A New Benchmark for Mental Health Systems: Tackling the Social and Economic Costs of Mental Ill-Health
Abstract
This report was produced with the support of a generous contribution from the Public Health Agency of Canada, who also provided valuable feedback on the substantive shape of the project throughout.The contents of the report have been shaped by exchanges with mental health experts from OECD countries and beyond, who have contributed data, information, ideas, and enormously
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There does not need to be a trade-off between saving lives and safeguarding mental health.
“There does not need to be a trade-off between saving lives and safeguarding mental health.”
From The Lancet Commission on lessons for the future from the COVID-19 pandemic (2022) · cites this paper as [268]
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The Lancet Commission on lessons for the future from the COVID-19 pandemic
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Self-citationThe provision of community-base mental health care in Lithuania
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Health at a Glance: Asia/Pacific 2024
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Self-citationMeasuring Population Mental Health
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Self-citationValue for Money in School Education
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Self-citationMental health services in Germany – Structures, outcomes and future challenges
Wiegand, H. F., Hölzel, L. P., Tüscher, O., Lieb, K., Falkai, P., & Adorjan, K. (2025) · International Review of Psychiatry · doi:10.1080/09540261.2025.2479601 · Cited by 16 · see citing works
Fit for Purpose—Re-Designing Australia’s Mental Health Information System
Rosenberg, S. P., Salvador‐Carulla, L., Meadows, G. N., & Hickie, I. B. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19084808 · Cited by 12 · see citing works
OECD, & Union, E. (2022) · Health at a glance. Europe · doi:10.1787/45a9ca6d-en · Cited by 13 · see citing works
Self-citationPredictors of Unmet Healthcare Needs during Economic and Health Crisis in Greece
Pierrakos, G., Γούλα, Α. Β., & Latsou, D. (2023) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20196840 · Cited by 10 · see citing works
Bowden, N., Hedquist, A., Dai, D., Abiona, O., Bernal‐Delgado, E., Blankart, C. R., Cartailler, J., Estupiñán‐Romero, F., Haywood, P., Or, Z., et al. (2024) · Health Services Research · doi:10.1111/1475-6773.14386 · Cited by 12 · see citing works
Ding, R., Zhu, D., Wang, Y., Ma, Y., Shi, X., & He, P. (2022) · BMJ Open · doi:10.1136/bmjopen-2021-056422 · Cited by 10 · see citing works
Overall volume of antibiotics prescribed, 2020
(2022) · Health at a glance. Europe · doi:10.1787/8e04638f-en · Cited by 10 · see citing works
The associations between suicides, economic conditions and social isolation: Insights from Spain
Blázquez‐Fernández, C., & Cantarero, D. (2023) · PLoS ONE · doi:10.1371/journal.pone.0288234 · Cited by 7 · see citing works
Supporting Lives Free from Intimate Partner Violence
OECD (2023) · OECD eBooks · doi:10.1787/d61633e7-en · Cited by 11 · see citing works
Self-citationOECD (2021) · Health at a glance · doi:10.1787/8b492d7a-en · Cited by 7 · see citing works
Self-citationOECD Economic Surveys: Belgium
OECD (2009) · OECD economic surveys. Belgium · doi:10.1787/19990766 · Cited by 7 · see citing works
Self-citationJakubowska, A. (2024) · Psychiatry International · doi:10.3390/psychiatryint5020012 · Cited by 6 · see citing works
Oscoz-Irurozqui, M., Villani, L., Martinelli, S., Ricciardi, W., & Gualano, M. R. (2025) · Scientific Reports · doi:10.1038/s41598-025-96037-z · Cited by 6 · see citing works
