Abstract
South Asian countries are struggling in their efforts to set up mental health services that are safe, accessible and affordable. Despite the evidence that these countries take a major burden of care for the mentally ill, most of the countries in this region face a number of difficulties in bringing a change in the practice of mental health services. However despite a range of practical difficulties that range from scarcity of financial resources to setting up plans for formulating mental health care programs at different levels of care, many countries in the region are trying their best in the delivery of mental health care. This chapter discusses some of the prevailing issues that affect the delivery of mental health care in these countries and gives a brief account of the programs that are being planned and practiced in the regional countries.
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References
Acharya, L. et al. 2006. Mental health and psychosocial support aspects in disaster preparedness: Nepal. International Review of Psychiatry 18 (6): 587–592.
Alam, M. N. 1978. Psychiatric morbidity in general practice. Bangladesh Medical Research Council bulletin 4:38–42.
Alexander, D. A., and S. Klein, 2005. The psychological aspects of terrorism: From denial to hyperbole. Journal of the Royal Society of Medicine 98:557–562.
Bruckner, T. A. et al. 2011. The Mental health workforce gap in low-and middle-income counties: A needs-based approach. Bulletin of the World Health Organisation 89:184–194.
Byrne, P. 2000. Stigma of mental illness and ways of diminishing it. Advances in Psychiatric Treatment 6 (1): 65–72.
Carballo, M., B. Heal, and M. Hernandez. 2005. Psychosocial aspects of the Tsunami. Journal of the Royal Society of Medicine 98:396–399.
Chatterjee, P. 2009. Economic crisis highlights mental health issues in India. The Lancet 373 (9670): 1160–1161.
Chaudhry, H. R. 2008. Psychiatric care in Asia: Spirituality and religious connotations. International Review of Psychiatry 20:477–483.
Crisp, A. H. et al. 2000. Stigmatization of people with mental illnesses. British Journal of Psychiatry 177:4–7.
Desjarlais, R. et al. 1995. World mental health: Problems and priorities in low-income countries. New York: Oxford University Press.
Director General of Health Services (DGHS). 1982. National mental health program for India. New Delhi: Ministry of Health and Family Welfare.
Ebrahim, S., and L. Smeteth 2001. Non communicable diseases in low income and middle income countries: A debate? International Journal of Epidemiology 35 (2): 494–495.
Gadit, A. A. 2007. Psychiatry in Pakistan: 1947–2006: A new balance sheet. Journal of Medical & Biological Sciences 1 (2): 1–19.
Gadit, A. M. 2006a. Mental health in pakistan: Where do we stand? Journal of Pakistan Medical Association 56 (5): 198–199.
Gadit, A. M. 2006b. Mental health research in Pakistan and the developing world. Journal of the College of Physicians and Surgeons Pakistan 16 (3): 169–170.
Gadit, A. M. 2007. Is there a visible mental health policy in Pakistan? Journal of Pakistan Medical Association 57 (4): 212–213.
Government of Pakistan. Planning Commission 2005. The report of the subcommittee on mental health, substance abuse and the health of the elderly. 10th Five-Year Plan, 1–27.
Gureje, O. et al. 2009. Report on the WPA task force on brain drain. World Psychiatry 8:115–118.
Haq, M. Z. et al. 2008. National mental health program in india: An update. International Journal of Social Psychiatry 24:22–29.
Hosain, G. M. M. et al. 2007. Prevalence, pattern and determinants of mental disorders in rural Bangladesh. Public Health 121:18–24.
Htay, H. 2006. Mental health and psychosocial aspects of disaster preparedness in Myanmar. International Review of Psychiatry 18 (6): 579–585.
Hussain, F., et al. 2011. Prevalence of war-related mental health conditions and association with displacement status in post war Jaffna District, Sri Lanka. JAMA 306 (5): 522–531.
Isaac, M. 2011. National mental health program: Time for reappraisal. In Themes and issues in contemporary Indian psychiatry, eds P. Kulhara, A. Avasthi, and M. Thirunavukarasu. New Delhi: Indian Psychiatric Society.
Islam, R. 1993. Psychiatry in Bangladesh. Psychiatric Bulletin 17:492–494.
Jacob, K. S. et al. 2007. Mental health systems in countries: Where are we now? The Lancet 370:1061–1077.
Javed, A. 2007. Mental health in developing countries: Some emerging priorities in Asia. WAPR Bulletin 21:3–5.
Jenkins, R. et al. 2010 International migration of doctors, and its impact on availability of psychiatrists in low and middle income countries. PLoS ONE 5 (2): e9049. doi:10.1371/journal.pone.0009049.
Kala, A. K., and K. Kala, 2008. Mental health legislation in developing countries with special reference to south asia: Problems and Solutions. Global Social Policy 8:308–311.
Karim, S. et al. 2004. Pakistan mental health country profile. International Review of Psychiatry 16 (1–2): 83–92.
Khandelwal, S. K. et al. 2004. India mental health country profile. International Review of Psychiatry 16 (1–2): 126–141.
Lancet Global Mental Health Group. 2007. Scaling up services for mental disorders: A call for action. The Lancet 9594:1241–1252.
