*24 September 2011*

*CHENNAI* : Insufficient numbers of mental health professionals, poor
remuneration, and inadequate infrastructure to handle patients with mental
illness continue to come in the way of providing accessible mental health
care facilities in the country, C. Ramasubramaniam, State nodal officer,
District Mental Health Programme (DMHP), said.

“While the prevalence rate of a major mental disorder is 65/1000 population,
and this amounts to 70 million patients, there are only 42 hospitals to
treat them in this country,” Dr. Ramasubramaniam added.

The WHO says that three per cent of the population is likely to be suffering
from a serious psychiatric illness, and in India, there are over 20,000 beds
in the government sector and just over 5000 beds in the private sector.

He went on to explain the key features of the DMHP as a community-based
mental health care programme, with the objective of reaching the unreached.
Among the many innovations of the DMHP were integrating mental health care
with general health services, involving the community and family in
treatment, initiating rehabilitation services and staffing the hospitals.
This was followed by a steep rise in the attendance in the psychiatric units
in district hospitals, Dr. Ramasubramaniam added.

So far, about 11 lakh people have been provided basic mental health care
facilities.

K.S. Jacob, head, department of Psychiatry, CMC, Vellore, dealt with the
importance of factoring in local culture, economic and social policies in
dealing with mental illness. Professionals do not take this seriously, but
patients are known to seek interventions simultaneously with multiple
agencies, traditional and faith-based inclusive.

Gouthami of Travel Another India, shared her experiences of involving the
community in initiatives taken for their welfare.

Thelma Narayan, chairperson of Basic Needs India, said the discussion on
community perspective of mental health must be seen in context of the
approaching 12th Five Year Plan period. Addressing the existing disparities
in health and wealth must be part of the agenda.

The programme was held as part of a week-long training programme on
Community Mental Health and Development (curriculum designed by the Tata
Institute of Social Sciences and BNI) organised by Vidya Sagar to enable
participants to integrate and understand perspectives, knowledge and skills
underlying community mental health development work.

http://www.thehindu.com/news/cities/Chennai/article2480436.ece

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