Abstract
Background: About 14% of the global mental health burden is contributed by India. However, there exists a disparity in mental health patterns, utilization, and prioritization among various Indian states. The state of Madhya Pradesh is a low performer among Indian states, ranking lower than the national average on the Human Development Index, Hunger Index, and Gross Domestic Product (GDP). The state also performes poorly on other health-related indicators. Objectives of Study: To estimate the prevalence and patterns of mental illnesses in the state of Madhya Pradesh, India. Material and Methods: This study used the multistage, stratified, random cluster sampling technique, with selection probability proportionate to size at each stage. A total of 3240 individuals 18 years and older were interviewed. The mixed-method study that was employed had both quantitative and qualitative components. The Mini International Neuropsychiatric Interview along with 10 other instruments were used. Results: The overall weighted prevalence for any mental illness was 13.9%, with 16.7% over the lifetime. The treatment gap for all of the mental health problems is very high (91%), along with high suicidal risk and substance use in the state. Conclusions: This study provides evidence of the huge burden of mental, behavioral, and substance use disorders as well as the treatment gap in Madhya Pradesh. This information is crucial for developing an effective prevention and control strategy. The high treatment gap in the state calls for coordinated efforts from all stakeholders, including policy makers, political leaders, health care professionals, and the society at large to give mental health care its due priority. These findings also highlight the need for multi-pronged interventions rooted in health policy directed at reducing the treatment gap in the short term and disease burden in the long run.
Highlights
Mental as well as neurological and substance use disorders (MNSUDs) are becoming increasingly common, affecting 1.1 billion people worldwide and emerging as a public health problem of global concern [1,2,3]
India and China share about one-third of all the global burden in terms of disease-adjusted life years (DALYs) attributable to MNSUDs, which is greater than the combined burden of all developing countries (66 million DALYs versus 55 million DALYs)
The National Mental Health Survey (NMHS) of India was undertaken in 12 states of India including Madhya Pradesh during 2015–2016 [17]
Summary
Mental as well as neurological and substance use disorders (MNSUDs) are becoming increasingly common, affecting 1.1 billion people (one in six individuals) worldwide and emerging as a public health problem of global concern [1,2,3]. The mental health burden is greater in developed countries, the developing countries are showing an increasing trend in terms of both disease burden and treatment gap [1,3,11,12,13]. India and China share about one-third of all the global burden in terms of disease-adjusted life years (DALYs) attributable to MNSUDs, which is greater than the combined burden of all developing countries (66 million DALYs versus 55 million DALYs). Between 1990–2003, India has seen a greater increase in the MNSUDs burden (44%) as compared to China (20%) [14]. About 14% of the global mental health burden is contributed by India. There exists a disparity in mental health patterns, utilization, and prioritization among various Indian states. The state performes poorly on other health-related indicators
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