Abstract

This paper describes the current state of mental health services in Nepal and reflects on the significant changes over the past decade. The main challenges to overcome are proper implementation of community-based services, the high suicide rate, stigma of mental illness, financial constraints, lack of mental health legislation and proper utilisation of human resources.

Highlights

  • This paper describes the current state of mental health services in Nepal and reflects on the significant changes over the past decade

  • The mental health programmes in the country are operationalised by the Non-Communicable Disease and Mental Health Section

  • Mental health services are provided by the psychiatry units of medical colleges, provincial government hospitals and a few private hospitals

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Summary

COUNTRY PROFILE

Nepal; mental health services; low- and middle-income countries; psychiatry; mental health. First received 3 Aug 2020 Final revision 6 Oct 2020 Accepted 15 Oct 2020 doi:10.1192/bji.2020.58. This paper describes the current state of mental health services in Nepal and reflects on the significant changes over the past decade. Nepal is a landlocked country situated in South Asia between India and China. It became a republic, federal state with the promulgation of the constitution in 2015. In 2018, the Epidemiology and Disease Control Division (EDCD) of the Department of Health Services (DoHS) was designated as the focal unit to oversee mental health in Nepal.

Mental healthcare system
Epidemiology of mental disorders
Mental health services and resources in Nepal
Mental health policy and legislation
Psychiatric association
Findings
The way forward
Full Text
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