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

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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


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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 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


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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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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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Type 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


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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: 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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