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Mental Health Issues in Madhya Pradesh: Insights from National Mental Health Survey of India 2016

机译：中央邦的心理健康问题：2016年印度全国心理健康调查的启示

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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.
机译：背景：印度约占全球精神卫生负担的14％。但是，印度各州之间在心理健康模式，利用和优先次序方面存在差异。中央邦在印度各邦中的表现不佳，在人类发展指数，饥饿指数和国内生产总值（GDP）方面低于全国平均水平。该州在其他与健康相关的指标上也表现不佳。研究目的：评估印度中央邦精神疾病的患病率和类型。材料和方法：本研究使用多阶段，分层，随机整群抽样技术，每个阶段的选择概率与规模成正比。总共采访了3240个18岁以上的人。所采用的混合方法研究具有定量和定性两个方面。迷你国际神经精神病学访谈以及其他10种工具也被使用。结果：所有精神疾病的总加权患病率为13.9％，一生中为16.7％。该州所有精神健康问题的治疗差距都非常高（91％），自杀风险和药物使用率很高。结论：这项研究提供了中央邦心理，行为和药物滥用障碍的巨大负担以及治疗差距的证据。这些信息对于制定有效的预防和控制策略至关重要。该州巨大的治疗缺口要求所有利益相关者，包括决策者，政治领导人，卫生保健专业人员和整个社会，齐心协力，将精神卫生保健作为应有的优先重点。这些发现还突出表明，有必要采取根植于卫生政策的多管齐下的干预措施，以期在短期内缩小治疗差距，从长远来看减少疾病负担。

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