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National Mental Health Survey of India 2015-16

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NMHS<br />

• Sample surveys on representative<br />

populations at should be undertaken<br />

at defined intervals to independently<br />

measure status and progress.<br />

• As evaluation is critical in measuring<br />

the outcomes and impact, mental<br />

health programmes should be<br />

evaluated by external agencies every<br />

5 years.<br />

15. The research base in mental health<br />

should be strengthened with a focus on<br />

the following areas<br />

• Prioritised mental health questions<br />

should be included in the regular<br />

ongoing national surveys like NCD<br />

risk factor survey, <strong>National</strong> Family<br />

and <strong>Health</strong> <strong>Survey</strong>, <strong>National</strong> Sample<br />

<strong>Survey</strong> Organisation (NSSO) and<br />

others.<br />

• Delineating the burden and impact <strong>of</strong><br />

mental and substance use disorders in<br />

primary care settings using uniform<br />

and standardised techniques.<br />

• Operational research focusing on<br />

programme pitfalls and achievements,<br />

barriers and challenges, integration<br />

mechanisms and coordination<br />

challenges.<br />

• Expanding the present survey on<br />

adolescents in the 13 – 17 years group<br />

(implemented as a pilot study) to<br />

larger populations.<br />

• Understanding the treatment gap to<br />

unfurl macro and micro level issues<br />

from both demand and supply angles.<br />

• Identifying risk and protective factors<br />

involved in causation, recovery<br />

and outcome <strong>of</strong> different mental<br />

disorders.<br />

• Understanding cultural perceptions<br />

and beliefs with regard to mental<br />

health for increasing the utilisation <strong>of</strong><br />

mental health services.<br />

• Use <strong>of</strong> m-health and e-health<br />

to develop services, databases,<br />

registries, distant care and promote<br />

convergence with other programmes.<br />

• Comprehensive understanding <strong>of</strong> the<br />

rehabilitation needs <strong>of</strong> the mentally<br />

ill at the district and state levels along<br />

with a longitudinal follow-up <strong>of</strong><br />

affected individuals.<br />

• Better understanding <strong>of</strong> the economic<br />

impact <strong>of</strong> mental health disorders<br />

that include both direct and indirect<br />

costs.<br />

• Evaluating the different strategies for<br />

mental health promotion<br />

• <strong>National</strong> agencies like <strong>India</strong>n Council<br />

for Medical Research (ICMR),<br />

<strong>India</strong>n Council <strong>of</strong> Social Science<br />

Research (ICSSR), Department <strong>of</strong><br />

Biotechnology (DBT), Department Of<br />

Science & Technology (DST), private<br />

sector and international agencies<br />

like World <strong>Health</strong> Organisation<br />

(WHO) and other United Nations<br />

(UN) agencies should dedicate and<br />

enhance research funds for mental<br />

and substance use disorders.<br />

A <strong>National</strong> Empowered Commission on <strong>Mental</strong> <strong>Health</strong>, comprising <strong>of</strong> pr<strong>of</strong>essionals from mental health,<br />

public health, social sciences, the judiciary and related backgrounds should be constituted to oversee,<br />

support, facilitate, monitor and review mental health policies – plans – programmes in a continuous<br />

manner. Such a task force that works closely with the Ministries <strong>of</strong> <strong>Health</strong> at the national and state levels<br />

can provide strategic directions for mental health care programming to ensure speedy implementation<br />

<strong>of</strong> programmes.<br />

SMHSA<br />

81

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