Making Mental Health Count THE SOCIAL AND ECONOMIC COSTS OF NEGLECTING MENTAL HEALTH CARE презентация

One in five have a mental disorder

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Making Mental Health Count
THE 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


Слайд 7The 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 disorder
Mild-to-moderate
disorder
Severe disorder
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

Слайд 11THE POOR STATE OF MENTAL HEALTH CARE


Слайд 12How mental health care should be delivered: community based, well coordinated
Specialist

community care

Inpatient care

Primary Care + Workplaces + Schools + Community


Слайд 13The state of mental health care now: fragmented, not enough of

the right services

Слайд 14Inpatient 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


Слайд 15Multi-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


Слайд 16Type of provider(s) consulted for mental health problems, selected EU countries,

2010



There is an important role for primary care

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


Слайд 17For 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


Слайд 18WHAT NEEDS TO BE DONE?


Слайд 19OECD 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


Слайд 20Identify people who need care
Better understand the cost of mental

illness
Improve reporting on quality and outcomes

Measure mental health


Слайд 21For 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


Слайд 22Focus 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


Слайд 23Better 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


Слайд 24Contact: Mark.Pearson@oecd.org

Read more about our work

Follow us on Twitter: @OECD_Social









Website: www.oecd.org/health
Newsletter: http://www.oecd.org/els/health-systems/oecd-health-update.htm

Thank you


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