Select Committee on European Scrutiny Tenth Report


10 Mental health

(26932)

13442/05

COM(05) 484

Commission Green Paper: Improving the mental health of the population. Towards a strategy on mental health for the European Union

Legal base
Document originated14 October 2005
Deposited in Parliament20 October 2005
DepartmentHealth
Basis of considerationEM of 31 October 2005
Previous Committee ReportNone
To be discussed in CouncilNo date set
Committee's assessmentPolitically important
Committee's decisionDo not clear; further information requested

Background

10.1 In January 2005, the World Health Organisation European Ministerial Conference on Mental Health established a framework for action on mental health. It invited the European Commission to contribute to implementing the framework document.

10.2 The Council of Europe also takes an interest in mental health. For example, in 2002 and 2003 it took part in conferences on the subject with the World Health Organisation and the EU; and in 2006 it will initiate work to develop a "European reference tool for ethics and human rights in mental health".

10.3 The EU currently contributes to the prevention and treatment of mental illness by, for example, funding research through its Framework Programmes for Research and Development and providing grants from the Structural Funds for building mental health facilities in the regions.

10.4 Article 152 of the EC Treaty provides that a high level of human health is to be ensured in the definition and implementation of all Community policies and activities. Community action should complement action by the Member States and should be directed to improving public health and preventing illness. The Council may adopt incentive measures to improve public health, excluding any harmonisation of the laws and regulations of the Member States.

The Green Paper

10.5 The Green Paper notes that, in any one year, about a quarter of adult Europeans experience some form of mental illness. Every year, about 58,000 Europeans commit suicide (ranging, in 2002, from 44 for every 100,000 people in Lithuania to 6.8 in the UK and 3.6 in Greece). Mental illness costs between 3% and 4% of the EU's gross domestic product. The incidence of mental illness and the arrangements for preventing and treating it vary between Member States.

10.6 The Green Paper invites comments by the end of May 2006 on the following questions:

  • How relevant is the mental health of the population to the EU's strategic policy objectives for economic and social cohesion, growth and jobs and social justice?
  • Would the development of a comprehensive EU-strategy on mental health add value?
  • The Green Paper suggests that the priorities for such a strategy might be: creating a framework for cooperation and the exchange of information between Member States; helping increase the coherence of action across policies; and establishing a framework to involve the providers and users of mental health services and non-governmental organisations in finding and delivering solutions. Would these be the right priorities?
  • The Green Paper outlines some possible Community initiatives, including a Council Resolution on the promotion of mental health; a Council Recommendation on the reduction of depression and suicidal depression; identification of best practice for promoting the social inclusion of people with mental ill health and protecting their rights. Would these initiatives be suitable?

10.7 Late in 2006, the Commission will publish an analysis of the responses to the Green Paper together with, if appropriate, proposals for an EU strategy on mental health.

The Government's view

10.8 The Minister for Health Services at the Department of Health (Ms Rosie Winterton) tells us that the Green Paper's main proposals are in line with current UK policies on, for example reducing suicide rates, countering the stigma associated with mental illness and combating social exclusion.

10.9 The Government will be responding to the Green Paper. The response has not yet been prepared.

Conclusion

10.10 The Green Paper is mainly concerned with the improvement of consultation, cooperation and the exchange of information about mental health. We note that the World Health Organisation and the Council of Europe are already active in this field. We should be grateful for the Minister's comments on why an EU strategy on mental health is needed in addition and whether the action envisaged by the Commission would duplicate what is already being done through the activities of the World Health Organisation and the Council of Europe. We also ask her to send us a copy of the Government's response to the Green Paper. Pending receipt of this information, we shall keep the Green Paper under scrutiny.




 
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