October 10, 2021

*NPRD*

*On World Mental Health Day*


World Mental Health Day is observed every year on the 10th of October.  It
was started as an annual activity of the World Federation for Mental
Health in 1992.

According to the WHO, the objective of the day is to “raising awareness of
mental health issues around the world and mobilizing efforts in support of
mental health.”

Each year since 1994, a particular theme is decided for the day by the
WFMH. The most recent themes have been ‘Mental Health Promotion and Suicide
Prevention,’ ‘Mental Health for All’ and so on.

In 2021, we continued to face the physical, emotional, and social
challenges that the COVID-19 pandemic brought on. While 2020 saw us
struggling to cope with the reduction in social interactions, work from
home schedules, and the economic repercussions of the pandemic; in 2021 we
struggled to return to normalcy, with things opening up and closing again
several times, and the new routines and safety protocols in schools and
workplaces, all while we still recover from the sheer horror of the second
wave of the pandemic that had hit us some time in the middle of the year.

Research has shown that COVID 19 patients exhibit high PTSD and depressive
symptoms, health care workers have very high psychological distress, and
psychiatric patients are reporting more intense symptoms than before. Other
people too are experiencing more depressive and anxious behaviour than the
pre-pandemic period. And thus, last year, the objective of Mental Health
Day was to promote mental health during the time of the pandemic.

However, the suffering caused by the pandemic cannot be seen as a uniform
and homogeneous phenomenon. The pandemic has laid bare many cracks in our
social system, economic inequality being the most prominent of them all.
The pandemic did not only negatively affect the average income in the
country, it also markedly increased the income inequality.  While several
thousands lost their jobs and took pay cuts, a handful gained and their
pockets became even more fatter.

This increasing disparity between the ‘haves’ and the ‘have nots’ greatly
impacts the mental and physical health of the people in our country. All
forms of violence including but not limited to those based on community,
caste, gender, class etc also impact and exacerbate mental health
conditions.


Mental healthcare is inaccessible in our country not only because of the
lack of infrastructure and shortage of mental health professionals, but
also due to how expensive it all is. In these times of excessive
psychological distress, a counselling session costs anywhere between Rs
1000 to Rs 4000, which is more than unaffordable for most Indians.
Inaccessibility of services leads to abandonment, institutionalisation (in
many cases), chaining etc.

According to the National Mental Health Survey 2018 undertaken by
the National Institute of Mental Health and Neurosciences, Bengaluru, the
treatment gap of any mental disorder in India is as high as 83%. The same
survey also found that the number of mental health professionals per lakh
population remains abysmally low and varies from 0.05 in Madhya Pradesh to
1.2 in Kerala. The utter disregard to the seriousness of the issue is
reflected in the fact that despite four years since the passage of the
Mental Health Care Act only eight states have framed rules for its
implementation. Expansion of mental health services, framing of rules and
the constitution of various bodies mandated under the Act are yet to gain
attention.


Thus, this year’s theme for World Mental Health Day is *Mental Health in an
Unequal World *is very appropriate*. *The 2021 World Mental Health Day
campaign provides an opportunity for us to come together and act together
to highlight how inequality can be addressed to ensure people are able to
enjoy good mental health.


Many people, including celebrities, are opening up. Let us all talk about
mental health; fight against the stigma as also for equal access for all to
mental health care and for an egalitarian society.


Prepared by a Volunteer
-- 
National Platform for the Rights of the Disabled (NPRD)
36, Pt. Ravishankar Shukla Lane
New Delhi 110 001
Tel. 11-23387674; 9868768543

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