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In December 2017, India President Ram Nath Kovind\u00a0warned of a potential \u201cmental health epidemic\u201d<\/a>\u00a0in India, with 10 per cent of its 1.42 billion-strong population having suffered from one or more mental health problems. \u201cIn a nation of 1.3 billion (should be 1.42 billion now) people, that was a staggering figure. The number of Indians suffering from mental health problem was larger than the entire population of Japan<\/em> \u201c\u2013 he (president of India) said. Economic Times<\/a><\/p>\n Manas means mind.<\/p>\n A mental disorder is a clinically significant disturbance in an individual\u2019s cognition, emotional regulation, or behavior. These conditions often lead to distress or impairment in key areas of daily functioning.<\/p>\n Mental disorders are sometimes referred to as mental health conditions<\/strong>, a broader term that also includes psychosocial disabilities and other mental states associated with distress, functional impairment, or risk of self-harm. This overview focuses on mental disorders<\/strong> as classified by the World Health Organization\u2019s International Classification of Diseases (ICD-11).<\/strong><\/p>\n In 2019<\/strong>, 970 million people<\/strong>\u2014or 1 in 8 individuals globally<\/strong>\u2014were living with a mental disorder, with anxiety and depressive disorders<\/strong> being the most common\u00a0[WHO]<\/a> [GBD]<\/a><\/p>\n The COVID-19 pandemic<\/strong> in 2020 further intensified the mental health crisis, leading to a sharp increase in these conditions. Early estimates indicate a 26% rise in anxiety disorders<\/strong> and a 28% increase in major depressive disorders<\/strong> within just one year\u00a0[WHO]<\/a><\/p>\n Addressing mental health challenges requires greater awareness, early intervention, and improved access to effective care<\/strong> to support those affected worldwide.<\/p>\n Although effective prevention and treatment options are available, most individuals with mental disorders lack access to proper care. Additionally, many face stigma, discrimination, and human rights violations.<\/p>\n Some of the Mental health patients are not even aware of whether they have mental illness or not. Types of following mental illness are treatable, the question is when and how a patient identifies his or her problems. A brief list of such ailments:<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n Anxiety Disorder:<\/strong> In 2019, an estimated 301 million people, including 58 million children and adolescents, were affected by anxiety disorders. These conditions are defined by excessive fear, persistent worry, and related behavioral disturbances.\u00a0 [WHO]<\/a><\/p>\n Depression – <\/strong>In 2019, approximately 280 million people, including 23 million children and adolescents, were affected by depression. Unlike normal mood variations and brief emotional responses to daily challenges, depression is a persistent and serious mental health condition\u00a0 [WHO]<\/a><\/p>\n Bipolar Disorder – <\/strong>In 2019, approximately 40 million people were living with bipolar disorder, a condition marked by alternating depressive episodes and periods of manic symptoms. [WHO]<\/a><\/p>\n Post Traumatic Stress Disorder –\u00a0 <\/strong>Post-Traumatic Stress Disorder (PTSD) is particularly common in conflict-affected settings. It can arise following exposure to highly threatening or traumatic events, either as a single occurrence or a series of distressing experiences.. [WHO]<\/a><\/p>\n Schizophrenia<\/strong> – Schizophrenia affects around 24 million people worldwide, or approximately 1 in 300 individuals. People with this condition have a life expectancy that is 10 to 20 years shorter than the general population. It is characterized by significant disruptions in perception and behavior, with symptoms including persistent delusions, hallucinations, and disorganized thinking. [WHO]<\/a><\/p>\n Eating Disorder<\/strong> – In 2019, approximately 14 million people, including nearly 3 million children and adolescents, were affected by eating disorders. Conditions such as anorexia nervosa and bulimia nervosa are characterized by disordered eating patterns, an intense focus on food, and concerns about body weight and shape [WHO]<\/a><\/p>\n Neurodevelopmental disorders<\/strong> \u2013 These behavioral and cognitive disorders develop during the early stages of life and cause significant difficulties in acquiring and performing intellectual, motor, language, or social skills.<\/p>\n Need for introducing Tele-MANAS program \u2013 The Background<\/strong>\u00a0<\/strong><\/p>\n There is a significant global disparity between the need for mental health treatment and its availability. Furthermore, when treatment is provided, its quality is often inadequate. For instance, only 29% of individuals with psychosis and just one-third of those with depression receive formal mental health care.