For decades, the policy corridors of Brussels and the national capitals of Europe have echoed with a singular, almost liturgical mantra: we need “cross-sectoral multiprofessional efforts” to combat the decline in youth mental health. YES I agree.
The recent OECD report, Child, Adolescent and Youth Mental Health in the 21st Century, provides the latest empirical weight to this claim, documenting a decade-long deterioration in well-being that predates the pandemic and shows no sign of abating.
But let us be bona fide: unfortunately the call for “multiprofessionalism” is not news. It is, in many ways, an intellectual déjà vu. If repeating the need for collaboration were enough to solve the crisis, our youth would be the most resilient in history.
Instead, we find ourselves caught in a trap of administrative circularity, where the solution seems to be “more of the same” under a slightly different bureaucratic label.
The Measuring Problem: You Get What You Measure
The OECD report highlights a big data gap: fewer than one-third of OECD countries collect regular, representative data on young people’s mental health. Without precise metrics, “cross-sectoral efforts” risk to become vague policy fluff that lacks accountability. We have built systems that measure inputs (how many professionals were in the room?) rather than outcomes (did the child’s resilience actually improve?).
We must be careful, however. You get what you measure. If we only measure clinical diagnoses, we will continue to medicalize what are often structural or existential crises.
The Silo Trap
The report correctly identifies that youth mental health is shaped by a “complex web” of intersecting stressors: digitalization, climate anxiety, and economic insecurity. Yet, our response remains stubbornly siloed. We attempt to “legislate away” problems like bullying or digitalization through bans and top-down regulations, rather than changing the underlying incentives.
I have seen how silos stifle effectiveness. A multiprofessional team is useless if it simply brings five different silos into one room. We need a structural shift, perhaps scarcity can bring about a change for innovative partnership? Adding a new profession like “school coaches” probably only increases the number of adults around the administrative table.
From Bureaucracy to Social Risk Capital
The OECD report calls for “low-threshold” and “peer-supported” services. This is actually where the third sector excels. Unlike the public sector, which is often bound by the rigidity of over-regulation, the third sector can act as a friend—doing what the state cannot and the market will not.
We don’t need more “committees for collaboration.” We need:
- A “One In, Ten Out” approach to regulation: Clear the path for innovative social experiments.
- The 20/50/30 model: Specifically, dedicate 30% of funding to innovation—social risk capital for experiments that challenge the clinical status quo.
- Attention Economy awareness: We must acknowledge, as Jonathan Haidt has, that we are facing a public health challenge driven by algorithms. Simply having a psychologist in a school is a reactive band-aid on a systemic wound.
A Synthesis of Bildung and Can-Do
We often look back at the German Bildung ideal—the holistic development of the individual—as a relic of the past. But it is exactly what we need now. We have over-academicized youth, creating a “pressure to perform” that the OECD report links directly to psychological distress.
Europe’s future depends on a generation that is not just “treated” by a multiprofessional team, but one that is empowered by authority, boundaries, and a sense of individual responsibility. It is time to stop admiring the problem with more reports and start dismantling the bureaucratic silos that prevent real, innovative work from beginning.
Innovation is not a suggestion; it is the only remaining a priori requirement for our survival as a prosperous society.
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