The journey toward sustainable care systems is not easy. It requires strong leadership, consistent funding, and collaboration between services and stakeholders. Unfortunately, concerns about costs can discourage engagement from all parties. The current health models are expensive and have not resulted in healthier communities. To truly make a positive difference, we need to take a population-based approach that involves deep involvement in the lives of those served. Children referred to a care system often come from under-resourced communities where they face many challenges, including poor education, health care, and recreational spaces. Without healthy social and structural supports, these communities can become vulnerable to negative influences such as pollution, crime, violence, gangs, and drug use. It is important to recognize the inherent risks involved in relying heavily on the resilience of these communities, while ignoring the complex socio-economic factors at play. The work of caring for these communities is demanding and can lead to burnout for professionals. That is why we need an all-hands-on-deck approach. SOC is essential because it offers transformative support to children and families who need it the most. We must work together to build sustainable care systems that truly benefit everyone. Obtaining sustainability to incorporate SOC into the larger health care systems will take, developing a commitment to the model and an ability to maintain funding. Along with identifying the children, making sure resources are made available to them and their families to get the right services, and advocating for correct reimbursement for high-intensity work. The integration into larger systems illustrates that the SOC model is still in its infancy, in terms of integration into a sustainable SOC approach and being embraced by the various stakeholders including medical systems. This approach can improve conditions in the community with less out of home placements, less violence in the community, less breaking up of families from children sent away, and more of a sense of hope. To create a children's mental health system, it is important to establish a firm policy that guides its creation. This system should be the standard, and we need sustainable funding through public and private partnerships. Communication with the community is crucial to show the value and positive impact of this system on children's overall health and well-being. Leaders play a significant role in delivering these messages and establishing this model to serve the community's children. Engagement is essential to build trust, especially given the history of betrayal of trust by the modern medical system. This study provided a framework of the leadership skills associated with the principles of a SOC approach and assuming the responsibility of leadership as a psychiatrist. These skills are needed for the advancement of system level collaborations and community engagement to promote child mental health and well-being. Psychiatrists adopting a SOC approach require a multifaceted set of leadership skills to effectively promote child mental health and well-being. These skills include center dot Interdisciplinary collaboration: The ability to work seamlessly with professionals from various disciplines, understanding and integrating diverse perspectives to provide comprehensive care. center dot Cultural competence: A deep understanding of and respect for cultural differences, and the ability to apply this knowledge in clinical practice to meet the unique needs of each child and family. center dot Communication: Strong communication skills to facilitate clear and empathetic interactions with children, families, and other stakeholders. center dot Advocacy: Championing the needs of children and families within the mental health system, as well as in broader social and policy contexts. center dot Innovation: The willingness to implement new treatment models and approaches that are informed by the latest research and tailored to the needs of the community. center dot Resilience and self care: Maintaining personal well-being to prevent burnout and sustain the high level of engagement required in a SOC approach.
