Psychiatry and Mental Health sector across EMEA

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  • Detailed research report on Psychiatry and Mental Health services with marketshare and growth rates for 14 countries and information on a further 115 (HBI Intelligence)
  • Database of 115 Psychiatry and Mental Health service providers, including profile and major external investors (HBI Intelligence)
  • Merger and acquisition (M&A) intelligence showing likelihood of sale (HBI Intelligence)
  • News stories and interviews with Psychiatry and Mental Health operators (HBI Deals and Insights)
  • Events that cover healthcare services globally including Psychiatry and Mental Health (HBI 2020)
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Sector Report
Psychiatry and Mental Health Sector

Updated: May 2020

Executive Summary

EXECUTIVE SUMMARY
 
Impact of Covid-19 
 
We are in the process of analyzing the impact of Covid on the sector and we should have updates for every country’s growth forecasts for 2020 and 2021 by end of May. This is a partially elective sector and there has been a strong short-term impact which we have already reported in news. A serious recession will further hit demand and leave many investors breaking their bank covenants.
 
We are seeing huge changes in this vast field. AI-driven chatbots such as Woebot which can deliver cognitive behavioural therapy are available today. Elsewhere humans are delivering low cost therapy over digital platforms.

Meanwhile the inpatient psychiatric sector is seeing massive change as patients demand choice and treatments which are more holistic and less drug driven. Whilst for-profit remains tiny in most of Europe outside of the UK, Germany and France, things are changing rapidly.
Defining and sizing the Sector
For-profit psychiatry and mental health services encompass a wide spectrum of care. On one end, there is the traditional inpatient model for severe illness. These beds can be secure (patients must be discharged before leaving, and the institution in question has a licence to restrain them) or non-secure.
At the middle point of this spectrum, between inpatient and outpatient care, there exist a plethora of rehabilitative models such as care homes with a focus on social reintegration, or ambulatory care in the form of day or night hospitals.
Outpatient care encompasses psychotherapy and preventive treatment for the least severe diagnoses - patients have access to psychotherapy and counselling from a variety of small businesses on what is the most fragmented area of the market.
Psychiatry and mental health remain far more nebulous than other healthcare service sectors. Services, illnesses and outcomes are defined differently from country to country.
The for-profit sector only exists at scale in the UK, compared to the rest of Europe. It is largely excluded from psychiatry in the Nordics but is alive and well in France and Germany where it is beginning to mature.
Social acceptability also determines market size and opportunities. The very notion of psychiatric diseases is taboo across the Middle East and far less accepted and discussed in CEE or Russia than in Western Europe.  
Main Trends
Below is an example of one of the main trends in the psychiatry and mental health sector.
For full details on the trends, including data and interviews with key players, see the full report. See the table of contents for details on what you can expect to see in the report.
Move to outpatient
The innovation of inpatient services, whether by necessity or a demand for alternatives, is seen to be further fuelling a decades-long sector move from inpatient to outpatient care.
Typically, for-profit outpatient deals with less severe mental illness and is usually provided by networks of independent therapists or a number of small, unconsolidated businesses. Though this differs in the Nordics, where big occupational health providers such as Praktikertjanst in Sweden or Terveystalo in Finland have begun providing outpatient psychotherapy to employers.