Taylor, F., Galloway, S., Irons, K., Mess, L., Pemberton, L., Worton, K., & Chambers, M. G. A. (2022) · International Journal of Mental Health Nursing · doi:10.1111/inm.13047 · Cited by 5 · see citing works
G7 Gender Equality Implementation Report 2023
OECD (2023) · OECD eBooks · doi:10.1787/b7117089-en · Cited by 6 · see citing works
Self-citationOECD (2012) · Mental health and work · doi:10.1787/22257985 · Cited by 5 · see citing works
Self-citationMorimoto, A., Furuki, H., Sugita, N., Hayashi, R., & Sonoda, N. (2026) · Social Science & Medicine · doi:10.1016/j.socscimed.2026.118965 · Cited by 4 · see citing works
Stea, T. H., Alvsvåg, L., & Kleppang, A. L. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18189731 · Cited by 4 · see citing works
OECD (2023) · Health at a glance · doi:10.1787/cba592fb-en · Cited by 4 · see citing works
Self-citationMueller, M., Suzuki, E. M., Paolantonio, G., Hewlett, E., & James, C. D. (2021) · Health at a glance · doi:10.1787/b0118fae-en · Cited by 4 · see citing works
OECD (2023) · Health at a glance · doi:10.1787/bdd23022-en · Cited by 4 · see citing works
Self-citationOECD Economic Surveys: Portugal
OECD (2009) · OECD economic surveys. Portugal · doi:10.1787/19990405 · Cited by 4 · see citing works
Self-citationMental Health Literacy, Beliefs and Demand for Mental Health SupportPreprint
Acampora, M., Capozza, F., & Moghani, V. (2022) · SSRN Electronic Journal · doi:10.2139/ssrn.4261487 · Cited by 4 · see citing works
Zhang, Z., & Das, S. (2024) · Discover Mental Health · doi:10.1007/s44192-024-00070-9 · Cited by 3 · see citing works
Xiao, Y., Liu, X., Ren, L., & Lai, S.-F. (2025) · npj Mental Health Research · doi:10.1038/s44184-025-00135-9 · Cited by 3 · see citing works
AM I OK ? Investigating the Lived Experience of Emotional Differentiation in a Sample of Irish Men
O’Leary, D., & McAuliffe, A. (2025) · Counselling and Psychotherapy Research · doi:10.1002/capr.70030 · Cited by 3 · see citing works
Mortality following ischaemic stroke
OECD (2021) · Health at a glance · doi:10.1787/30a3559e-en · Cited by 3 · see citing works
Self-citationOECD (2023) · Health at a glance · doi:10.1787/17336c13-en · Cited by 3 · see citing works
Self-citationOECD (2023) · Health at a glance · doi:10.1787/c7a518c0-en · Cited by 3 · see citing works
Self-citationOECD (2023) · Health at a glance · doi:10.1787/87b4ef30-en · Cited by 3 · see citing works
Self-citationMental Health Evaluation in Community Pharmacies—A Cross-Sectional Study
Condinho, M., Ramalhinho, I., Vaz-Velho, C., & Sinogas, C. (2024) · Pharmacy · doi:10.3390/pharmacy12030089 · Cited by 3 · see citing works
Tops, L., Cromboom, M. L., Tans, A., Deschodt, M., Vandenbulcke, M., & Vermandere, M. (2024) · BMC Family Practice · doi:10.1186/s12875-024-02447-9 · Cited by 3 · see citing works
OECD, & Union, E. (2022) · Health at a glance. Europe · doi:10.1787/cf070758-en · Cited by 4 · see citing works
Self-citationBienassis, K. D., Hewlett, E., Kendir, C., Kristensen, S., Mainz, J., & Klazinga, N. (2022) · OECD health working papers · doi:10.1787/e45438b5-en · Cited by 3 · see citing works
Gesundheit, Produktivität und Digitale Gesundheitsförderung in der New Work
Gellner, C., Cheliadzinskaya, A., & Michael Fellmann, M. A. (2025) · HMD Praxis der Wirtschaftsinformatik · doi:10.1365/s40702-025-01230-3 · Cited by 2 · see citing works
OECD (2022) · OECD eBooks · doi:10.1787/48300c64-en · Cited by 2 · see citing works
Self-citationTo work after retirement: a qualitative study among mental health nursing assistants
Sousa-Ribeiro, M., Knudsen, K., Sverke, M., & Lindfors, P. (2024) · Nordic Psychology · doi:10.1080/19012276.2024.2336231 · Cited by 4 · see citing works
Suicidal Behavior in University Students in Spain: a Network Analysis
