Table 2 Leadership and governance for mental health
Indicator | Anguilla | Bermuda | BVI | Cayman Islands | Montserrat | TCI |
|---|---|---|---|---|---|---|
Mental health policy/ strategy | Yes 2013 | No | Yes 2013 | Yes 2017 | Yes 2015–18 | Yes 2015 |
Mental health action plan | Yes 2013 | Yes 2010 | Yes (draft) 2016 | No | Yes 2015–18 | No |
Policy/ plan in line with international human rights | Yes | Yes | Yes | Yes | Yes | Yes |
Policy/ plan implementation | No | Limited | Limited | Limited | No | Limited |
Inclusion of mental health in broader health policies | Partial- national health framework 2013 | Yes- Well Bermuda (health promotion) strategy | No | No | No | Yes- Disaster Management Plan and Health Sector Plan |
Involvement of people with lived experience | No | No | No | Partial | No | No |
Mental health legislation | Yes 2006 | Yes MH Amendment Act 2019. Mental Health Act Code of Practice 2021 | Yes 2014 | Yes 2013 | Yes 2013 | Yes 2016 |
Involuntary treatment included in mental health legislation | In hospital—yes In community—no | In hospital—yes In community—yes | In hospital—yes In community—yes | In hospital—yes In community—yes | In hospital—yes In community—no | In hospital—yes In community—no |
Health service financing | Government finance, voluntary health insurance, out-of-pocket expenditure | Government finance, compulsory/ voluntary health insurance, out-of-pocket expenditure and donor financial assistance | Government spending, compulsory/voluntary health insurance, out-of-pocket expenditure and donor financial assistance | Government finance, compulsory/voluntary health insurance, out-of-pocket expenditure | Government finance (free at point of care) | National health insurance (free at point of care) |