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•Cross-sectoral peer-learning strengthening participation by young people with mental health issues
•Meeting of Directors General for Youth, 7-8 April 2016, Amsterdam
HELPING YOUTH WITH MENTAL HEALTH
PROBLEMS INTO EDUCATION AND WORK
Lessons from nine OECD country reviews
Christopher PRINZ, PhD
Directorate for Employment, Labour and Social Affairs
OECD
• Alarming evidence
– Facts about youth, mental health and work
• Key policy conclusions
– The need for a policy transformation
• Promising policy examples
– Examples for the three reform aspects
OUTLINE OF THE PRESENTATION
Age of onset of selected mental disorders, United States, 2001-2003
WHAT EVIDENCE TELLS US
Mental disorders have their onset very early in life
Source: OECD (2015), Fit Mind, Fit Job. From Evidence to Practice in Mental Health and Work.
0
5
10
15
20
25
30
35
40
45
50
Anxiety
disorder
Mood
disorder
Impulse-control
disorder
Substance use
disorder
Any mental
disorder
Median age of onset 25th percentile 75th percentile
Share of people who stopped full-time education before age 15, 2010
WHAT EVIDENCE TELLS US
Youth with mental ill-health stop education earlier
Source: OECD (2015), Fit Mind, Fit Job. From Evidence to Practice in Mental Health and Work.
0
5
10
15
20
25
30
35
CZE
EST
DNK
FIN
SVK
FRA
SWE
NLD
BEL
SVN
EU-21
DEU
AUT
ITA
LUX
HUN
IRL
GBR
POL
Severe ill-health Moderate ill-health No ill-health
Treatment rate for mental illnesses (in %) in six OECD countries, 2010
WHAT EVIDENCE TELLS US
Undertreatment of mental illness is widespread
Proportion of people receiving treatment for a mental illness by either
specialist or non-specialist health care, by severity of their mental disorder
0
10
20
30
40
50
60
70
80
Severe
Moderate
Severe
Moderate
Severe
Moderate
Severe
Moderate
Severe
Moderate
Severe
Moderate
Severe
Moderate
Austria Belgium Denmark Netherlands Sweden United
Kingdom
OECD-21
Source: OECD (2012), Sick on the Job? Myths and Realities about Mental Health and Work.
Employment rate by mental health status (in %), latest year available
WHAT EVIDENCE TELLS US
Mental illness leads to a big employment gap
0
10
20
30
40
50
60
70
80
90
Severe disorder Moderate disorder No mental disorder
Source: OECD (2012), Sick on the Job? Myths and Realities about Mental Health and Work.
WHAT POLICY SHOULD LOOK LIKE
Need for a major policy transformation
Three components of a necessary policy shift:
– Shift in when to intervene: Early identification of
problems and early intervention
– Shift in how to intervene: Well-integrated service
delivery and coordinated policies
– Shift in who needs to intervene: Frontline
(mainstream) stakeholders need to take action
WHAT POLICY SHOULD LOOK LIKE
Change is needed in various policy fields
Four major areas for reform:
– Helping young people through mental health
awareness and education policies
– Developing an employment-oriented mental health
care system
– Better workplace policies with employer support
mechanisms and incentives
– Making benefits and employment services fit for
claimants with mental health problems
PROMISING POLICY EXAMPLES
Education and youth policy
– KidsMatter: promoting mental health in schools,
mental health literacy among teachers & students
– Headspace: low-threshold institution (often placed
in youth centres) offering multidisciplinary support
– Municipal youth guidance centres to address early
school leaving and facilitate education transitions
Key aspect: reach young people needing help early
without having to stigmatise them – urgent need for
accessible, low-threshold programmes and initiatives
• Who needs to get involved?
– Schools, youth centres, doctors, counsellors
• How can young people be reached earlier?
– But without being stigmatised
• How can more integrated services be provided?
