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.

 

Illustration of two hands reaching out for each other.