This master’s thesis examines the role of non-governmental organizations (NGO) in shaping of mental health policies in Slovenia. It also focuses on the possibilities for cooperation between NGOs and the state, as well as the relationship and dialogue between these two actors. Theoretical framework presents various theories that explain the role and function of NGOs and their significance in the field of mental health. In addition, it provides an overview of the legislation regulating NGOs and mental health. The literature review concentrates on the ways in which organizations operate and on the forms of cooperation between them and state institutions that influence the law-making process.
The empirical part presents a study based on semi-structured interviews with representatives of four organizations active in the field of mental health. The data was analyzed using inductive coding.
The findings show that NGOs have an influence over decision-makers through different mechanisms, such as providing information, advocacy and lobbying. The most direct form of participation is inclusion in expert groups. However, this is not available to all organizations. In their relations with the state and other professionals, NGOs find themselves in an unequal position. Over the years, there has been greater involvement of user and user organizations but there is still pronounced imbalance of power and hierarchical relations among professionals. Respondents frequently described NGOs’ involvement in policymaking as only formal and without real impact. Nevertheless, some positive examples of cooperation exist, although they usually depend on individuals, persistence and personal connection. The functioning of NGOs is also strongly influenced by financial resources and staff capacity. The research highlights a discrepancy between the promises of decision-makers and actual practice in the field of mental health. Two key legal documents were the adoption of the Mental health Act and the Resolution of the National Mental Health Program, which initiated more active community-based work. International documents, such as the Convention on the Rights of Persons with Disabilities, also play an important role. Respondents pointed out lack of intersectoral cooperation and a gap between rigid legislation and real needs in practice. The study reveals the need for legislation based on human rights and the actual needs of people with lived experience of mental health problems. State often opens dialogue with NGOs and users primarily as a legal obligation. According to the respondents, genuine progress in this field would require greater proactivity on the part of the state, more stable institutional mechanisms, regular cooperation and recognition of the importance of user voices.
|
