*We often forget that mental illness is a disease like any other disease
and can be cured or contained with care and proper treatment*
*
*
*6-FEB-2012*
*
*
*Anjali Ojha*

Ignorance, stigma and lack of doctors have long marred mental healthcare in
India. But with stressful lifestyles and ever increasing cases of
depression, this much neglected segment is now gaining importance in the
country’s medical scenario.

According to an estimate by the World Health Organisation, depression will
become the second largest illness in terms of morbidity in another decade.
It already affects one out of every five women and one in every 12 men.
“Social awakening towards mental diseases and their cure has finally
started to come,” Anindita Paul, director of Sanjivini Society for Mental
Health, said.

“In terms of the urban society, there is lot of awakening which is coming
now. Still as a country a lot more needs to be done,” Ms Paul said.
Globally, mental disorders account for 13 per cent of the burden of
diseases.

In India, according to the National Institute of Mental Health, the
prevalence of schizophrenia, a severe mental disorder, is prevalent among
1.1 per cent of the total population while the overall lifetime prevalence
rate of mental disorders is 10 to 12 per cent.

While the Government has a separate programme for mental health, the
segment is marred by a lack of adequate doctors and infrastructure.
According to the latest figures provided by the Union Ministry of Health
and Family Welfare, India has a mere 4,500 psychiatrists. National Human
Rights Commission member PC Sharma said that a lack of proper care for
mental patients is a major cause of concern. “In today’s world, everyone is
living under constant stress. Still we have just 40 major mental health
institutes,” Mr Sharma told IANS.

Mr Sharma said he had personally called the chief of the Medical Council of
India and requested him to consider making psychiatry compulsory for all
medical students.  “The mental institutions are in a pathetic condition and
the common perception is that these are ‘mad houses’,” he said.

Ms Paul agrees, but adds that the perspective is changing. “More
rehabilitation centres are coming up, but the Government needs to take
major steps,” she said.

The WHO preamble states, “Health is a state of complete physical, mental
and social well-being and not merely the absence of disease or infirmity”,
suggesting there is no health without mental health.

Stress is seen as a major cause of worry as far as mental health is
concerned, with studies showing a constant increase in stress, especially
in the urban population.

The WHO, in its 130th session of its executive board, adopted a resolution
on ‘Global Burden of Mental Disorders and the need for a comprehensive,
coordinated response from health and social sectors at the country level’.
The draft resolution in the matter was moved by India on January 20.

Sanjivini runs counselling centres, a rehabilitation centre and group
consultations for those suffering from mental problems ranging from stress,
depression, social problems to severe mental illness.

According to figures tabulated by the organisation, of all the patients who
have come to them in the last nine years, some 19 per cent came to discuss
issues pertaining to problems with people around them.

Another 17 per cent came to discuss their marital issues, 15 per cent for
problems related to their personality, 18 per cent suffered from different
mental ailments while one percent had suicidal tendencies.

Statistics also show women are more vulnerable to mental health-related
problems as compared to men. Some 57 per cent of the patients in the last
nine years have been women.

In 1982, India launched a special National Mental Health Programme to
ensure the availability of minimum mental healthcare, encourage application
of mental health knowledge in general healthcare and in social development
and to promote community participation in mental health service.

“We are still somewhere in the middle of totally de-stigmatising mental
illness. There is a need to understand that mental patients can be treated
and can lead a normal life again,” Ms Paul said.

http://www.dailypioneer.com/columnists/item/51005-ignorance-stigma-mar-mental-healthcare.html

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