Mental health in Pakistan

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Mental health in Pakistan

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

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