mental health survey - Dr Monisha Mary P.pdf

The presentation aims to shed light on various aspects of mental health, including prevalence rates, common challenges faced by individuals, coping mechanisms, and potential avenues for support and intervention. By synthesizing survey data into an accessible format, this presentation serves as an informative resource for individuals, professionals, and organizations invested in promoting mental well-being.

1. Mirjam Nilsson
[email protected]
www.contoso.com
1
NATIONAL
2015 - 2016
S U N D A Y , A P R I L 2 8 , 2 0 2 4
By Dr. Monisha Mary

2. SPECIFIC LEARNING
OBJECTIVES
INTRODUCTION
RECOMMENDATION S
2
MENTAL HEALTH
SYSTEMS,
RESOURCES AND
FACILITIES, 2016
TREATMENT GAP,
DISABILITIES AND
IMPACT OF MENTAL
DISORDERS, 2016
METHODOLOGY
SAMPLING AND
SELECTION
PREVALENCE AND
PATTERN OF
MENTAL
DISORDERS, 2016

3. Call to action
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provide feedback
3
WHAT MENTAL HEALTH
NEEDS IS MORE SUNLIGHT,
AND MORE UNSHAMED
CONVERSATION
S u n d a y , A p r i l 2 8 , 2 0 2 4
3

4. Introduction
to National
Mental Health
Survey 15-16
A COMPREHENSIVE ASSESSMENT OF
PREVALENCE OF MENTAL HEALTH
DISORDERS
SURVEY'S PRIMARY
OBJECTIVE
ESSENTIAL DATA ON THE
PREVALENCE OF MENTAL HEALTH
DISORDERS
LARGE REPRESENTATIVE
SAMPLE SIZE
EVIDENCE-BASED POLICIES,
INTERVENTIONS
AWARENESS CAMPAIGNS
4

5. 4/28/2024Annual Review 5
This summary delves into the key
findings and implications of the
survey, shedding light on the state
of mental health in the nation.

6. 4/28/2024Annual Review 6

7. 7
METHODOLOGY
Sample Design and
Selection:
Multi-stage, stratified
sampling technique
with random selection
based on Probability
Proportion to Size at
each stage (MSRS-
PPS).
S u n d a y , A p r i l 2 8 , 2 0 2 4

8. 01
02
03
04
05
THE SAMPLING STRATEGY
(12 STATES)
STRATIFIED
RANDOM
PROPORTIONAL
ALL
INDIVIDUALS
WERE ABOVE
18 YEARS
8

9. THE STATES
SELECTED
NORTH : PUNJAB AND UTTAR PRADESH
NORTH-EAST : ASSAM AND MANIPUR .
CENTRAL: MADHYA PRADESH
AND CHHATTISGARH
SOUTH: TAMIL NADU AND KERALA
EAST: JHARKHAND AND WEST BENGAL
WEST: RAJASTHAN AND GUJARAT
9

10. MULTI STAGE SAMPLING
LEVEL 4
.WARD
LEVEL 3
VILLAGE
LEVEL 2
TALUKA
LEVEL 1
DISTRICT
In total 34802 adults and about
1191 adolescents drawn from 12
states were interviewed
10

11. DATA COLLECTION TOOLS
STANDARDIZED
TOOLS AND
QUESTIONNAIRES
CAREFULLY
DESIGNED
AND
VALIDATED
MINI
INTERNATIONAL
NEURO-
PSYCHIATRIC
INVENTORY
(MINI) ADULT
VERSION AND
THE MINI-KID
VERSION
FAGERSTROM
QUESTIONNAIRE
FURTHER,
QUESTIONNAIRES
11

12. SAMPLING
AND
SELECTION
OF
INDIVIDUALS
IN NMHS
10152
HOUSEHOLDS
34802
INDIVIDUALS
12 STATES 43 DISTRICTS
80
TALUKAS
720
CLUSTERS
RURAL(420)
URBAN(NON METRO
(135
URBAN METRO(93 ) 12

