Results of the Estonian Population Mental Health Survey

The 2023 Estonian Population Mental Health Survey published by the National Institute for Health Development (NIH) highlighted an important problem – the. limited access to mental health services. The survey found that many people who need professional support do not get it in time or give up seeking help for a variety of reasons.

Main barriers to using mental health services

One of the biggest challenges is the long waiting lists and the inadequacy of services. Public sector services are difficult to access – waiting times to see a psychiatrist or clinical psychologist can be several months.In 2021, 13% of people in Estonia felt in need of a psychologist or counsellor but did not get the help they needed in time. 8% of respondents needed to see a psychiatrist, but this was hampered both by long waiting times and the lack of access in rural areas.

The high cost of services is another major barrier. Private mental health services are financially out of reach for many – the cost of a single session can be €50-100, making regular therapy difficult to access. Although the Estonian Health Insurance Fund (Haigekassa) funds certain services, their availability is limited and many are unaware of their options.

Many people also don’t know where to look for help. Young people and people with lower levels of education are often less aware of mental health support systems and therefore do not take advantage of the opportunities available. Ignorance, combined with social stigma, creates a situation where many prefer not to seek help for fear of being negatively affected by society.

Social stigma is a particular problem among men, who have a widespread perception that mental health problems should be dealt with independently. Accessing mental health services can be perceived as a sign of weakness, leading many to delay seeking help or not seek specialist help at all.

Solutions and options for improvement

Improving access to mental health services requires a multi-pronged focus. One of the most important steps is to expand public services and increase funding. If the health system receives more resources, waiting lists can be reduced and more free services can be offered. Family doctors could also play a greater role in providing mental health counselling at the primary level to alleviate the overload on psychologists and psychiatrists.

Another solution is to develop new forms of service. Online counselling and tele-therapy would also make mental health services more accessible in rural areas. Youth-oriented mental health support systems, including the development of school psychologists and free counselling helplines, would help to identify and address problems early, before they get worse.

In addition, awareness raising and stigma reduction should be promoted. Mental health messages in the media and educational institutions help to normalise help-seeking and break down common stigmas. Campaigns that encourage men and young people to take care of their mental health can help increase uptake of services and improve overall well-being.

What can everyone do for their mental health?

Mental health care does not have to start when problems become big. Everyone can support their own mental wellbeing by seeking help early, being aware of the options available and talking openly about mental health to reduce stigma in society. In addition, it is important to take care of your mental wellbeing on a daily basis – exercise, a healthy diet and quality sleep are as important for mental health as physical health.

Summary

The Mental Health Survey of the Estonian Population confirms that access to mental health services remains a major problem. Expanding public services, developing digital solutions and raising awareness can help improve the situation. Mental health is a shared responsibility, and every step we take to support it leads to a healthier and more balanced society.

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📗 See the full study here: Estonian Population Mental Health Survey (TAI, 2023)