerns
• Targets of the WHO Comprehensive Mental Health Action Plan (2021-2030) and the
such as security, the environment and the needs of young people will be discussed. Looking
NCDs Global Compact 2020-2030 garner high level political support and additional funding.
forward, the NCDs Global Compact (agreed April 2022) commits to accelerating action on mental
This support will reflect the better integration of mental health in UHC plans that will be
health through a series of events and activities and the 2025 UN Social Summit is an event to
discussed at the UN High-Level Meeting on UHC in September 2023; COVID-19 national and
work towards to help drive further action, particularly in LMICs among the most marginalised
international level response, recovery and pandemic preparedness plans; and national SDG
communities. Meanwhile, on the environment, COP28 in UAE and COP29, and wider dialogues
plans.
on climate change, are increasingly including mental health. Such summits, that encourage all
governments to participate, are opportunities to leverage momentum. • Increased sustainable multi-sectoral funding for mental health and psychosocial wellbeing
is secured through domestic and international investments. It includes continuing work to
In addition, there are opportunities in 2023-24 to leverage international assistance. Most reach the Lancet Commission proposed targets of national low- and middle-income countries
notably through: the Global Fund, the Global Financing Facility (GFF), and the World Bank Group; (LMICs) governments spending at least 5% and high income countries at least 10% of their
investment in UHC and in primary health; linking mental health to the response to, and recovery health budgets on mental health across sectors. Mental health public expenditure increased
from, COVID-19 and other emergencies (including humanitarian responses); and integrating across other relevant sectors e.g. education, social welfare.
mental health into climate and environment risk reduction and response programming.
• Existing and new financing mechanisms are leveraged including the Global Fund, the
GFF, and the NCDs and Mental Health Trust Fund. Mental health financing is included in
To keep the pressure on governments to address short- and longer-term mental health needs,
discussions at the 2023 G7, G20, and replenishments of the GF and GFF.
mental health must become a political issue that impacts voting and informs voter choices
for commitments to turn to action and investment. National level advocacy and influencing • From 2022 - 2023 governments produce their SDG review reports for presentation at a UN
is critically important to amend outdated laws and policies, and ensure fully funded and SDG summit in 2023. Advocates will encourage governments to integrate mental health in
implemented mental health programmes. their plans and hold them accountable for their promises through the SDG reports produced.
• Environmental meetings will include acknowledgement of the mental health impacts of
the climate crisis and a deteriorating environment, with further pledges to reduce global
temperatures, address air pollution and preserve green spaces as ways to improve mental
health including during the health day at COP 28.
• New announcements by UN agencies to prioritise mental health and psychosocial support.
(MHPSS) in emergency and conflict settings are secured through work by the Government
of Mexico and others at the UN. The Call to Action organised by the Mexican Government as
a follow up to the discussion at the UN Security Council on MHPSS leads to a UN Resolution
on Mental Health.

Addressing Inequality and Taking A Rights-Based Approach

• Awareness on the importance of rights-based mental health-related legislation is increased
when WHO and OHCHR launch guidance in 2023 on CRPD-compliant mental health-related
legislation.
• Mental health is integrated/highlighted in terms of vulnerable populations at the 2025 UN
Social Summit that will focus on the Leave No One Behind agenda.
• Sustained action is achieved in support of the campaigns to end shackling (HRW led), end
suicide illegality (IASP/UnitedGMH); and end conversion therapy (Outright International led).

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GLOBAL MENTAL HEALTH ADVOCACY ROADMAP 2023-2024

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Better Mental Health for Children, Adolescents and their Caregivers
• UNICEF continues to roll out its four-year advocacy strategy, until 2025, building on the
launch of the State of the World’s Children Report in October 2021.
• Women Deliver 2023 features mental health as a key issue in the programme and policy
announcements.
• The 2023 Global Forum for Adolescents advances political commitments and actions for
mental health and wellbeing from all those participating.
• In 2024, the UN Secretary General hosts a Futures Summit: mental health is fully integrated
in plans for this summit and highlighted as a key issue for action by all those participating.

The Workplace and Mental Health

“
• An expansion and roll out of workplace mental health support for all citizens including
UN staff and UN peacekeepers continues.
• Environment, Society and Governance (ESG) reporting by publicly owned companies
increasingly integrates mental health as part of all three areas.

