Résumé :
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Improving mental health is one of the biggest challenges facing every country in the Region, where mental health problems affect at least one in four people at some time in their lives. Although much is known about what works in mental health care and treatment, and how to prevent mental disorders and promote well-being, many people receive little or no treatment or support. Too often, prejudice and stigma hamper the development of mental health policies, and these are reflected in the lack of respect for the human rights of mentally ill people, the low status of the services provided and the lack of support given to work for mental health. All countries must work with limited resources, but their mental health budgets constitute on average only 5.8% of their total health expenditure, even though mental health problems are responsible for nearly 20% of the burden of disease. Depression alone is responsible for 6.2% of the total burden of disease in the WHO European Region. Nevertheless, hopeful signs are appearing. Many countries are restructuring their services to reflect the latest learning and experience. Recognition of mental health as a public health priority is growing. The Conference showed that mental health activities no longer exclusively focus on treating and institutionalizing people with severe and enduring mental illness. The Declaration recognizes that policy and services need to address the needs of the population as a whole, groups at risk and people suffering from a wide range of mental health problems. Activities therefore need to be comprehensive and integrated, covering mental health promotion, early intervention in crises, innovative community-based care and policies to achieve social inclusion.
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