In France, the evolution of psychiatric inpatient toward outpatient is a must, according to Emmanuel Masson, CEO of Clinea. The state has stopped issuing licences for new beds, thus restricting inpatient organic growth, so companies must find innovative ways to evolve.
“We need to develop alternatives to hospitalisation such as day hospitals,” says Masson. “We are also focusing on long-term psychotherapeutic intervention and non-medicalised treatments to help patients with severe depression become more independent, for instance.”
A source in the UK tells us “there has been a continued disinvestment in inpatient psychiatric care so that it stops being therapeutic and starts being risk management. So we are now seeing a shift from inpatient care to preventive treatment in the community. A local authority and psychiatric hospital in London, for example, have created a joint venture to this end.”
Challenges and Opportunities
Below is an example of one of the opportunities in the psychiatry and mental health sector.
For full details on challenges and opportunities, including data and interviews with key players, see the full report. See the table of contents for details on what you can expect to see in the report.
Does digital really work?
Research published in the British Medical Journal has shown that people with more severe forms of depression do not engage with digital treatment. And those with chaotic lives and more complex illnesses stand no chance of benefiting from apps and digital CBT. So what traction is digital mental health services really likely to get?
Despite their limitations, there are patients who can and do benefit from services. These are patients who present with relatively easy to cure illnesses, who, once treated, no longer compete for the public sector’s meagre therapist resources, allowing these to be better allocated.
Digital services can also do more than provide therapy - they can diagnose mental illness and help determine the best treatment options for patients, bypassing primary care.
Sample report pages and data
 
What we offer
 
-       Instant overview of the EMEA psychiatry and mental health market and players This report gives you visibility of this important, fast-growing market across 21 countries as well as detailed profiles of the Top 50 players.
 
-       Ever green!  Updated throughout your subscription As part of our HBI intelligence platform this report is updated throughout the period of your subscription. You will also receive additional news stories and interviews on psychiatry and mental health services throughout the period.
 
-       Insights on business models The report is based on in-depth interviews with many operators. The report also looks at how imaging services players can best build customer loyalty.
 
-       Identify national opportunities We assess opportunities at national level based on the regulatory environment and proposed reforms.
 
-       Size markets This report enables you to swiftly see market sizes and market shares
 
-       Save time and money This report will save you weeks researching these opaque markets and enable you to swiftly identify investment opportunities, new partners and markets.
 

Table of Contents

Table of Contents
EMEA overview
 
Datasets  
Size of EMEA market 2018
Marketshare of major EMEA players 2018
Comparison of market sizes 2018
Comparison of market growth rates 2016-2020
 
Introduction
 
Defining and sizing the Sector
 
Main trends
                                    - i) Move to digital services
                                    - ii) Move to outpatient
                                    - iii) Inpatient sector: Patient choice and innovation  
                                    - iv) Outsourcing
                                    - v) A move to value-based healthcare payments?
                                   
Challenges and Opportunities
 
                                    - i) Does digital really work?
                                    - ii) The public sector: challenges and opportunities  
                                    - iii) Payment system changes
                                    - iv) Further opportunities
 
 
Denmark
 
Data sets
For-profit /private market size and growth rates 2016-2020
Marketshare of major players 2018
 
Market description and trends.
 
Finland
 
Data sets
For-profit /private market size and growth rates 2016-2020
Marketshare of major players 2018
 
Market description and trends.
 
France
 
Data sets
For-profit /private market size and growth rates 2016-2020
Marketshare of major players 2018
 
Market description and trends.
 
Germany
 
Data sets
For-profit /private market size and growth rates 2016-2020
Marketshare of major players 2018
 
Market description and trends.
 
Italy
 
Data sets
For-profit /private market size and growth rates 2016-2020
Marketshare of major players 2018
 
Market description and trends.
 
Netherlands
 
Data sets
For-profit /private market size and growth rates 2016-2020
Marketshare of major players 2018
 
Market description and trends.
 
Norway
 
Data sets
For-profit /private market size and growth rates 2016-2020
Marketshare of major players 2018
 
Market description and trends.
 
Russia
 
Data sets
For-profit /private market size and growth rates 2016-2020
Marketshare of major players 2018
 
Market description and trends.
 
Spain
 
Data sets
For-profit /private market size and growth rates 2016-2020
Marketshare of major players 2018
 
Market description and trends.
 
Sweden
 
Data sets
For-profit /private market size and growth rates 2016-2020
Marketshare of major players 2018
 
Market description and trends.
 