Lolas, F. 2006. Ethics in psychiatry: A framework. World Psychiatry 5 (3): 185–187.
Mendis, N. 2003. Importance of general hospital in the development of mental health care. World Psychiatry 2:10–17.
mhGAP. 2008. Mental Health Action Program: Scaling up care for mental, neurological, and substance use disorders. Geneva: World Health Organisation.
Ministry of Health Sri Lanka 2010. National health policy—Sri Lanka. www.health.gov.lk/HealthPolicy.htm.
Mental Health Directorate. 2006. The Mental health Policy of Sri Lanka 2005–2015. Colombo. Ministry of Healthcare and Nutrition.
Mullick, M. S., and R. Goodman, 2005. Then prevalence of psychiatric disorders among 5–10 years old in rural, urban and slum areas in Bangladesh: An explonatory study. Social Psychiatry and Psychiatric Epidemiology 40:663–671.
Murthy, R. S. 2007 Mass violence and mental health–recent epidemiological findings. International Review of Psychiatry 19 (3): 183–192.
Niaz, U. 2003. Violence against women in south asian countries. Arch Women’s Mental Health 6:173–184.
Nishtar, S. et al. 2005. Integrated population-based surveillance of non-communicable diseases: Pakistan model. American Journal of Preventive Medicine 29 (5 Suppl 1): 102–106.
Panter-Brick, C. et al. 2009. Violence, suffering, and mental health in Afghanistan: A school-based survey. Lancet 374:807–816.
Patel, V. 2009. The future of psychiatry in low and middle income countries. Psychological Medicine 39:1759–1762.
Patel, V. 2010. Research priorities for Indian psychiatry. Indian Journal of Psychiatry 52 (Suppl): 26–29.
Patel, V. et al. 2007. Treatment and prevention of mental disorders in low-income and middle income countries. Lancet 370:991–1005.
Prince, M. et al. 2007. No health without mental health. Lancet 370:859–877.
Regmi, S. K. et al. 2004 Nepal mental health country profile. International Review of Psychiatry 16 (1–2): 142–149.
Rothman, D. J. et al. 2009 Professional medical associations and their relationships with industry: A proposal for controlling conflict of interest. JAMA 301 (13): 1367–1372.
Saraceno, B. et al. 2007 Barriers to improvement of mental health services in low-income and middle-income countries. The Lancet 370:1164–1174.
Saxena, S. et al. 2003. Budget and financing of mental health services: Baseline information on 89 countries from WHO’s project atlas. The Journal of Mental Health Policy and Economics 6:135–143.
Shafique, M. 1995 Psychiatry in pakistan (1947–1994): The balance sheet. Psychiatric Bulletin 19:567–570.
Sharma, V. K. 2006. Psychological support within disaster: Management in asian countries In: Advances in psychological and social upport after disasters, eds. O. Joseph, Diaz Prewitt, R. Srinivasa Murthy, and Rashmi Lakshminarayana, 29–35. India: VHAI.
Srinivasa, Murthy R. 2007. Mental health program in the 11th five year plan. Indian Journal of Medical Research 125:707–711.
The World Bank. 2005. Public health surveillance system: A call for action. Islamabad: Ministry of health, world bank, centres for disease control, World Health Organization.
Trivedi, J. K., and M. Dhyani. 2007. Undergraduate psychiatric education in south asian countries. Indian Journal of Psychiatry 49 (3): 161–165.
Trivedi, J. K. et al. 2007. Regional cooperation in South Asia in the field of mental health. World Psychiatry 6 (1): 57–59.
Understanding Suicide Terrorism in Bangladesh and Sri Lanka 2010. (ed) S. Y. Surendra Kumar and Mostafa Mahmud Naser. Regional Centre for Strategic Studies, Colombo.
Vijayakumar, L., J. Pirkis, and H. Whiteford. 2005. Suicide in developing countries: Prevention efforts. Crisis 26 (3): 120–124.
Wallcraft, J. et al. 2011 Partnerships for better mental health worldwide: WPA recommendations on best practices in working with service users and family carers. World Psychiatry 10:229–236.
Whalley, M. G., and C. R. Brewin. 2007. Mental health following terrorist attacks. British Journal of Psychiatry 190:94–96.
World Health Organization. 1973. The development of comprehensive mental health services in the community. Copenhagen: WHO Regional Office for Europe.
World Health Organization. 2001. Meeting the needs of persons with mental disorders through legislation; Proceedings of a Regional Workshop on Mental Health Legislation Galle, Sri Lanka, 24–27 May 200: World Health Organization Regional Office for South-East Asia. New Delhi.
World Health organization. 2008. World Health Statistics. Geneva: WHO.
World Health Organization. 2008. WHO Mental Health gap Action. Programme (mhGAP). Geneva: WHO.
World Health Organization. 2011. Mental health services atlas. Geneva: WHO.
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Javed, M. (2015). Programs of Mental Health and Policies in South Asia: Origin and Current Status. In: Trivedi, J., Tripathi, A. (eds) Mental Health in South Asia: Ethics, Resources, Programs and Legislation. International Library of Ethics, Law, and the New Medicine, vol 58. Springer, Dordrecht. https://doi.org/10.1007/978-94-017-9017-8_6
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