Pöördumine

WORLD HEALTH ORGANIZATION ORGANISATION MONDIALE DE LA SANTÉ WELTGESUNDHEITSORGANISATION ВСЕМИРНАЯ ОРГАНИЗАЦИЯ ЗДРАВООХРАНЕНИЯ REGIONAL OFFICE FOR EUROPE Date: 23 July 2021 BUREAU RÉGIONAL DE L’EUROPE REGIONALBÜRO FÜR EUROPA ЕВРОПЕЙСКОЕ РЕГИОНАЛЬНОЕ БЮРО Ms Elen Ohov Adviser Head office: European Union Affairs and International Co- UN City, Marmorvej 51, DK-2100 Copenhagen Ø, Denmark operation Department Tel.: +45 45 33 70 00; Fax: +45 45 33 70 01 Ministry of Social Affairs Email: [email protected] Website: http://www.euro.who.int Suur-Ameerika 1 10122 Tallinn Our reference: Your reference: Notre référence: Votre référence: Estonia Unser Zeichen: Ihr Zeichen: См. наш номер: На Ваш номер: Dear Ms Ohov, As you are aware, one of the flagship initiatives of the European Programme of Work is the Mental Health Coalition Flagship programme. A new Framework for Action on Mental Health in the WHO European Region will be presented for consideration and adoption at the upcoming Regional Committee 71 meeting in September 2021. The Mental Health Coalition will be launched later in September 2021 under the auspices of Queen Mathilde of all Belgians. The coalition will be composed of three main pillars, one of which is the network of the National Technical Focal Points for Mental Health, representing each Member State in the collaboration with WHO Regional Office for Europe in the mental health technical area. We are therefore requesting your confirmation of existing or nomination of new National Technical Focal Points from your country. Upon receiving the nominations, the Mental Health Flagship Programme shall reach out to the nominees and start the process of convening the pillars of the Coalition for a successful launch in early October 2021. Please send your nomination, not later than 31st July to Dr Ledia Lazëri, Regional Adviser Mental Health Flagship at [email protected]. Sincerely yours, Dr Natasha Azzopardi Muscat Director Country Health Policies and Systems UN City, Marmorvej 51 Tel.: +45 45 33 70 00 Email: [email protected] DK-2100 Copenhagen Ø Fax: +45 45 33 70 01 Website: http://www.euro.who.int Denmark Encls: The Mental Health Coalition – a WHO Europe flagship initiative Copy for information to: Ms Triin Uusberg, Head, European and International Coordination Department, Ministry of Social Affairs, Suur-Ameerika 1, 10129 Tallinn, Estonia H.E. Ms Katrin Saarsalu-Layachi, Ambassador Extraordinary and Plenipotentiary, Permanent Representative, Permanent Mission of the Republic of Estonia to the United Nations Office and other international organizations in Geneva, Chemin du Petit-Saconnex 28A, CH-1209 Genève, Switzerland H.E. Mr William Mart Laanemäe, Ambassador Extraordinary and Plenipotentiary, Embassy of the Republic of Estonia, Frederiksgade 19, 4th floor, 1265 Copenhagen K, Denmark Ms Kristina Köhler, Liaison Officer, WHO Country Office, Estonia, Paldiski Road 81, 10617 Tallinn, Estonia –2– The Mental Health Coalition: a WHO/Europe flagship initiative What is the flagship? Even in more resourced countries, WHO/Europe launched the new Mental Health Coalition to position and promote mental health as a critical priority for public only 1 in 3 people health across the Member States of the with depression currently WHO European Region over the next 5 years. The Coalition is focused on: receive care and support. transforming attitudes about mental health; In less resourced countries, it can be as low as expediting mental health service reforms; and 1 in 20. accelerating progress towards universal health coverage for people with mental health conditions. Why does mental health matter? Moving the mental health A fundamental element of any individual’s health and agenda forward well-being, including their capacity to live a fulfilling life, is the enjoyment of good mental health. Indeed, there can be This initiative will bolster existing efforts and no health without mental health. Yet mental well-being is contribute to the implementation of the far from assured, and is put at risk by exposure to a wide European Programme of Work by reinforcing range of determinants that affect individuals, families and the central pillars of leaving no one behind communities. These include gender inequalities, social and supporting leadership capacity. It will deprivation and poverty, unemployment, migration, contribute to the stated goals of promoting conflict and – as so vividly demonstrated by the COVID-19 health and well-being, moving populations pandemic – disease outbreaks and their associated towards universal health coverage and countermeasures. protecting health in the context of emergencies (in particular the COVID-19 The prevalence of mental health conditions is already high, pandemic and the mental health and and is expected to rise dramatically in the face of the psychosocial support response to it). pandemic and its socioeconomic repercussions. Comorbidity with other noncommunicable diseases is WHO/Europe’s mental health programme also frequent, with mental health conditions sharing many already works in more than 25 Member of the same risk factors, such as harmful use of alcohol. States to develop and implement national policies and plans in line with the European The stigma attached to mental health conditions Mental Health Action Plan 2013–2020, and to remains very