13. child labour and violence); Mental & behavioural Social poor nutrition, infection, physical trauma, endocrine and genetic factors. biological
14. Why Mental Health is so significant HLY, QALY, GDP Affect all Race Sex religion public health burden Disabling Rapid Changing society stigma DALY YLL, YLD Inadequate Health service
25. Neuropsychiatric conditions :- 14 % of the global burden of disease non-communicable diseases, they account for 28% of the DALY's — more than cardiovascular disease or cancer
26. Increasing Burden of Noncommunicable Diseases and Injuries Change in rank order of DALYs for the 15 leading causes 1999 Disease or Injury 2020Disease or Injury 1. Acute lower respiratory infections 2. HIV/AIDS 3. Perinatal conditions 4. Diarrhoeal diseases 5. Unipolar major depression 6. Ischaemic heart disease 7. Cerebrovascular disease 8. Malaria 9. Road traffic injuries 10. Chronic obstructive pulmonary disease 11. Congenital anomalies 12. Tuberculosis 13. Falls 14. Measles 15. Anaemias 1. Ischaemic heart disease 2. Unipolar major depression 3. Road traffic injuries 4. Cerebrovascular disease 5. Chronic obstructive pulmonary disease 6. Lower respiratory infections 7. Tuberculosis 8. War 9. Diarrhoeal diseases 10. HIV 11. Perinatal conditions 12. Violence 13. Congenital anomalies 14. Self-inflicted injuries 15. Trachea, bronchus and lung cancers DALY = Disability-adjusted life year Source: WHO, Evidence, Information and Policy, 2000
27. In 2011,WHO estimated a shortage of 1.18 million mental health professionals, including 55,000 psychiatrists, 628,000 nurses in mental health settings 493,000 psychosocial care providers needed to treat mental disorders in 144 low- and middle-income countries. The annual wage bill to remove this health workforce shortage was estimated at about US$ 4.4 billion
28. DSM-IV-TR Multiaxial Evaluation System Axis I-Clinical disorders and other conditions that may be a focus of clinical attention Axis II-Personality disorders and mental retardation Axis III-General medical conditions Axis IV-Psychosocial and environmental problems Axis V-The measurement of an individual’s psychological, social, and occupational functioning on the Global assesment & functioning Scale
29. SUBSTANCE ABUSE SMOKING – associated with SCHIZOPHRENIA ( OR 5.9 ) DEPRESSION & ANXIETY (OR 1.5 – 2.0 ) NFHS ( 2005 ) 12.2 % Smoke > 10 cigarettes / day 3.2 % men DRINK every day
30. Schizophrenia Schizophrenia affects around 0.3–0.7% of people at some point in their life 24 million people worldwide as of 2011 1.4 times more frequently in males than females typically appears earlier in men the peak ages of onset are 20–28 years for males and 26–32 years for females 1% DALY worldwide
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