Despite the Internet has enabled low-cost distribution of scientific content, it is not costless to produce content and disseminate knowledge worldwide. Two types of publishing that have emerged to meet these costs, open access and subscription models, have been advocating their excellence and the benefits of their publication systems. Today, journals published in the field of psychiatry with decent reputations generally adopt a subscription or hybrid model. The latter usually requires high article processing charges to publish the article open access. There are eight Turkish journals which are dedicated to psychiatry, already indexed in the Web of Science. Three of them are indexed in Science Citation Index Expanded (SCIE), one in Social Sciences Citation Index (SSCI) and the remaining four are in Emerging Sources Citation Index (ESCI). Four journals are owned by scientific societies or associations whereas one is an official publication of a non-profit non-governmental organization. One journal is owned by its publisher and another is by a private clinic. The remaining, Dusunen Adam The Journal of Psychiatry and Neurological Sciences (DAJPNS), is the only one owned by a non-university state hospital. All these international psychiatry journals based in Turkiye are open access and four of them receive publication fee which is expected to be paid by the authors through institutional funds or their own resources. However, a majority of Turkish researchers in psychiatry are state-run clinicians, not able to get grants or funds, and hardly afford such fees. The remaining three are funded by either their affiliated associations or the private clinic. DAJPNS has a somewhat unique publication format in that author fees have never been charged and its publishing enterprise is supported by the hospital’s annual working capital. The journal has been published periodically since 1984, without any sustainability problems owing to the embracement and sense of belonging of the clinicians as well as supportive managers who served in the hospital. The journal is maintained by the editorial board consisting of research-oriented psychiatrists currently working in the hospital, however, more than 90% of published articles are authored by researchers either from other institutions or by international experts. Contrary to popular belief, we envisage that non-university hospital-owned gratis journals with an institutional funding model will not be limited to the local, would change the academic culture with a sustainable fashion and promote accessible scientific knowledge to international audiences.