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Mapping European mental health policies

2026-10Recensão Acesso aberto
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dc.contributor.authorDrakos, Katerina
dc.contributor.authorChen-Xu, José
dc.contributor.authorMendes, Vasco
dc.contributor.authorCerdas, Sara
dc.contributor.institutionLaboratório Associado de Translacção e Inovação para a Saúde Global - LA Real (Pólo ENSP)
dc.contributor.institutionCentro de Investigação em Saúde Pública (CISP/PHRC)
dc.contributor.institutionComprehensive Health Research Centre (CHRC) - Pólo ENSP
dc.contributor.institutionEscola Nacional de Saúde Pública (ENSP)
dc.contributor.pblElsevier Science B.V., Amsterdam.
dc.date.accessioned2026-08-19T14:19:01Z
dc.date.available2026-08-19T14:19:01Z
dc.date.issued2026-10
dc.descriptionPublisher Copyright: © 2026 The Author(s). Published by Elsevier B.V. This is an open access article under the CC BY license. http://creativecommons.org/licenses/by/4.0/
dc.description.abstractBackground: The rising burden of mental health problems requires effective, comprehensive, and evidence-informed policymaking. Despite their importance, mental health policies often remain poorly implemented. Objective: This review aimed to map European mental health policies, identify patterns in the types of policy instruments used (e.g., legislation, guidelines, funding mechanisms, initiatives), assess which stages of the policy cycle are most addressed, and examine the role of stakeholders in shaping policy effectiveness. Methods: This scoping review narratively synthesised data from peer-reviewed research and transnational policy documents on mental health interventions across health, education, employment, and social equity. Policy recommendations were derived from identified gaps and best practices. Results: Of 3084 articles retrieved from databases and 197 documents from grey literature, we obtained 102 reports of 101 studies. These were released from 2009 to 2025, with gradual increase in the last ten years. The main themes covered were healthy workplace (17.8%), mental health services (15.8%), and child and adolescent health (10.9%). Our synthesis also highlights the types of instruments employed: guidelines and recommendations (54.5%), initiatives (21.8%), legislation (17.8%), and funding mechanisms (5.9%). Stakeholder engagement was accounted for in 46.6% of studies, with multi-level participation strongest in community-based initiatives and weakest in legislative processes. Additionally, many studies reported policies in evaluation (54.5%), formulation (42.6%), or implementation phase (19.8%), with smaller contributions to agenda setting (4.0%). Conclusions: Aligning policies with evidence-based recommendations, strategically selecting policy instruments, addressing policy cycle gaps, and enhancing stakeholder engagement can improve implementation and outcomes of mental health policies in the European region.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent1394645
dc.identifier.doi10.1016/j.healthpol.2026.105698
dc.identifier.issn0168-8510
dc.identifier.otherPURE: 171223540
dc.identifier.otherPURE UUID: 20ce9750-b790-4fb9-9272-3b821076c815
dc.identifier.otherScopus: 105044858659
dc.identifier.otherPubMed: 42468506
dc.identifier.otherWOS: 001827475000001
dc.identifier.urihttp://hdl.handle.net/10362/205526
dc.identifier.urlhttps://www.scopus.com/pages/publications/105044858659
dc.language.isoeng
dc.peerreviewedyes
dc.subjectEuropean union
dc.subjectEvidence-informed policymaking
dc.subjectHealth policy
dc.subjectMental health
dc.subjectPublic health
dc.subjectPublic policy
dc.subjectHealth Policy
dc.subjectSDG 3 - Good Health and Well-being
dc.titleMapping European mental health policiesen
dc.title.subtitlea scoping review and policy recommendationsen
dc.typereview
degois.publication.titleHealth Policy
degois.publication.volume172
dspace.entity.typePublication
rcaap.rightsopenAccess

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