# Towards democratised psychiatry: building metacommunities for inclusive and equitable global mental health

## TL;DR

This paper explores how psychiatry can become more inclusive and democratic by adapting to global challenges and societal needs.

## Contribution

The paper introduces the concept of 'metacommunity' to guide psychiatry toward equitable and transparent mental health practices.

## Key findings

- Psychiatry faces complex challenges due to globalization and neoliberalism.
- A collaborative and evidence-based approach is needed for future mental health care.
- Democratic principles should shape psychiatry to ensure social accountability.

## Abstract

Through their study, George Ikkos & Nick Bouras reveal that the responsibilities of the psychiatric community are increasingly complex, especially amid the onslaught of globalisation and the confines of neoliberalism. ‘Metacommunity’ in this context refers not only to the history of psychiatrists but their role in strengthening and influencing mental health policies. A number of challenges continue to emerge in the public sphere, highlighting the need for psychiatry to adapt to society's evolving demands for inclusivity, equity and ethical governance. These challenges emphasise the importance of shaping the future of psychiatry that is responsive to the complexities of mental health care and aligned with democratic principles that prioritise transparency and social accountability. We have added several aspects that could complement psychiatrists' future theory and practice, including a more collaborative and evidence-based approach to dealing with increasingly complex mental health issues.