Mental health is one of the most critical public health challenges of our time, affecting nearly one billion people worldwide and contributing to the strain on national health care systems around the world. While traditional treatments such as therapy and medication remain essential, there is growing recognition of the power of sport—particularly football given its global popularity—in supporting mental well-being. The European Culture and Sport Organization (ECOS) is at the forefront of this movement, using football to promote social inclusion, emotional resilience and psychological recovery. Founded in 2017, ECOS runs projects that integrate football into mental health programs, demonstrating how the game can help alleviate anxiety and depression, rebuild self-confidence, and foster a sense of belonging for those who often feel excluded from society.
In an interview with ECOS President Valerio Di Tommaso, we explore how football provides the conditions necessary to improve both physical and mental health. More than just a sport, football offers structure, routine, and social connection—key elements in maintaining emotional well-being. Programs such as Crazy for Football and the European Alliance for Sport and Mental Health (EASMH) have shown that regular participation in football can enhance mood, lower stress levels, and create safe spaces where individuals can feel supported. For people experiencing social marginalization—such as those with mental health conditions, refugees, or young offenders—football serves as a bridge back into the community, breaking down stigma and offering a renewed sense of purpose. As discussions continue about the role of football clubs in society, ECOS’s work provides compelling evidence that sport should be recognized as a vital component of mental health care, not just in Europe but globally.
Bonito: Valerio, thanks so much for joining us on the Bonito platform!
Valerio: Thanks so much for having us- we are always happy to collaborate with Bonito and talk about the beautiful game.
Bonito: Could you please tell us a bit about the background of the European Culture and Sport Organization (ECOS)- when and why was it founded and how it works?
Valerio: The European Culture and Sport Organization (ECOS) was established in 2017 and is recognized by the Italian National Olympic Committee (CONI) through its affiliation with the sports promotion body OPES, which aims to develop projects and initiatives related to sports, culture, and all transversal activities—both direct and indirect—that use sports and culture as tools for economic and social growth.
Our main focus at ECOS is to carry out national, European, and international projects aimed at fostering integration and psychosocial well-being, preventing and combating individual difficulties and various forms of marginalization, with a special focus on minors, young people, and all socially vulnerable individuals.
The organization is particularly active in European programs and operates in various thematic areas, with a special focus on using sports and culture to enhance the psychological and physical well-being of individuals facing psychosocial challenges. The primary beneficiaries of ECOS projects are people experiencing hardship and social marginalization, such as individuals with mental health issues, young offenders, refugees, and immigrants.
Each project is implemented by a team of professionals based on the studies and research of a scientific committee composed of experts in the medical, sports, and social fields. The projects are carried out in partnership with universities, organizations, and national, European, and international institutions to achieve the best possible results in each specific area of action.
Bonito: The World Health Organization (WHO) highlights that nearly 1 billion people globally experience some form of mental health disorder. Yet, mental health often receives significantly less attention and resources from governments compared to physical health, despite the clear connection between the two. In this context, what role can sports play in bridging this gap and supporting mental well-being?
Valerio: Sport can play a fundamental role in bridging the gap between mental and physical health, serving as a powerful tool for holistic well-being. Firstly, physical activity is recognized as an effective means to reduce stress, improve mood, and prevent anxiety and depression. By triggering the release of endorphins and other beneficial neurotransmitters, sport contributes to enhancing mood and alleviating symptoms associated with mental health disorders.
Moreover, sport fosters social inclusion and strengthens community bonds, providing individuals with a sense of belonging and support. In vulnerable contexts, such as for young offenders, refugees, or individuals with mental health issues, sport creates a safe space to experience positive relationships, develop personal skills, and rebuild self-confidence.
From a prevention perspective, sport can be integrated into mental health promotion programs, both as part of therapeutic interventions and as a tool for raising awareness. Through structured activities combined with psycho-educational approaches, it is possible to reduce the stigma surrounding mental health and drive cultural change in how these issues are perceived.
Bonito: Your organization stands out for its diverse range of EU-level programs centered on sports and mental health, including initiatives like Crazy for Football, Dream Euro Cup, European Alliance for Sport and Mental Health, and Energy. Could you provide more details about these programs and share the impact they’ve had on improving the mental health of the communities you serve?
