Lok Sabha Question No. 571 (UNSTARRED), answered on 2016-11-18
Subject: Mental Disorders
Ministry: HEALTH AND FAMILY WELFARE
Asked by: BHEEMRAO BASWANTHRAO PATIL, RAVINDRA KUMAR RAY, RANGASWAMY DHRUVANARAYANA, VISHNU DAYAL RAM, ANIRUDHAN SAMPATH, PRALHAD VENKATESH JOSHI

## GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENT OF HEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRED QUESTION NO. 571 TO BE ANSWERED ON 18 TH NOVEMBER, 2016

## MENTAL DISORDERS

## 571. SHRI BHEEMRAO B. PATIL:

DR. RAVINDRA KUMAR RAY: SHRI R. DHRUVA NARAYANA: SHRI VISHNU DAYAL RAM: DR. A. SAMPATH: SHRI PRALHAD JOSHI:

Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:

- (a)  whether  the  number  of  people suffering  from  Alzheimer,  Dementia  and other  mental disorders is on the rise in the country, if so, the details thereof;
- (b) whether the Government has formulated any programme or policy to cater to the treatment needs of the such patients including mentally challenged children during each of the last three yearsand the curr ent year;
- (c) the details of research institutes, mental hospitals and rehabilitation centres functional in the country State/UT - wise including Jharkhand along with the funds allocated/released/utilized for National Mental Health Programme (NMHP) and Nati onal Programme for Health Care of the Elderly (NPHCE); and
- (d) whether the Government proposes to introduce counselling sessions in Schools, Offices and other institutions for addressing mental stigma, if so, the details thereof?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SMT. ANUPRIYA PATEL )

- (a): As per Dementia India Report, 2010 brought out by Alzheimer's and Related Disorders Society of India (ARDSI), in India there were over 3.7 million persons estima ted with dementia (2.1 million women and 1.5 million men). This figure is expected to double every 20 yea major proportion of these patients suffer from Alzheimer disease.

As per the report of the National Mental Health Survey, the current prevalenc e of mental disorders  including  common  mental  disorders,  severe  mental  disorders,  and  alcohol substance use disorders (excluding tobacco use disorder) in adults over the age of 18 about 10.6%.

(b) to (d): To  address  the  burden  of  mental disorders,  the  Government  of  India  is implementing the National Mental Health Programme (NMHP) and the District Mental Health Programme (DMHP). Funds have been released for 339 districts in the country under the DMH for  detection,  management  and  treatment of  mental  disorders/  illness.  With  the  objective  to address the shortage of mental health professionals in the country, establishment of 18 C Excellence  in  Mental  Health  and  strengthening/  establishment  of  39  Post  Graduate  tra departments in mental health specialties have been funded to increase the PG training capaci mental health as well as improving the tertiary care treatment facility. Besides, thre Institutions viz. National Institute of Mental Health And Neuro Sciences, Ba ngalore, Lokopriya Gopinath  Bordoloi  Regional  Institute  of  Mental  Health,  Tezpur  and  Central  Institut Psychiatry, Ranchi have been strengthened for augmenting the human resources in the are mental health and for capacity building in the country.

During the 12th Five Year Plan, the DMHP has been restructured to include additio components like suicide prevention services, work place stress management, life skills t and  counselling  in  schools  and  colleges.  Support  is  also  provided  for  Centr al/  State  Mental Health  Authorities,  Research  and  Training  and  Information,  Education  and  Communicatio (IEC) activities.

The details of funds released under the National Mental Health Programme (NMHP) and National Programme for Health Care of the Elderly (NPHCE) are at Annexure .

ANNEXURE

## Details of funds released for implementation of various district level activities under the Nat Mental Health Programme

(Rs. in crore)

