April 30, 2020
This section covers information about mental health stigma, access and treatment, and provides recommendations for employers and resources on NGOs/National Campaigns in France."
Over three-fourths of total health expenditure in France is publicly funded, primarily through social health insurance (SHI).24
- SHI covers all legal residents and is financed by income-based contributions from employers and taxpayers.24
- SHI partially covers mental health care, including visits with general practitioners and psychiatrists.24
- Voluntary health insurance (VHI) covers copays and additional costs that aren’t covered by SHI, including psychotherapy and counseling.24
Snapshot of the Health System Landscape
Mental hospital beds: 6.98 per 100,000 population.
Generic hospital psychiatric unit beds: 22.34 per 100,000 population.
Government mental health spend as % of total health spend
National health insurance or reimbursement scheme includes the care and treatment of persons with major mental disorders (defined as psychosis, bipolar disorder, depression)*
Total mental health workers: 173.63 per 100,000 population
The majority of persons pay nothing (fully insured) for mental health services at the point of service.
Government-adopted or national policy for suicide prevention strategy
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Learn More
Addressing Mental Health in France
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Introduction & Full GuideAddressing Mental Health From a Global and Local Perspective
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Part 1Think Global: Strategies that Multinational Employers Use Worldwide
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Part 2Act Local: How Access, Stigma and Coverage Vary in Key Markets and Their Impact on Employer Offerings
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Part 3Addressing Mental Health in China
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Part 4Addressing Mental Health in France
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Part 5Addressing Mental Health in India
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Part 6Addressing Mental Health in Italy
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Part 7Addressing Mental Health in Japan
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Part 8Addressing Mental Health in Mexico
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Part 9Addressing Mental Health in South Africa
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Part 10Addressing Mental Health in Spain
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Part 11Addressing Mental Health in United Kingdom
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Part 12Addressing Mental Health in United Arab Emirates
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Part 13Mental Health Guide: Example Employer Tools and Resources
More Topics
Resource Mental and Emotional Well-being Europe, Middle East and Africa (EMEA)- 1 | Ritchie H and Roser. Mental health. The University of Oxford and the Global ChangeData Lab. Mental health. April 2018. https://ourworldindata.org/mental-health. Accessed January 6, 2020.
- 2 | NHS England. Mental health: Adults and older adults mental health. https://www.england.nhs.uk/mental-health/adults/. Accessed December 5, 2019.
- 3 | United States Office of Disease Prevention and Health Promotion. Mental health. https://www.healthypeople.gov/2020/leading-health-indicators/2020-lhi-topics/Mental-Health. . Accessed January 13, 2020.
- 4 | World Health Organization. Mental health in the workplace. https://www.who.int/mental_health/in_the_workplace/en/. Updated May 2019. Accessed January 6, 2020.
- 5 | World Economic Forum. It's time to end the stigma around mental health in the workplace. https://www.weforum.org/agenda/2019/05/its-time-to-end-the-stigma-around-mental-health-in-the-workplace/. Accessed January 6, 2020.
- 6 | World Health Organization. Mental health: Massive scale-up of resources needed if global targets are to be met. https://www.who.int/mental_health/evidence/atlas/atlas_2017_web_note/en/. 6 June 2018. Accessed January 6, 2020.
- 7 | The WHO Special Initiative for Mental Health (2019-2023): Universal Health Coverage for Mental Health. Geneva: World Health Organization;2019.
- 8 | The Workplace Wellness Alliance. Making the right investment: Employee health and the power of metrics. Geneva: World Economic Forum;2013.
- 9 | Medline Plus. Mental disorders. https://medlineplus.gov/mentaldisorders.html. Accessed December 10, 2019.
- 10 | Deloitte Insights. The ROI in workplace mental health programs: Good for people, good for business. https://www2.deloitte.com/us/en/insights/topics/talent/workplace-mental-health-programs-worker-productivity.html. 04 November 2019. Accessed January 22, 2020.
- 11 | Que J, Lue L, Shi L. Development and challenges of mental health in China. General Psychiatry. 2019;32(1).
- 12 | Lora A, Hanna F, Chisholm D. Mental health service availability and delivery at the global level: an analysis by countries’ income level from WHO's Mental Health Atlas 2014. Epidemiology and Psychiatric Sciences. 2017:1-12.
