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Mental Health Public Policy in Global Context - A Comparative Study of Policy Transfer in Samoa and Tonga (Paperback, 1st ed. 2020)
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Mental Health Public Policy in Global Context - A Comparative Study of Policy Transfer in Samoa and Tonga (Paperback, 1st ed. 2020)
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This book explores the development of mental health systems in the
Pacific Island Countries (PICs) of Samoa and Tonga through an
examination of several policy transfer events from the colonial to
the contemporary. Beginning in the 1990s, mental health became an
area of global policy concern as reflected in concerted
international organisation and bilateral aid and development
agendas, most notably those of the World Bank, World Health
Organization, and the governments of Australia and New Zealand.
This book highlights how Tonga and Samoa both reformed their
respective mental health systems during these years, after
relatively long periods of stagnation. Using recent scholarship
concerning public policy transfer, this book explains these policy
outcomes and expands it to include consideration of the historical
institutional dimensions evidenced by contemporary mental health
systems. This book considers three distinct levels of policy
implicated in mental health system transfer processes from
developed to developing nations: colonial authority and influence;
decolonisation processes; and the global development agenda
surrounding health systems. In the process, the author argues that
there are in fact three levels of policy change that must be
accounted for in examining contemporary policy change. These policy
levels include formal policy transfers, which tend to be
prescriptive, involving professional problem construction and the
designation of appropriate state apparatus for curative or
custodial care provision; quasi-formal transfers, which tend to be
aspirational and involve policy instruments developed through
collaborative, participatory processes; and informal transfers that
tend to be normative and include practices by professional actors
in delivering service merged with traditional cultural beliefs as
to disease aetiology as well as reflecting a deep understanding of
the cultural context within which the services will be delivered.
This book argues that a renewed focus on the importance of public
policy and government institutional capacity is necessary to ensure
human rights and justice are secured.
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