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“mental Health Coverage In Europe: A Closer Look At Insurance Benefits”

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Mental Health Care Needs In Us And 10 Other High Income Countries

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The results of the world’s largest mental health study were released this week by Sapien Labs, the non-profit research organization behind the Mental Health Million project. The goal of the project is to monitor mental health worldwide.

The project was launched in eight English-speaking countries in 2019 and has since expanded to reach 223,000 people in 34 countries.

The second annual World Mental Health Report provides an overview of well-being around the world in 2021; based on responses to a 15-minute anonymous survey available online in English, Spanish, French and Arabic.

Pdf) Quality Of Longer Term Mental Health Facilities In Europe: Validation Of The Quality Indicator For Rehabilitative Care Against Service Users’ Views

Sapien Labs developed a survey called the Mental Health Quotient (MHQ).

MHQ scores can range from -100 to 200, with positive scores representing the “normal” range of functioning and negative scores indicating the possibility of a clinical mental disorder.

National average scores calculated for the report ranged from 46 or “sustainable” mental health in South Africa; to a national average of 91 for Venezuela, which was considered to be on the borderline of “mastery” and “success” on the MHQ scale.

Eight of the ten countries with the lowest average MHQ scores are from what the report calls the core Anglosphere. From worst to best mental health, the list includes: South Africa, Great Britain, Australia, Ireland, India, New Zealand, Canada and the United States.

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In contrast, most of the highest average mental health scores come from Latin America, Spain and some French-speaking countries in Europe and Africa.

Much to the researchers’ surprise, national indicators of economic well-being, such as high GDP per capita, were found to correlate with lower average mental health scores in the study populations.

“This refutes the popular notion that national economic prosperity leads to greater social well-being, although these correlations are more likely to be positive than significantly negative,” the report said.

The authors also take into account differences in cultural values ​​between countries. Populations that reported prioritizing work performance and individualism in separate GLOBE surveys tended to score lower on mental health quotients, indicating some form of stress.

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Internet access was a prerequisite for participation in the open online survey. With that in mind, the data reflect the experiences of populations that use the Internet exclusively.

People of color are less likely than their white counterparts to use the Internet to access health services, said Patricia Escobar, Kaiser Permanente’s culturally responsive and inclusive advisory manager.

Studies conducted early in the COVID-19 pandemic show that black and Hispanic patients, especially those over 65, are significantly less likely to use telehealth than white patients. This trend, along with cultural biases toward mental health issues, could lead to a decrease in willingness to complete an online mental health survey, Escobar said.

“Anecdotally, from my family experience, belittle and use more ‘benign’ words,” said Escobar, who immigrated to the United States from Bolivia as a young girl. “As immigrants and people of color … we tend to be more resilient because we’ve faced so many other obstacles that our neighbor may not have.”

Pdf) Mental Health Care Provision For Marginalized Groups Across Europe: Findings From The Promo Study

In all countries, higher education and employment were associated with higher mental health scores. The association with employment was strongest in English-speaking western countries. By continuing to browse our website, you agree to the use of cookies for statistical and personalization purposes. More information

Our scorecard ranks each state’s health care system based on how well it provides high-quality, affordable, and equitable health care. Read the report to see how your state fares.

Mental health needs in the United States and 10 other high-income countries. Results of the 2020 Commonwealth Fund International Health Policy Survey

October 10 is World Mental Health Day, an opportunity to raise awareness of mental health issues around the world and take action to improve access to affordable mental health care. The day provides an opportunity for everyone involved in these issues to talk about their work and discuss what more needs to be done to make mental health care a reality for everyone who needs it.

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Findings from the Commonwealth Fund’s International Health Policy Survey 2020 in the United States and ten other high-income countries highlight the need for continued investment in mental health. The graphs below show that in various countries a large proportion of people with mental health needs:

Mental health needs in the United States and ten other high-income countries: findings from the 2020 Commonwealth Fund International Health Policy Survey.

Promoting equity in healthcare. Proposed rule changes for Medicaid managed care payments could improve access to health care and address inequities, but questions remain. In the EU, one in 25 people is diagnosed with depression, and one in 20 has an anxiety disorder. However, according to a study by Spanish newsroom Civio in the European Data Journalism Network, national public health systems often do not provide adequate care.

Not all people who need treatment for mental health problems receive it or are even diagnosed. In fact, a 2017 report funded by the European Commission found that “despite effective treatments, around 56 percent of patients with major depression receive no treatment at all.”

Prevention And Management Of Depression In Primary Care In Europe: A Holistic Model Of Care And Interventions Position Paper Of The European Forum For Primary Care.

In some of the newer EU member states, this supply gap appears to be larger. For example, Poland and Romania have the lowest reported prevalence of anxiety and depression in the European Union. But that’s not because there aren’t any potential patients.

“There are three main problems: stigma, waiting times and user fees,” said Marcin Rodzinka, a spokesman for Mental Health Europe, an NGO that advises EU organizations on policy issues. The European Commission’s 2017 report supports this.

“The thought of going to a psychiatrist comes with a lot of shame and fear,” said Maria, who is seeing a psychotherapist in Romania and asked not to use her real name. “Nobody talks about it openly, so nobody knows what to expect when they go to a psychiatrist. Nobody wants to be labeled crazy.”

Even when people overcome their stigma, there can be barriers to getting the treatment they need. “There is evidence that access to mental health care can be unsatisfactory even in high-income countries with universal health coverage,” said a 2016 EU analysis.

What Do Mental Health Services Look Like Around The World?

Take France as an example: the country does not allow access to psychologists in the national health system at all. Instead, it only covers psychiatric treatment.

In at least nine EU countries, people have to pay extra fees to see a psychologist as part of public health care. The price varies depending on the country and even the region. In Denmark, for example, the average additional cost of a session covered by public health is 51 euros ($61) – the equivalent of three hours of work for someone earning the country’s average monthly minimum wage of 2,428 euros. .

But even if therapy is officially free, it can still be out of reach. In at least seven EU countries, people have to wait more than a month to see a psychologist. Even in Germany, the EU country with the best patient-to-nurse ratio, patients have to wait four to five months on average.

“In order to prevent mental disorders from worsening or becoming chronic, it is important to start treatment as soon as possible,” said a spokesperson for the Federal Chamber of Psychotherapists.

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This does not always work in practice. “I had to wait six months before I could even see a psychiatrist,” said a German patient who asked to be called Isabel. “It was a real shock. I couldn’t believe how much red tape I had to go through.”

Officially, Germans are entitled to compensation for visiting a private psychologist if waiting times are unreasonably long. But many health care providers are hesitant or even outright refuse to accept reimbursement.

A BBC investigation found similar problems in the UK: health professionals only paid a fee for the first visit to a specialist. Waiting times for follow-up appointments exceeded the target of six weeks.

On the other hand, municipal psychiatric centers in and around the city in northeastern Italy have opted for a radical open-door policy in the so-called Trieste model, allowing everyone access to treatment without an appointment.

World Mental Health Day 2021

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