Soto‐Sanz, V., del Castillo‐López, Á. G., Pineda, D., Falcó, R., Rodríguez‐Jiménez, T., Marzo, J. C., & Piqueras, J. A. (2025) · Brain and Behavior · doi:10.1002/brb3.70457 · Cited by 3 · see citing works
Informal care in different European care systems: Effects of caregiving on mental health over time
Börner, L., Kolodziej, I. W. K., Wasem, J., & Abels, C. (2025) · PLoS ONE · doi:10.1371/journal.pone.0332498 · Cited by 2 · see citing works
COVID‑19 mortality and excess mortality
OECD, & Union, E. (2022) · Health at a glance. Europe · doi:10.1787/da81eb89-en · Cited by 2 · see citing works
Self-citation(2021) · Health at a glance · doi:10.1787/f15f3399-en · Cited by 2 · see citing works
Disparities in Emergency Care Among Patients with Mental Illness
Mackenhauer, J. (2022) · doi:10.54337/aau499829720 · Cited by 2 · see citing works
Win-win solutions for well-being and mental health
OECD (2023) · OECD policy insights on well-being, inclusion and equal opportunity · doi:10.1787/93b79ccf-en · Cited by 2 · see citing works
Self-citationOverweight and obesity among adults
OECD, & Union, E. (2022) · Health at a glance. Europe · doi:10.1787/26e2160a-en · Cited by 1 · see citing works
Self-citationWaiting times for elective surgery
OECD, & Union, E. (2022) · Health at a glance. Europe · doi:10.1787/63a6ed75-en · Cited by 1 · see citing works
Self-citationWhy psychiatric bed capacity varies widely: Strategic questions on global mental health
Seita, A. (2025) · PLoS Medicine · doi:10.1371/journal.pmed.1004761 · Cited by 1 · see citing works
Gresser, L. A., Lalgi, T. J., Wollenberg, P. J., Diel, A., Jansen, C., Robitzsch, R., Teufel, M., Bäuerle, A., & Robitzsch, A. (2026) · BMC Psychiatry · doi:10.1186/s12888-026-08390-6 · Cited by 1 · see citing works
Care for people with mental health disorders
OECD (2021) · Health at a glance · doi:10.1787/a9a91bc1-en · Cited by 1 · see citing works
Self-citationIndicator overview: Country dashboards and major trends
OECD (2021) · Health at a glance · doi:10.1787/919b5f62-en · Cited by 1 · see citing works
Self-citationAlcohol consumption among adolescents
OECD, & Union, E. (2022) · Health at a glance. Europe · doi:10.1787/92f5c3dd-en · Cited by 1 · see citing works
Self-citationOECD, & Union, E. (2022) · Health at a glance. Europe · doi:10.1787/53388b3d-en · Cited by 1 · see citing works
Self-citationEssential equipment: Intensive care beds
OECD, & Union, E. (2022) · Health at a glance. Europe · doi:10.1787/751d52d3-en · Cited by 1 · see citing works
Self-citationOECD, & Union, E. (2022) · Health at a glance. Europe · doi:10.1787/160a4ebb-en · Cited by 1 · see citing works
Self-citationGeographic distribution of doctors
OECD (2023) · Health at a glance · doi:10.1787/23104a05-en · Cited by 1 · see citing works
Self-citationHealth expenditure in relation to GDP
OECD (2023) · Health at a glance · doi:10.1787/d5dbe32a-en · Cited by 1 · see citing works
Self-citationOECD (2023) · Health at a glance · doi:10.1787/d90b402d-en · Cited by 1 · see citing works
Self-citationOECD (2023) · Health at a glance · doi:10.1787/7ecffd0d-en · Cited by 1 · see citing works
Self-citationLong-term care spending and unit costs
OECD (2023) · Health at a glance · doi:10.1787/36e18bb7-en · Cited by 1 · see citing works
Self-citationDefining Vision and Mission of a Medical Psychiatry Unit (MPU) for Older Adults: A Focus Group Study
Tops, L., Coteur, K., & Vermandere, M. (2024) · INQUIRY The Journal of Health Care Organization Provision and Financing · doi:10.1177/00469580241236038 · Cited by 1 · see citing works
Radhakrishnan, A., Hunter, J., Radhakrishnan, D., Silveira, J., & Soklaridis, S. (2024) · Journal of CME · doi:10.1080/28338073.2024.2361405 · Cited by 1 · see citing works
Lyu, J. (2024) · International Journal of Geriatric Psychiatry · doi:10.1002/gps.70016 · Cited by 1 · see citing works