Harnessing the Power of Digital Technology

Better Mental
•

•
WHO scales up access Self-Help Plus, releases Step-by-Step and a guided self-help manual
for use with step-by-step and doing what matters in times of stress
WHO digital self-help interventions and e-learning programmes such as e-mhGAP and
QualityRights continue to be promoted.
Health for Children,
Adolescents and
“
• Technology companies increase the quality of and access to digital self-help
interventions; regulations are developed to ensure the use of trusted technology by working
their Caregivers
with health authorities.

Improving Knowledge of What Works

• Lancet Commission Reports are launched on Adolescent Health and Wellbeing (2023); and a
follow up report on Ending Stigma and Discrimination in Mental Health (2023).
• The McKinsey Health Initiative launches an assessment that enables employers to measure
their approach to employee mental health and well-being, track progress, and contribute to
open access data to improve broader learning and insights.
• The Wellcome Trust has two mental health awards open, on effective treatments for anxiety
and depression (deadline February 2023), and integrating sleep and circadian science into
our understanding and treatment of anxiety, depression and psychosis (deadline June 2023).
Future awards will include developmental pathways, unlocking the potential of neuroscience,
and new and improved digital technology, all with regards to anxiety, depression,
and psychosis.

Improved Mental Health Monitoring and Accountability

• A high level group of stakeholders promotes the annual Countdown Global Mental Health
2030 reports as a means to highlight progress/lack of progress on mental health.

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ROLES KEY STAKEHOLDERS WILL PLAY KEY DATES AND EVENTS 2023 - 2024
During 2023 we will promote greater action on mental health for young people; better
• Uphold and implement the recommendations of the WHO Comprehensive Mental
integration of mental health in UHC; and accelerated momentum towards the achievement
Health Action Plan (2021-2030) and announce high level political support and additional
funding to enable implementation at global and national level. of the SDGs. Key moments include: the UN Summit on the Future Generation; the Adolescent
• Support the Implementation Road Map 2023–2030 for the Global Action Plan for the Wellbeing Summit; the UN High Level meeting on UHC; the UN SDG summit; and the mental
Prevention and Control of Noncommunicable Diseases 2013–2030. health ministerial summit.
• Implement the recommendations of the WHO Executive Board paper,
National “Recommendations on how to strengthen the design and implementation of policies,
including those for resilient health systems and health services and infrastructure, to Date Event Location Activity
Governments
treat people living with noncommunicable diseases and to prevent and control their risk
factors in humanitarian emergencies“
Announcements on mental health in the
Jan 2023 WEF Annual Meeting Davos workplace; support of greater action on mental
• Build on previous commitments and leverage new opportunities in 2023-2024, to
health - business, philanthropy
accelerate action on mental health including improving human rights.
• Integrate mental health in COVID-19 response and recovery plans and in UHC plans. NCDs and Mental Health meeting of Small
Jan 2023 SIDS Meeting Barbados
Island Developing States
• Include mental health in plans to combat the climate crisis.
Jan 2023 WHO Executive Board Geneva Mental health specific actions TBC

