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

Research output: Contribution to journal › Journal article › Research › peer-review

Standard

Challenges facing mental health systems arising from the COVID-19 pandemic: Evidence from 14 European and North American countries. / Cummings, janet; Zhang, Xinyue; Gandré, Coralie ; Morsella, Alisha ; Shields-Zeeman, Laura ; Winkelmann, Juliane; Allin, Sarah ; Cascini, Fidelia ; Augusto, Gonçalo Figueiredo ; Cserháti, Zoltán ; De Belvis, Antonio ; Eriksen, Astrid ; Fronteira, Inês ; Jamieson, Margaret ; Murauskiene, Liubove ; Palmer, William J; Ricciardi, Walter; Samuel, Hadar ; Scintee, Silvia Gabriela ; Taube, Māris ; Vrangbæk, Karsten; Van Ginneken, Ewout .

In: Health Policy, Vol. 136, 104878, 2023.

Research output: Contribution to journal › Journal article › Research › peer-review

Harvard

Cummings, J, Zhang, X, Gandré, C, Morsella, A, Shields-Zeeman, L, Winkelmann, J, Allin, S, Cascini, F, Augusto, GF, Cserháti, Z, De Belvis, A, Eriksen, A, Fronteira, I, Jamieson, M, Murauskiene, L, Palmer, WJ, Ricciardi, W, Samuel, H, Scintee, SG, 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

APA

Cummings, J., Zhang, X., Gandré, C., Morsella, A., Shields-Zeeman, L., Winkelmann, J., Allin, S., Cascini, F., Augusto, G. F., Cserháti, Z., De Belvis, A., Eriksen, A., Fronteira, I., Jamieson, M., Murauskiene, L., Palmer, W. J., Ricciardi, W., Samuel, H., Scintee, S. G., ... 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, 136, [104878]. https://doi.org/10.1016/j.healthpol.2023.104878

Vancouver

Cummings J, Zhang X, Gandré C, Morsella A, Shields-Zeeman L, Winkelmann J et al. Challenges facing mental health systems arising from the COVID-19 pandemic: Evidence from 14 European and North American countries. Health Policy. 2023;136. 104878. https://doi.org/10.1016/j.healthpol.2023.104878

Author

Cummings, janet ; Zhang, Xinyue ; Gandré, Coralie ; Morsella, Alisha ; Shields-Zeeman, Laura ; Winkelmann, Juliane ; Allin, Sarah ; Cascini, Fidelia ; Augusto, Gonçalo Figueiredo ; Cserháti, Zoltán ; De Belvis, Antonio ; Eriksen, Astrid ; Fronteira, Inês ; Jamieson, Margaret ; Murauskiene, Liubove ; Palmer, William J ; Ricciardi, Walter ; Samuel, Hadar ; Scintee, Silvia Gabriela ; Taube, Māris ; Vrangbæk, Karsten ; Van Ginneken, Ewout . / Challenges facing mental health systems arising from the COVID-19 pandemic: Evidence from 14 European and North American countries. In: Health Policy. 2023 ; Vol. 136.

Bibtex

@article{464410338a334ed1b51bf02f33e9deb6,
title = "Challenges facing mental health systems arising from the COVID-19 pandemic: Evidence from 14 European and North American countries",
abstract = "We 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 but one country 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.KeywordsMental healthhealthcare systemshealth policyhealthcare reformtelehealth",
author = "janet Cummings and Xinyue Zhang and Coralie Gandr{\'e} and Alisha Morsella and Laura Shields-Zeeman and Juliane Winkelmann and Sarah Allin and Fidelia Cascini and Augusto, {Gon{\c c}alo Figueiredo} and Zolt{\'a}n Cserh{\'a}ti and {De Belvis}, Antonio and Astrid Eriksen and In{\^e}s Fronteira and Margaret Jamieson and Liubove Murauskiene and Palmer, {William J} and Walter Ricciardi and Hadar Samuel and Scintee, {Silvia Gabriela} and Māris Taube and Karsten Vrangb{\ae}k and {Van Ginneken}, Ewout",
year = "2023",
doi = "10.1016/j.healthpol.2023.104878",
language = "English",
volume = "136",
journal = "Health Policy",
issn = "0168-8510",
publisher = "Elsevier Ireland Ltd",

}

RIS

TY - JOUR

T1 - Challenges facing mental health systems arising from the COVID-19 pandemic: Evidence from 14 European and North American countries

AU - Cummings, janet

AU - Zhang, Xinyue

AU - Gandré, Coralie

AU - Morsella, Alisha

AU - Shields-Zeeman, Laura

AU - Winkelmann, Juliane

AU - Allin, Sarah

AU - Cascini, Fidelia

AU - Augusto, Gonçalo Figueiredo

AU - Cserháti, Zoltán

AU - De Belvis, Antonio

AU - Eriksen, Astrid

AU - Fronteira, Inês

AU - Jamieson, Margaret

AU - Murauskiene, Liubove

AU - Palmer, William J

AU - Ricciardi, Walter

AU - Samuel, Hadar

AU - Scintee, Silvia Gabriela

AU - Taube, Māris

AU - Vrangbæk, Karsten

AU - Van Ginneken, Ewout

PY - 2023

Y1 - 2023

N2 - We 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 but one country 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.KeywordsMental healthhealthcare systemshealth policyhealthcare reformtelehealth

AB - We 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 but one country 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.KeywordsMental healthhealthcare systemshealth policyhealthcare reformtelehealth

U2 - 10.1016/j.healthpol.2023.104878

DO - 10.1016/j.healthpol.2023.104878

M3 - Journal article

C2 - 37611521

VL - 136

JO - Health Policy

JF - Health Policy

SN - 0168-8510

M1 - 104878

ER -

ID: 359652629