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Health for all not happening at all – Affordable, cost-effective and feasible intervention

Stjepan Oreskovic, Tea Vukušić Rukavina Andrija Stampar School of Public Health, Croatia Health for all not happening at all – Affordable, cost-effective and feasible intervention Aim/Objective: To outline the development of evidence-based mental health care in Croatia. To review the evidence now being employed to evaluate mental health. To analyze mental health policy in Croatia and compare to best practices in the European Union. To define what is to be considered effective and efficient mental health policy and mental health treatment in Croatia. Summary of Materials and Methods We made an effort to compare National Strategy for Protection of Mental Health in Croatia 2011-2016 to Green Paper Improving the mental health of the population: Towards a strategy on mental health for the European Union. The idea was to establish the relationship between normative policies and instruments employed to measure impact evidence. The Evidence-Based Mental Health policy is sometimes seen as oversimplifying complex problems and offering only limited help in the gray zones of medicine, where scientific evidence is incomplete or conflicting. However, although medical interventions play a central role in tackling challenges, they alone cannot address and change social determinants. The method that has been proven as reliable and empirical is the number needed to treat (NNT) and its counterpart, the number needed to harm (NNH). These two methods are commonly used measures of effect in studies of mental health treatments. The question is what would be the results of employing NNT method to the analysis of different policies and strategic mental health measures in Croatia. Results In line with the WHO strategy, a comprehensive approach is needed. Public policy should cover the provision of treatment and care for individuals, but also the action for the whole population to promote mental health, to prevent mental ill health and to address the challenges associated with stigma and human rights. Different treatment methods such as Cognitive behavioral interventions ; psychological support for those at risk ; training health care professionals in prevention, recognition, and treatment of mental health problems including but not limited to pharmaceutical related policies. The measurable outcomes among others should be a level of wellbeing, physical health, new knowledge & skills, quality of relationships, sexual satisfaction, use of services, productivity, and public safety. Conclusion There is an evident need in Croatia to employ methods that are reliable for comparison of different international and national strategies and their impact on the mental health outcomes. The analytic instruments may vary from analysis of the mental health status of the population to similar health care policies, analysis of best practices and comparative methods and techniques such as NNT. Contact: Professor Stjepan Orešković Andrija Stampar School of Public Health, University of Zagreb School of Medicine sooreskov@gmail.com

Cost-effectiveness; Feasible; Mental Health Interventions

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