- 13 | Mental Health Atlas: Country Profiles. World Health Organization. https://www.who.int/mental_health/evidence/atlas/profiles-2017/en/. Published 2017. Accessed October 25, 2019.
- 14 | Magoon C. In China, mental health care goes virtual. In. Scientific American: Springer Nature America, Inc.; 2019.
- 15 | Shi S. What will the development of psychiatry in China be in 10 years? Gen Psychiatr. 2019;32(2).
- 16 | Chelala C. China's unaddressed mental health problems. Japan Times. May 25, 2015;World.
- 17 | Xu J, Wang J, Wimo A, Qiu C. The economic burden of mental disorders in China, 2005–2013: implications for health policy. BMC Psychiatry. 2016;16(137).
- 18 | China wakes up to its mental-health problems. In. The Economist. Hangzhou 2017.
- 19 | Zhang L. China: Mental health law takes effect on May 1. In. Washington, D.C.: Library of Congress; 2013.
- 20 | The Commonwealth Fund. International health care system profiles: The Chinese Health Care System. https://international.commonwealthfund.org/countries/china/. . Accessed November 26, 2019.
- 21 | White paper: Analyzing trends to deliver optimal EAP services in the Asia Pacific. ComPsych Corporation;2019.
- 22 | Gorvett Z. Can you work yourself to death? BBC. https://www.bbc.com/worklife/article/20160912-is-there-such-thing-as-death-from-overwork. Published 2016. Accessed October 25, 2019.
- 23 | Asia Dialogue. From treatment to prevention: The role of workplace psychoeducation for mental health in China. March 20, 2019. https://theasiadialogue.com/2019/03/20/from-treatment-to-prevention-the-role-of-workplace-psychoeducation-for-mental-health-in-china/. . Accessed December 9, 2019.
- 24 | State of health in the EU: France country health profile. Paris and Brussels: OECD/European Observatory on Health Systems and Policies 2017.
- 25 | Launay C. Interview with EAP provider from EAP Iberia regarding mental health in France, Spain, Italy. In: Demmer B, Ford A, O'Driscoll K, eds. Washington, DC: Business Group on Health and ComPsych; 2019.
- 26 | Millet L. Challenges and hopes for French Psychiatry. In. Vol 2019: Institut Montaigne; 2018.
- 27 | Why do there seem to be so many mentally ill people in French cities? The Local. January 16, 2019.
- 28 | Suicide rate by country population. Published 2019. Updated August 27. http://worldpopulationreview.com/countries/suicide-rate-by-country/. Published 2019. Updated August 27.
- 29 | France announces extra €40m fund for mental healthcare. The Connexion. January 25, 2019.
- 30 | Bijal AS, Kumar CN, Manjunatha N, Gowda M, Basavaraju V, Math SB. Health insurance and mental illness. Indian J Psychiatry. 2019;61:S791–S797.
- 31 | Kumar A, Singh S. Interview with Santulan and ComPsych India. In: Demmer B, Ford A, O'Driscoll K, eds. Washington DC: ComPsych and Business Group on Health; 2019.
- 32 | Mahapatra D. Court takes first step towards taking suicide off list of crimes. Times of India. March 9, 2018.
- 33 | Bhaskaran, D. livemint. Health insurance plans to cover mental illness too, but will that help? August 20, 2018. https://www.livemint.com/Money/o0pRqJbfCkMiaiPHRV0TSK/Health-plans-to-cover-mental-illness-too-but-will-that-help.html. Accessed November 12, 2019.
- 34 | Forti A. OECD Health Working Papers No. 71. Mental Health Analysis Profiles (MhAPs): Italy. OECD;2014.
- 35 | OECD. Italy led the way in deinstitutionalisation, but regional disparities remain a concern. https://www.oecd.org/els/health-systems/MMHC-Country-Press-Note-Italy.pdf. . Accessed November 25, 2019.
- 36 | World Health Organization. The Italian mental health-care reform: public health lessons. https://www.who.int/bulletin/volumes/96/11/18-216002/en/. . Accessed November 25, 2019.
- 37 | The Commonwealth Fund. International health care system profiles: Italy. https://international.commonwealthfund.org/countries/italy/. Accessed November 21, 2019.