– Cooperation and competence development
QUESTIONS FOR THE DISCUSSION
RECOMMENDATION OF THE OECD COUNCIL
A non-binding legal instrument
 Recommendation of the OECD Council on
“Integrated Mental Health, Skills and Work Policy”
– Adopted by the OECD Council in December 2015 and
endorsed by Ministers in January 2016
– An instrument to promote better policies in a complex
and still highly stigmatised field
– A tool to monitor progress in outcomes and policies
– A means to reach out to all OECD countries (and other
countries signing up voluntarily)
OECD’s Mental Health and Work review, 2011-2015
• SICK ON THE JOB? MYTHS AND REALITIES
ABOUT MENTAL HEALTH AND WORK (2012)
• Mental Health and Work: Series of nine(a)
country reports (2011-2015)
• High-Level Policy Forum on “Bridging
Employment and Health Policies” (March 2015)
• FIT MIND, FIT JOB FROM EVIDENCE TO
PRACTICE IN MENTAL HEALTH AND WORK (2015)
• Recommendation of the OECD Council on
Mental Health, Skills and Work policies (2016)
OECD publications: www.oecd.org/employment/mental-health-and-work.htm
Contact: Christopher.Prinz@OECD.org

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Prinz amsterdam apr 2016

  • 1. •Cross-sectoral peer-learning strengthening participation by young people with mental health issues •Meeting of Directors General for Youth, 7-8 April 2016, Amsterdam HELPING YOUTH WITH MENTAL HEALTH PROBLEMS INTO EDUCATION AND WORK Lessons from nine OECD country reviews Christopher PRINZ, PhD Directorate for Employment, Labour and Social Affairs OECD
  • 2. • Alarming evidence – Facts about youth, mental health and work • Key policy conclusions – The need for a policy transformation • Promising policy examples – Examples for the three reform aspects OUTLINE OF THE PRESENTATION
  • 3. Age of onset of selected mental disorders, United States, 2001-2003 WHAT EVIDENCE TELLS US Mental disorders have their onset very early in life Source: OECD (2015), Fit Mind, Fit Job. From Evidence to Practice in Mental Health and Work. 0 5 10 15 20 25 30 35 40 45 50 Anxiety disorder Mood disorder Impulse-control disorder Substance use disorder Any mental disorder Median age of onset 25th percentile 75th percentile
  • 4. Share of people who stopped full-time education before age 15, 2010 WHAT EVIDENCE TELLS US Youth with mental ill-health stop education earlier Source: OECD (2015), Fit Mind, Fit Job. From Evidence to Practice in Mental Health and Work. 0 5 10 15 20 25 30 35 CZE EST DNK FIN SVK FRA SWE NLD BEL SVN EU-21 DEU AUT ITA LUX HUN IRL GBR POL Severe ill-health Moderate ill-health No ill-health
  • 5. Treatment rate for mental illnesses (in %) in six OECD countries, 2010 WHAT EVIDENCE TELLS US Undertreatment of mental illness is widespread Proportion of people receiving treatment for a mental illness by either specialist or non-specialist health care, by severity of their mental disorder 0 10 20 30 40 50 60 70 80 Severe Moderate Severe Moderate Severe Moderate Severe Moderate Severe Moderate Severe Moderate Severe Moderate Austria Belgium Denmark Netherlands Sweden United Kingdom OECD-21 Source: OECD (2012), Sick on the Job? Myths and Realities about Mental Health and Work.
  • 6. Employment rate by mental health status (in %), latest year available WHAT EVIDENCE TELLS US Mental illness leads to a big employment gap 0 10 20 30 40 50 60 70 80 90 Severe disorder Moderate disorder No mental disorder Source: OECD (2012), Sick on the Job? Myths and Realities about Mental Health and Work.
  • 7. WHAT POLICY SHOULD LOOK LIKE Need for a major policy transformation Three components of a necessary policy shift: – Shift in when to intervene: Early identification of problems and early intervention – Shift in how to intervene: Well-integrated service delivery and coordinated policies – Shift in who needs to intervene: Frontline (mainstream) stakeholders need to take action
  • 8. WHAT POLICY SHOULD LOOK LIKE Change is needed in various policy fields Four major areas for reform: – Helping young people through mental health awareness and education policies – Developing an employment-oriented mental health care system – Better workplace policies with employer support mechanisms and incentives – Making benefits and employment services fit for claimants with mental health problems
  • 9. PROMISING POLICY EXAMPLES Education and youth policy – KidsMatter: promoting mental health in schools, mental health literacy among teachers & students – Headspace: low-threshold institution (often placed in youth centres) offering multidisciplinary support – Municipal youth guidance centres to address early school leaving and facilitate education transitions Key aspect: reach young people needing help early without having to stigmatise them – urgent need for accessible, low-threshold programmes and initiatives
  • 10. • Who needs to get involved? – Schools, youth centres, doctors, counsellors • How can young people be reached earlier? – But without being stigmatised • How can more integrated services be provided? – Cooperation and competence development QUESTIONS FOR THE DISCUSSION
  • 11. RECOMMENDATION OF THE OECD COUNCIL A non-binding legal instrument  Recommendation of the OECD Council on “Integrated Mental Health, Skills and Work Policy” – Adopted by the OECD Council in December 2015 and endorsed by Ministers in January 2016 – An instrument to promote better policies in a complex and still highly stigmatised field – A tool to monitor progress in outcomes and policies – A means to reach out to all OECD countries (and other countries signing up voluntarily)
  • 12. OECD’s Mental Health and Work review, 2011-2015 • SICK ON THE JOB? MYTHS AND REALITIES ABOUT MENTAL HEALTH AND WORK (2012) • Mental Health and Work: Series of nine(a) country reports (2011-2015) • High-Level Policy Forum on “Bridging Employment and Health Policies” (March 2015) • FIT MIND, FIT JOB FROM EVIDENCE TO PRACTICE IN MENTAL HEALTH AND WORK (2015) • Recommendation of the OECD Council on Mental Health, Skills and Work policies (2016) OECD publications: www.oecd.org/employment/mental-health-and-work.htm Contact: Christopher.Prinz@OECD.org