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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.



    Multimedia

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    Our work

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    Taking care of mental health in general health care

    Taking care of mental health in general health care

    Overview

    Mental health care in general health-care settings includes the development and integration of inpatient and outpatient services in general hospitals and polyclinics, and the treatment and prevention of common mental disorders in community-based and/or primary health care.

    The WHO European Mental Health Action Plan 2013–2020 emphasizes the need for collaborative and multidisciplinary partnerships, and for community-based care. The shift from hospital-based service delivery to service delivery in general health-care settings necessitates training and education for primary health-care professionals. General practitioners play a key role in identifying and referring people with mental health complaints.

    The WHO Mental Health Gap Action Programme Intervention Guide (mhGAP-IG) for mental, neurological and substance use disorders in non-specialized health settings is a valuable tool for scaling up mental health services and making them accessible, competent, affordable and available in communities.

    The substantial level of comorbidity between mental disorders and other noncommunicable diseases (NCDs) is a key reason to integrate mental health into general health care. Mental disorders affect, and are in turn affected by, major NCDs; they can be precursors to or consequences of chronic conditions such as cardiovascular diseases, diabetes or cancer. Risk factors for these diseases, such as sedentary behaviour and harmful use of alcohol, are also risk factors for mental disorders.

    Although comorbidities between mental disorders and major NCDs are substantial and lead to both worse outcomes for those affected and higher costs for health systems, they are often unaddressed in clinical practice.

    A stronger focus on comorbidities between mental disorders and major NCDs is needed. WHO/Europe’s 2017 report “Addressing comorbidity between mental disorders and major noncommunicable diseases” provides insight into this issue and suggests approaches for improving integrated care.

    Publications

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    Rapid assessment of the quality of mental health care in Greece

    The rapid assessment of the quality of mental health care in Greece was conducted under the Development and implementation of a framework for quality measurement...

    WHO Country Office in Poland annual report 2024

    In 2024, the WHO Country Office in Poland worked to deliver tangible results across key public health priorities, including the Ukraine refugee response,...

    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...

    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