(Not) Talking Through Mental Health Problems

Roger Prudon

No 439877487, Working Papers from Lancaster University Management School, Economics Department

Abstract: To increase the uptake of mental health care and reduce the burden of mental health, many countries have introduced programs offering easily accessible talk therapy. Despite their widespread introduction and continued expansion, causal evidence on these programs’ effectiveness s is lacking. I estimate the impact of a Dutch program that introduced talk therapy provided by nurse practitioners at GP practices nationwide. The reform increased talk therapy uptake by 6 percentage points among individuals seeking care but also widened existing disparities in care utilization. The increased take-up of talk therapy did not significantly improve the health and employment outcomes of patients.

Keywords: Mental Health Care; Talk Therapy; Employment; Health Care Inequalities (search for similar items in EconPapers)
Date: 2026
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