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Even before the COVID-19 pandemic, only a small fraction of those in need had access to effective, affordable and quality mental health care. Thus, 71% of people with psychosis worldwide do not receive mental health services. While 70% of people with psychosis would be treated in high-income countries, only 12% receive mental health care in low-income countries. When it comes to depression, wide gaps in service coverage are observed across countries: even in high-income countries, only one-third of people with depression receive formal mental health care, and it is estimated that minimum adequate treatment for depression ranges from 23% in high-income countries to 3% in low- and lower-middle-income countries.

Around the world, stigma, discrimination against people with mental health conditions and violations of their human rights are common in communities and healthcare systems; suicide attempts are still criminalized in 20 countries. In all countries, it is the poorest and most disadvantaged in society who are most at risk of mental disorders and who are also the least likely to receive adequate services. According to Dévora Kestel, Director of the Department of Mental Health and Substance Use at WHO, “every country has great opportunities to make significant progress towards better mental health for its population”. "Whether it's developing stronger mental health policies and laws, integrating mental health into health insurance schemes, establishing or strengthening community mental health services, or 'Introducing mental health into general health care, schools and prisons, the many examples presented in this report show that policy changes can make a big difference,' she added.

This comprehensive WHO report highlights, drawing on the latest available evidence, showcasing examples of good practice and echoing the lived experience of people, why and where change is most imperative and how it can best be achieved. It calls on all stakeholders to work together to raise awareness and commitment to mental health, reshape the environments that influence it, and strengthen the systems that care for people's mental health. “Everyone in their life is close to someone affected by mental health problems.

Good mental health translates to good physical health, and this new report makes a compelling case for change. The inextricable links between mental health and public health, human rights and socioeconomic development mean that changing mental health policies and practices can bring real and substantial benefits to individuals, communities and countries around the world. entire. Investing in mental health is investing in a better life and future for all,” said WHO Director-General Dr Tedros Adhanom Ghebreyesus.

Social and economic inequalities, public health emergencies, war and the climate crisis are among the global structural threats to mental health. Depression and anxiety increased by more than 25% in the first year of the pandemic alone. All 194 WHO Member States have endorsed the Comprehensive Mental Health Action Plan 2013-2030, committing them to achieve global targets to transform mental health.

Local progress over the past decade proves that change is possible. But that change isn't happening fast enough, and the history of mental health remains one marked by destitution and neglect: Of meager government spending on mental health, two out of every three dollars goes to psychiatric institutions. independent rather than community mental health services closer to the people. For decades, mental health has been one of the most neglected areas of public health, receiving only a tiny fraction of the attention and resources it needs and deserves.

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