Sören Talu
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Mental health

    Overview

    Mental health should be seen as a valued source of human capital or well-being in society. It contributes to individual and population health, happiness and welfare, enables social interaction, cohesion and security, and feeds national output and labour force productivity. We need good mental health to succeed in all areas of life.

    Yet, individuals with mental ill-health are often shunned and denied access to care, with services for promoting and protecting mental health and preventing ill-health often starved of resources. It is vital to not only address the needs of people with defined mental disorders but also to protect and promote the mental health of all people, and recognize the intrinsic value of positive mental health.

    Impact
    In many Western countries, mental disorders are the leading cause of disability, responsible for 30-40% of chronic sick leave and costing some 3% of GDP.
    WHO response

    WHO/Europe pursues five priorities for mental health:

    1. the wellbeing of the population by supporting activities that promote mental wellbeing and prevent mental disorders;
    2. service users’ and carers’ empowerment so that the services can respond to their needs, aspirations and experiences;
    3. development of services, particularly community-based practice in middle- and low-income countries, where services have traditionally been provided in large mental institutions;
    4. the state of care for people with mental disabilities in Europe, focusing on the conditions of people with intellectual disabilities and long-term mental health problems, who too often live in unacceptable circumstances, and the development of family support and community services; and
    5. high-quality information, as it is often lacking.
    Much is now known about what works in mental health promotion, prevention, care and treatment. The challenge is now to implement this knowledge.

    Services and practice do not always reflect the knowledge of what works in mental health care and treatment. Many countries have limited community-based mental health services and little specialist help for young or elderly people.

    Many people in large mental institutions are subject to neglect and abuse of human rights, reflected in high mortality rates. Stigma and prejudice are widespread and affect every aspect of mental health, including whether people seek and receive help.

    WHO European framework for action on mental health 2021–2025

    The WHO European Framework for Action on Mental Health (‎EFAMH)‎ provides a coherent basis for intensified efforts to mainstream, promote and safeguard mental well-being as an integral element of COVID-19 response and recovery; to counter the stigma and discrimination associated with mental health conditions; and to advocate for and promote investment in accessible quality mental health services.



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    Addressing child and adolescent mental health

    Addressing child and adolescent mental health

    WHO/Malin Bring
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    Overview

    WHO/Europe supports countries to improve the mental health and well-being of children, adolescents and young people.

    Childhood, adolescence and young adulthood are critical stages of life for mental health and well-being, when people develop skills in self-control, social interaction and learning. Negative experiences – at home due to family conflict or at school due to bullying, for example – have a damaging effect on the development of these core cognitive and emotional skills. The socioeconomic conditions under which children grow can also have an impact on their choices and opportunities in adolescence and adulthood.

    Childhood and adolescence provide a unique window of opportunity to support mental health. Mental health care and support are most effective when received early; hence intervening during this period can treat and prevent mental health difficulties.

    Such early intervention is needed. Currently, suicide ranks as the fourth leading cause of death among 15–19-year-olds, and 75% of mental health conditions begin by age 24. In the WHO European Region in 2021, an estimated 1 in 5 adolescents had a mental health condition. Life satisfaction has also been declining among adolescents. However, the majority of children and adolescents in need of mental health care do not receive the necessary support.

    To address these issues, WHO/Europe has prioritized the mental health and well-being of children and adolescents within the WHO European Framework for Action on Mental Health (2021–2025), and operationalized it as one of the working packages of the pan-European Mental Health Coalition. Examples of initiatives include the following.

    • The WHO Mental Health Flagship, through its pan-European Mental Health Coalition and in collaboration with the WHO Office on Quality of Care and Patient Safety in Athens, Greece, is working to improve young people’s mental health by:
      • promoting engagement of adolescents and young people in mental health service design and delivery; and
      • fostering exchange of best practices in the prevention, promotion and treatment of mental ill health.
    • With the support of the Government of Greece, WHO/Europe, through its WHO Office on Quality of Care and Patient Safety, created a programme on quality of mental health care for children and adolescents, focusing on:
      • co-developing the first WHO quality standards for child and adolescent mental health services and tools to support their implementation;
      • promoting innovation to overcome common challenges for high-quality care provision for child and adolescent mental health;
      • strengthening research and data collection for child and adolescent mental health; and
      • capacity-building for policy-makers in specific countries through the first WHO Autumn School on Quality of Child and Adolescent Mental Health Care.
    • Every 4 years, WHO/Europe conducts the Health Behaviour in School-aged Children survey, a collaborative cross-national study of the health and well-being of 11-, 13- and 15-year-olds. This survey identifies the status of and trends in health and well-being among young people, including factors affecting their mental health. 
    • WHO and the United Nations Children’s Fund (UNICEF) have partnered to strengthen mental health supports for children and adolescents, including quality of care, prevention of mental health conditions and promotion of well-being, through the Joint Programme on Mental Health and Psychosocial Well-being and Development of Children and Adolescents, and the Helping Adolescents Thrive initiative and toolkit.

    Publications

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    Using European Union funds to improve access to community-based mental health care: lessons from Czechia

    Czechia has recently used European Union European Structural and Investment Funds to build, staff and operate 29 community mental health centres (‎CMHCs)‎...

    Improving access to mental health care for people with low incomes: lessons from Ireland

    A key factor affecting Ireland’s ability to address its high burden of mental health conditions is limited entitlement to publicly financed community...

    Improving access to mental health care for children and adolescents: lessons from Finland

    Finland’s health system has struggled to meet a growing need for mental health care, particularly in young people. Factors that limit affordable...

    WHO’s response to health emergencies in Ukraine: annual report 2024

    In its third year, the state of war in Ukraine continues to disrupt the lives of more than 3.6 million internally displaced persons and 6.7 million refugees,...

    Related WHO collaborating centres

    WHO collaborating centres are institutions that form an international collaborative network carrying out activities to support WHO’s programmes at all levels. They provide an opportunity for WHO to utilize their inherent expertise for the benefit of all Member States.

    View the list of related collaborating centres