13. 4/28/2024Annual Review 13
TRAINING OF FIELD DATA COLLECTORS AT STATE LEVEL

14. 4/28/2024Annual Review 14
ONLINE MONITORING MEETINGS BETWEEN CENTRAL TEAM AT NIMHANS AND STATE TEAMS

15. 4/28/2024Annual Review 15
DATA COLLECTION SCHEME IN
NMHS-2016

16. 4/28/2024Annual Review 16
SNAPSHOTS OF DATA COLLECTION IN DIFFERENT STATES

17. SURVEY POPULATION
CHARACTERISTICS
SURVEY
POPULATION
RESPONSE
RATE
THE
LITERACY
BPL (BELOW
POVERTY
LINE)
MEDIAN
HOUSEHOLD
INCOME

18. PREVALENCE AND
PATTERN OF
MENTAL
DISORDERS, 2016
18

19. 4/28/2024Annual Review 19

20. PREVALENCE OF MENTAL DISORDERS
13.1%
10.6%.
20
13.7%
F10 – F49

21. PREVALENCE OF
MENTAL MORBIDITY
IS HIGH IN INDIAN
URBAN METROS
L O O K I N G A H E A D
21

22. RURAL URBAN DIFFERENTIALS IN PREVALENCE OF MENTAL
DISORDERS (%)
22

23. 2323
COMMON MENTAL
DISORDERS AFFECT
SIGNIFICANT SECTIONS OF
SOCIETY

24. CURRENT PREVALENCE OF COMMON AND SEVERE
MENTAL DISORDERS
24

25. 25
1 in 20 people in
India suffer from
depression
S u n d a y , A p r i l 2 8 , 2 0 2 4

26. PREVALENCE OF MDD AND SOCIO -DEMOGRAPHIC
DIFFERENTIALS
26

27. 27
There is a high prevalence
of psychoactive substance
use
S u n d a y , A p r i l 2 8 , 2 0 2 4

28. PREVALENCE OF SUBSTANCE USE DISORDERS (%)
28

29. PREVALENCE OF SUBSTANCE USE DISORDERS BY
GENDER (%)
29

30. PREVALENCE OF ALCOHOL USE DISORDER AND SOCIO -
DEMOGRAPHIC DIFFERENTIALS
30

31. 31
High suicidal risk is an
increasing concern in
India
S u n d a y , A p r i l 2 8 , 2 0 2 4

32. PREVALENCE OF HIGH SUICIDAL RISK : SOCIO -
DEMOGRAPHIC DIFFERENTIALS
32

33. 33
Severe mental disorders
are equally important
S u n d a y , A p r i l 2 8 , 2 0 2 4
33

34. 34
Productive age groups
are affected most
S u n d a y , A p r i l 2 8 , 2 0 2 4

35. PREVALENCE OF MENTAL MORBIDITY IN DIFFERENT
AGE GROUPS (%)
35

36. 36
Both genders are
affected – variation
across disorders
exists.
S u n d a y , A p r i l 2 8 , 2 0 2 4

37. PREVALENCE OF MENTAL DISORDER BY GENDER(%)
37

38. 38
Children and adolescents
are vulnerable to mental
disorder
S u n d a y , A p r i l 2 8 , 2 0 2 4

39. PREVALENCE OF MENTAL DISORDERS (%) IN 13 -
17YEARS BY AGE AND RESIDENCE
39

40. 40
Neurosis and stress related
disorders affect women
disproportionately
S u n d a y , A p r i l 2 8 , 2 0 2 4
40

41. PREVALENCE OF NEUROSIS. SOCIO -DEMOGRAPHIC
DIFFERENTIALS
41

42. VARIATIONS IN PREVALENCE EXIST AT THE REGIONAL
AND STATE LEVELS
42

43. PREVALENCE OF MENTAL DISORDERS IN DIFFERENT
STATES (%)
43

44. 44
Epilepsy is an
important public
health problem
S u n d a y , A p r i l 2 8 , 2 0 2 4
44