- 38 | Barbato A, Vallarino M, Rapisarda F, Lora A, Caldas de Almeida JM. Access to mental health care in Europe. European Union Health Programme;2016.
- 39 | Inoue A, Okido S. Interview with PeaceMind. In: Demmer B, Ford A, O'Driscoll K, eds. Washington, DC: ComPsych and Business Group on Health; 2019.
- 40 | Kobayashi N. Employers must help cut Japan's suicide rate. Nikkei Asian Review. September 10, 2018.
- 41 | Society for Human Resources and Management. Japan: Anti-power harassment law passed. https://www.shrm.org/resourcesandtools/legal-and-compliance/employment-law/pages/global-japan-anti-power-harassment-law-passed.aspx. Published 2019. Updated September 6. Accessed November 18, 2019.
- 42 | The Commonwealth Fund. International health care system profiles: the Japanese health care system. https://international.commonwealthfund.org/countries/japan/. Accessed November 18, 2019.
- 43 | This Week in Asia. In Japan, workplace bullying and harassment are driving women to seek mental health treatment. https://www.scmp.com/week-asia/lifestyle-culture/article/3034742/japan-workplace-bullying-and-harassment-are-driving. Published 2019. Updated October 27. Accessed November 18, 2019.
- 44 | PAHO. Mexico – Quality & Rights: Mental health care and human rights. https://www.paho.org/hq/index.php?option=com_content&view=article&id=14654:mexico-calidad-y-derechos-atencion-a-la-salud-mental-y-derechos-humanos&Itemid=42050&lang=en. Accessed November 13, 2019.
- 45 | Zabludovsky K. Ex-patients police Mexico’s mental health system. The New York Times2013.
- 46 | Dartiz J, Cuevas J, Aviles JL. Interview with Marsh Mexico. In: Ford A, O'Driscoll K, eds. Washington, DC: National Business Group on Health; 2019.
- 47 | Interview with Martha Pena, EAP provider in Mexico. In: Demmer B, Ford A, O'Driscoll K, eds. Washington, DC: ComPsych and Business Group on Health; 2019.
- 48 | The Conversation. Rising suicides in Mexico expose the mental health toll of living with extreme, chronic violence. August 2, 2018. https://theconversation.com/rising-suicides-in-mexico-expose-the-mental-health-toll-of-living-with-extreme-chronic-violence-99131. Accessed November 15, 2019.
- 49 | Baker McKenzie. Psychosocial risk factors at work. https://www.bakermckenzie.com/en/insight/publications/2018/11/psychosocial-risk-factors-at-work. November 2018. Accessed November 15, 2019.
- 50 | Mexico issues new psychosocial risk legislation for all employers. ComPsych Corporation;2019.
- 51 | El Universal. Mexico, one of the countries with the highest work-related stress, says UNAM. https://www.eluniversal.com.mx/english/mexico-high-work-stress. Accessed November 15, 2019.
- 52 | The Conversation. Why South Africa is failing mental health patients and what can be done about it. October 5, 2016. https://theconversation.com/why-south-africa-is-failing-mental-health-patients-and-what-can-be-done-about-it-66445. Accessed December 10, 2019.
- 53 | Stevens C. Interview with EAP provider LifeAssist. In: Demmer B, Ford A, O'Driscoll K, eds. Washington, DC: ComPsych and Business Group on Health; 2019.
- 54 | Docrat S, Besada D, Cleary S, Daviaud E, Lund C. Mental health system costs, resources and constraints in South Africa: A national survey. Health Policy and Planning. 2019;czz085.
- 55 | Business Group on Health. Mental Health Virtual Summit Part 4: Global Approaches to Address Access and Stigma. https://www.businessgrouphealth.org/resources/mental-health-virtual-summit. November 19, 2019. Accessed December 10, 2019.
- 56 | South African Government. National Health Insurance. https://www.gov.za/about-government/government-programmes/national-health-insurance-0. Accessed November 16, 2019.
- 57 | Reuters. South Africa puts initial universal healthcare cost at $17 billion. https://www.reuters.com/article/us-safrica-health/south-africa-puts-initial-universal-healthcare-cost-at-17-billion-idUSKCN1UY1R2. August 8, 2019. Accessed November 16, 2019.
