From coordinated services to learning mental health systems: advancing mental healthcare for the 21st century - Takeaways - MDSpire
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Building Learning Mental Health Systems to Improve Care in the 21st Century: From Coordinated Services to Continuous Learning

  • By

  • Jesse T Young

  • Craig Cumming

  • October 10, 2026

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  • 1

    Approximately 1.2 billion people worldwide live with a mental health disorder, and projected costs are expected to exceed $6 trillion by 2030.

  • 2

    Mental health systems should embed the agency, autonomy, and inclusion of people with lived experience in system design, delivery, and evaluation.

  • 3

    The editorial distinguishes lived experience from lived experience expertise, which combines personal experience with skills and knowledge used to benefit others.

  • 4

    Fragmented, siloed services contribute to gaps in access, inequities, and accountability concerns, while integrated system structures remain aspirational in most countries.

  • 5

    The authors envision a person-centered learning mental health system that uses evidence and practice for continuous improvement and equitable services proportionate to need.

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