Analysis of the Management and Applicability of Mental Health Public Policies: The Case of Tierralta, Córdoba

Abstract

Given the sustained increase in mental health issues in Colombia, this study aimed to examine the management and applicability of public policies in the municipality of Tierralta, Córdoba. To this end, methodological rigor was ensured through the triangulation of documentary sources, integrating three levels of analysis: the strategic framework and global challenges defined by the WHO and the UNDP; the national legislative framework and implementation trends; and local management as reflected in the Municipal Development Plan. The findings reveal a structural weakness in the implementation capacity of sixth-category municipalities. Specifically, it is observed that Tierralta’s local planning instrument lacks concrete actions to articulate national regulations, such as Law 1616 of 2013, with territorial mental health programs that promote social progress. Consequently, the study concludes that a critical disconnect exists between a robust national regulatory framework and precarious local execution, which hinders the guarantee of the full exercise of the right to mental health. Given this scenario, it is imperative to encourage investment in scientific research and strengthen alliances between municipal institutions and universities to generate evidence that guides scientific development and the effectiveness of public management.