Challenges facing mental health systems arising from the COVID-19 pandemic: Evidence from 14 European and North American countries
Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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Challenges facing mental health systems arising from the COVID-19 pandemic: Evidence from 14 European and North American countries. / Cummings, janet; Zhang, Xinyue; Gandré, Coralie ; Morsella, Alisha ; Shields-Zeeman, Laura ; Winkelmann, Juliane; Allin, Sarah ; Cascini, Fidelia ; Augusto, Gonçalo Figueiredo ; Cserháti, Zoltán ; De Belvis, Antonio ; Eriksen, Astrid ; Fronteira, Inês ; Jamieson, Margaret ; Murauskiene, Liubove ; Palmer, William J; Ricciardi, Walter; Samuel, Hadar ; Scintee, Silvia Gabriela ; Taube, Māris ; Vrangbæk, Karsten; Van Ginneken, Ewout .
I: Health Policy, Bind 136, 104878, 2023.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Challenges facing mental health systems arising from the COVID-19 pandemic: Evidence from 14 European and North American countries
AU - Cummings, janet
AU - Zhang, Xinyue
AU - Gandré, Coralie
AU - Morsella, Alisha
AU - Shields-Zeeman, Laura
AU - Winkelmann, Juliane
AU - Allin, Sarah
AU - Cascini, Fidelia
AU - Augusto, Gonçalo Figueiredo
AU - Cserháti, Zoltán
AU - De Belvis, Antonio
AU - Eriksen, Astrid
AU - Fronteira, Inês
AU - Jamieson, Margaret
AU - Murauskiene, Liubove
AU - Palmer, William J
AU - Ricciardi, Walter
AU - Samuel, Hadar
AU - Scintee, Silvia Gabriela
AU - Taube, Māris
AU - Vrangbæk, Karsten
AU - Van Ginneken, Ewout
PY - 2023
Y1 - 2023
N2 - We assessed challenges that the COVID-19 pandemic presented for mental health systems and the responses to these challenges in 14 countries in Europe and North America. Experts from each country filled out a structured questionnaire with closed- and open-ended questions between January and June 2021. We conducted thematic analysis to investigate the qualitative responses to open-ended questions, and we summarized the responses to closed-ended survey items on changes in telemental health policies and regulations. Findings revealed that many countries grappled with the rising demand for mental health services against a backdrop of mental health provider shortages and challenges responding to workforce stress and burnout. All but one country in our sample implemented new policies or initiatives to strengthen mental health service delivery – with more than two-thirds investing to bolster their specialized mental health care sector. There was a universal shift to telehealth to deliver a larger portion of mental health services in all 14 countries, which was facilitated by changes in national regulations and policies; 11 of the 14 participating countries relaxed regulations and 10 of 14 countries made changes to reimbursement policies to facilitate telemental health care. These findings provide a first step to assess the long-term challenges and re-organizational effect of the COVID-19 pandemic on mental health systems in Europe and North America.KeywordsMental healthhealthcare systemshealth policyhealthcare reformtelehealth
AB - We assessed challenges that the COVID-19 pandemic presented for mental health systems and the responses to these challenges in 14 countries in Europe and North America. Experts from each country filled out a structured questionnaire with closed- and open-ended questions between January and June 2021. We conducted thematic analysis to investigate the qualitative responses to open-ended questions, and we summarized the responses to closed-ended survey items on changes in telemental health policies and regulations. Findings revealed that many countries grappled with the rising demand for mental health services against a backdrop of mental health provider shortages and challenges responding to workforce stress and burnout. All but one country in our sample implemented new policies or initiatives to strengthen mental health service delivery – with more than two-thirds investing to bolster their specialized mental health care sector. There was a universal shift to telehealth to deliver a larger portion of mental health services in all 14 countries, which was facilitated by changes in national regulations and policies; 11 of the 14 participating countries relaxed regulations and 10 of 14 countries made changes to reimbursement policies to facilitate telemental health care. These findings provide a first step to assess the long-term challenges and re-organizational effect of the COVID-19 pandemic on mental health systems in Europe and North America.KeywordsMental healthhealthcare systemshealth policyhealthcare reformtelehealth
U2 - 10.1016/j.healthpol.2023.104878
DO - 10.1016/j.healthpol.2023.104878
M3 - Journal article
C2 - 37611521
VL - 136
JO - Health Policy
JF - Health Policy
SN - 0168-8510
M1 - 104878
ER -
ID: 359652629