One new policy: A variety of applications—The implementation processes of a new mental health policy in Sweden

Abstract

The increase in mental ill health at a global level is widely acknowledged. This trend has led to the development of new policy frameworks that focus on public mental health. This study aimed to explore the implementation process regarding regional and local responses to national policy, proposing a substantially enhanced understanding of mental health within the Swedish welfare system. To explore the implementation process, a multiple case study was conducted using snowball sampling. In all, 18 key informants were interviewed. The results revealed that the informants adopted an experimental implementation process in which policy learning could take place. Contextual factors were essential for how a broad policy approach could be translated into practice. The broad policy not only made it possible for local needs to be addressed, but it also allowed for variations in focus position within the country as a whole. There seemed to be no consensus among the informants as to the origin or solution to the problem. Essentially, the question of whether public mental health issues should be dealt with at a structural or individual level remained unresolved. The Swedish case could be understood as an illustrative example of how one country attempts to handle a major problem despite insufficient information to direct the initiative towards a certain direction.