April 30, 2020

Mental Health Guide

This comprehensive guide outlines how companies can be aware of how access, cost, coverage, stigma and other challenges vary in different markets, and highlights company strategies, country snapshots and resources that may be useful as they implement their programs around the world.

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This section covers information about mental health stigma, access and treatment, and provides recommendations for employers and resources on NGOs/National Campaigns in India.

Snapshot of the Health System Landscape

Mental hospital beds: 1.43 per 100,000 population.

Generic hospital psychiatric unit beds: 22.34 per 100,000 population.

Government mental health spend as % of total health spend

National health insurance or reimbursement scheme includes the care and treatment of persons with major mental disorders (defined as psychosis, bipolar disorder, depression).*

Total mental health workers: 1.93 per 100,000 population

The majority of persons pay mostly or entirely out of pocket for services and medicines.

No government-adopted or national policy for suicide prevention strategy

inpatient

25% of the inpatient population stays for 1-5 years. Over one-fourth are involuntarily committed.

*According to data submitted to the World Health Organization (2017)

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Addressing Mental Health in India

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Mental and Emotional Well-being

Asia Pacific (APAC)

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30 | Bijal AS, Kumar CN, Manjunatha N, Gowda M, Basavaraju V, Math SB. Health insurance and mental illness. Indian J Psychiatry. 2019;61:S791–S797.
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33 | Bhaskaran, D. livemint. Health insurance plans to cover mental illness too, but will that help? August 20, 2018. https://www.livemint.com/Money/o0pRqJbfCkMiaiPHRV0TSK/Health-plans-to-cover-mental-illness-too-but-will-that-help.html. Accessed November 12, 2019.
34 | Forti A. OECD Health Working Papers No. 71. Mental Health Analysis Profiles (MhAPs): Italy. OECD;2014.
35 | OECD. Italy led the way in deinstitutionalisation, but regional disparities remain a concern. https://www.oecd.org/els/health-systems/MMHC-Country-Press-Note-Italy.pdf. . Accessed November 25, 2019.
36 | World Health Organization. The Italian mental health-care reform: public health lessons. https://www.who.int/bulletin/volumes/96/11/18-216002/en/. . Accessed November 25, 2019.
37 | The Commonwealth Fund. International health care system profiles: Italy. https://international.commonwealthfund.org/countries/italy/. Accessed November 21, 2019.
38 | Barbato A, Vallarino M, Rapisarda F, Lora A, Caldas de Almeida JM. Access to mental health care in Europe. European Union Health Programme;2016.
39 | Inoue A, Okido S. Interview with PeaceMind. In: Demmer B, Ford A, O'Driscoll K, eds. Washington, DC: ComPsych and Business Group on Health; 2019.
40 | Kobayashi N. Employers must help cut Japan's suicide rate. Nikkei Asian Review. September 10, 2018.
41 | Society for Human Resources and Management. Japan: Anti-power harassment law passed. https://www.shrm.org/resourcesandtools/legal-and-compliance/employment-law/pages/global-japan-anti-power-harassment-law-passed.aspx. Published 2019. Updated September 6. Accessed November 18, 2019.
42 | The Commonwealth Fund. International health care system profiles: the Japanese health care system. https://international.commonwealthfund.org/countries/japan/. Accessed November 18, 2019.
43 | This Week in Asia. In Japan, workplace bullying and harassment are driving women to seek mental health treatment. https://www.scmp.com/week-asia/lifestyle-culture/article/3034742/japan-workplace-bullying-and-harassment-are-driving. Published 2019. Updated October 27. Accessed November 18, 2019.
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46 | Dartiz J, Cuevas J, Aviles JL. Interview with Marsh Mexico. In: Ford A, O'Driscoll K, eds. Washington, DC: National Business Group on Health; 2019.
47 | Interview with Martha Pena, EAP provider in Mexico. In: Demmer B, Ford A, O'Driscoll K, eds. Washington, DC: ComPsych and Business Group on Health; 2019.
48 | The Conversation. Rising suicides in Mexico expose the mental health toll of living with extreme, chronic violence. August 2, 2018. https://theconversation.com/rising-suicides-in-mexico-expose-the-mental-health-toll-of-living-with-extreme-chronic-violence-99131. Accessed November 15, 2019.
49 | Baker McKenzie. Psychosocial risk factors at work. https://www.bakermckenzie.com/en/insight/publications/2018/11/psychosocial-risk-factors-at-work. November 2018. Accessed November 15, 2019.
50 | Mexico issues new psychosocial risk legislation for all employers. ComPsych Corporation;2019.
51 | El Universal. Mexico, one of the countries with the highest work-related stress, says UNAM. https://www.eluniversal.com.mx/english/mexico-high-work-stress. Accessed November 15, 2019.
52 | The Conversation. Why South Africa is failing mental health patients and what can be done about it. October 5, 2016. https://theconversation.com/why-south-africa-is-failing-mental-health-patients-and-what-can-be-done-about-it-66445. Accessed December 10, 2019.
53 | Stevens C. Interview with EAP provider LifeAssist. In: Demmer B, Ford A, O'Driscoll K, eds. Washington, DC: ComPsych and Business Group on Health; 2019.
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55 | Business Group on Health. Mental Health Virtual Summit Part 4: Global Approaches to Address Access and Stigma. https://www.businessgrouphealth.org/resources/mental-health-virtual-summit. November 19, 2019. Accessed December 10, 2019.
56 | South African Government. National Health Insurance. https://www.gov.za/about-government/government-programmes/national-health-insurance-0. Accessed November 16, 2019.
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62 | Mind. Mental health facts and statistics. https://www.mind.org.uk/information-support/types-of-mental-health-problems/statistics-and-facts-about-mental-health/how-common-are-mental-health-problems/#.XemcMOhKg2x. Accessed December 5, 2019.
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REFERENCES

Addressing Mental Health in India

Snapshot of the Health System Landscape

“The impression [in India] is that those who are strong cannot weep; they do not feel sad. Only weak people can report feeling sad.”

Dr. Ashwani Kumar, Director and Psychiatrist at Santulan

Addressing Mental Health in India

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