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Mental health problems affect EU wealth, employment

Published 02 June 2006 - Updated 08 June 2007
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Every fourth adult in the EU is affected by mental illness costing the EU up to 4% of GDP in lost productivity. The issue should be addressed under the EU competence on health and safety at work, argues MEPS John Bowis.

A new survey, carried out by UK-based mental health charity  Rethink and the European Federation of Associations of Families of People with Mental Illness (EUFAMI), was published at the last day of the Commission's consultation on the green paper on mental health.

The study, funded by the pharmaceutical company AstraZeneca, has collected views of citizens with mental ill healththeir careers and families on what the EU should take into account when formulating its strategy for mental health. 

The survey results highlight the problem of social exclusion and discrimination and stigma surrounding mental illness, which condemn people with mental illness to isolation. Therefore, 95% of the respondents would want to see greater public understanding of mental health. People with mental health problems are also less likely to find employment, although 63% state they would like to work.

Huge majority of the respondents (90%) also calls for access to medication with less adverse side effects, highlighting this as the best way to improve their quality of life. Adverse side effects include weight gain, sweating and sexual dysfunction.

Positions: 

Rethink, the UK’s leading mental health membership charity: "We must not forget that health and well-being of citizens affect EU's wealth," reminded Rethink's Chief Executive, Cliff Prior. Charity's position on the Commission's green paper states that "economic prosperity within the EU largely relies on the health and happiness of its workforce. Employment itself can contribute to mental ill health as working conditions can often lead to mental stress. The burden of mental ill health has a significant impact on the productivity of a countries workforce."

EUFAMI (European Federation of Associations of Families of Mentally Ill): "The EU and national governments need to work together to end the discrimination, social exclusion, infringement of human rights, and the lack of funding that currently plagues those with mental ill health in Europe. The EU needs to listen to and utilise the knowledge of those with first hand experience when developing their European mental health strategy," said EUFAMI Secretary General, Kevin Jones. EUFAMI recommends the Commission to develop guidelines for the implementation of mental health initiatives by member states for which EU funding of 50% would be available. 

AstraZeneca, the pharmaceutical company who funded the Rethink-EUFAMI study, says that there are large differences in access to treatments within and between member states and asks the Commission to recommend action to reduce these inequalities. While welcoming the Commission's green paper, it highlights the need to balance prevention with meeting the needs of those already suffering from mental illnesses.  

The rapporteur on Parliament's response on the issue, MEP John Bowis said that "mental ill health is the fastest growing disease and affects one in four of us. No member state meets the challenge. Perhaps we could establish demonstration sites on best practice across the EU, " he said. Even if health is not really an EU competence, "health and safety at work is," he continued. "The EU could encourage employers to be more concerned for the mental health of their workers."

Pharmaceutical Group of the European Union (PGEU) says that the prevalence rates, for example for depression, are greatly influenced by gender, age and marital status and it is, therefore, necessary to target the messages to specific groups when promoting mental health and addressing mental ill health through preventive action.

Next steps: 
  • Following the green paper consultation results, the Commission will come with a more detailed proposal for an EU mental health policy framework.
Background: 

Studies suggest that up to 27% of EU citizens are affected by mental illness every year, depression and anxiety disorders being the most common problems experienced. Mental illness costs European economies up to 4% of yearly GDP in lost productivity and other social costs. Studies also estimate that, by the year 2020, depression is expected to be the second most common cause of disability in the developed world. 

WHO, the EU and the Council of Europe organised a ministerial conference on mental health in January 2005.

The Commission published a green paper on mental health in October 2005 to find ways to tackle mental illnesses and promote mental well-being in the EU. Stakeholder consultation on the paper ended on 31 May 2006.

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