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Mental health in Pakistan

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  • 1. Mental Health issues in Pakistan: Prof. Dr. Haroon Rashid Chaudhry
    • Head Department of Psychiatry,
    • Fatima Jinnah Medical College Sir Ganga Ram Hospital, Lahore
    • Honorary Executive Director, Fountain House, Lahore.
    • President, Pakistan Psychiatric Society
    • General Secretary, South Asian Forum (Pakistan-Chapter)
    • Secretary, WPA Section on Rural Mental Health
    • Member, WPA Operational Committee on Scientific Meetings
    • Board Member, World Association of Psychosocial Rehabilitation
    • VP, World Federation for Mental Health, Eastern Mediterranean Region
    • General Secretary, SAARC Psychiatric Federation
  • 2. WHAT IS HEALTH? World Health Organization's Definition “ A state of complete physical, mental, social and spiritual well being and not merely the absence of disease or infirmity”
  • 3. GLOBAL MENTAL HEALTH ISSUES More than two fifths of the total disabilities are due to mental illnesses (WORLD HEALTH REPORT, 2001)
  • 4. DISEASES IN 2020
    • Myocardial infarction
    • Depression
    • Road Traffic Accident
    • Tuberculosis
    • Alcohol
    • (Leading causes of Disability in DALYS Estimated in 2020)
  • 5.
    • A mental health or mental disorder is a psychological or behavioral pattern associated with distress or disability that occurs in an individual and is not a part of normal development and culture
  • 6.  
  • 7. MENTAL HEALTH SCENARIO IN PAKISTAN Total Population 169,954,000 (July 2010 est.) Psychiatrists 400 Clinical Psychologists 200 Psychiatric Social Workers 30
  • 8.
    • Pakistan has an estimated population of 14 million Mentally ill patients, the majority of which are women
    • 6000-8000 people committ suicide every year in Pakistan and the trend in increasing (Doesn’t include Suicide Bombers)
  • 9. MENTAL HEALTH FACILITIES AT THE TIME OF INDEPENDENCE (1947)
    • Mental Hospital in Lahore (Punjab Institute of Mental Health).
    • Mental Hospital in Hyderabad (Sir Cows Jee Mental Hospital)
  • 10.
    • Mental Hospital Peshawar 1950
    • Mental Hospital Dodial 1963
  • 11.
    • Pakistan has only one psychiatrist for every 10,000 people, one child psychiatrist for four million children who are estimated to be suffering from mental-health issues, only four major psychiatric hospitals in a country of 165 million and only 20 such units attached to teaching hospitals
  • 12. NO MENTAL HEALTH REHAB FACILITY WAS AVAILABLE TILL 1970
  • 13. FOUNTAIN HOUSE (1971-2010)
    • Project of Lahore Mental Health Association
  • 14. CONCEPTS OF MENTAL ILLNESS
    • Once a psychiatric patient forever a psychiatric patient
    • Possession (any bizarre behaviour)
      • Conversion Reaction
      • Schizophrenia
      • Puerperal Psychosis
    • No improvement
  • 15. CURRENT SCENARIO
      • Primary psychiatric care
        • GPs
        • Clergymen & Faith Healers
        • Hakeems
        • Homeopaths
        • Shrine/Mosque / Church / Temple
      • Secondary psychiatric care
      • Tertiary Psychiatric Facilities (Teaching Hospitals)
  • 16. DILEMMA OF PSYCHIATRIC CARE IN PAKISTAN
    • Stigma
    • Shortage of mental health professionals
    • Insufficient psychiatric beds
    • Brain drain
    • Inadequate psychiatric services in periphery
    • No structured training programmes for GPs
  • 17.
      • Mental Health Act (2001)
      • Activities of mental health NGOs
      • Recognition of mental health in general health care ?
      • International collaborations
      • - Training
      • - Research
    CHANGE IN SENAIRIO
  • 18. SUGGESTIONS
  • 19.
    • Psychiatric faculty development in teaching hospitals
    • Post of consultant psychiatrist in tehsils and districts
    • Implementation of mental health act
    • Public awareness programmes addressing mental health issues
    • Structured training of GPs (in collaboration with)
      • Academy of Family Physicians
      • Pakistan Psychiatric Society
      • WPA Section on Education
      • Pakistan Medical and Dental Council
  • 20.  
  • 21. THANK YOU