Lok Sabha Question No. 2127 (UNSTARRED), answered on 2021-12-10
Subject: Shortage of Psychologists and Psychiatrists
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Lavu Sri Krishna Devarayalu

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

## LOK SABHA UNSTARRED QUESTION NO. 2127 TO BE ANSWERED ON 10 TH  DECEMBER, 2021

## SHORTAGE OF PSYCHOLOGISTS AND PSYCHIATRISTS

## 2127.  SHRI LAVU SRI KRISHNA DEVARAYALU:

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

- (a) the number of psychologists and psychiatrists in India per 10,000 citizens;
- (b) the number of psychiatric beds and psychiatric nurses per 10,000 citizens;
- (c) the number of mental health hospitals, State/UT-wise;
- (d) whether  the  Government  is  aware  there  is  a  serious  dearth  of  trained  mental  health professionals and if so, the steps taken to redress the same;
- (e) the steps taken to expand the limited curriculum on psychiatry in medical colleges and annul the belief that it is a non-scientific discipline; and
- (f) considering  the  dearth  of  mental  health  professionals,  whether  the  Government  has  made any  attempts  to  shift  care  of  mental  health  patients  away  from  institutions  towards community-based care, if so, the details thereof and if not, the reasons therefor?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (DR. BHARATI PRAVIN PAWAR)

(a) & (b): The data regarding the number of mental health professionals in the country including psychologists, psychiatrists and psychiatric nurses is not maintained centrally. Mental Health inpatient  services  are  provided  at  various  secondary  and  tertiary  level  healthcare  facilities, including  District  Hospitals,  State  Mental  Hospitals,  etc.  The  data  regarding  number  of psychiatry  beds  is  maintained  by  the  Institutions/  Hospitals  concerned,  at  their  own  level. However, there are 03 (three) Mental Health Institutions, namely, National Institute of Mental Health  and  Neuro  Sciences  (NIMHANS),  Bengaluru,  Lokopriya  Gopinath  Bordoloi  Regional Institute  of  Mental  Health  (LGBRIMH),  Tezpur,  Assam,  and  Central  Institute  of  Psychiatry (CIP), Ranchi, under the administrative control of the Central Government. The details of total number of beds in these Institutions are as under:

|   S.No. | Name of the Institute   |   Total number of beds |
|---------|-------------------------|------------------------|
|       1 | NIMHANS, Bengaluru      |                    944 |
|       2 | LGBRIMH, Tezpur, Assam  |                    336 |
|       3 | CIP, Ranchi             |                    643 |

(c):  As  per  the  available  information,  there  are  47  Government  run  mental  hospitals  in  the country, including 3 Central Mental Health Institutions, State/ UT wise list of these Institutions is annexed.

- (d):  Lack of sufficient mental health professionals is one of the challenges faced in the mental healthcare service delivery.

With a  view  to  augment  the  availability  of  qualified  manpower  in  field  of  mental  health,  the Government, under NMHP, is implementing manpower development schemes for establishment of Centres of Excellence and strengthening/ establishment of Post Graduate (PG) Departments in mental health specialties. Till date, support has been provided for establishment of 25 Centres of Excellence and strengthening/ establishment of  47 Post Graduate (PG)  Departments in mental health specialties in the country.

The Government is also augmenting the availability of manpower to deliver mental healthcare services in the underserved areas of the country by providing online training courses to various categories  of  general  healthcare  medical  and  para  medical  professionals  through  the  Digital Academies established at the three Central Mental Health Institutes namely National Institute of Mental Health and Neuro Sciences, Bengaluru, Lokopriya Gopinath Bordoloi Regional Institute of Mental Health, Tezpur, Assam, and Central Institute of Psychiatry, Ranchi.

- (e):  Psychiatry  now  has  been  made  a  compulsory  subject  with  a  dedicated  question  paper  in MBBS. The curriculum is now competency based. The numbers of hours of psychiatry teaching and clinical postings is increased, marks for psychiatry have been increased and the psychiatry internship is made mandatory.
- (f):  The  Mental  Healthcare  Act,  2017  provides  for  integration  of  mental  health  services  into general healthcare services at all levels of healthcare including primary, secondary and tertiary healthcare and in all health programmes run by the appropriate Government. As such, the mental healthcare services are extended through various levels of healthcare delivery systems.

