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Mental Health ATLAS 2024 - Member State Profile Estonia Total population (UN official estimate)1: 1 367 194 WHO Region2: EUR MENTAL HEALTH INFORMATION National mental health survey in last 10 years: Yes Nation-wide digital health records system: Yes Mental health report published in last 2 years: Yes Unique service user IDs in place: Yes MENTAL HEALTH SYSTEM GOVERNANCE AND FINANCING Mental health policies and plans Mental health legislation and standards Stand-alone policy or plan for mental health: Yes Stand-alone law for mental health: Yes (Year of policy / plan): 2022 (Year of law): 2023 Compliance of policy / plan with human rights Compliance of law with human rights (5-point checklist; 4 3 (5-point checklist; 5 = fully in line)3: 5 = fully in line)4: A functioning authority exists to assess compliance of FInancial resources estimated and allocated for Fully mental health legislation Yes implementation of the policy/plan: with human rights standards: Human resources estimated and allocated for Redress mechanism to address grievances and other Fully Yes implementation of the policy/plan: issues related to quality standards or human rights: Specified indicators or targets against which its A registry exists to record incidents of seclusion and No No implementation can be monitored: restraints: Mental health policy/plans across the life-course Stand-alone or integrated mental health policy or plan for Stand-alone or integrated mental health policy or plan Yes Yes children / adolescents: for older adults: Policies and plans to prevent suicide and address stigma Specific suicide prevention strategy: Yes Specific anti-stigma strategy: No Mental health and psychosocial support (MHPSS) in emergencies If yes, dedicated financial & human resources allocated MHPSS system exists for emergency preparedness and/or Yes for MHPSS components of emergency preparedness / Yes disaster risk management: disaster risk management Financial protection policies for mental health Mental health care and treatment included in publicly-funded financial What do majority of people with mental health conditions pay towards the protection schemes: cost of: - Psychosis and biploar disorder Yes - Mental health inpatient services 0-5% - Depression and anxiety: Yes - Mental health outpatient services 0-5% - Psychotropic medicines 0-5% Dedidcated budget line for mental health? - - Psychological therapies 0-5% Mental health expenditure Government mental health expenditure per capita Government expenditure on mental health - - (reported currency): (% of total government health expenditure) 1 UN, 2019. World Population Prospects. https://population.un.org/wpp/ 2 WHO Regions: AFR – African; AMR – Americas; EMR – Eastern Mediterranean; EUR – European; SEAR – South-East Asia; WPR – Western Pacific. 3 Policy/plan compliance with human rights instruments includes 5 self-reported checklist items: 1) community-based care; 2) protection of rights of users & at-risk groups; 3) full range of supports for independent living; 4) recovery & user-driven plans; 5) user participation in decision-making (5 = fully in line) 4 Law compliance with human rights instruments includes 5 self-reported checklist items: 1) community-based care; 2) protection of human rights & legal capacity; 3) Informed consent; 4) ≥2 of: voluntary admission protections / prevention of seclusion-restraint / complaints procedures; 5) Regular human rights inspections (5 = fully in line) MENTAL HEALTH WORKFORCE No. per 100 000 Distribution of mental health workforce Mental health workers (adult services) population Psychiatrists 15.2 Psychiatrists (18.9%) Mental health nurses 24.7 Mental health nurses (30.8%) Psychologists 27.1 Psychologists (33.7%) Social workers 7.8 Social workers (9.7%) Other mental health workers 5.6 Other mental health Total mental health workers 80.4 workers (6.9%) No. per 100 000 Mental health workers (child and adolescent) Training of primary care workers in mental health population Primary care workers receive training on management Child and/or adolescent psychiatrists 6.2 Yes of mental health conditions: Mental health specialists undertake training / Total child / adolescent mental health workers 6.2 No supervision of primary care workers: MENTAL HEALTH PROGRAMMES AND SERVICES Mental health promotion and protection programmes School-based mental health programme Yes At least two functioning programmes (3 point checklist Yes Work-related mental health programme Yes score; ≥ 2 = Yes)5 Integration of mental health into primary health care Essential medications for mental health conditions > 75% Functional integration of mental health into primary available in primary care facilities care (5 self-reported checklist items; ≥ 4 = functional 2 Psychosocial interventions for mental health conditions < 10% integration)6 available in primary care facilities Outpatient care (total facilities) Outpatient care (visits per 100 000 population) Mental health outpatient facilities Visits in last year to mental health 2 0.59 attached to a hospital outpatient facilities attached to a hospital Community-based mental health Visits in last year to community-based - - outpatient facilities mental health outpatient facility Outpatient facilities specifically Visits in last year to outpatient facilities specifically for 1 1 839.93 for children and adolescents children and adolescents Inpatient care (total facilities) Inpatient beds / annual admissions (per 100 000 population) Psychiatric hospitals 2 Psychiatric hospital beds / admissions 13.17 / 132.75 Psychiatric units in general hospitals 6 General hospital psychiatric unit beds / admissions 28.53 / 485.30 Community residential facilities - Community residential beds / admissions -/- Inpatient facilities specifically for children and adolescents 1 Child and adolescent inpatient beds / admissions 5.48 / 164.28 Psychiatric hospitals Psychiatric hospitals (length of stay) Total number of admissions 1 815 Inpatients staying less than 1 year - Involuntary admissions 93 Inpatients staying 1-5 years - Follow-up of people with mental health condition Inpatients staying more than 5 years - discharged from hospital in the last year (discharged 25% or less Percentage of inpatients staying less than 1 year out of persons seen within a month) - total number of inpatients 5 Integration of mental health in primary care includes 5 self-reported checklist items: 1) national guidelines adopted; 2) psychoactive medications available in primary care; 3) psychosocial care available in primary care; 4) primary care workers trained; 5) specialists support training/supervision. (≥4 = functional integration) 6 Functional mental health promotion and prevention programmes includes 3 self-reported checklist items: 1) dedicated financial & human resources; 2) defined plan for implementation; 3) documented evidence of progress and/or impact. (≥ 2 = functioning programme) Saatja: "MHF" <[email protected]> Saaja: "Helen Sõber - SOM" <[email protected]> Teema: EST: Mental Health Atlas Country profiles Kuupäev: 2025-10-17 11:49 Tähelepanu! Tegemist on välisvõrgust saabunud kirjaga. Tundmatu saatja korral palume linke ja faile mitte avada. Dear Colleague, On behalf of WHO, I would like to thank you and your team for your active participation in the WHO Atlas 2024. Your contributions have been essential in developing the global Atlas, which is now published here <https://www.who.int/publications/i/item/9789240114487> , and the draft country profile for your country. The latter is attached for your review and approval. We kindly invite you to carefully review the draft profile and provide any comments, corrections, or confirmation of approval by the 31st October. Your feedback will ensure that the information accurately reflects the country’s inputs before finalization and publication on WHO’s mental health Atlas 2024 website. Please do not hesitate to reach out if you have any questions or require clarification. With appreciation for your continued collaboration, Respectfully, Mental Health Flagship Team WHO Europe