Developing skilled workforces for high-performing mental health systems

The composition of the mental health workforce in OECD countries is diverse, and this chapter examines how OECD countries differ in terms of the numbers and mix of mental health professionals, which can in turn impact on the access, quality and cost of care provided. Cross-country comparisons of the human resources available to respond to mental health care needs are, however, hampered by the non-standardisation of data, the overlapping roles and tasks of different providers, and the challenge in properly measuring the input of primary care providers (notably general practitioners) in diagnosing and treating different mental health problems. The training, accreditation and continuing professional education of the mental health workforce plays a critical role in the supply, remuneration and mobility of mental health professions as well as the quality of care provided. Changing models of human resources and mental health care delivery have increased the potential for the provision of more efficient and effective services that promote better quality and service integration. As mental health care has become more integrated into community settings, service users and family caregivers play an increasing and critical role in supporting people with mental health problems.