Switzerland
 
Data sets
For-profit /private market size and growth rates 2016-2020
Marketshare of major players 2018
 
Market description and trends.
 
United Arab Emirates
 
Data sets
For-profit /private market size and growth rates 2016-2020
Marketshare of major players 2018
 
Market description and trends.
 
United Kingdom
 
Data sets
For-profit /private market size and growth rates 2016-2020
Marketshare of major players 2018
 
Market description and trends.
 

Psychiatry and Mental Health News & Interviews

Our indepth stories dig deep and cover profit multiples, revenue, EBITDA and CEO thinking.

162 news stories on Psychiatry and Mental Health.

Gren quits Ambea: "There are many Covid turnaround opportunities" 5d ago

After 9 years at the helm, Fredrik Gren, 52, has stepped down as President and CEO of Scandinavian care group Ambea. We talk to him about next steps....

COVID-19 and Emerging Market healthcare 2mo ago

We talk to two of the world's largest investors in emerging market health care about Covid's likely impact. Despite so far much lower death rates, the initial effect on health care operators has been worse than in Europe. Covid is set to destroy several motors f...

Homebound boost online mental health platforms 2mo ago

Much of the world’s workforce is sat working from home and many others are out on the frontline, either in hospitals or retail. That is presenting new potential customers for a host of online mental health services across Europe as they seek to plug the gap ...

Exclusive prediction: Pandemic reaching turning point in Europe? 3mo ago

An exclusive analysis by Chinese insurance giant Ping An suggests COVID-19 cases could reach a turning point in the next few days, hitting the peak of new confirmed cases by later this week / early April,  with that figure set to fall thereafter....

Attendo and Ambea's FY2019 results show there's room for improvement 4mo ago

Shares in listed Nordic care groups Attendo and Ambea dropped on publication of their FY2019 results - but there was reason to be positive for both companies....

Schoen Klinik bidding for Priory Group 4mo ago

HBI understands German psychiatric operator Schoen Klinik is looking to buy Priory Group, the UK's largest psychiatric provider by revenue. The German contender would be a good fit for the company which has been on the block for almost a year. We talk to a mark...

Orpea's shares reach all time high as FY growth announced 5mo ago

Global nursing home, rehabilitation and psychiatry provider Orpea has announced strong growth ahead of its full FY results. The company's share price has risen to an all-time record high....

Orpea founder sells his shares 5mo ago

Founder and ex-chairman of global nursing home operator Orpea, Jean-Claude Marian, has sold his stake in the company, potentially pocketing €450m....

IMs for The Priory in Q1 - but who will buy? 6mo ago

Advisors tell HBI that US-listed group Acadia's sale of UK psychiatry provider The Priory is certain to go ahead this quarter - with investment memorandums (IMs) possibly out in the next few weeks....

Database of 115 Psychiatry and Mental Health service providers

HBI has built a unique database of the Top 3,700 operators globally in health care services. As part of this, we have identified the top 115 Psychiatry and Mental Health operators in Europe and will soon add the major players in Emerging Markets.

Profiles include revenue/sales data as well as EBITDA and other profit margins where known. They also cover private equity ownership with dates and mergers and acquisitions.

Mergers & Acquisition (M&A) Intelligence

Our deal pipeline shows how likely all private equity and some privately companies are to sell based on algorithms and journalistic know-how.

HBI 2020 – the only CEO-level conference to cover healthcare services globally

HBI 2020 – the only CEO-level conference to cover healthcare services globally
 
In 2019 this event brought together 700 delegates from over 40 countries. Over 60% are CEO level and they included 150 specialist investors in health care services. HBI 2020 includes a session on mental health, where a panel of CEOs and Medical Directors from international operators will discuss how inpatient care is evolving, the impact of digital health and the emergence of international groups in the psychiatry sector.
 
Other sessions look at trends in the investment and merger and acquisition, digital health and telehealth.  
 
 
Contact us in the UK on 0207 183 3779 for more information.