{'fraction_non_alphanumeric': 0.022144021972362888, 'fraction_numerical': 0.003433181701141533, 'mean_word_length': 5.502232142857143, 'pattern_counts': {'":': 0, '<': 0, '<?xml version=': 0, '>': 0, 'https://': 0, 'lorem ipsum': 0, 'www.': 0, 'xml': 0}, 'pii_count': 0, 'substrings_counts': 0, 'word_list_counts': {'cursed_substrings.json': 0, 'profanity_word_list.json': 0, 'sexual_word_list.json': 0, 'zh_pornsignals.json': 0}}
2.M. Round table: Supporting mental health of the health workforce: Recommendations from an EC Expert Panel (EXPH)

Abstract   The Expert Panel on Effective ways of investing in health (EXPH) is an interdisciplinary and independent group established by the European Commission to provide non-binding independent advice on matters related to effective, accessible and resilient health systems. In a prior opinion on resilient health and social care following the COVID-19 pandemic, the EXPH recommended that aggravated levels of psychological distress should be recognized as a public health priority. In January 2021, EXPH received a mandate to examine what is known about interventions to support the mental health needs of essential workers, with a particular emphasis on the health workforce. The objective of this workshop is to present and discuss the findings and recommendations from the Opinion on this matter. The value added offered by this workshop is three-fold. First, it offers a multidisciplinary perspective on the mental health of the health force. Second, its findings on promising and/or effective interventions are evidence-based. Third, it provides a pan-European consensus opinion on a path forward towards providing support to this vulnerable group at multiple levels - from European and national policy to senior managers to occupational and mental health practitioners. The workshop will consist of 4 5-to-10-minute presentations from EXPH members and Opinion collaborators. After the first two presentations, there will be a brief 7-minute reaction session with the audience. After the last presentation, 15-20 minutes will be spent engaging in interactive discussion between the workshop panel members and the audience using a series of prescribed discussion questions. In the first presentation, the chair of the Opinion will introduce the EXPH and its collaborators and provide an overview of the mandate. In the second presentation, the conceptual framework for responding to the questions posed by the European Commission and key determinants of mental health in the health workforce will be presented. The third presentation will describe cost-effective and promising interventions relative to mental health of the health workforce and then detail conditions for the cost-effective, affordable, and inclusive. The fourth and final presentation will address the recommendations and corresponding action points garnered from this work. The interactive discussion questions to be posed to the audience include: To what extent do you see these recommendations as valuable? Has anything important been overlooked? What changes in public health research and practice are needed to effectively support the mental health of the health workforce? Key messages Appropriate guidance frameworks needs to be established, in some cases deserving legal status, to clearly establish mental wellbeing as an important workplace responsibility within organisations. The organisation, as opposed to the individual worker, is to be held accountable for worker wellbeing.


Background:
Health literacy of schoolchildren has been recognized as an important target for school health promotion. Yet, the environmental and organizational health literacy (OHL) capacities of the school setting has not been addressed so far. The aim of this project is to adapt the ''health literate organization-approach'' to school settings, including a selfassessment tool to measure the OHL capacity of schools. In terms of sustainability, intersections and links with the health promoting school will be explored.

Methods:
The adaption work is carried out by a cooperative and intersectoral approach including different experts from the school setting, the education sector (teachers, principals), and health experts in various circulating phases of commenting, revision and feedback. We jointly developed attributes and indicators of the health literate school, see fit to integrate the concept into the health promoting school framework and consider gender and diversity aspects critical to health literacy. To assess the degree of OHL, school principals will fill out a survey based on a self-assessment tool.

Results:
The health literate school concept comprises of eight dimensions, addressing aspects of OHL development including the organisational level (policies and structures enabling health literacy development), the personal level (promoting student health literacy and in school staff), the classroom and education level (materials and principles for classroom learning) as well as networking and cooperating with relevant actors (parents). The assessment of OHL is currently being prepared.

