Making mental health count
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Transcript of Making mental health count
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Making Mental Health CountTHE SOCIAL AND ECONOMIC COSTS OF NEGLECTING MENTAL HEALTH CARE
Mark Pearson, Deputy Director for Employment, Labour and Social Affairs
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One in five have a mental disorder
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One in two experience a mental disorder in their lifetime
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People with severe mental disorders die up to 20 years earlier
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Since 1990 OECD suicide rates have fallen more than 20%...
… but increased 100% in Korea
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In Korea 40 people die from suicide every day
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The costs of mental ill-health can amount to more than 4% of GDP
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Mental health spending doesn’t match the burden of
mental disorders
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People with a mental disorder are…
…less effective at work…
… more likely to be absent from work…
… more likely to be out of work.
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No d
isord
er
Mil
d-t
o-m
od
era
ted
isord
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Seve
re d
isord
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People with mild-to-moderate illness are 2-3 times more likely to be unemployed
People with severe mental illness are 6-7 more likely to be unemployed
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THE POOR STATE OF MENTAL HEALTH CARE
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How mental health care should be delivered: community based, well coordinated
Specialist community care
Inpatient care
Primary Care + Workplaces + Schools + Community
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The state of mental health care now: fragmented, not enough of the right services
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1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
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Finland France Ireland Italy Korea Sweden OECD
Psy
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• Inpatient psychiatric beds falling across OECD; rose in Korea
• Average stay in psychiatric beds falling across OECD; rose in Korea
Hospital beds falling, but some countries still rely on inpatient care
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• Multi-professional teams delivering care in the community for severe mental illness
• Hospitals used for short acute stays and emergency care
• Coordination across care settings is very important and often weak
Care has been shifting to community settings
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Irelan
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United
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Slovak
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ublic
Austri
a
Portu
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Belgium
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Denm
ark
Hunga
ry
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Rep
ublic
OECD
Gre
ece
Italy
Eston
iaSpa
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Ger
man
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Poland
Sloven
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Sweden
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10092 92 90
81 8178 76 75 75 73 73 71 71 71 71
67 67 6764
6157
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General practitioner Psychiatrist Psychologist%
Type of provider(s) consulted for mental health problems, selected EU countries, 2010
There is an important role for primary care
Note: The question asked during the interview was: “In the last 12 months, did you seek help from a professional because of a psychological or emotional problem? If yes, indicate who in the provided list (multiple answers possible)”.Source: OECD (2011), Health at a Glance 2011 – OECD Indicators, OECD Publishing, Paris, http://dx.doi.org/10.1787/health_glance-2011-en.
• Primary care is first port of call for mental health concerns• Key provider of care for mild and moderate illness• Coordinating role for severe mental illness
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• For good mental wellbeing, good support from workplaces and schools is needed
• Involvement of occupational health services
• Need good integration of health and workplace services
• Good support in schools can have positive impact on educational attainment
• Need good teacher competence and awareness
Support can come from schools and workplaces
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WHAT NEEDS TO BE DONE?
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OECD countries need to make mental health count
Measure mental health
Increase evidence-based services for mild and moderate disorders
Better outcomes for severe mental illness
Make the link between work and mental health
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• Identify people who need care • Better understand the cost of mental
illness• Improve reporting on quality and
outcomes
Measure mental health
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• For mild-to-moderate disorders, scale-up evidence-based services
• Improve the competency and capacity of primary care practitioners
• Provide good support in workplaces and schools
Increase evidence-based services for mild and moderate disorders
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• Focus on outcomes• Better coordination between care
settings• Pay attention to physical health
needs• Keep building high quality
community services
Better outcomes for severe mental illness
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• Better competence among and support for key actors – e.g. employers, teachers
• Early intervention to prevent long-term costs
• Better integrated health and employment services
Make the link between work and mental health
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Contact: [email protected]
Read more about our work Follow us on Twitter: @OECD_Social
Website: www.oecd.org/healthNewsletter: http://www.oecd.org/els/health-systems/oecd-health-update.htm
Thank you