Table 1 Transitions in The Banyan’s strategy
Dimensions of Strategy | Lifecycle 1 1993–1996 | Lifecycle 2 1996–2003 | Lifecycle 3 2004–2012 | Lifecycle 4 2012–present |
|---|---|---|---|---|
Focus (planning and action) | Humanistic response to homeless women with mental illness: crisis intervention, shelter, reintegration, after-care | Institutional development: strengthening capacity, content and quality of responses | Mental health services in the community and stakeholder expansion, research and advocacy | Development of reconstructive approaches in community and institutional care with a focus on well-being: identity/personal growth/self-determination/meaning in life Building capacities among human resources to integrate theory and field practice |
Reasons for focus (observation and reflection) | Lack of adequate responses to address deprivation and violence faced by homeless women with mental illness | Scale of issue in quantity as well as complexity; Infrastructure development with strengthening of systems of care for efficiency perceived as solution | Lack of access to care and continuity in care hypothesised to stem from presence vs absence deficits in community mental health Model formulation and dissemination of protocols as a means of scaling up | Micro and complex issues: non-linearity in the relationship between poverty, mental health, access to care and outcomes Need for development focus to mental health services integration Ethos/Core values scaling as opposed to standard operating protocols given dynamic nature of issue |
Description of constituency | Homeless women with mental illness | Homeless women with mental illness and their families and communities | Persons with mental illness and their families living in poverty and homelessness in urban and rural areas | Persons, families and communities with psychosocial concerns living in poverty and homelessness in low resource settings Human resources in development and mental health sector |
Description of stakeholder system | Hospitals, media, general public, philanthropists, social clubs | Other civil society organisations, hospitals, media, corporates, general public, government | Government, Other civil society organisations, hospitals, media, corporates, general public | Academic community, international institutions, local governments, federated and unfederated community institutions, Governments, Other civil society organisations, Hospitals, Media, Corporates, General Public |