An individual disease-centric paradigm has frozen action and limited understanding of the breadth of social life that fuels and relies on mental health. This needs to end. Now is the time for an overdue transformation of the purposes of mental health systems and policy to ones that put the reciprocal connections between mental health, the global climate and ecological emergency, and social determinants of racial and economic oppression and inequity, at the centre. Two things need to change to do this: first, mental health care itself, as it is currently constituted; and second, the absence in this transformation of active and coordinated participation and leadership from a vast array of stakeholders outside of the mental health field.
.... The mental health field faces an overdue reckoning that it can no longer dodge. The field has the chance to bring and reshape what it knows and does to be relevant to the task of maintaining humane and equitable steward communities.