Challenges facing mental health systems arising from the COVID-19 pandemic : Evidence from 14 European and North American countries

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dc.contributor.authorCummings, Janet R.
dc.contributor.authorZhang, Xinyue
dc.contributor.authorGandré, Coralie
dc.contributor.authorMorsella, Alisha
dc.contributor.authorShields-Zeeman, Laura
dc.contributor.authorWinkelmann, Juliane
dc.contributor.authorAllin, Sara
dc.contributor.authorAugusto, Gonçalo Figueiredo
dc.contributor.authorCascini, Fidelia
dc.contributor.authorCserháti, Zoltán
dc.contributor.authorde Belvis, Antonio Giulio
dc.contributor.authorEriksen, Astrid
dc.contributor.authorFronteira, Inês
dc.contributor.authorJamieson, Margaret
dc.contributor.authorMurauskienė, Liubovė
dc.contributor.authorPalmer, William L.
dc.contributor.authorRicciardi, Walter
dc.contributor.authorSamuel, Hadar
dc.contributor.authorScintee, Silvia Gabriela
dc.contributor.authorTaube, Māris
dc.contributor.authorVrangbæk, Karsten
dc.contributor.authorvan Ginneken, Ewout
dc.contributor.institutionDepartment of Psychiatry and Narcology
dc.date.accessioned2023-11-17T13:25:01Z
dc.date.available2023-11-17T13:25:01Z
dc.date.issued2023-10
dc.descriptionFunding Information: ☆ This article has been made Open Access through funding by the European Observatory on Health Systems and Policies as part of its Health Systems and Policy Monitor ( www.hspm.org), an innovative platform that provides a detailed description of health systems and provides up to date information on reforms and changes that are particularly policy relevant. Publisher Copyright: © 2023
dc.description.abstractWe 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 countries 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.en
dc.description.statusPeer reviewed
dc.format.extent802204
dc.identifier.citationCummings, J R, Zhang, X, Gandré, C, Morsella, A, Shields-Zeeman, L, Winkelmann, J, Allin, S, Augusto, G F, Cascini, F, Cserháti, Z, de Belvis, A G, Eriksen, A, Fronteira, I, Jamieson, M, Murauskienė, L, Palmer, W L, Ricciardi, W, Samuel, H, Scintee, S G, Taube, M, Vrangbæk, K & van Ginneken, E 2023, 'Challenges facing mental health systems arising from the COVID-19 pandemic : Evidence from 14 European and North American countries', Health Policy, vol. 136, 104878. https://doi.org/10.1016/j.healthpol.2023.104878
dc.identifier.doi10.1016/j.healthpol.2023.104878
dc.identifier.issn0168-8510
dc.identifier.urihttps://dspace.rsu.lv/jspui/handle/123456789/14957
dc.identifier.urlhttp://www.scopus.com/inward/record.url?scp=85168516212&partnerID=8YFLogxK
dc.language.isoeng
dc.relation.ispartofHealth Policy
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectHealth policy
dc.subjectHealthcare reform
dc.subjectHealthcare systems
dc.subjectMental health
dc.subjectTelehealth
dc.subject3.2 Clinical medicine
dc.subject3.3 Health sciences
dc.subject1.1. Scientific article indexed in Web of Science and/or Scopus database
dc.subjectHealth Policy
dc.subjectSDG 3 - Good Health and Well-being
dc.titleChallenges facing mental health systems arising from the COVID-19 pandemic : Evidence from 14 European and North American countriesen
dc.type/dk/atira/pure/researchoutput/researchoutputtypes/contributiontojournal/systematicreview

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