- 58 | Huffington Post. 5 myths black people need to stop believing about depression. https://www.huffingtonpost.co.uk/entry/5-myths-black-people-need-to-stop-believing-about-depression_uk_5c7e91cbe4b048b41e39aa74?guce_referrer=aHR0cHM6Ly93d3cuZ29vZ2xlLmNvbS8&guce_referrer_sig=AQAAAIP_isdFLy6Ormr0_iZ4Kyihkm7EPqAVX1VNRewhW0VtasZFlHppniMrTLMzbGOPQ5E-2dwBd8GdDQ0dvjC3Za9QZ7s8HVYyfBUZPwIEoaeFiYnr5xNZsETyhiO3oA2X-p05ieszD_D4YVgOsbyUIWl0kGHA0WSCnBNK6slo_-0P. Accessed December 10, 2019.
- 59 | Docrat S, Lund C, Chisholm D. Sustainable financing options for mental health care in South Africa: findings from a situation analysis and key informant interviews. International Journal of Mental Health Systems. 2019;13.
- 60 | World Health Organization Regional Office for Europe. Fact sheets on sustainable development goals: health targets. Mental health. http://www.euro.who.int/__data/assets/pdf_file/0017/348011/Fact-sheet-SDG-Mental-health-UPDATE-02-05-2018.pdf. Accessed December 9, 2019.
- 61 | Mental Health Atlas 2014: Country profiles. World Health Organization. https://www.who.int/mental_health/evidence/atlas/profiles-2014/en/. Published 2014. Accessed October 25, 2019.
- 62 | Mind. Mental health facts and statistics. https://www.mind.org.uk/information-support/types-of-mental-health-problems/statistics-and-facts-about-mental-health/how-common-are-mental-health-problems/#.XemcMOhKg2x. Accessed December 5, 2019.
- 63 | Mental Health at Work. https://www.mentalhealthatwork.org.uk/?ctaId=%2Fworkplace%2Fmental-health-at-work-gateway%2Fslices%2Fmental-health-at-work%2F. Accessed December 6, 2019.
- 64 | Hewlett E, Horner K. OECD Health Working Papers No. 81: Mental Health Analysis Profiles (MhAPs): England. Paris: Organisation for Economic Co-operation and Development;2015.
- 65 | NHS. How to access mental health services. https://www.nhs.uk/using-the-nhs/nhs-services/mental-health-services/how-to-access-mental-health-services/. Accessed December 5, 2019.
- 66 | Achieving better access to mental health services by 2020. NHS England and Department of Health;2014.
- 67 | NHS England. Individual Placement and Support offers route to employment for people with severe mental health conditions. https://www.england.nhs.uk/mental-health/case-studies/individual-placement-and-support-offers-route-to-employment-for-people-with-severe-mental-health-conditions/. Accessed December 5, 2019.
- 68 | Health and Safety Executive. Work-related stress. https://www.hse.gov.uk/stress/index.htm. Accessed December 6, 2019.
- 69 | Arab News. The hidden face of mental illness in the Middle East. https://www.arabnews.com/node/1496661/middle-east. Accessed December 1, 2019.
- 70 | YouGov. Most UAE residents would seek professional help for mental health issues. https://mena.yougov.com/en/news/2019/05/07/most-uae-residents-would-seek-professional-help-me/. May 7, 2019. Accessed December 1, 2019.
- 71 | The Government of the United Arab Emirates. Mental Health. https://www.government.ae/en/information-and-services/health-and-fitness/health-of-vulnerable-groups/mental-health. Accessed December 1, 2019.
- 72 | Sayed MA. Mental Health Services in the United Arab Emirates: Challenges and opportunities. International Journal of Emergency Mental Health and Human Resilience. 2015;17:661-663.
- 73 | Ramahi NA. The National. Suicide attempters to be treated not punished, say Dubai Police. June 27, 2018. https://www.thenational.ae/uae/suicide-attempters-to-be-treated-not-punished-say-dubai-police-1.744874. . Accessed December 1, 2019.
- 74 | Shahrour T, Mohan S, Siddiq M, Hammasi KE, Alsaadi T. Suicide attempters in Abu Dhabi: Is criminal prosecution associated with patients’ guardedness? Journal of Death Studies. 2018;42:636-639.
- 75 | Centre for Global Mental Health. The friendship bench. https://www.centreforglobalmentalhealth.org/the-friendship-bench. . Accessed December 11, 2019.