45. 45
Persons with Intellectual
disability need
comprehensive
management
S u n d a y , A p r i l 2 8 , 2 0 2 4
45

46. 46
TREATMENT GAP,
DISABILITIES AND IMPACT
OF MENTAL DISORDERS,
2016
Sunday, April
28, 2024 46

47. 47
Treatment gap for
mental disorders still
remains very high
S u n d a y , A p r i l 2 8 , 2 0 2 4

48. TREATMENT GAP FOR DIFFERENT MENTAL DISORDERS
(%)
48

49. 49
Three out of four persons with a
severe mental disorder
experience significant disability in
work, social and family life
S u n d a y , A p r i l 2 8 , 2 0 2 4
49

50. DISABILITY PROPORTION AMONG SUBJECTS WITH
MENTAL DISORDERS (%)
50

51. EXTREME DISABILITY (%) AMONG PERSONS WITH
MENTAL DISORDERS
51

52. 52
Three out of four persons with a
severe mental disorder
experience significant disability in
work, social and family life
Persons with mental
disorders continue to be
stigmatzed
Economic burden of
mental disorders is
huge
S u n d a y , A p r i l 2 8 , 2 0 2 4
52

53. PREVALENCE OF MENTAL DISORDERS BY MEDIAN
HOUSEHOLD INCOME LEVELS
53

54. 54
Three out of four persons with a
severe mental disorder
experience significant disability in
work, social and family life
Persons with mental
disorders continue to be
stigmatized
S u n d a y , A p r i l 2 8 , 2 0 2 4
54

55. 55
Three out of four persons with a
severe mental disorder
experience significant disability in
work, social and family life
Persons with mental
disorders continue to be
stigmatized
Significantly, low levels of
education and income are closely
linked to mental disorders
S u n d a y , A p r i l 2 8 , 2 0 2 4
55

56. 56
MENTAL HEALTH SYSTEMS,
RESOURCES AND
FACILITIES, 2016
Sunday, April
28, 2024 56

57. 57
Three out of four persons with a
severe mental disorder
experience significant disability in
work, social and family life
Persons with mental
disorders continue to be
stigmatized
Significantly, low levels of
education and income are closely
linked to mental disorders
Mental Health Programmes in
India are a low priority on the
public health agenda
S u n d a y , A p r i l 2 8 , 2 0 2 4
57

58. STATE MENTAL HEALTH SYSTEMS ASSESSMENT: AN
APPRAISAL
58

59. 59
Three out of four persons with a
severe mental disorder
experience significant disability in
work, social and family life
Persons with mental
disorders continue to be
stigmatized
Significantly, low levels of
education and income are closely
linked to mental disorders
Mental Health Programmes in
India are a low priority a low
priority on the public health
agenda
Vision, mission and
direction are
critically important
in mental health
programmes
S u n d a y , A p r i l 2 8 , 2 0 2 4
59

60. STATE MENTAL HEALTH SYSTEMS ASSESSMENT: AN
APPRAISAL
60

61. 61
Three out of four persons with a
severe mental disorder
experience significant disability in
work, social and family life
Persons with mental
disorders continue to be
stigmatized
Significantly, low levels of
education and income are closely
linked to mental disorders
Mental Health Programmes in
India are a low priority a low
priority on the public health
agenda
Vision, mission and
direction are
critically important
in mental health
programmes
A Mental Health Action
Plan is decisive at the
State level
S u n d a y , A p r i l 2 8 , 2 0 2 4
61

62. MENTAL HEALTH ACTION PLAN IN NMHS STATES
62

63. 63
Three out of four persons with a
severe mental disorder
experience significant disability in
work, social and family life
Persons with mental
disorders continue to be
stigmatized
Significantly, low levels of
education and income are closely
linked to mental disorders
Mental Health Programmes in
India are a low priority a low
priority on the public health
agenda
Vision, mission and
direction are
critically important
in mental health
programmes
A Mental Health Action
Plan is decisive at the
State level
Health information systems do
not prioritise mental health
S u n d a y , A p r i l 2 8 , 2 0 2 4
63

