Ment and in and beyond the health sector including

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ment and in and beyond the health sector, including social care, education and the environment. Mental health workforce The WHO European Region has the largest workforce in the world: 50 mental health workers are available per 100 000 population, comprising psychiatrists and nurses as well as social workers and speech therapists. This median value hides wide variation among countries. For instance, the number of psychiatrists per 100 000 population ranges from 48 per 100 000 in Norway and 24 in Poland to 7 in Bulgaria and 1 in Tajikistan; the median number of psychiatrists is 1 per 10 000 population. The situation is similar for nurses working in mental health care: the median rate per 100 000 population is 23.5, more than twice the median rate of psychiatrists. Other professions make up a minor proportion of the total workforce: child psychiatrists, social workers, occupational therapists and speech therapists together account for less than 2.5%.
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In the European Region, governments spent on aver - age US$ 22 per capita on mental health programmes and services in 2016. Again, however, there is wide variation in expenditure, the median by country group - ing stretching from <US$ 1 per capita in the Newly Independent States to nearly US$ 200 in the countries in the European Union (pre 2004). Despite the massive global economic burden of men- tal health conditions, spending amounts only to 1% of total health expenditure by governments in the WHO European Region. Of this spending, 69% was dedicat - ed to government mental hospitals. Mental health spending is lost annually due to common mental disorders. $ 2019 50 MILLION YEARS 12 MILLION DAYS US$ 1 TRILLION Source: Chisholm et. al (2016), Return on investment analysis, Lancet Psychiatry MENTAL HEALTH SERVICES The combined number of psychiatric beds in all types of inpatient facility - mental hospitals, psy - chiatric units in general hospitals, forensic inpatient units, community residential mental health facilities and mental health inpatient service specifically for children and adolescents - is 93 beds per 100 000 population. Again, there are substantial differences in terms of the type and location of these beds: for exam - ple, in Azerbaijan, there are 38 mental hospital beds per 100 000 population and 5 beds per 100 000 population in community residential facilities. In France, there are 7 mental hospital beds per 100 000 population and 92 beds per 100 000 population in community residential facilities.
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