Leadership and innovation in New Zealand's mental health system (A)

Abstract

This is the first of a two-case series (Case reference 310-023-1 and 310-024-1). Stepping into the role of New Zealand's Director of Mental Health in the early 1990s was Dr Janice Wilson. A new government had begun a programme of radical health sector reform. A decade-long overhaul of New Zealand's mental health legislation had just concluded. The first national mental health strategy was nearing completion. This case considers the complexities of formulating a strategy during a period of rapid change and within a decentralised structure. It examines the practical and policy implications of deinstitutionalisation of the mentally ill. Related case: Case Centre, Case Reference no. 310-024-1