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The gap between mental
health policy and
implementation - a CSO
perspective
WHO Policy Dialogue
16.5.2024
Kristian Wahlbeck
senior advisor, MIELI Mental Health Finland
Presented on behalf of
Mental Health Partnership Finland
National Mental Health Strategy 2020–2030
Finland’s Mental Health Strategy has five focus areas:
• Mental health as human capital
• Children and young people's mental health
• Mental health rights
• Broad-based services meeting individual needs
• Good mental health leadership
It also includes a programme for suicide prevention.
Available: https://julkaisut.valtioneuvosto.fi/handle/10024/162234
Stress levels are increasing
Finnish mainland population, aged 15-74 years
Percentage reporting tension, anxiety or
sleeping difficulties due to worries
Stress at moderate or higher level, %
Significant psychological distress, %
Men Women
Increasing self-reported anxiety among school
students
Lähde: THL Kouluterveyskysely 2023
8-9th grade, boys
8-9th grade, girls
High school, boys
High school, girls
Vocational school, boys
Vocational school, girls
Mental health of young women: no decrease in
suicide mortality
Lähde: Tilastokeskuksen kuolinsyytilasto 2023
0
10
20
30
40
50
60
1980
1982
1984
1986
1988
1990
1992
1994
1996
1998
2000
2002
2004
2006
2008
2010
2012
2014
2016
2018
2020
2022
Suicide mortality among young people, age 15-24 y./100 000
Women
Men
Sickness leaves due to mental disorders are record
high
Alarming
increase in sick
leaves among
women <35y
Anxiety disorders
Depressive disorders
Sleep disorders
Mood disorders excl. depression
Schizophrenia spectrum
Other mental disorders
Number of people on long (>10 days) sick leaves due to mental disorders 2010-2023
Based on the national mental health strategy,
identified implementation needs include:
- cross-sectoral measures to promote population
mental health, especially addressing young
people
- improved access to early psychotherapeutic
interventions in primary care
- capacity building in services for children and
adolescents
- prevention of suicide among most vulnerable
groups
The mental health future does not look bright
• Austerity measures 2025-28 will reduce benefits, increase poverty
and result in financial stress in families
• Reduced access to primary health care (statutory maximum waiting
time increases from two weeks to three months)
• Increased availability of alcohol (lowered taxes and weakening the
alcohol sales monopoly)
• Government financial support to health and social care CSOs will be
reduced by 34 %
An overlooked and threathened mental health system
• In spite of an excellent mental health strategy, means for
implementation are largely lacking
• A comprehensive cross-sectoral implemantation is urgently needed in
view of deteriorating population mental health and rising costs due to
mental disorders
• Austerity is threathening services and civil society contributions
• A faint light in the tunnel is provided by the preparation of a whole-
of-government resolution on mental health promotion
What do Finnish CSOs need from WHO?
• Civil society needs to be better acknowledged as an essential part on any
mental health system
• Support for advocacy
• Comparative data on mental health systems (access, spending,…)
• Advocacy support for mental health rights based on the UN CRPD
• Support for promoting mentally healthy policies, especially in the fields of alcohol
policy and gaming policy
• Exchange of best practices
• Participation of civil society in mental health impact assessments across sectors
• Large-scale mobilisation of non-health sectors in mental health promotion
Kiitos!

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Finland's mental health policy and its implementation: a CSO perspective

  • 1. The gap between mental health policy and implementation - a CSO perspective WHO Policy Dialogue 16.5.2024 Kristian Wahlbeck senior advisor, MIELI Mental Health Finland Presented on behalf of Mental Health Partnership Finland
  • 2. National Mental Health Strategy 2020–2030 Finland’s Mental Health Strategy has five focus areas: • Mental health as human capital • Children and young people's mental health • Mental health rights • Broad-based services meeting individual needs • Good mental health leadership It also includes a programme for suicide prevention. Available: https://julkaisut.valtioneuvosto.fi/handle/10024/162234
  • 3. Stress levels are increasing Finnish mainland population, aged 15-74 years Percentage reporting tension, anxiety or sleeping difficulties due to worries Stress at moderate or higher level, %
  • 5. Increasing self-reported anxiety among school students Lähde: THL Kouluterveyskysely 2023 8-9th grade, boys 8-9th grade, girls High school, boys High school, girls Vocational school, boys Vocational school, girls
  • 6. Mental health of young women: no decrease in suicide mortality Lähde: Tilastokeskuksen kuolinsyytilasto 2023 0 10 20 30 40 50 60 1980 1982 1984 1986 1988 1990 1992 1994 1996 1998 2000 2002 2004 2006 2008 2010 2012 2014 2016 2018 2020 2022 Suicide mortality among young people, age 15-24 y./100 000 Women Men
  • 7. Sickness leaves due to mental disorders are record high Alarming increase in sick leaves among women <35y Anxiety disorders Depressive disorders Sleep disorders Mood disorders excl. depression Schizophrenia spectrum Other mental disorders Number of people on long (>10 days) sick leaves due to mental disorders 2010-2023
  • 8. Based on the national mental health strategy, identified implementation needs include: - cross-sectoral measures to promote population mental health, especially addressing young people - improved access to early psychotherapeutic interventions in primary care - capacity building in services for children and adolescents - prevention of suicide among most vulnerable groups
  • 9. The mental health future does not look bright • Austerity measures 2025-28 will reduce benefits, increase poverty and result in financial stress in families • Reduced access to primary health care (statutory maximum waiting time increases from two weeks to three months) • Increased availability of alcohol (lowered taxes and weakening the alcohol sales monopoly) • Government financial support to health and social care CSOs will be reduced by 34 %
  • 10. An overlooked and threathened mental health system • In spite of an excellent mental health strategy, means for implementation are largely lacking • A comprehensive cross-sectoral implemantation is urgently needed in view of deteriorating population mental health and rising costs due to mental disorders • Austerity is threathening services and civil society contributions • A faint light in the tunnel is provided by the preparation of a whole- of-government resolution on mental health promotion
  • 11. What do Finnish CSOs need from WHO? • Civil society needs to be better acknowledged as an essential part on any mental health system • Support for advocacy • Comparative data on mental health systems (access, spending,…) • Advocacy support for mental health rights based on the UN CRPD • Support for promoting mentally healthy policies, especially in the fields of alcohol policy and gaming policy • Exchange of best practices • Participation of civil society in mental health impact assessments across sectors • Large-scale mobilisation of non-health sectors in mental health promotion

Editor's Notes

  1. Positiivista mielenterveyttä mitattaessa ikäryhmäkohtaiset tulokset ovat samansuuntaisia, mielenterveys on heikoin nuoremmissa ikäryhmissä ja paras 65-74-vuotiaiden ryhmässä.