Conclusions:
This is the first-time adaption of the OHL concept to schools in Germany, including its assessment. The health literate school shares various intersections with the health promoting school framework, which is partly being implemented in Germany. This systems approach will facilitate both the uptake and promotion of health literacy in students, teachers, and principals. The Expert Panel on Effective ways of investing in health (EXPH) is an interdisciplinary and independent group established by the European Commission to provide non-binding independent advice on matters related to effective, accessible and resilient health systems. In a prior opinion on resilient health and social care following the COVID-19 pandemic, the EXPH recommended that aggravated levels of psychological distress should be recognized as a public health priority. In January 2021, EXPH received a mandate to examine what is known about interventions to support the mental health needs of essential workers, with a particular emphasis on the health workforce. The objective of this workshop is to present and discuss the findings and recommendations from the Opinion on this matter. The value added offered by this workshop is three-fold. First, it offers a multidisciplinary perspective on the mental health of the health force. Second, its findings on promising and/or effective interventions are evidence-based. Third, it provides a pan-European consensus opinion on a path forward towards providing support to this vulnerable group at multiple levelsfrom European and national policy to senior managers to occupational and mental health practitioners. The workshop will consist of 4 5-to-10-minute presentations from EXPH members and Opinion collaborators. After the first two presentations, there will be a brief 7-minute reaction session with the audience. After the last presentation, 15-20 minutes will be spent engaging in interactive discussion between the workshop panel members and the audience using a series of prescribed discussion questions. In the first presentation, the chair of the Opinion will introduce the EXPH and its collaborators and provide an overview of the mandate. In the second presentation, the conceptual framework for responding to the questions posed by the European Commission and key determinants of mental health in the health workforce will be presented. The third presentation will describe cost-effective and promising interventions relative to mental health of the health workforce and then detail conditions for the cost-effective, affordable, and inclusive. The fourth and final presentation will address the recommendations and corresponding action points garnered from this work. The interactive discussion questions to be posed to the audience include: To what extent do you see these recommendations as valuable? Has anything important been overlooked? What changes in public health research and practice are needed to effectively support the mental health of the health workforce? Key messages:

2.M. Round
Appropriate guidance frameworks needs to be established, in some cases deserving legal status, to clearly establish mental wellbeing as an important workplace responsibility within organisations. The organisation, as opposed to the individual worker, is to be held accountable for worker wellbeing.
Introduction to the Expert Panel on Effective ways of investing in health (EXPH) and its mandate Mental health is influenced by a complex interplay of determinants. At work, these include both non-occupational and occupation-specific factors that interact. Following a particularly stressful event, an individual may face a possible deterioration in their mental health. There are various trajectories. The individual can respond or cope effectively and maintain his/her current level of mental health. If the stressor is intense, severe, and/or prolonged, deterioration in mental health may result. The level of deterioration depends on prior mental health and the interaction of non-occupational and occupation-specific factors. A recovery in mental health from the stressor may occur spontaneously or some form of intervention may be needed. Intervention could help to mitigate the appearance of a stressor (primary prevention), to mitigate impact of the stressor on mental health and/or ensure a rapid recovery from the stressor (secondary prevention), and/or decrease the rate of deteriorating mental health (tertiary prevention). Work-related risk factors related to mental health in the health workforce include issues related to role, relationships, control, demand, job-related factors, organizational environment, career-related factors, and interaction with non-work factors. Exposure-related concerns, burnout, and moral injury have received considerable attention during the COVID-19 pandemic.
Cost-effective and promising interventions relative to mental health of the health workforce and their delivery conditions

EXPH members and Opinion collaborators
Effective interventions to protect mental health of the health workforceare likely to be complex and multi-faceted, addressing modifiable risk factors to be implemented across multiple levels. In the context of the Opinion development, evidence from multiple sources, encompassing best practices, guidelines, toolkits, among others, was reviewed. This allowed for the identification of coordinated integrated approaches. Due to potential stigma and discrimination, efforts in the workplace to support mental health should be accompanied by due consideration of legal and ethical responsibilities. The excess burden of mental health issues in the health workforce is welldescribed, however assessing cost-effectiveness of interventions to address them remains complex given the challenges in quantifying the impacts to assess (economic, societal, ethical, etc.). Organisational delivery conditions are conceptualized in this Opinion using an implementation science framework, which posits that the success of implementation depends on how its delivery is organised and is context dependent. Contextual factors such workplace culture and leadership can largely influence implementation outcomes, whereas resource constraints and barriers, as well as facilitators are also examined. Specifically, we identified several core conditions for the delivery of mental health services. With respect to the intervention, meeting and adapting to evolving user needs is important, as well as assessing the role of stigma, whilst ensuring those with a history of mental health and/or predisposing factors are not targeted. Many delivery conditions focused on the workplace and included ensuring safe space and processes (e.g., for help-seeking) and fostering an environment of trust; training in mental health assessment and key delivery conditions for occupational health practitioners and managers 14th European Public Health Conference 2021