Rodrigues, P. C. L., & Borges, A. P. (2021) · Advances in human services and public health (AHSPH) book series · doi:10.4018/978-1-7998-8674-7.ch021 · Cited by 1 · see citing works
Remuneration of doctors (general practitioners and specialists)
OECD (2021) · Health at a glance · doi:10.1787/4e107e0b-en · Cited by 1 · see citing works
Self-citationOECD, & Union, E. (2022) · Health at a glance. Europe · doi:10.1787/a72a34af-en · Cited by 1 · see citing works
Self-citationPhysical activity among adults
OECD, & Union, E. (2022) · Health at a glance. Europe · doi:10.1787/bfffb330-en · Cited by 1 · see citing works
Self-citationAvoidable mortality (preventable and treatable)
OECD (2023) · Health at a glance · doi:10.1787/ed4d077e-en · Cited by 1 · see citing works
Self-citationRatio of nurses to doctors, 2019 (or nearest year)
(2021) · Health at a glance · doi:10.1787/369ca57e-en · Cited by 1 · see citing works
Hospital beds per 1 000 population, 2010 and 2020 (or nearest year)
(2022) · Health at a glance. Europe · doi:10.1787/0628c7c7-en · Cited by 1 · see citing works
(2022) · Health at a glance. Europe · doi:10.1787/a2d3d270-en · Cited by 1 · see citing works
Adults rating their own health as good or very good, by income quintile, 2021 (or nearest year)
(2023) · Health at a glance · doi:10.1787/c923a20b-en · Cited by 1 · see citing works
Maternal mortality ratio estimates, 2020
(2023) · Health at a glance · doi:10.1787/4d361652-en · Cited by 1 · see citing works
Population coverage for a core set of services, 2021 (or nearest year)
(2023) · Health at a glance · doi:10.1787/f58fa2c5-en · Cited by 1 · see citing works
OECD (2023) · Health at a glance · doi:10.1787/72febc61-en · Cited by 1 · see citing works
Self-citationPractising nurses per 1 000 population, 2011 and 2021 (or nearest year)
(2023) · Health at a glance · doi:10.1787/dd30b4ee-en · Cited by 1 · see citing works
CT scanners, MRI units and PET scanners, 2021 (or nearest year)
(2023) · Health at a glance · doi:10.1787/35dc6051-en · Cited by 1 · see citing works
Consumption of medicines for selected chronic conditions, 2011, 2019 and 2021 (or nearest years)
(2023) · Health at a glance · doi:10.1787/f11c6179-en · Cited by 1 · see citing works
Death by suicide, 2000 and 2020 (or nearest year)
(2023) · Health at a glance · doi:10.1787/8389897a-en · Cited by 1 · see citing works
Vrabková, I., & Vaňková, I. (2024) · Research Square · doi:10.21203/rs.3.rs-5349124/v1 · Cited by 1 · see citing works
OECD (2023) · Health at a glance · doi:10.1787/1ea5684a-en
Self-citationShare of the population aged 65 and over and 80 and over, 2019 and 2050
(2021) · Health at a glance · doi:10.1787/9414c451-en
Health expenditure by type of service
OECD (2021) · Health at a glance · doi:10.1787/654cf452-en
Self-citationDoctor providing easy-to‑understand explanations, 2010 and 2020 (or nearest year)
(2021) · Health at a glance · doi:10.1787/233577ce-en
- Authors
- OECD
- Corresponding author
- OECD
- Venue
- OECD Health Policy Studies
- Publisher
- OECD Publishing
- Published
- 2021-06-08
- ISSN
- 2074-3181 (ISSN-L)
- 2074-319X
- OpenAlex
- W4213239365
- Cited by
- 407
- References
- 381
- Citations by year
- 2026: 25 · 2025: 16 · 2024: 16 · 2023: 136 · 2022: 143 · 2021: 65 · 2012: 2
- FWCI
- 156.34
- Type
- book
- Language
- en
- Open access
- closed
- Locations
- OECD health policy studies (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Health Sciences › Health Professions › General Health Professions › Healthcare Systems and Practices
- Keywords
- mental health system, benchmarking, mental health services, health system performance, cross-national comparison, OECD countries
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