This chapter examines the transformation of mental health governance through an economic lens, analyzing the shift from workforce productivity-centered models to value-driven digital behavioral health frameworks. Traditional approaches have framed mental health primarily as a workforce optimization tool, resulting in reactive, fragmented care systems with significant economic inefficiencies. Despite a global mental health burden exceeding $1 trillion annually, investment remains disproportionately low. Digital technologies and preventive approaches offer promising economic pathways, with early implementations demonstrating cost-effectiveness ratios 3–4 times better than traditional models when properly deployed. As healthcare delivery increasingly transcends traditional borders, economic frameworks must evolve to address systemic constraints while accommodating emerging delivery models that require new professional competencies and governance structures. This analysis provides policymakers, health economists, and stakeholders with economic considerations for developing integrated behavioral health systems that balance fiscal responsibility with improved population outcomes in an increasingly digital and borderless healthcare landscape.