Perceptions of Mental Health and Mental Health Care in Luxembourg: A High-Income Country

Abstract Mental health care in high-income countries can have various rates of usage due to differences in accessibility, modality of psychotherapy, and potential stigma surrounding mental health (Alonso et al., 2004). This study aimed to explore perceptions of mental health and mental health care, stigma for mental illness, and perceived change in mental health due to COVID − 19 pandemic in a high-income country with relatively easy access to basic mental health care. An anonymous survey was sent to individuals who are 18 years and older and resident of Luxembourg, a small country in Europe ( N = 56). Participants were asked a series of open-ended and forced choice questions. Descriptive statistics were calculated for forced-choice questions and inductive content analysis was used to analyze the open-ended responses. Participants defined mental health in a variety of different ways, and a majority reported receiving mental health services. There was no significant difference in participants’ ratings of mental health before and during the COVID-19 pandemic. Mental health professionals were relatively easy to find and were considered somewhat helpful, though participants also reported some stigma towards mental illness. Benefits and challenges of in-person and virtual therapy showed points of crossover and potential for further research. The current findings inform the broader literature on mental healthcare with implications for improving care in high-income countries.