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23 Apr, 2025
WHO/Europe has published a new policy paper urging countries to expand mental health services within primary care, aiming to make care more accessible and reduce stigma. Titled "Scaling up mental health services within the primary care approach: lessons from the WHO European Region," the paper highlights evidence-based strategies and lessons from across the Region.
Mental health issues account for up to half of all visits to primary care, yet many go undiagnosed or are referred to specialist services where patients face long waits and stigma. Integrating mental health into everyday primary care can address this gap by leveraging the trust and accessibility of primary care providers.
The report emphasizes the importance of tackling both the clinical and social drivers of mental health- like income, housing, education, and social connection- through primary care, which is often a first point of contact for individuals. This approach allows for early detection, culturally sensitive support, and connections to community resources.
Despite over 125 million people living with mental health conditions in the WHO European Region, care remains limited due to a lack of trained professionals, under-resourced services, and persistent stigma.
The policy paper also addresses systemic barriers, such as limited funding, workforce shortages, and weak coordination between care sectors. WHO/Europe outlines practical solutions and real-world examples to help countries strengthen primary care's role in mental health.
“Primary health care is the cornerstone of a resilient and equitable health system,” says Dr. Natasha Azzopardi-Muscat, Director of WHO/Europe’s Division of Country Health Policies and Systems. “This policy paper reflects a broader public health vision- one where prevention, early intervention, and community connection are central to mental well-being.”