Joint Action on Mental Health and Well-Being (MH-WB)” Which Has Received Funding from the European Union in the Framework of the Health Programme
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3. RESULTS Joint Action on Ment ell-being ETL ELT SLS Situation analysis and recommendations for action MENTAL HEALTH AND WELLBEING REPORT | 1 Co-funded by the European Union AUTHORS • Joint Action on Mr. Lorenzo Rampazzo, Mental Health Office of Veneto Region Department of Health, Italy • Mr. Massimo Mirandola, Veneto Region Coordination Centre for European Project Management, Verona University Hospital (AOUI - VR), Italy Ment • Ms. Ruth J. Davis, Veneto Region Coordination Centre for European Project Management, Verona University Hospital (AOUI - VR), Italy • ell-being Ms. Sara Carbone, Veneto Region Coordination Centre for European Project Management, Verona University Hospital (AOUI - VR), Italy • Ms. Alexandra Mocanu, Veneto Region Coordination Centre for European Project Management, Verona University Hospital (AOUI - VR), Italy ETL ELT SLS • Dr. Jonathan Campion, South London and Maudsley NHS Foundation Trust – SLaM London, UK Situation analysis and recommendations for action • Prof. Mauro Giovanni Carta, University of Cagliari, Cagliari, Italy • Ms. Sigrún Daníelsdóttir, Directorate of Health, Iceland – DOHI Reykjavik, Iceland • Prof. Arne Holte, Norwegian Institute of Public Health – NIPH Oslo, Norway • Dr. Taina Huurre, Terveyden Ja Hyvinvoinnin Laitos (National Institute for Health and Welfare) – THL Helsinki, Finland • Ms. Zuzana Matloňová, Ministerstvo Zdravotnictva Slovenskej Republiky (Ministry of Health of the Slovak Republic) - SK-MOH Bratislava, Slovak Republic • Mr. Jesús Marcial Méndez Magán, Regional Ministry of Labour and Welfare, Regional Government of Galicia – Spain • Mr. Graham Owen, Botkyrka Municipality, Sweden • Ms. Markéta Paulusová, Ministerstvo Zdravotnictva Slovenskej Republiky (Ministry of Health of the Slovak Republic) - SK-MOH Bratislava, Slovak Republic • Dr. Elizabeta Radonic, Ministarstvo Zdravlja Republike Hrvatske (Ministry of Health of the Republic of Croatia) – MZRH Zagreb, Croatia • Dr. Päivi Santalahti, Terveyden Ja Hyvinvoinnin Laitos (National Institute for Health and Welfare) – THL Helsinki, Finland • Prof. Merike Sisask, Eesti-Rootsi Vaimse Tervise ja Suitsidoloogia Instituut (Estonian-Swedish Mental Health and Suicidology Institute) – ERSI Tallinn, Estonia • Dr. Ray Xerri, Ministry of Health, The Elderly & Community Care – MHEC La Valletta, Malta This report arises from the project “Joint Action on Mental Health and Well-being (MH-WB)” which has received funding from the European Union in the framework of the Health Programme. The sole responsibility for this work lies with the authors and the European Commission is not responsible for any use that may be made of the information contained therein. Joint Action on Ment ell-being ETL ELT SLS Situation analysis and recommendations for action ACKNOWLEDGEMENTS The input of the following people is gratefully acknowledged: Prof. Margaret Barry (World Health Organization Collaborating Centre for Health Promotion, Ireland), Ms. Antonella Costantino (Fondazione IRCCS “Cà Granda” Ospedale Maggiore Policlinico di Milano, Milan, Italy), Dr. Teresa Di Fiandra (Italian Ministry of Health, Rome, Italy), Mr. Kim Nikolaj Japing (European Social Network), Mr. Alfonso Lara Montero (European Social Network), Mr. Jesús Marcial Méndez Magán (Regional Ministry of Labour and Welfare, Regional Government of Galicia, Spain), Dr. Joanne Norris (ADHD Europe), Mr. Graham Owen (Botkyrka Municipality, Sweden), Prof. Peter Paulus (Schools for Health in Europe), Mr. G. J. (Goof) Buijs (Schools for Health Europe), Mr. Chris Harrison (European School Heads Association), Dr. Yolande Wagener (Luxembourg Ministry of Health), Ms. Marianne Kant-Schaps (Network of European Psychologists in the Education System (NEPES)), Ms. Agata D’Addato (Eurochild). This report arises from the project “Joint Action on Mental Health and Well-being (MH-WB)” which has received funding from the European Union in the framework of the Health Programme. The sole responsibility for this work lies with the authors and the European Commission is not responsible for any use that may be made of the information contained therein. Finally, the project team is particularly grateful to the members of DG Santé and Chafea of the European Commission for their guidance in the preparation of the present document. INDEX 13 EXECUTIVE SUMMARY 16 1. BACKGROUND AND RATIONALE 1.1 Mental Health, Well-being and Mental Disorders: Concepts and definitions 1.2 The Cost of Mental Health 1.3 Mental Health and Well-being of Children and Adolescents 23 2. METHODOLOGY 2.1 Definition of goals and objectives 2.2 Design of methodology 28 3. RESULTS 3.1 Introduction 3.2 Croatia 3.2.1 Overview 3.2.2 Mental