It has been a significant week for youth mental health in Ireland and across Europe. The European Parliamentary Research Service (EPRS) has just released a major new report: Mental health of young people in a digital era. The findings are stark, detailing the unique modern pressures on our youth, but the report also brings validating news for our community: Jigsaw’s youth hub model is highlighted in the report as a leading, successful example of how to properly support young people.
The “Missing Middle” and the cost of inaction
The report paints a worrying picture of the escalating pressures facing young people. Currently, almost one in five young people in the EU lives with a diagnosable mental disorder, with anxiety and depression leading the burden. Furthermore, adolescents are increasingly struggling with sub-clinical distress—such as sleep disruption and low self-esteem—exacerbated by the digital environment, including persuasive platform designs and algorithms that promote harmful content.
One of the most critical structural issues identified by the EPRS is the “missing middle”. Mental health systems across Europe are frequently structured to treat only acute, severe crises. This leaves a massive gap for adolescents experiencing mild-to-moderate psychological distress, who often languish on long waiting lists or receive no formal support until their condition deteriorates. The socioeconomic cost of ignoring this missing middle is staggering: if we maintain the current status quo, youth mental ill-health will cost the EU economy an estimated €1.68 trillion over the next decade.
Jigsaw’s approach: A blueprint for Europe
This is exactly the gap Jigsaw exists to fill, and we are immensely proud to see our work recognized as a “mature” and effective community intervention model at the European level. In its assessment of solutions, the report praises Jigsaw for providing an essential intermediate tier of early care.
The EPRS highlights our core model: providing free, brief, primary-care-level talking therapy designed to build coping skills and prevent early distress from becoming entrenched. Crucially, the report champions our low-threshold accessibility. By allowing young people aged 12-25 to self-refer—bypassing the need for a general practitioner referral—we remove massive administrative barriers and accelerate access to non-stigmatizing care.
We see the daily impact of this approach across our 14 regional services. It is incredibly validating to see the report cite our strong outcome data, noting that between 62% and 68% of Jigsaw participants show reliable and clinically significant improvements in their psychological distress. The report also emphasizes the strength of our multidisciplinary teams—which include psychologists, social workers, and youth workers—and our integration with local schools and primary care providers.
Moving forward with the recommendations
To turn the tide on this crisis, the EPRS report proposes six core EU-level policy options. Notably, Option 2 calls for a dedicated EU framework to support “youth-friendly early-intervention services” or youth hubs—directly mirroring the Jigsaw model. It recommends exactly what we have built: low-threshold access, multi-disciplinary care, and youth-centered environments.
We have long advocated that community-based, youth-friendly support should be the standard everywhere. This European recognition is a profound testament to the dedication of our staff and the young people who inspire us. Now, it is time to use this momentum to ensure that every young person in Ireland has a safe place to turn to when the digital and offline worlds become too much.
