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HEALTH

Aarhus to offer vegan food at elderly care homes, daycares

A majority of members on the city council in Aarhus support a motion to make vegan food an option at all institutions under municipality auspices.

Aarhus to offer vegan food at elderly care homes, daycares
File photo: Henning Bagger/Ritzau Scanpix

The city council leadership will vote on the proposal on Wednesday this week, media including Politiken and TV2 Østjylland report.

The three left wing parties backing the proposal – the Social Liberals, Alternative, and the Red Green Alliance – have a majority with 16 of 31 members on the council, meaning the vegan option is likely to become reality.

Aarhus City Councillor Liv Gro Jensen of the Alternative party said that the measure was an important step in the city reaching of its goal of becoming carbon neutral by 2030.

“Meat plays a major role in climate considerations so we naturally want to make a statement as a municipality by offering our residents plant-based food,” Jensen told Politiken.

All municipality-run institutions, including elderly care homes and daycares for pre-school children, will offer plant-based meals, while meat and dairy products will also still be on the menu.

“This is first and foremost about giving residents a choice that can assist our municipal agenda,” Social Liberal councillor Eva Borchhorst Mejnertz told Politiken, adding that she didn’t think the proposal would “do very much harm”.

But adding vegan food to menus at places like elderly care homes will not be of benefit unless there is demand for it, Danish People’s Party (DF) councillor Jette Skive, an advisor on the health and social care board, said.

“At care homes, residents pay for their own food, and they will have the food they want. If there is demand for plant-based food, then efforts should be made to meet that demand, but at the moment that’s not the case at our care homes,”Skive told Politiken.

Skive also said that she would not support plant-based foods at daycares until there was scientific unanimity over whether it was healthy for children have an exclusively plant-based diet.

“Until science is in agreement, I think we should rein things in and wait before making changes like this,” she said.

READ ALSO: Denmark presents plan to get kids eating healthier food

For members

HEALTH

Why does it take so long in Denmark to see a psychologist or therapist?

An average of one in four patients has had their referrals to mental health services rejected in several of Denmark's regions. We take a look at how to navigate Denmark's mental health system and why it is under pressure.

Why does it take so long in Denmark to see a psychologist or therapist?

According to papers seen by DR News, thousands of patients have had their referrals to mental health services rejected, even though they came from a doctor.

In the region of Zealand, 36 percent of referrals were rejected up to and including April this year. In the capital region, just over a quarter of referrals were rejected. This equates to 3,500 out of 12,000 referrals being rejected in the two regions.

In the southern region, 13 percent of referred patients were rejected, according to the latest figures from last year. The Central Jutland region and North Jutland region do not register their referral rejections, but according to Danish Regions, the picture is the same throughout the country.

“Psychiatry simply does not have the capacity to treat all those in need. The consequence is that people do not get the help they need, and in the long run I actually think that people end up giving up”, chairman of the patient organisation Psykiatrifonden’s, Torsten Bjørn Jacobsen, told DR.

There may be other explanations for the referral rejections, for example if a reference is not filled in correctly. But the Danish Psychiatric Association told DR news that the lack of resources in mental heath services is the most common reason.

How can I access mental health support in Denmark?

If you are in urgent need of help, there are emergency mental health services available on-demand throughout Denmark. 

If it’s not an emergency, the first step for residents in Denmark with a CPR number is to make an appointment with your doctor, who can then refer you to mental health services.

Mental healthcare in Denmark is not free. You may however be entitled to a subsidy of 60 per cent, depending on your situation. A doctor’s referral can grant between 12 and 24 subsidised sessions.

As of the second half of 2021, young people between the ages of 18 and 24 can receive free psychological treatment for mild to moderate anxiety and depression.  

Residents who don’t qualify for a subsidy, have to pay themselves for psychological treatment or therapy. If you’re paying yourself, average hourly fees range from 600 kroner to 1,200 kroner, and many offer reduced rates for students and those on lower incomes. Group therapy also offers a less expensive option.

It is worth nothing that the public subsidy applies to psychologists, it doesn’t apply for sessions with psychotherapists or therapists.

Morten Ronnenberg, secretary general of the Depression Association (Depressionsforeningen) recommends reaching out to an organisation related to the particular problem you’re facing. For example, his organisation can offer advice and recommendations for people suffering from depression. There are also some national associations that offer free psychological counselling.

You can search for psychologists with provider numbers using psykologeridanmark.dk or sundhed.dk.

Psychologist, psychotherapist or therapist?

Therapists and psychotherapists don’t require a license or qualifications, while psychologists in Denmark must have a degree, and authorised psychologists must have both a degree and experience. 

Debbie Quackenbush, who owns the practice The Little White House in Copenhagen, told The Local it’s important to know the difference between therapists and psychologists in Denmark. “I know some good psychotherapists in town, but they are less regulated,” she said.

Why is there a delay in accessing mental health services in Denmark?

When it comes to publicly subsidised depression and anxiety treatment, each psychologist has an upper limit that they can request reimbursement, currently around 305,000 kroner per year. That means they can only accept so many publicly subsidised patients facing those challenges. 

There are also a limited number of psychologists on the public system. This means there can be long waiting lists.

“We would love to accept public patients, but Denmark has a closed referral system and it’s very hard to get on their provider panel,” Quackenbush from The Little White House told The Local. 

She explained that the rationale behind limiting the number of psychologists on the public system is to guarantee them work.

“It’s an incentive to take public clients, since those are paid at a lesser rate. You get paid less, but you’re set for life and you never have to market your services again,” she told The Local.

The Depression Association is working to increase the number of public psychology licenses.  “Until we do that, we will continue to see this pressure on the market,” Ronnenberg from the association told The Local. 

Going private 

Private insurance use is increasing in Denmark, and access to mental health services is a driving factor. A recent analysis by insurance company Forsikring & Pension has found that the majority of private insurance is paid by employers. If that includes your employer, you can benefit from faster access to a broader network of psychological help.

“Most insurance companies will point you to a psychologist within their own network,” Berit Mus Christensen told The Local. She’s an authorised psychologist with her own practice in Aarhus. 

“Should there be special reasons such as language barriers or other individual concerns, it may be possible to choose your own psychologist,” Christensen said, and she suggested checking the terms of your insurance for specific information.

Sundhed.dk points out that some unions cover full or partial psychological treatment for work-related crises.

Denmark’s ten-year plan to improve mental health care

The Danish Psychologists’ Association (Dansk Psykolog Forening) is working alongside Denmark’s Ministry of Health on a 10-year plan to improve psychiatric care in Denmark, including better and more timely treatment.

According to a study from the National Board of Health (Sundhedsstyrelsen), the number of patients seeking hospital care for mental illness has increased 30 percent in the past 10 years. That’s more than double the 13 percent increase among those seeking care for physical diseases, like diabetes or cardiovascular disease.

The proposal follows a 2019 statement where the Social Democrats, Social Liberals, Socialist People’s Party and Unity Party agreed on the need to establish a 10-year plan with binding goals for improving psychiatric care in Denmark.

The binding goals include a reduction in readmissions, reduced waiting times, and an increase of the average life expectancy of citizens with mental illness. The parties also identified the need for more preventative care and psychological help to younger individuals. 

Health Minister Magnus Heunicke has called for negotiations to start in September, but is open to bringing them forward.

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