The mental health system in most countries has been historically underserved, underfunded, and under-resourced.
The result, as we all know, is that access to mental health care is limited, the quality of care is uneven, and those who need it the most often don’t receive proper diagnoses or treatment. There is a growing consensus worldwide that improving the mental health system is critical.
What needs to be improved?
One of the essential factors to improve, is the access point of entry into the system, and this begins with primary care.
Individuals seeking help need to navigate in an often confusing maze of mental health centers, clinics, hospitals, government programs, and private insurance plans. Those experiencing mental health symptoms may be hesitant to ask for help, vulnerable to stigmatization, or feel ashamed about their condition.
Thus, it is essential to offer screening and intervention for mental health needs in the primary care setting where they are most likely to first seek help.
Expanding access to care
Availability of mental healthcare is another aspect that needs to be worked upon. Mental health services in many countries are difficult to access or are only accessible to those who can pay fees or have private health insurance.
As health budget shrinks, more people are expected to opt for the overburdened and underfunded public mental health system that offers little to no support. Governments need to encourage the expansion of mental health programs, acknowledge mental health problems, and reduce financial and social barriers to care.
Investing in the mental health workforce
Expanding mental health services requires a skilled workforce. But currently, mental health workers are in short supply.
Recruitment and retention of mental health professionals remain a challenge, and the mental health workforce is aging, with few younger workers entering the field. For instance, In some countries, child and adolescent psychiatrists are critically needed, yet there are too few of them to meet the demand.
Governments must invest in the mental health workforce and address shortages by attracting new workers, expanding training programs for mental health practitioners, and investing in training programs that target specific workforce needs (e.g., child and adolescent psychiatry).
Integration of mental health and primary care
For too long, mental health and primary care have existed in silos, with little integration between them. This has led to confusion and inconsistency in care delivery.
Integrated care models are the future and improving mental health is bound to the primary care delivery system’s willingness and ability to collaborate. Integrated care can help facilitate early identification and intervention and ensure that care is comprehensive and coordinated.
Getting care earlier reduces social and financial costs and may prevent the escalation of mental disorders that often require costlier long-term care.
Utilize Technology to Improve Access and Reduce Stigma
Technology has the potential to overcome access barriers, reduce stigma that comes with visiting a mental health facility, and aid in timely and accurate diagnosis and treatment.
Online counseling, self-assessment tools, and mobile apps have been shown to be effective in increasing access and improving treatment outcomes. Telemedicine is another example of how technology can help, especially to individuals living in rural areas, those not able to access services due to disability or mobility issues, and people who may prefer virtual visits over in-person visits.
Increasing funding for research on mental health issues
More research on mental health issues is needed to identify trends, understand the causes, and develop better treatments. Unfortunately, funding for mental health research is often constrained and not given the priority it deserves.
Governments must invest in research and development programs that focus on mental health. Funding will enable researchers to identify long-term needs and develop innovative treatments, interventions, and prevention strategies.
Ensure Funding for Mental Health Services
The biggest challenge to improving the mental health system is funding. Money and resources remain the biggest barriers to the improvement of the mental health system.
Investing in the mental health system requires a long-term plan, a commitment by governments and other stakeholders to allocate sufficient resources to support improvements. Governmental support must include necessary budgetary commitments, regulations and policy, workforce development, and training.
Conclusion
The current mental health system is failing people worldwide, leaving them struggling to access the care they need. Improving the mental health system is critical to protect and promote the mental health of people worldwide.
Governments, policy-makers, and other stakeholders must commit to addressing the challenges and risks faced by people living with mental health issues.