64. 64
Three out of four persons with a
severe mental disorder
experience significant disability in
work, social and family life
Persons with mental
disorders continue to be
stigmatized
Significantly, low levels of
education and income are closely
linked to mental disorders
Mental Health Programmes in
India are a low priority a low
priority on the public health
agenda
Vision, mission and
direction are
critically important
in mental health
programmes
A Mental Health Action
Plan is decisive at the
State level
Health information systems do
not prioritise mental health
Mental health activities at the state level
are not information driven Mental health
activities at the state level are not
information driven Mental health activities
at the state level are not information
driven
Mental health activities at
the state level are not
information driven
S u n d a y , A p r i l 2 8 , 2 0 2 4
64
Mental health
activities at the state
level are not
information driven

65. 65
Three out of four persons with a
severe mental disorder
experience significant disability in
work, social and family life
Persons with mental
disorders continue to be
stigmatized
Significantly, low levels of
education and income are closely
linked to mental disorders
Mental Health Programmes in
India are a low priority a low
priority on the public health
agenda
Vision, mission and
direction are
critically important
in mental health
programmes
A Mental Health Action
Plan is decisive at the
State level
Health information systems do
not prioritise mental health
Mental health activities at the state level
are not information driven Mental health
activities at the state level are not
information driven Mental health activities
at the state level are not information
driven
Mental health activities at
the state level are not
information driven
Existing health care
facilities should be
engaged for mental health
care
S u n d a y , A p r i l 2 8 , 2 0 2 4
65

66. HEALTH CARE FACILITIES IN PUBLIC SECTOR (PER LAKH
POPULATION)
66

67. 67
Three out of four persons with a
severe mental disorder
experience significant disability in
work, social and family life
Persons with mental
disorders continue to be
stigmatized
Significantly, low levels of
education and income are closely
linked to mental disorders
Mental Health Programmes in
India are a low priority a low
priority on the public health
agenda
Vision, mission and
direction are
critically important
in mental health
programmes
A Mental Health Action
Plan is decisive at the
State level
Health information systems do
not prioritise mental health
Mental health activities at the state level
are not information driven Mental health
activities at the state level are not
information driven Mental health activities
at the state level are not information
driven
Mental health activities at
the state level are not
information driven
Existing health care
facilities should be
engaged for mental health
care
Institutional care is still
limited; needs capacity
building and innovative
use of resources
S u n d a y , A p r i l 2 8 , 2 0 2 4
67

68. 68
Three out of four persons with a
severe mental disorder
experience significant disability in
work, social and family life
Persons with mental
disorders continue to be
stigmatized
Significantly, low levels of
education and income are closely
linked to mental disorders
Mental Health Programmes in
India are a low priority a low
priority on the public health
agenda
Vision, mission and
direction are
critically important
in mental health
programmes
A Mental Health Action
Plan is decisive at the
State level
Health information systems do
not prioritise mental health
Mental health activities at the state level
are not information driven Mental health
activities at the state level are not
information driven Mental health activities
at the state level are not information
driven
Mental health activities at
the state level are not
information driven
Existing health care
facilities should be
engaged for mental health
care
Institutional care is still
limited; needs capacity
building and innovative
use of resources
Importance of non-specialist
professionals in mental
health care delivery
S u n d a y , A p r i l 2 8 , 2 0 2 4
68

69. 69
Three out of four persons with a
severe mental disorder
experience significant disability in
work, social and family life
Persons with mental
disorders continue to be
stigmatized
Significantly, low levels of
education and income are closely
linked to mental disorders
Mental Health Programmes in
India are a low priority a low
priority on the public health
agenda
Vision, mission and
direction are
critically important
in mental health
programmes
A Mental Health Action
Plan is decisive at the
State level
Health information systems do
not prioritise mental health
Mental health activities at the state level
are not information driven Mental health
activities at the state level are not
information driven Mental health activities
at the state level are not information
driven
Mental health activities at
the state level are not
information driven
Existing health care
facilities should be
engaged for mental health
care
Institutional care is still
limited; needs capacity
building and innovative
use of resources
Importance of non-specialist
professionals in mental
health care delivery
Coverage of DMHP
still remains low
S u n d a y , A p r i l 2 8 , 2 0 2 4
69