• Increase sustainable funding for mental health; support national governments to Meeting on investment in mental health hosted
Jan 2023 World Bank Global
Funders (bilateral, reach the target of national LMICS governments spending at least 5% and high income by the World Bank
multilateral and countries at least 10% of their health budgets on mental health.
May 2023 MTV Global Mental Health Action Day
philanthropic) • Integrate mental health in COVID-19 response and recovery plans and in UHC plans.
Mental health specific actions TBC; likely to be
• Ensure global health funds and other relevant global initiatives fully integrate MHPSS. May 2023 World Health Assembly Geneva
integrated in discussions UHC
G7 includes mental health in its final
• Lead and mobilise around World Mental Health Day annually; ensure UN-system wide June 2023 G7 Summit Japan documentation especially in regard to
support to deliver WHO Mental Health Action Plan 2013-2030 and SDG 3; invest in
integration with UHC
MHPSS in emergency and conflict settings, post-crisis and development programmes.
Maternal mental health (especially adolescent
• Integrate mental health in COVID-19 response and recovery plans and in UHC plans. July 2023 Women Deliver Rwanda
UN Agencies & mothers) highlighted
• Deliver the Implementation Road Map 2023–2030 for the Global Action Plan for the
International SDGs Summit reviews global and national
Prevention and Control of Noncommunicable Diseases 2013–2030. Sept 2023 UN General Assembly New York
Organisations progress including on mental health
• Advocate for increased investment and policy commitments to support. promotive,
protective and responsive mental health services across all sectors and settings. High level meeting on Universal Health
Sept 2023 UN General Assembly New York
• Include people with lived experience in the design and delivery of mental health Coverage fully integrates mental health
interventions. Theme TBC – global celebration of year of
Oct 2023 World Mental Health Day Global action; additional commitments made especially
• Develop and deliver coordinated mobilisation around World Mental Health Day and
at country level
accompanying call to action. Oct 2023 Global Adolescent Forum Virtual Commitments are made for mental health
Civil society • Advocate for delivering Roadmap goals.
Mental Health Ministerial
• Strengthen organisations of people with psychosocial disabilities as an independent Oct 2023 TBC Argentina host; theme TBC
Meeting
self-representative voice, able to participate in national and global advocacy.
G20 Heads of State and G20 includes mental health in its meetings and
Oct 2024 India
Govts Summit commitments
• Include people with Lived Experience in the design and delivery of mental health UNFCCC COP 28 mental health is included in
research. Nov 2023 COP UAE
discussions
• Identify and support common approaches and measurement tools.
Researchers & Theme TBC – global celebration of year of
• Invest in new research focused on those mental health conditions with the least International Day of
Academics Dec 2023 Global action; additional commitments made especially
effective current treatments. Persons with Disabilities
at country level
• Intensify efforts to deliver implementation research to scale up quality services and
UNICEF Child and Youth Forum includes mental
support particularly to those in LMICs and among the most vulnerable groups. Dec 2023 UNICEF Global
health as focus topic
Announcements of integration of mental health
Dec 2023 UHC day
• Fully implement the UN Workplace Mental Health and Well-Being Strategy. in UHC plans
Workplace
• Support and implement the WHO Mental Health Workplace guidelines. Dec 2023 Human Rights Day Global Action on mental health and HR

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KEY DATES AND EVENTS 2023 - 2024
During 2024 we will want to ensure mental health is truly integrated in discussions on
Environmental meetings will include
climate change; and is a key part of the discussion of the Futures Summit as the international acknowledgement of the mental health
community charts its direction for the coming decades. impacts of the climate crisis and a
deteriorating environment, with further
pledges to reduce global temperatures,
Date

Jan 2024

Jan 2024
Event

WEF Annual Meeting

WHO Executive Board

Location

Davos

Geneva
Activity

Events on mental health in the workplace

Discuss WHO NCDs

“
address air pollution and preserve
green spaces as ways to improve
mental health including during the
health day at COP 28.
Mental Health Action Day
May 2024 MTV Global
www.mentalhealthactionday.org

World Health
May 2024 Geneva Agenda item on Mental Health (TBC)
Assembly

G7 includes mental health in its final

June G7 Summit
documentation

Mental Health included in discussion and

Sept 2024 Futures Summit New York
commitments

World Mental Health

Oct 2024 Global Theme TBC
Day

Mental Health
Oct 2024 Government to host TBC
Ministerial Meeting

G20 Heads of State G20 includes mental health in its meetings and
October 2024
and Govts Summit commitments

Nov 2024 COP UNFCCC COP Climate Change discussions

International Day Theme TBC – global celebration of year of action;

Dec 2024 of Persons with Global additional commitments made especially at
Disabilities country level

UNICEF Child and Youth Forum includes mental

Dec 2024 UNICEF Global
health as focus topic

Announcements of integration of mental health

Dec 2024 UHC day Global
in UHC plans TBC

Dec 2024 Human Rights Day Global Action on mental health and HR TBC

Note: a more detailed timetable of all key events and political processes is also being developed and will be kept updated by the
Global Mental Health Action Network (GMHAN).

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• In 2022, a session of the UN Security Council devoted to Mental Health and Psychosocial
ANNEX: 2018-2022 PROGRESS ON Support in emergencies was held for the first time; and the UN Security Council unanimously

GLOBAL MENTAL HEALTH adopted resolution 2668 (2022) on mental health and psychosocial support for UN peace
operations personnel.

