Transferable Design Principles for Scalable Mental Health Systems

Closing the treatment gap in Africa will require more than scaling existing services. It will depend on strengthening locally led research and context-sensitive implementation, embedding innovations within national systems, and investing in workforce development, supervision, and governance. African mental health innovations are not only responses to constrained resources, but also contributions to the broader understanding of how scalable, equitable, and culturally responsive mental health systems can be designed across diverse global settings.

Corresponding Author: Rick Peter Fritz Wolthusen, MD, MPP, Psychotic Disorders Division, McLean Hospital, 115 Mill St, Belmont, MA 02478 (rwolthusen@mgh.harvard.edu).

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