The EU-Compass for Action on Mental Health and Wellbeing

2015-2018

Diana Frasquilho, PhD

Diana Frasquilho (Nova Medical School) On behalf of

Consortium: Trimbos Institute, NOVA University of Lisbon, Finnish Association for Mental Health and EuroHealthNet

What is the EU Compass?

• The EU Compass is a project commissioned by the European Commission (DG SANTE and CHAFEA).

• Implemented by a consortium led by the Trimbos Institute together with the NOVA University of Lisbon, the Finnish Association for Mental Health and EuroHealthNet

• under the supervision and in close cooperation with the Group of Governmental Experts on Mental Health and Well-being.

Is a web-based mechanism used to:

Collect, Exchange and Analyse information on policy and activities in mental health

Builds on the European Framework for Action on Mental Health and Well-being

What is the EU Compass?

EU Framework for Action on MH and Well-being

An outcome of the The Joint Action

Supports national governments to:

review their policies

share experiences in improving policy efficiency and effectiveness through innovative approaches

taking into account specific needs at local, regional and national level.

It also provides guidance for the review and development of the EU’s own policies

What are the EU-Compass main aims?

Establish a platform to monitor policies and activities in the field of mental health and well-being by Member States and non-governmental stakeholders

to undertake action to disseminate the European Framework for Action on Mental Health and Well-being resulting from the Joint Action

Further the mental health agenda in EU Member States and promote policy dialogue and commitment for it

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The EU-Compass focuses on 7 priority areas:

1. preventing depression & promoting resilience (2016)

2. better access to mental health services (2016)

3. mental health at work (2017)

4. mental health in schools (2017)

5. preventing suicide (2017)

6. providing community-based mental health services (2018)

7. developing integrated governance approaches (2018)

How it will achieve this:

The establishment of a platform to monitor policies and activities in the field of mental health and well-being by EU Member States and non-governmental stakeholders

Identifying and disseminating European good practices through database and brochures

Preparing and organizing three annual reports and forum events

Organizing national mental health workshops in each Member State, Iceland, and Norway

Preparing scientific reports which will form the basis of a European consensus paper on each of the seven priority areas of the Compass

Thematic scientific and consensus papers, annual progress reports & good practices collection

1) Prevention of depression and promotion of resilience

2) Provision of more accessible mental health services

3) Mental health at workplace

4) Mental health of young people

5) Providing community-based mental health services;

6) Preventing suicide;

7) Developing integrated governance approaches

Organise consultations:

National awareness raising workshops

Online consultations

Yearly European Forum Mental Health (2016, 2017, 2018) in LUX (150 participants)

•Governments

•NGOs, Civil society org.

•Professional associations

•Users and carersorganisations

•Research and knowledge centres

Dissemination:

Updated website

Newsletters

Press notes

Brochures good practices

Steps

What does the data gathered so far tell us?

1st annual report (2016)

Legislative activities occurred in more than half of the EU Member States

Prominently on the themes of (compulsory) admission to services, long term care, and the integration of Convention on the Rights of Persons with Disabilities (CRPD) concepts in legislation

More than 80% of Member States updated and/or created new mental health strategies and programmes

• More than 70% of Member States indicated developments in the involvement of patients, families, and non-governmental organisations in mental health policy development and care.

• Monitoring the mental health status of the population was reported in many EU Member States (through means of national

health surveys, research in specific population groups, cross-sectional and longitudinal studies, municipal studies, and suicide case registry systems).

1st annual report (2016)

Activities in prevention and promotion were mainly focused on:

• Improving detection and referral of patients to mental health care providers

• Provision of support tools to families or high risk groups to build resilience and reduce stress

• Collaborative work with educational and labour sectors to raise awareness and improve screening

• Self-management tools, in the field of e-mental health, were less frequently developed by EU Member States

1st annual report (2016)

Significant progress was made by MS towards some of the objectives of the European Pact and the Framework for Action

Innovative comprehensive developments in:

– Promotion and prevention

– Reorganisation of services

– Policy

– Funding

Particularly evident in the Nordic countries, the UK and the Netherlands.

2nd annual report (2017)

• The areas in which MS more reported key activities:

promotion and prevention initiatives

service (re)organization

service quality activities

• The areas in which MS less reported key activities:

legislation

impact assessment

2nd annual report (2017)

• The areas in which MS more reported key activities: the update and implementation of national mental health

strategies the development of new services the launch of new promotion and prevention programmes the adoption of mental health in all policies approach.

• The areas in which MS less reported key activities:monitoring and development of information systems improvement of quality of care development of e-mental health

3rd annual report (2018)

PROGRESS IN 2017 TOWARDS THE OBJECTIVES OF THE EU PACT AND THE FRAMEWORK FOR ACTION

Legislation- rights of people with mental disorders- mental health strategy for children and

adolescents- community mental health care

MH policy and plans- update of MH strategy- assessment and evaluation- focus on children and youth- focus on MHiAP

Organization and quality of services

- development of care to community-based care

- second wave of reforms- child and adolescent care - forensic care of adults- research on quality of community care

Prevention/promotion

- public mental health promotion- school based interventions, Mental

Health First Aid- perinatal and postnatal depression- suicide prevention- awareness and anti-stigma initiatives

MHiAP e-Health- digital mental health services- information websites

The EU-Compass for Action on Mental Health and Wellbeing

2015-2018

Diana Frasquilho (Nova Medical School) On behalf of

Consortium: Trimbos Institute, NOVA University of Lisbon, Finnish Association for Mental Health and EuroHealthNet