\u00a0 [Mental Health Atlas WHO]<\/a> [PLOS BILOLOGY]<\/a><\/p>\n People with mental disorders also require:<\/p>\n WHO\u2019s Comprehensive Mental Health Action Plan 2013-2030 recognizes the essential role of mental health in achieving health for all people. The plan includes 4 major objectives:<\/p>\n It is expected that the member states of WHO will follow the guidelines as set out by WHO.<\/p>\n Depression and anxiety disorders are widespread and debilitating conditions that not only cause significant human suffering and health loss but also lead to substantial economic impact.<\/strong><\/p>\n <\/p>\n India, being a developing country has been bothered by the mental illness of its citizens since long, like other countries in the world. Mental illness, most of the times being suppressed due to social stigma and taboo, reduces the ability to work, in case of illness like Depressive disorder, stress disorder or even completely lost the work force in case of suicide.<\/p>\n In case of Suicide, Financial burden on the society is enormous and India is no exception. The following statistics give an idea why Govt. of India is so much concern about mental illness of its citizens now:<\/p>\n The aim of this study was to estimate the economic cost of suicide in India in 2015.<\/p>\n Materials and Methods:<\/strong><\/p>\n The calculation of years of presumed life lost and total years of life lived (TYLL) was based on official 2015 data on suicides and life expectancy. Market rates and official estimates of various expenditures, both before and after suicide, were used to assess losses and gains. The total cost was derived from the difference between income and expenditure.<\/p>\n Results:<\/p>\n In 2015, a total of 133,623 individuals died by suicide.<\/p>\n Although suicide cannot be fully prevented, effective, tailored prevention strategies can help minimize substantial financial losses.\u00a0 [Financial Aspects of Indian Suicide 2015<\/a>]<\/p>\n Acknowledging the mental health crisis, Govt. of India announced to establish a new milestone on World Mental Health Day last year (in the Union Budget 2022 – 2023) 10th<\/sup> October 2022, Tele Mental Health Assistance and Networking across States, known as Tele MANAS<\/strong>.<\/p>\n In response to the COVID-19 pandemic and the pressing need for a resilient digital mental health network, this initiative seeks to offer free, 24\/7 tele-mental health services nationwide, with a special focus on reaching individuals in remote and underserved areas.<\/p>\n A toll-free, 24\/7 helpline number (14416 or 1-800-891-441<\/strong>6<\/strong>) is now available as part of the initiative.<\/p>\n Objectives of Introducing Tele-MANAS Program<\/strong><\/p>\n \u00a0<\/strong>National Tele-Manas Health Program<\/strong><\/p>\n Land Area of India \u2013 32,87,263 sq. km,<\/p>\n No. of Federal States \u2013 28 states and 8 Union Territories (UT)<\/p>\n Population –\u00a0\u00a0 1.42 billion<\/p>\n No. of recognised languages in India \u2013 22 [Rajbhasha]<\/a><\/p>\n Unity in diversity is the key principle of India, upon which India, as a country, was formed. Though health is a state subject, but government launched the Tele MANAS program centrally to cater the served and unserved areas of India on equality basis.<\/p>\n Mentoring institutes<\/strong>\u00a0<\/strong><\/p>\n ‘The National Tele Mental Health Programme of India (Tele MANAS) is all set to be a landmark link between distressed individuals and mental health professionals. Through 51 State-wise Tele MANAS cells that will have trained Tele MANAS counsellors and a teams of mental health professionals, this novel enterprise by the Ministry of Health and Family Welfare (MOHFW) will be helpful in networking and boosting mental healthcare services\u2019 – Dr.<\/em> Mansukh Mandaviya – Ministry of Health and Family Welfare (MOHFW) , Government of India [Operational Guidelines – TeleMANAS]<\/a><\/p>\n Location of Tele-Manas centres \u2013 a part of Govt. of India initiatives:<\/p>\n Under these mentoring centres there are district level centres as well.<\/p>\nUnderstanding Mental Disorders – Global Scenario in brief<\/h3>\n
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\n\n\n\nMental Health systems and social support<\/strong><\/h2>\n
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WHO responds.<\/strong><\/h2>\n
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Services offered by Tele-Manas Program<\/strong><\/h3>\n
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Process of Implementation of Tele-MANAS Program<\/strong><\/h3>\n
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Beneficiaries of the Tele-MANAS Scheme<\/strong><\/h3>\n
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Tele-MANAS Calling Mechanisms<\/strong><\/h3>\n
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