Nearly one in six people in Belgium suffers from anxiety or depression, and a third of mental help needs remain unmet. This is what indicates a study by Mutualités Libres, published on Wednesday, on the evolution of mental health care and the consumption of psychotropic drugs between 2019 and 2023. This study highlights worrying trends, but also suggests promising avenues.
According to Mutualités Libres, the prevalence of anxiety and depressive disorders has increased sharply in Belgium in recent years, particularly as a result of the Covid-19 pandemic. In 2023, 20% of people aged 15 and over suffered from anxiety, and 18% presented depressive symptoms, compared to 11.2% and 9.4% respectively in 2018, according to data from Sciensano.
This deterioration in mental health is reflected in an 8% increase in the use of antidepressants among the 2.3 million members of Mutualités Libres since 2019. Young people aged 12 to 24 are particularly affected, as are women, the elderly and those with long-term disabilities.
The use of psychiatric consultations has also increased: 3.1% of members of Mutualités Libres consulted a psychiatrist in 2023, an increase of 5.8% compared to 2019. However, socio-economic disparities persist: beneficiaries of enhanced intervention (BIM) are twice as likely to consult a psychiatrist as other members.
The psychological care agreement, a promising lever
Launched in 2021, the primary psychological care agreement has facilitated access to care in Belgium, with more than 1.2 million sessions reimbursed in 2023. Young people under 24, who benefit from support free charging since February 2024, are the main users of this device.
However, the Mutualités Libres deplore an under-representation of elderly people among the beneficiaries of the agreement. They call for particular attention to this population, particularly through targeted actions in nursing homes.
Prevention and innovation: solutions for the future
Faced with increasing needs, the Mutualités Libres recommend a global approach combining prevention, accessibility and innovation. They recommend investing in care from the first years of life, raising awareness among young people about mental health through educational programs, and strengthening budgets to guarantee equitable care provision.
The organization also advocates for the development of “blended care”, a method combining traditional consultations and digital solutions. Digital tools could improve the efficiency of care and facilitate access to it.
According to Mutualités Libres, an ambitious prevention policy would make it possible to reduce the use of psychotropic drugs in the medium and long term, while contributing to a more mentally resilient society.
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