Key messages
The health argument
- Close to one billion people have a mental disorder and anyone, anywhere, can be affected.
- Depression is a leading cause of disability worldwide and is a major contributor to the overall global burden of disease. Globally, it is estimated that 5% of adults suffer from depression.
- Globally, one in seven 10-19-year-olds experience a mental disorder. Half of all such disorders start by age 14 years but most are undetected and untreated.
- People with severe mental disorders such as schizophrenia tend to die 10-20 years earlier than the general population.
- One in every 100 deaths is by suicide. It is the fourth leading cause of death for young people aged 15-29 years.
- The COVID-19 pandemic has had a considerable impact on people’s mental health.
The care gap
- Despite the universal nature and the magnitude of mental ill health, the gap between demand for mental health services and supply remains substantial.
- Relatively few people around the world have access to quality mental health services.
- The serious gaps that still exist in mental health care are a result of chronic under-investment over many decades in mental health promotion, prevention and care.
- Stigma, discrimination and human rights abuses of people with mental health conditions remain widespread.
The economic cost
- The lost productivity resulting from depression and anxiety, two of the most common mental disorders, costs the global economy US$ 1 trillion each year.
The investment deficit
- On average, countries spend just 2% of their national health budgets on mental health. This has changed little in recent years.
- Despite an increase of development assistance for mental health in recent years, it has never exceeded 1% of development assistance for health.
The good news
- Some of the most common mental health conditions, depression and anxiety, can be treated with talking therapies, medication, or a combination of these.
- For every US$ 1 invested in scaled-up treatment for depression and anxiety, there is a return of US$ 5.
- For every US$ 1 invested in evidence-based treatment for drug dependence, there is a return of up to US$ 7 in reduced crime and criminal justice costs.
- Generalist health workers can be trained to diagnose and treat mental health conditions.
- Regular health checks of people with severe mental disorders can prevent premature death.
- The quality of life of people living with conditions such as autism and dementia can be greatly improved when their caregivers receive appropriate training.
- The rights of people living with mental health conditions can be protected and promoted through mental health legislation, policy, development of affordable, quality community-based mental health services and the involvement of people with lived experience.