70. COVERAGE OF DMHP IN NMHS STATES
70

71. 71
Three out of four persons with a
severe mental disorder
experience significant disability in
work, social and family life
Persons with mental
disorders continue to be
stigmatized
Significantly, low levels of
education and income are closely
linked to mental disorders
Mental Health Programmes in
India are a low priority a low
priority on the public health
agenda
Vision, mission and
direction are
critically important
in mental health
programmes
A Mental Health Action
Plan is decisive at the
State level
Health information systems do
not prioritise mental health
Mental health activities at the state level
are not information driven Mental health
activities at the state level are not
information driven Mental health activities
at the state level are not information
driven
Mental health activities at
the state level are not
information driven
Existing health care
facilities should be
engaged for mental health
care
Institutional care is still
limited; needs capacity
building and innovative
use of resources
Importance of non-specialist
professionals in mental
health care delivery
Coverage of DMHP
still remains low
Mental health and
supportive legislations
need effective
implementation
S u n d a y , A p r i l 2 8 , 2 0 2 4
71

72. IMPLEMENTATION OF MENTAL HEALTH LEGISLATIONS IN
NMHS STATES
72

73. 73
Three out of four persons with a
severe mental disorder
experience significant disability in
work, social and family life
Persons with mental
disorders continue to be
stigmatized
Significantly, low levels of
education and income are closely
linked to mental disorders
Mental Health Programmes in
India are a low priority a low
priority on the public health
agenda
Vision, mission and
direction are
critically important
in mental health
programmes
A Mental Health Action
Plan is decisive at the
State level
Health information systems do
not prioritise mental health
Mental health activities at the state level
are not information driven Mental health
activities at the state level are not
information driven Mental health activities
at the state level are not information
driven
Mental health activities at
the state level are not
information driven
Existing health care
facilities should be
engaged for mental health
care
Institutional care is still
limited; needs capacity
building and innovative
use of resources
Importance of non-specialist
professionals in mental
health care delivery
Coverage of DMHP
still remains low
Mental health and
supportive legislations
need effective
implementation
Mental health
financing need to be
streamlined
S u n d a y , A p r i l 2 8 , 2 0 2 4
73

74. MENTAL HEALTH FINANCING IN NMHS STATES
74

75. 75
Three out of four persons with a
severe mental disorder
experience significant disability in
work, social and family life
Persons with mental
disorders continue to be
stigmatized
Significantly, low levels of
education and income are closely
linked to mental disorders
Mental Health Programmes in
India are a low priority a low
priority on the public health
agenda
Vision, mission and
direction are
critically important
in mental health
programmes
A Mental Health Action
Plan is decisive at the
State level
Health information systems do
not prioritise mental health
Mental health activities at the state level
are not information driven Mental health
activities at the state level are not
information driven Mental health activities
at the state level are not information
driven
Mental health activities at
the state level are not
information driven
Existing health care
facilities should be
engaged for mental health
care
Institutional care is still
limited; needs capacity
building and innovative
use of resources
Importance of non-specialist
professionals in mental
health care delivery
Coverage of DMHP
still remains low
Mental health and
supportive legislations
need effective
implementation
Mental health
financing need to be
streamlined
Public awareness
activities are still
limited in mental
health
S u n d a y , A p r i l 2 8 , 2 0 2 4
75