Health services for children and adolescents 3.2.3 Social Services for children and adolescents 3.2.4 The Education system for children and adolescents 3.2.5 Cooperation between sectors 3.2.6 Selected examples of good practice 3.3 England 3.3.1 Overview 3.3.2 Mental health services for children and adolescents 3.3.3 Social services for children and adolescents 3.3.4 The Education system for children and adolescents 3.3.5 Cooperation between sectors 3.3.6 Selected examples of good practice 3.4 Estonia 3.4.1 Overview 3.4.2 Mental Health services for children and adolescents 3.4.3 Social Services for children and adolescents 3.4.4 The Education system for children and adolescents 3.4.5 Cooperation between sectors 3.4.6 Selected examples of good practice 3.5 Finland 3.5.1 Overview 3.5.2 Mental Health services for children and adolescents 3.5.3 Social Services for children and adolescents 3.5.4 The Education system for children and adolescents 3.5.5 Cooperation between sectors 3.5.6 Selected examples of good practice 3.6 Iceland 3.6.1 Overview 3.6.2 Mental Health services for children and adolescents 3.6.3 Social Services for children and adolescents 3.6.4 The Education system for children and adolescents 3.6.5 Cooperation between sectors 3.6.6 Selected examples of good practice 3.7 Italy 3.7.1 Overview 3.7.2 Mental Health services for children and adolescents 3.7.3 Social Services for children and adolescents 3.7.4 The Education system for children and adolescents 3.7.5 Cooperation between sectors 3.7.6 Selected examples of good practice 3.8 Malta 3.8.1 Overview 3.8.2 Mental Health services for children and adolescents 3.8.3 Social Services for children and adolescents 3.8.4 The Education system for children and adolescents 3.8.5 Cooperation between sectors 3.8.6 Selected examples of good practice 3.9 Norway 3.9.1 Overview 3.9.2 Mental Health services for children and adolescents 3.9.3 Social Services for children and adolescents 3.9.4 The Education system for children and adolescents 3.9.5 Cooperation between sectors 3.9.6 Selected examples of good practice 3.10 Slovak Republic 3.10.1 Overview 3.10.2 Mental Health services for children and adolescents 3.10.3 Social Services for children and adolescents 3.10.4 The Education system for children and adolescents 3.10.5 Cooperation between sectors 3.10.6 Selected examples of good practice 3.11 Galicia Region (Spain) 3.11.1 Overview 3.11.2 Mental Health services for children and adolescents 3.11.3 Social Services for children and adolescents 3.11.4 The Education system for children and adolescents 3.11.5 Cooperation between sectors 3.11.6 Selected examples of good practice 3.12 Botkyrka Municipality (Sweden) 3.12.1 Overview 3.12.2 Mental Health services for children and adolescents 3.12.3 Social Services for children and adolescents 3.12.4 The Education system for children and adolescents 3.12.5 Cooperation between sectors 3.12.6 Selected examples of good practice 159 4. MAIN FINDINGS AND DISCUSSION 4.1 Mental health of children and adolescents: information, interventions and evaluation 4.2 Mental health and schools: an elective setting for early intervention 4.3 Different training approaches and opportunities for school staff on mental health 4.4 Mental health: part of a wider national network 169 5. CONCLUSIONS AND RECOMMENDATIONS 172 6. REFERENCES 177 APPENDICES Appendix 1: International literature review (Carta et al., 2015) Appendix 2: Policy Recommendations – Mental Health and Schools • Background and Rationale • Main findings • Overarching Principles • Policy Recommendations 1. Strengthen information and research on mental health and well-being among children and adolescents. 2. Promote schools as a setting where health promotion and prevention of mental and behavioural disorders and early identification can reach all children and young people. 3. Enhance training for all school staff on mental health. 4. Consider schools as part of a wider network with other stakeholders and institutions involved in mental health of children and adolescents in local communities. APPENDICES: Appendix 1: International literature review (Carta et al., 2015) Appendix 2: Policy Recommendations – Mental Health and Schools ABBREVIATIONS AND ACRONYMS: ESL: Early School leavers GDP: Gross Domestic Product ISCED: International Standard Classification of Education SEL: Social and Emotional Learning LIST OF TABLES Table 1: Number of records collected Table 2: Number of programmes that have been assessed Table 3: Cumulative drop-out rate to the last grade of primary/general lower secondary education Table 4: Educational attainment of the population aged 25 years and older/latest year available Table 5: Programmes and policies: cooperation between health-care, social sector and education Table 6: Programmes and policies: different cooperation between health-care, social sector and education