| S.No   | Name of State             | 2013-14   | 2014-15   |   2015-16* |
|--------|---------------------------|-----------|-----------|------------|
| 1      | Andaman & Nicobar Islands | 1.44      | -         |       0.55 |
| 2      | Andhra Pradesh            | -         | 1.66      |      14.78 |
| 3      | Arunachal Pradesh         | -         | 0.83      |       5.7  |
| 4      | Assam                     | -         | 4.16      |      35.78 |
| 5      | Bihar                     | 9.15      | 1.66      |      22.34 |
| 6      | Chandigarh                | -         | -         |       0.69 |
| 7      | Chattisgarh               | 2.50      | 1.66      |       8.47 |
| 8      | Dadra & Nagar Haveli      | -         | -         |       0.63 |
| 9      | Daman & Diu               | -         | -         |       0.35 |
| 10     | Delhi                     | 2.50      | 0.83      |       2.23 |
| 11     | Goa                       | 0.83      | -         |       0.23 |
| 12     | Gujarat                   | 3.33      | 3.33      |      20.98 |
| 13     | Haryana                   | -         | 3.33      |       4.93 |
| 14     | Himachal Pradesh          | -         | 1.66      |       4.78 |
| 15     | Jammu & Kashmir           | -         | 2.50      |       8.16 |
| 16     | Jharkhand                 | -         | 2.50      |      10.57 |
| 17     | Karnataka                 | 9.98      | 1.66      |      14.29 |
| 18     | Kerala                    | -         | 1.66      |       5.18 |
| 19     | Lakshadweep               | 0.83      | -         |       0.07 |
| 20     | Madhya Pradesh            | -         | 5.82      |      26.82 |
| 21     | Maharashtra               | 5.82      | 2.50      |      27.54 |
| 22     | Manipur                   | -         | -         |       3.08 |
| 23     | Meghalaya                 | -         | 0.83      |       2.46 |
| 24     | Mizoram                   | 1.66      | 0.83      |       1.42 |
| 25     | Nagaland                  | -         | 1.66      |       2.63 |
| 26     | Orissa                    | 9.15      | 1.66      |      16.19 |
| 27     | Pondicherry               | 0.57      | 0.83      |       0.29 |
| 28     | Punjab                    | 4.24      | 1.66      |       6.71 |
| 29     | Rajasthan                 | -         | 4.99      |      27.04 |
| 30     | Sikkim                    | 3.33      | -         |       0.95 |
| 31     | Tamil Nadu                | 4.33      | -         |      17.16 |
| 32     | Tripura                   | -         | 1.66      |       2.55 |
| 33     | Uttar Pradesh             | -         | 6.66      |      54.39 |
| 34     | Uttarakhand               | 4.16      | 1.66      |       6.62 |
| 35     | West Bengal               | 1.66      | 1.66      |      13.03 |
| 36     | Telangana                 | -         | 1.66      |       9.41 |
|        | Total                     | 65.48     | 61.52     |     379    |

*  District  level  activities  under  the  National  Mental  Health  Programme  along  with  the  Nat Programme for Control of Blindness, National Tobacco Control Programme and National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Dise ase and Stroke are a part of the NCD Flexible Pool under the National Health Mission for which total allocation for 2016 - 17  is  Rs.  554.50 crores. Funds for implementation for the district level activities under NMHP from the year 2 - 16 onwards are being released as part of the funds for NCD Flexible Pool.

Separately,  a  budget  provision  of  Rs.  35  crores  has  been  made  for  implementation  of  tertiary activities under the National Mental Health Programme in the year 2016 - 17.

Details  of  funds  released  for  implementation  of  various  tertiary  level  activities  of National Mental Health Programme (NMHP)

1. 2013-14 : Rs. 8.85 crores for various Information, Education and Communication activities

2. 2014-15 : NIL

3. 2015-16 : The details of funds released for implementation of various tertiary level activities under NMHP are as under:

| S.No.   | Name of the State   | Funds Released     |
|---------|---------------------|--------------------|
| 1       | Gujarat             | Rs. 5,20,00,000/-  |
| 2       | West Bengal         | Rs. 6,31,00,000/-  |
| 3       | Karnataka           | Rs. 5,00,00,000/-  |
| 4       | Goa                 | Rs. 4,76,75,000/-  |
| 5       | Madhya Pradesh      | Rs. 4,75,75,,000/- |
| 6       | Punjab              | Rs. 4,75,76,000/-  |
| 7       | Uttar Pradesh       | Rs. 72,34,000/-    |
| 8       | Rajasthan           | Rs. 23,40,000/-    |
| 9       | Maharashtra         | Rs. 2,25,00,000/-  |
| 10      | Jammu and Kashmir   | Rs. 1,00,00,000/-  |
|         | Total               | Rs.35,00,00,000/-  |

