*October 25th, 2010*

As the first Indian to head the Mental Health Directorate at the World
Health Organisation, Shekhar Saxena has a task ahead that he says is both
exciting, and intimidating.

“India has the inherent capacity to scale up the mental health programme in
a very significant way. We have to see that all bodies that are capable of
doing work in the sector come together to take this forward,” he says.

During a recent visit to India, Dr. Saxena, who was a practitioner in India
for 20 years before he joined the ranks of the global health bureaucracy,
spoke exclusively to The Hindu.

“The needs of the world and India are large in terms of mental health care
delivery. The potential for making a change is massive, but one has to get
it right in terms of partnerships.”

In India, he says, the situation has changed for the better in a variety of
ways. Now, there are opportunities to be utilised to make things work in a
much better way. “My objective in being in India this time is to understand
better what NGOs (such as Sneha, and SCARF in Tamil Nadu) are doing and how
we can involve them much more in achieving our objectives. We believe that
NGOs do play a significant role now, but they have a much larger role in the
future.”

Even as he commends the Government of India for assigning a much larger
proportion of the budget for mental health this Five Year Plan compared to
the last, Dr. Saxena is worried that the funds have been under utilised.

Dr. Saxena says it is heartening that the Indian government has shown a keen
interest in implementing the WHO's Mental Health GAP programme to scale up
services for those who suffer from mental, neurological and substance abuse
disorders and bring a much larger number under treatment and care than has
been done in the past.

This year, the global body has also released intervention guides to indicate
broadly what must be done to achieve these objectives. These guides are
being translated into Indian languages, and a set of culture-specific tools
are being developed at the local level to facilitate implementation.

“It is a matter of collective shame for mental health professionals that 80
per cent of people with mental disorders do not receive care. We know what
to do, but we are not able to translate the knowledge to practice. If
someone gets a fever, he goes to the nearest government or private care
practitioner to get treatment, but when a patient suffers from depression,
that doesn't happen,” he says.

Specialist medical help is very limited, Dr. Saxena points out.

The solution, therefore, is to train general health human resources to
identify and treat common mental disorders. Almost 90 per cent of people
with common mental disorders can be treated by these people.

http://www.thehindu.com/news/states/tamil-nadu/article845549.ece

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