You've come to the right place to understand Psychiatry and Mental Health services in Europe and Emerging Markets. Here is how we can help you:
Detailed research report on Psychiatry and Mental Health services with marketshare and growth rates for 14 countries and information on a further 190 (HBI Intelligence)
Database of 190 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 2024)
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Sector ReportPsychiatry and Mental Health Sector
Updated: February 2024
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.
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With a workforce on its knees, it is little surprise that the prospect of ‘care as a career' is becoming an increasingly difficult reality. HBI speaks to UK mental health and social care provider Priory’s CEO Rebekah Cresswell about the government’s late...
The Dutch competition authority is looking to expand its influence over the healthcare sector, having already attempted to block some smaller M&A deals. HBI speaks to Rune Aresvik, founder of Dutch consultancy firm Vardetun, to understand what tighter regulati...
HBI attended the Global Health Exhibition in Riyadh, Saudi Arabia, and saw first-hand how the country is changing ahead of its 2030 transformation plan. Here are our three key takeaways from the event....
On Wednesday HBI hosted a webinar on the huge opportunities for health care services providers and investors in Saudi Arabia, as the country privatises large swathes of its health care system as part of its Vision 2030 plan to reform and diversify its economy....
The UK’s largest for-profit hospital group by revenue, Spire Healthcare, this week acquired London-based mental health specialist Vita Health Group in a £74m cash deal. HBI hears there are significant opportunities in outpatient areas like mental health for...
Last week, Amanat Holdings announced the return of Howard Podolsky to Cambridge Medical Rehabilitation Center. HBI caught up with the ‘new’ group CEO to hear about current challenges and opportunities in the Middle East and what is different this time arou...
Who are the Global Top 50 Health Care Service Companies by market cap and what does this tell us about the industry? What is striking is how very few of the top 50 are now EMEA companies - just 13, and of those only four are headquartered in Europe, rather tha...
University hospitals are helping to create a more holistic, 360° understanding of the patient experience. With increasing needs and static budgets, population health management could be the only way forward. A panel at HBI 2023 considered the options....
Database of 190 Psychiatry and Mental Health service providers
HBI has built a unique database of the Top 4,000 operators globally in health care services. As part of this, we have identified the top 190 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 2024 – 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.
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