## National Programme for Health Care of the Elderly

| S.No.   | State/UT           | 2013-14   | 2013-14     | 2014-15   | 2014-15     | 2015-16   | 2015-16     |
|---------|--------------------|-----------|-------------|-----------|-------------|-----------|-------------|
| S.No.   | State/UT           | Release   | Expenditure | Release   | Expenditure | Release   | Expenditure |
| 1.      | Andhra Pradesh     | 0.00      | 1.37        | 0.00      | 0.00        | 1478.00   | 0.00        |
| 2.      | Assam              | 0.00      | 128.61      | 142.27    | 53.55       | 3578.00   | 59.03       |
| 3.      | Bihar              | 0.00      | 83.02       | 150.00    | 84.22       | 2234.00   | 0.00        |
| 4.      | Chhattisgarh       | 50.94     | 121.24      | 99.00     | 126.71      | 847.00    | 0.00        |
| 5.      | Gujarat            | 0.00      | 99.50       | 215.66    | 230.87      | 2098.00   | 106.67      |
| 6.      | Haryana            | 0.00      | 133.86      | 77.62     | 48.81       | 493.00    | 32.83       |
| 7.      | Himachal Pradesh   | 0.00      | 19.15       | 11.85     | 68.04       | 478.00    | 3.03        |
| 8.      | Jammu & Kashmir    | 0.00      | 126.76      | 0.00      | 84.94       | 816.00    | 0.00        |
| 9.      | Jharkhand          | 0.00      | 18.05       | 111.00    | 56.00       | 1057.00   | 35.17       |
| 10.     | Karnataka          | 0.00      | 158.3       | 170.95    | 16.33       | 1429.00   | 13.65       |
| 11.     | Kerala             | 0.00      | 122.81      | 150.00    | 749.74      | 518.00    | 0.00        |
| 12.     | Madhya Pradesh     | 0.00      | 237.09      | 215.34    | 81.54       | 2682.00   | 104.49      |
| 13.     | Maharashtra        | 0.00      | 145.36      | 203.64    | 239.44      | 2754.00   | 60.22       |
| 14.     | Odisha             | 33.89     | 354.15      | 116.00    | 140.71      | 1619.00   | 73.55       |
| 15.     | Punjab             | 0.00      | 171.31      | 111.36    | 48.14       | 671.00    | 15.00       |
| 16.     | Rajasthan          | 0.00      | 64.27       | 87.05     | 86.03       | 2704.00   | 413.93      |
| 17.     | Sikkim             | 31.08     | 43.27       | 44.00     | 0           | 95.00     | 53.10       |
| 18.     | Tamil Nadu         | 0.00      | 0           | 0.42      | 0           | 1716.00   | 0.00        |
| 19.     | Uttarakhand        | 0.00      | 94.14       | 0.00      | 11.24       | 662.00    | 1.11        |
| 20.     | Uttar Pradesh      | 0.00      | 188.77      | 0.00      | 0           | 5439.00   | 102.12      |
| 21.     | West Bengal        | 0.00      | 88.90       | 150.00    | 18.58       | 1303.00   | 15.56       |
| 22.     | Daman & Diu        | 0.00      | 0           | 24.34     | 0           | 35.00     | 0.00        |
| 23.     | Lakshadweep        | 0.00      | 0           | 95.66     | 10.90       | 7.00      | 0.00        |
| 24.     | Mizoram            | 0.00      | 0           | 119.06    | 0           | 142.00    | 0.00        |
| 25.     | Andaman            | 0.00      | 0.00        | 0.00      | 0.00        | 55.00     | 0.00        |
| 26.     | Arunachal Pradesh  | 0.00      | 0.00        | 0.00      | 0.00        | 570.00    | 0.00        |
| 27.     | Chandigarh         | 0.00      | 0.00        | 0.00      | 0.00        | 69.00     | 0.00        |
| 28.     | Dadra Nagar Haveli | 0.00      | 0.00        | 0.00      | 0.00        | 63.00     | 0.00        |
| 29.     | Delhi              | 0.00      | 0.00        | 0.00      | 0.00        | 223.00    | 0.00        |
| 30.     | Goa                | 0.00      | 0.00        | 0.00      | 0.00        | 23.00     | 0.00        |
| 31.     | Manipur            | 0.00      | 0.00        | 0.00      | 0.00        | 308.00    | 0.00        |
| 32.     | Meghalaya          | 0.00      | 0.00        | 0.00      | 0.00        | 246.00    | 0.00        |
| 33.     | Nagaland           | 0.00      | 0.00        | 0.00      | 0.00        | 263.00    | 0.00        |
| 34.     | Pondicherry        | 0.00      | 0.00        | 0.00      | 0.00        | 29.00     | 0.00        |
| 35.     | Tripura            | 0.00      | 0.00        | 0.00      | 0.00        | 255.00    | 0.00        |
| 36.     | Telangana          | 0.00      | 0.00        | 0.00      | 0.00        | 941.00    | 0.00        |
|         | Total              | 115.91    | 2399.93     | 2295.22   | 2155.79     | 37900.00  | 1089.46     |

(Rs. in Lakhs)

*  Releases  are  made  by  NHM  Finance  Division  from  2015-16  for  NPHCE  under  NCD  Flexible Pool. The expenditure for the year 2015-16, have been given as per the reports received from the States/Uts for the funds released upto 2014-15 by the programme division.