Abstract
Aim. The provision of high-quality mental health care is a fundamental obligation of welfare states, a professional duty, and a basic human right. However, significant knowledge gaps persist at the intersection of patient needs and service delivery—particularly in relation to access, quality, and the effects of stigma and discrimination. These gaps disproportionately affect socially marginalised (SM) and medically vulnerable (HV) adults with mental disorders. This study investigates the perceived risks to the quality of community mental health (CMH) care for adults with mental disorders, as identified by various stakeholders. It further explores proposed measures for mitigating these risks.
Material and methods. A qualitative design was employed, involving three focus groups with CMH professionals and 26 semi-structured interviews with service users, students, researchers, experts, and policy makers.
Results. The perceived risks were categorised into six thematic domains, while the proposed measures were organised into eight strategic categories. Several of the proposed actions hold broader relevance for improving CMH care and service equity beyond the national context.
Conclusions. The findings highlight the urgent need to establish local CMH action groups and to develop inclusive strategies involving SM and HV representatives to address systemic quality risks in community-based mental health care.