Valerio: The Crazy for Football project is the first national five-a-side football team for people with mental health issues. Established in 2016, it has participated in two World Championships and one European Championship. The team, conceived by psychiatrist Dr. Santo Rullo, aims to promote the inclusion of sports in psychiatric rehabilitation programs and launch a communication campaign against the stigma of mental illness. The team members come from various Italian cities and gather periodically for training sessions. As part of the project, new player selections and social responsibility matches with companies—known as the Crazy Challenges—are also organized. The impact on the players participating in the project has been very positive: being part of the National Team motivates them to train regularly in their cities, which positively affects their psychophysical well-being.
The DEC project is the first European five-a-side football championship for people with mental health issues. It took place in Rome in September 2024 and involved 12 teams from across Europe. Alongside the championship, a scientific conference was held where representatives from participating nations discussed the role of sports as a complementary tool to pharmacological therapies.
The EASMH project created a network of mental health professionals, including psychiatrists, psychologists, social workers, and sports professionals such as coaches, athletes, and sports managers, to jointly define new integrated models for safeguarding physical and mental health. As part of the EASMH project, training materials and tools were developed for sports instructors and healthcare professionals to promote the benefits of sports for the prevention, treatment, and rehabilitation of psychiatric disorders.
Bonito: Recent research, particularly in the UK, where the football governance bill is under discussion, explores how to quantify the value a football club brings to its community. In terms of mental health, would you agree that football clubs (and sports more broadly) play a crucial role in providing essential services that not only support mental well-being but also save the state resources that might otherwise be spent addressing societal challenges related to mental health?
Valerio: Yes, we absolutely agree that football teams and sports, in general, play a crucial role in supporting mental well-being and alleviating the burden on state resources allocated to addressing social challenges related to mental health. Our organization, ECOS, actively promotes the idea that sport should be used as a complementary tool in treatment pathways for mental health issues and other psychosocial challenges.
Sport, including football, is not just a physical activity but a powerful means of social inclusion, a channel to reduce stigma, and an opportunity to build positive relationships within communities. Additionally, sports are essential as a preventive tool: they promote psychological and physical balance, reduce stress and anxiety levels, and help prevent the worsening of situations of distress.
Through our projects, we work to demonstrate how sport can complement and enhance traditional approaches to mental health, providing benefits both at the individual and societal levels. We believe that investing in sport as a tool for prevention and care is a strategic choice to improve people’s well-being and optimize public resources.
Bonito: At Bonito, we often explore football’s unique ability to unite people. Feeling part of a community is vital for mental well-being. In a country like Italy, how does football contribute to fostering this sense of belonging—whether through participation in physical activity, membership in a local club, or even being part of a supporters’ group? Do you believe football can effectively fulfill a part of this need for connection and community?
Valerio: In Italy, football is much more than a sport—it is a key element of culture and collective identity. Through participation in physical activity, belonging to a local club, or supporting a team, football fosters a strong sense of connection and community. Stadiums, fields, and shared moments among fans become spaces of inclusion and belonging.
I believe football fulfills a deep need for connection and social cohesion, making it a powerful tool not only for entertainment but also for well-being and inclusion.
Bonito: Where do you see the future for the sport for mental health field? what kinds of projects do you see coming in the next round of EU funding?
Valerio: The future of the sport for mental health field is incredibly promising, with growing recognition at both national and European levels of the vital role physical activity plays in mental well-being. We anticipate a stronger integration of sport into public health policies, education systems, and workplace well-being initiatives.
In the next round of EU funding, we expect to see projects that focus on innovative and inclusive approaches to using sport as a tool for mental health. Programs like Erasmus+, CERV and Horizon Europe will continue to play a vital role in supporting these initiatives. As a non-profit organization, we look forward to leveraging these opportunities to design impactful projects that make sport a fundamental pillar of mental health promotion across Europe.
Bonito: What role do you see professional football players (and athletes in general) in the fight for mental health awareness through sport?
Valerio: We believe the role of professional football players and athletes in general is crucial in fighting the stigma surrounding mental health and promoting its care. As public figures and role models for many, athletes have the opportunity to raise awareness about these issues, showing that taking care of one’s mental health is normal and necessary, just like taking care of physical health.
Many people are afraid or hesitant to talk about mental health, often due to prejudice or shame. By sharing their own experiences and speaking openly about these topics, athletes can help normalize the conversation and encourage others to seek help. Their visibility can be a powerful tool to drive cultural change, emphasizing that mental health is an integral part of a person’s overall well-being.
Ultimately, athletes can inspire not only through their sports performances but also through their commitment to breaking taboos and promoting greater awareness and accessibility to mental health care.
Bonito: Valerio, thanks so much for joining us!
Valerio: My pleasure and keep up the good work!