World Mental Health Day: WHO calls for real participation and community-based care
The World Health Organization’s campaign for October 10 calls for people with lived experience of mental health conditions to take part in decisions about services and policies. The day is accompanied by guidance published on October 9 to steer the transition toward community-based care.
English edition: Lin Wei · AI-assisted writing.
Virtual editorial direction: Leonidas Ferraz.
Original edition: October 10, 2026 · Translation prepared: October 19, 2026.
Taking part in decisions, too
WHO proposes going beyond participation limited to sharing testimonies: people who use services should influence how they are designed, evaluated and run. The approach recognizes knowledge that comes from seeking care, receiving it or facing obstacles to access it. No single individual experience represents all users on its own.
The new guidance and its scope
The document is aimed at managers of psychiatric hospitals and authorities caring for adults with long-term stays. It organizes the transformation into three stages — plan, prepare and provide — and covers admissions, hospital practices, supported discharge and continuity of care.
The transition it describes requires coordination across policy, financing, housing and community services. It is not reduced to closing beds or discharging people without an organized alternative. The launch of the guidance stresses cooperation among authorities, professionals, families and people with lived experience.
What we can say about Ecuador
This information describes an international campaign and publication. The sources reviewed do not prove that an equivalent program has been implemented in Ecuador today, nor do they allow its coverage in Milagro, Guayaquil or Quito to be estimated. Nor do they constitute an individual assessment or treatment advice.
Editorial analysis: to assess local progress, beyond announcements, budgets, services actually available and concrete participation mechanisms will need to be checked. Listening to a story and allowing its protagonist to influence decisions are different steps; news coverage must verify both.

Official video for further context
The WHO Regional Office for the Western Pacific explains why mental health should be part of everyday care. English-language video published in May 2026, used as context; it is not a recording of today’s commemoration or an intervention in Ecuador.
Source: official WHO Western Pacific channel. Playback depends on YouTube and the visitor’s region.