BETWEEN NOW & 2030 MENTALLY ILLNESS WILL CUT
INDIAN ECONOMIC GROWTH BY $11 TRILLION
India is one of the first countries to
develop a national mental health programme in the early 1980s and yet
the country is witnessing growing cases of mental illness.
When it comes to ensure treatment and institutional capacity to integrate
mentally ill in the society, sadly it ranks 11th among 15 nations in the
Asia-Pacific region.
This has been revealed by the Asia-Pacific region Mental Health
Integration Index which was released recently. The report cautioned that
between now and 2030, mentally illness will reduce economic growth by $11
trillion in India.
India figured in the lower half for each of the indices just
behind China and Thailand, while Australia and New Zealand claimed top position
- Pakistan and Indonesia came at the bottom, said the study undertaken by the
Economic Intelligence Union (EIU) and commissioned and funded by Janssen Asia
Pacific, a division of Johnson & Johnson.
It noted that within months of India adopting its new Mental
Health Policy “its total health budget was slashed by 20 per cent”. Worse
still, “lack of institutional capacity meant that even the restricted funding
available, was not always spent,” it said.
In India in 2012-2013, “only 42 per cent of the budget for the
National Mental Health Programme was used,” the report said.
The index relied on four major indicators - provision of a stable
family environment, work opportunities, access to health care and social
services, governance, human rights and combating stigma.
In countries, such as Australia and Singapore, under half of those
with a mental illness receive medical care, while only one-tenth get so in
India and China.
George Institute for Global Health India’s Deputy Director and
Head of Research and Development, Dr Pallab Maulik, who was one of the advisors
on the study, talked about one particular project ‘SMART Mental Health’ in West
Godavari in Andhra Pradesh in which he is involved.
“When we started implementing the project, we realised that there
was little or no awareness about common mental disorders in the community, and
systems of mental health care were almost non-existent,” he said.
After the village level health workers and doctors were
sensitized, we found that there was a relative increase in service use in the
mentally ill population…This shows that models of community-based care
involving technology and appropriate training of primary care health workers
can help put the focus on mental health in rural areas, increase screening and
facilitate mental health care” said Dr. Maulik.
Magnitude of mental illness is on increase in India. As per a
latest countrywide National Institute of Mental Health & Neurosciences
(Nimhans) study at least 13.7 per cent of India's general population has been
projected to be suffering from a variety of mental illnesses and 10.6 per cent
of this requires immediate intervention.
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