Global and National Policy Reform Integration of Mental Health in Universal Health Coverage
• The 2018 High-Level Meeting on Noncommunicable Diseases included for the first time • The 2019 High-Level Meeting on Universal Health Coverage (UHC) for the first time included
substantial language on mental health in its Political Declaration at the UN General Assembly substantial language on mental health in its Political Declaration.
(UNGA); and subsequently a new Multi-Trust Fund was established for NCDS and Mental
Health.
Uphold the Rights of All Persons to the Highest Attainable Level of
• The 2019 World Health Assembly approved an extension to the WHO’s Comprehensive Mental Health:
Mental Health Action Plan 2013-2030; in 2021 updated annexes were approved; and in
• Suicide decriminalised in Cayman Islands, Guyana, Singapore, the UAE and Pakistan in 2021
2021 and 2022 record numbers of ministers spoke in favour of greater action on mental
and 2022.
health.
• Increased focus on rights: the theme for the 2021 French ministerial summit; the launch of
• A new Global Compact on NCDs including mental health was launched in 2022 along
the WHO Guidance on person-centred and rights-based community mental health services
with a Global Heads of State and Government Group on NCDs to help ensure the compact is
and public access to the WHO Quality Rights Training in multiple languages.
delivered.
• Guidelines on deinstitutionalisation were adopted by the Committee of the Convention on
• New promises of action on mental health from national governments particularly in response
the Rights of Persons with Disabilities (CRPD) in 2022 further improving policy and practice.
to COVID-19, and in international declarations e.g. G20 (2021) and G7 (2022). For example,
the 2022 G7 Leaders Communique made a strong commitment to improving mental health • Awareness on the importance of rights-based mental health-related legislation was increased
services for all. when the Human Rights Council adopted a new resolution on mental and human rights in
2021, calling for CRPD-compliant mental health-related legislation and detailed guidance;
• Agreement to integrate mental health in the 2023-2028 strategy of the Global Fund to Fight
the OHCHR and WHO will produce and launch this guidance in 2023.
AIDS, TB and Malaria.
• Recommendations from a 2022 report of the Conference on the Future of Europe for
development of an EU Action Plan on mental health to provide long term Mental Health Strengthened Monitoring and Accountability
Strategy, and the setting up of a dedicated European Year of Mental Health. • Launch of Countdown Global Mental Health 2030 by WHO, UNICEF, Lancet, Harvard,
UnitedGMH and the Global Mental Health Peer Network - a global, independent monitoring
• In 2022, the UNSG hosted the education summit; and UNICEF and WHO made
mechanism.
announcements on how best to integrate MHPSS in education.
• WHO launched a policy briefing on mental health and climate change in 2022 to help
guide future policy and action. For the first time, prominent inclusion of mental health in an Development and Dissemination of Best Practice
IPCC report (April 2022): noting “climate change is expected to have adverse impacts on well- • The WHO World Mental Health Report 2022 was launched outlining the current situation
being and to further threaten mental health.” Growing presence of metnal health advocates and the future agenda to help guide the direction of mental health efforts around the world;
at COP meetings in 2021 and 2022. and a report detailing the impact of COVID-19 on mental health.
• UNICEF launched the 2021 UNICEF State of the World’s Children Report with a focus
Response to Emergencies on mental health and wellbeing; and UNICEF continued to roll out its four-year advocacy
strategy.
• A 2019 resolution on Mental Health and Psychosocial Needs of People Affected by
Emergencies was adopted by the Red Cross and Red Crescent Movement (RCRC). • Large funders including Mackenzie Scott, the Wellcome Trust, Fondation Botnar (Being
Initiative), the Zurich Foundation and the Elton John AIDS Foundation, announced a number
• 2020-21, recognition of the need to integrate mental health in the response to, and recovery
of grant calls and discussions targeted at improving mental health and especially youth
from COVID-19 was part of WHO resolutions, a UNSG paper backed by member states and
mental health.
multiple reports and surveys.
• Multiple reports to inform knowledge and understanding of better ways to prevent, diagnose
• Sustained efforts led by the Dutch government to secure action on MHPSS in emergencies
and treat anxiety and depression by Wellcome. An International Alliance of Mental Health
including through the establishment of the Surge Support mechanism to support early
Research Funders (IAMHRF) report on mental health research funding and the case for
coordination; and launch of the MISP.
further investment.

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• Launch in 2020 of the Global Business Collaboration for
Better Workplace Mental Health; new reports by Wellcome;
and launch of the WHO mental health workplace
guidelines and policy brief in 2022. Together these have
help inspired commitments and action including pledges of
action by global CEOs.
• Lancet Commission reports were launched on tackling
depression (Q1 2022) and on stigma and discrimination (Q4
2022) to disseminate best practice and encourage reform.

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MENTAL
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ADVOCACY
ROADMAP
2023-2024