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In the debate in global mental health about the most effective models for developing and scaling interventions, there have been calls for the development of a more robust literature regarding the \"non-specific\", science of delivery aspects of interventions that are locally, contextually, and culturally relevant. This study describes a rigorous, exploratory, qualitative examination of the key, non-specific intervention strategies of a diverse group of five internationally-recognized organizations addressing mental illness in middle income countries (MICs). A triangulated approach to inquiry was used with semi-structured interviews conducted with service recipients, service providers and leaders, and key community partners (N = 159). The interview focus was upon processes of implementation and operation. A grounded theory-informed analysis revealed cross cutting themes of: a holistic conceptualization of mental health problems, an intensive application of principles of leverage and creating the social, cultural, and policy \"space\" within which interventions could be applied and resourced. These findings aligned with key aspects of systems dynamic theory suggesting that it might be a helpful framework in future studies of mental health service implementation in MICs.

Both innovators and funders need tools that map the entire constellation of solutions in a sector. Innovators, often labeled and isolated as system disruptors, need to be linked with their global peers offering and seeking each others proven strategies to accelerate positive change. The impact investing space needs a simple, open, and transparent way to find, convene, support, and track the progress of innovators. This article describes how the Ashoka Changemakers.com online community creates a space for: investors to find and support multiple innovations; social innovators to find each other, work together, and source funds; and disruptive innovations to grow over time where disruptive change is needed, fast. Crowd-sourcing, transparency, and open growth are keys to accelerating large-scale change and creating a world of changemakers.

Both innovators and funders need tools that map the entire constellation of solutions in a sector. Innovators, often labeled and isolated as system disruptors, need to be linked with their global peers offering and seeking each others proven strategies to accelerate positive change. The impact investing space needs a simple, open, and transparent way to find, convene, support, and track the progress of innovators. This article describes how the Ashoka Changemakers.com online community creates a space for: investors to find and support multiple innovations; social innovators to find each other, work together, and source funds; and disruptive innovations to grow over time where disruptive change is needed, fast. Crowd-sourcing, transparency, and open growth are keys to accelerating large-scale change and creating a world of changemakers.

Across health and social service sectors internationally there has been a rapid uptake of social entrepreneurship (SE) as a model for developing innovative and scalable interventions. However, much less is known about its utility and use in mental health services. This paper employs a scoping review and qualitative interviews with 27 leading social entrepreneurs working in mental health to assess the uptake of SE in the literature and to articulate this concept for mental health. The findings suggested both the potential of SE as a frame for advancing services and a paucity of research into specific processes and impacts.