Mental Health for All

Dr Manmeet Singh
World Mental Health Day is observed on 10 October every year, with the overall objective of raising awareness of mental health issues around the world and mobilizing efforts in support of mental health.
This year’s World Mental Health Day, on 10 October, comes at a time when our daily lives have changed considerably as a result of the COVID-19 pandemic. The past months have brought many challenges: for health-care workers, providing care in difficult circumstances, going to work fearful of bringing COVID-19 home with them; for students, adapting to taking classes from home, with little contact with teachers and friends, and anxious about their futures; for workers whose livelihoods are threatened; for the vast number of people caught in poverty or in fragile humanitarian settings with extremely limited protection from COVID-19; and for people with mental health conditions, many experiencing even greater social isolation than before. And this is to say nothing of managing the grief of losing a loved one, sometimes without being able to say goodbye.

World Mental Health Day
October 10

The economic consequences of the pandemic are already being felt, as companies let staff go in an effort to save their businesses, or indeed shut down completely.
Health argument
* Close to one billion people have a mental disorder and anyone, anywhere, can be affected.
* Depression is one of the leading causes of illness and disability among adolescents and adults.
* 1 in 5 children and adolescents has a mental disorder.
* People with severe mental disorders such as schizophrenia tend to die 10-20 years earlier than the general population.
* Suicide is claiming the lives of close to 800 000 people every year 1 person every 40 seconds – and is the second leading cause of death for young people aged 15-29 years.
Care gap
* Despite the universal nature and the magnitude of mental ill health, the gap between demand for mental health services and supply remains substantial.
* Relatively few people around the world have access to quality mental health services.
* In low- and middle-income countries, more than 75% of people with mental health conditions receive no treatment for their condition at all.
* The serious gaps that still exist in mental health care are a result of chronic under-investment over many decades in mental health promotion, prevention and care.
* Stigma, discrimination and human rights abuses of people with mental health conditions remain widespread.
Economic cost
* The lost productivity resulting from depression and anxiety, two of the most common mental disorders, costs the global economy US$ 1 trillion each year.
Investment deficit
* On average, countries spend less than 2% of their national health budgets on mental health.
* Despite an increase of development assistance for mental health in recent years, it has never exceeded 1% of development assistance for health.
Given past experience of emergencies, it is expected that the need for mental health and psychosocial support will substantially increase in the coming months and years. Investment in mental health programmes at the national and international levels, which have already suffered from years of chronic underfunding, is now more important than it has ever been.
This is why the goal of this year’s World Mental Health Day campaign is increased investment in mental health. The campaign, co-designed by the World Health Organization, United for Global Mental Health and the World Federation for Mental Health, builds on the concept that, while mental health has been receiving increasing global attention in recent years, the field has not received commensurate investment.
This campaign offers opportunities for all of us to do something life-affirming: as individuals, to take concrete actions in support of our own mental health, and to support friends and family who are struggling; as employers, to take steps towards putting programmes in place for employee wellness; as governments, to commit to establishing or scaling-up mental health services; and as journalists, to tell the world what more can and must be done to make mental health a reality for everyone.
(The author is Associate Professor, PG Deptt of Psychiatry, ASCOMS, Jammu)
feedbackexcelsior@gmail.com