Mental Health Issues in Madhya Pradesh: Insights from National Mental Health Survey of India 2016

Abstract

Background: About 14% of the global mental health burden is contributed by India. However, there exists a disparity in mental health patterns, utilization, and prioritization among various Indian states. The state of Madhya Pradesh is a low performer among Indian states, ranking lower than the national average on the Human Development Index, Hunger Index, and Gross Domestic Product (GDP). The state also performes poorly on other health-related indicators. Objectives of Study: To estimate the prevalence and patterns of mental illnesses in the state of Madhya Pradesh, India. Material and Methods: This study used the multistage, stratified, random cluster sampling technique, with selection probability proportionate to size at each stage. A total of 3240 individuals 18 years and older were interviewed. The mixed-method study that was employed had both quantitative and qualitative components. The Mini International Neuropsychiatric Interview along with 10 other instruments were used. Results: The overall weighted prevalence for any mental illness was 13.9%, with 16.7% over the lifetime. The treatment gap for all of the mental health problems is very high (91%), along with high suicidal risk and substance use in the state. Conclusions: This study provides evidence of the huge burden of mental, behavioral, and substance use disorders as well as the treatment gap in Madhya Pradesh. This information is crucial for developing an effective prevention and control strategy. The high treatment gap in the state calls for coordinated efforts from all stakeholders, including policy makers, political leaders, health care professionals, and the society at large to give mental health care its due priority. These findings also highlight the need for multi-pronged interventions rooted in health policy directed at reducing the treatment gap in the short term and disease burden in the long run.

Digital Training for Non-Specialist Health Workers to Deliver a Brief Psychological Treatment for Depression in Primary Care in India: Findings from a Randomized Pilot Study

“…Relative to many other Indian states, Madhya Pradesh ranks lower with respect to human development and availability of resources [ 40 , 41 ]. According to the 2016 National Mental Health Survey of India, the care gap for mental disorders in Madhya Pradesh exceeds 90% [ 5 ]. Ethics review boards at Sangath, India (VP_2017_028), and Harvard Medical School, USA (IRB17-0092), approved all study procedures.…”

“…Several studies have reported a significant gap between those living with depression and those who have access to adequate care [ 3 , 4 ]. The National Mental Health Survey estimated that the care gap for current depression was 79.1% [ 2 ], while in some regions of the country this gap exceeds 90% [ 5 ].…”

Mental Health Issues in Madhya Pradesh: Insights from National Mental Health Survey of India 2016.

“…Mental as well as neurological and substance use disorders (MNSUDs) categorized under the non-communicable (NCD) are recognized as important public health problems in India. [5,7] The presence of mental illness is considered as stigma and impacts familial, social as well as occupational life of person. This has considerable negative influence on the family and society at large.…”

“…Consequently, MNSUDs have not received the needed attention from various concerned stakeholders. Insufficiency of the data from previous studies often precludes its use for development of mental health programs in Madhya Pradesh [5,6] Thus, in order to strengthen mental health policies and programmes at the state levels, the present study was conducted as a part of National Mental Health Survey 2015-16…”

Public Green Space and Mental Health building Self-Esteem for Elderly Population in Dhaka

“…Sleep disturbance is a common phenomenon for elderly individuals and this disturbance increase the risk for morbidity and mortality [27], and reduces inflammation, particularly in individuals who experiences social exclusion or rejection [28]. Family members face difficulties with their professional duty due to the care of the patients [29]. Family deemed to be a key role player as caregiver to elderly people with psychological disturbance (e.g.…”