high. Individuals and families affected by address mental health needs across the life mental health conditions are routinely abused and course and across the full spectrum of discriminated against, and their rights as citizens and users services and delivery platforms. of public health services are commonly violated. Heavily entrenched stigma also adversely influences policy and However, country implementation of WHO resource allocation (low prioritization), health-care guidance, tools and good practices at scale is practices (coercion, restraint and other human rights too rarely fulfilled due to embedded stigma violations in institutional care) and public attitudes at all levels of society and low levels of (victimization and social exclusion). prioritization and investment within health systems. New efforts and approaches are therefore required. The Mental Health Coalition: a WHO/Europe flagship initiative Outcomes Over 110 million people By the end of 2025, this flagship initiative is in the European Region live with expected to deliver: mental health conditions an implementation plan, a monitoring framework and associated targets/indicators accounting for over for mental health promotion and protection 10% of the population in the Region (agreed in 2021 for the period 2021–2030); a multipartner coalition, a leadership network and new donor funds for mental health based at WHO/Europe; mental health literacy initiatives in more than What will the Mental Health Coalition do? 10 European Region countries; and access to quality and affordable community-based mental health care for at least 15 million The Coalition will work to: more people. 1. INVOLVE all relevant stakeholders in the development of an implementation and monitoring framework for mental health promotion, protection and care in the Region (2021–2030) in order to build accountability 140,000 lives are lost each and provide consensus on prioritized actions for investment and scale-up; year to suicide in the 2. INSPIRE policy-makers, service users and service European Region providers through the formation of a mental health leadership, advocacy and innovation network and a multipartner coalition at WHO/Europe; Measures of success 3. INFORM decision-makers, practitioners and the public via the implementation of a Region-wide mental The Coalition’s success will be measured health awareness and literacy programme to change through its: attitudes about mental illness and promote mental health; input: increased mental health 4. INVEST in mental health system reform by carrying investment/expenditures (especially in out investment cases in selected countries and countries selected for intensified support); mobilizing catalytic funds for the reorganization of process: number of partners care away from mental hospitals towards community- engaged/leaders capacitated (Region-wide); based services that are fully integrated with outputs: improved mental health mainstream health services; and awareness/attitudes (in countries where 5. INTENSIFY country support for mental health system literacy initiatives are conducted) and strengthening and service development, including by increased treatment coverage for severe moving targeted populations towards universal health mental health conditions (in countries coverage. selected for intensified support); and outcome: reduced suicide mortality rate. Partnership: Realizing these ambitions will depend on active engagement and close partnership with a range of stakeholders. The establishment of the new Mental Health Coalition in the Region will provide the overarching structure for exchange among partners within different Member States, international and nongovernmental organizations, academia, and civil society. © WHO 2020. All rights reserved. Saatja: EUROMHCoalition <[email protected]> Saadetud: 17.03.2022 11:11 Adressaat: Elen Ohov <[email protected]> Koopia: Triin Uusberg <[email protected]>; SM Info <[email protected]>; <[email protected]>; <[email protected]>; <[email protected]>; <[email protected]>; Elen Ohov <[email protected]>; LAZERI, Ledia <[email protected]>; EUROMHCoalition <[email protected]> Teema: RE: EST_The European Programme of Work is the Mental Health Coalition Flagship programme Manused: EST_MHCoalition.pdf; _The Mental Health Coalition - a WHO Europe flagship initiative.pdf Dear Madam, We take the liberty of contacting you as we do not seem to have received a nomination as outlined in the attachment to our e-mail of 24 July 2021. For the sake of good order we are attaching a copy of our Director’s letter of 23 July and look forward to hearing from you in this connection. Yours sincerely, WHO Secretariat Pan-European Mental Health Coalition From: EUMNH Sent: Saturday, July 24, 2021 6:29 AM To: [email protected] Cc: [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; LAZERI, Ledia <[email protected]> Subject: EST_The European Programme of Work is the Mental Health Coalition Flagship programme Dear Madam, Please see the attached letter and enclosure on the Mental Health Coalition. Yours sincerely, Anne-Birgitte Gradman Programme Assistant Mental Health - MHF Division of Country Health Policies and Systems (CPS) World Health Organization Regional Office for Europe UN City, Marmorvej 51, DK-2100 Copenhagen, Denmark Email: [email protected] Tel: +45 45337017