76. IEC ACTIVITIES FOR MENTAL HEALTH IN NMHS
STATES
76

77. 77
Three out of four persons with a
severe mental disorder
experience significant disability in
work, social and family life
Persons with mental
disorders continue to be
stigmatized
Significantly, low levels of
education and income are closely
linked to mental disorders
Mental Health Programmes in
India are a low priority a low
priority on the public health
agenda
Vision, mission and
direction are
critically important
in mental health
programmes
A Mental Health Action
Plan is decisive at the
State level
Health information systems do
not prioritise mental health
Interrupted Drug Supply
Continues
S u n d a y , A p r i l 2 8 , 2 0 2 4
77

78. AVAILABILITY OF DRUGS FOR MENTAL HEALTH
CARE
78

79. 79
Three out of four persons with a
severe mental disorder
experience significant disability in
work, social and family life
Persons with mental
disorders continue to be
stigmatized
Significantly, low levels of
education and income are closely
linked to mental disorders
Mental Health Programmes in
India are a low priority a low
priority on the public health
agenda
Vision, mission and
direction are
critically important
in mental health
programmes
A Mental Health Action
Plan is decisive at the
State level
Health information systems do
not prioritise mental health
Public awareness activities are
still limited in mental health
Rehabilitation programmes are minimal
Rehabilitation
programmes are
minimal
Collaboration within and
outside the health
sector is minimal
S u n d a y , A p r i l 2 8 , 2 0 2 4
79

80. INTRA AND INTER-SECTORAL COLLABORATION FOR
MENTAL HEALTH
80

81. 81
Three out of four persons with a
severe mental disorder
experience significant disability in
work, social and family life
Persons with mental
disorders continue to be
stigmatized
Significantly, low levels of
education and income are closely
linked to mental disorders
Mental Health Programmes in
India are a low priority a low
priority on the public health
agenda
Vision, mission and
direction are
critically important
in mental health
programmes
A Mental Health Action
Plan is decisive at the
State level
Health information systems do
not prioritise mental health
Public awareness activities are
still limited in mental health
Rehabilitation programmes are minimal
Rehabilitation
programmes are
minimal
Programme monitoring and
evaluation are totally
missing
S u n d a y , A p r i l 2 8 , 2 0 2 4
81

82. STATUS OF MONITORING IN NMHS STATES
82

83. 83
Three out of four persons with a
severe mental disorder
experience significant disability in
work, social and family life
Persons with mental
disorders continue to be
stigmatized
Significantly, low levels of
education and income are closely
linked to mental disorders
Mental Health Programmes in
India are a low priority a low
priority on the public health
agenda
Vision, mission and
direction are
critically important
in mental health
programmes
A Mental Health Action
Plan is decisive at the
State level
Health information systems do
not prioritise mental health
Public awareness activities are
still limited in mental health
Rehabilitation programmes are minimal
S u n d a y , A p r i l 2 8 , 2 0 2 4
83
Mental health
research is limited

84. Recommendations
DISTRICT
MENTAL
HEALTH
PROGRAMME
PLANNING OF
SERVICES
INTEGRATION
OF MENTAL
HEALTH INTO
PRIMARY CARE
POLICY MAKERS
HUMAN
RESOURCE
DEVELOPMENT
MENTAL
HEALTH
PROMOTION
UPGRADATION
OF EXISTING
FACILITIES
DRUG
LOGISTICS
SYSTEM
84

85. Recommendations
FUNDING FOR
MENTAL
HEALTH
NATIONAL
REGISTRY REHABILITATION
PREVALENCE
OF MENTAL
DISORDERS IN
URBAN AREAS
NATIONAL
MENTAL
HEALTH
LITERACY
MENTAL
HEALTH
ACTIVITIES
RESEARCH
BASE
NATIONAL
AGENCIES
85

86. 4/28/2024Annual Review 86
Person with a mental disorder
can be creative and productive
with good care, caring society
and availability of opportunities
86

87. LETS WORK
TOGETHER TO
NORMALISE
CONVERSATIONS
ON MENTAL
HEALTH
87S u n d a y , A p r i l 2 8 , 2 0 2 4
87
THANK YOU