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in the 2030 Agenda for Sustainable Development, which aims to achieve good health and well-being for

all, underpinned by international human rights standards and a human rights-based model of disability.

Laws and policies guaranteeing the right of access to quality mental health care and support, and the right

of persons with mental health conditions and psychosocial disabilities to make their own decisions in all

spheres of life, represent important advances. Many countries are working towards improving access to

community mental health services, reducing stigma and discrimination around mental health issues and

promoting the active participation of persons with lived experience in law reform processes and the design

of policy responses. However, most countries are at the early stages of reform, and greater political will,

investment and action are now needed to move mental health systems towards approaches that are rights

based and person-centred.

The global impact of the COVID-19 pandemic on mental health, including loss of employment and financial

insecurity, has been profound. People with existing mental health conditions and psychosocial disabilities

experienced increased levels of social isolation and disruptions in support systems. The pandemic also

highlighted inadequacies in mental health services and support in many countries.

At the same time, in many settings, the silence around the subject of mental health was broken, and the

need to include mental health as part of universal health coverage has been raised as an important priority.

In addition, there is an increasing number of examples of rights-based community mental health services,

including peer support services, that can be scaled up and incorporated into mainstream health systems.

More and more, the role of persons with lived experience of mental health conditions is being recognized as

invaluable in providing peer support and guidance to others going through a similar experience. Within the

health sector, countries are training health workers on rights-based approaches to mental health responses.