Template-Type: ReDIF-Paper 1.0 Author-Name: Roger Prudon Author-Name-First: Roger Author-Name-Last: Prudon Title: (Not) Talking Through Mental Health Problems Abstract: To increase the uptake of mental health care and reduce the burden of mental
health, many countries have introduced programs offering easily accessible talk
therapy. Despite their widespread introduction and continued expansion, causal evidence on these programs’ effectiveness s is lacking. I estimate the impact of a Dutch program that introduced talk therapy provided by nurse practitioners at GP practices nationwide. The reform increased talk therapy uptake by 6 percentage points among individuals seeking care but also widened existing disparities in care utilization. The increased take-up of talk therapy did not significantly improve the health and employment outcomes of patients. Creation-Date: 2026 File-URL: http://www.lancaster.ac.uk/media/lancaster-university/content-assets/documents/lums/economics/working-papers/LancasterWP2026_001.pdf File-Format: application/pdf Number: 439877487 Classification-JEL: Keywords: Mental Health Care, Talk Therapy, Employment, Health Care Inequalities Handle: RePEc:lan:wpaper:439877487