Mental health issues in pakistan (July 2010)

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  • What an excellent presentation. Do you know how many secondary mental health hospitals exist in Pakistan
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Mental health issues in pakistan (July 2010)

  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. 7. MENTAL HEALTH SCENARIO IN PAKISTAN Total Population 169,954,000 (July 2010 est.) Psychiatrists 400 Clinical Psychologists 200 Psychiatric Social Workers 30
  6. 8. 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>
  7. 10. <ul><li>Mental Hospital Peshawar 1950 </li></ul><ul><li>Mental Hospital Dodial 1963 </li></ul>
  8. 11. NO MENTAL HEALTH REHAB FACILITY WAS AVAILABLE TILL 1970
  9. 12. FOUNTAIN HOUSE (1971-2010) <ul><li>Project of Lahore Mental Health Association </li></ul>
  10. 13. 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>
  11. 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>
  12. 17. 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>
  13. 18. <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
  14. 20. SUGGESTIONS
  15. 21. <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>
  16. 23. THANK YOU

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