Further,  the  Government  is  implementing  National  Mental  Health  Programme  (NMHP)  and District  Mental  Health  Programme  (DMHP) in  this  direction  of  community  based  care  as  the services  are  made  available  in  the  district  headquarters  and  more  peripheral  health  centres. Medical Officers and the field level workers of the PHCs and the other staff of the primary care settings are getting trained to identify and treat psychiatric disorders present in the community. Further, the Ayushman Bharat Health and Wellness Centres are carrying out the 'Comprehensive Primary Health Care' initiatives of which 'mental health' is an indispensable part.

*****

## List of all Government Mental Hospitals in the country

|   S.No. | State             | Name of the Mental Hospital                                                                                     |
|---------|-------------------|-----------------------------------------------------------------------------------------------------------------|
|       1 | Andhra Pradesh    | Government Hospital for Mental Care, Chinnawaltair, Vishakapatnam, Andhra Pradesh                               |
|       2 | Arunachal Pradesh | Mental Hospital, Midpu, Papum Pare District                                                                     |
|       3 | Assam             | Lokopriya Gopinath Bordoloi Institute of Mental Health, Tezpur, Dist. Sonitpur, Assam (Central Govt. Institute) |
|       4 | Bihar             | Institute of Mental Health, Koelwar, Bhojpur, BIHAR                                                             |
|       5 | Chandigarh        | Mental Health Institute, Sector-32, Chandigarh                                                                  |
|       6 | Chhattisgarh      | State Mental Health Hospital, Bilaspur, Chhattisgarh                                                            |
|       7 | Jharkhand         | Central Institute of Psychiatry, Kanke, Ranchi, JHARKHAND (Central Govt. Institute)                             |
|       8 | Jharkhand         | Ranchi Institute of Neuropsychiaty and Allied Science (RINPAS), Kanke, Ranchi, JHARKHAND                        |
|       9 | Delhi             | Institute of Human Behavior & Allied Sciences, G.T. Road, P.O. Box 9520, Jhilmil, Delhi                         |
|      10 | Goa               | Institute of Psychiatry &Human Behavior, Panaji, GOA                                                            |
|      11 | Gujarat           | Hospital for Mental Health, Bhuj, Gujarat                                                                       |
|      12 | Gujarat           | Hospital for Mental Health, Vikasgruh Road, Jamnagar, Gujarat,                                                  |
|      13 | Gujarat           | Hospital for Mental Health, Behind Kapadia High School, Outside Delhi Gate, Shahibaug Road, Ahamedabad, Gujarat |
|      14 | Gujarat           | Hospital for Mental Health, Karelibag, Baroda                                                                   |
|      15 | Haryana           | State Institute of Mental Health, PGIMS, Rohtak                                                                 |
|      16 | Himachal Pradesh  | Himachal Hospital of Mental Health & Rehabilitation, Boileauganj, Shimla, HIMACHAL PRADESH                      |
|      17 | Jammu& Kashmir    | The Medical Superintendent, Psychiatric Diseases hospital GMC, Jammu, Ambphalla B.C. Road, Jammu                |
|      18 | Jammu& Kashmir    | Govt. Hospital for Psychiatric Diseases , Rainawari, Khatidarwaze, Srinagar, Kashmir                            |
|      19 | Karnataka         | Karnataka Institute of Mental Health, Belgaum Road, Dharwad, Karnataka                                          |
|      20 | Karnataka         | National Institute of Mental Health and Neuro Sciences, Bangalore (Central Govt. Institute)                     |
|      21 | Kerala            | Mental Health Centre, Oolampara, Thiruvanathapuram, Kerala                                                      |
|      22 | Kerala            | Govt. Mental Health Centre, Kuthiravattom, Kozhikode, Kerala                                                    |
|      23 | Kerala            | Govt. Mental Health Centre, Poothole, Thrissur, Kerala                                                          |
|      24 | Madhya Pradesh    | Gwalior Manasik Arogyasala, Central jail Road, Gwalior, Madhya Pradesh                                          |
|      25 | Madhya Pradesh    | Mental Hospital, Banganga Sawer Road, Indore, Madhya Pradesh                                                    |
|      26 | Madhya Pradesh    | Regional Mental Hospital, Nagpur, Maharashtra                                                                   |
|      27 | Madhya Pradesh    | Regional Mental Hospital, Yeravda, Pune, Maharashtra                                                            |
|      28 | Maharashtra       | Regional Mental Hospital, Wagle Estate, Thane (W) MAHARASHTRA                                                   |
|      29 | Madhya Pradesh    | Regional Mental Hospital, Ratnagiri, MAHARASHTRA                                                                |

## ANNEXURE

|   S.No. | State         | Name of the Mental Hospital                                                                  |
|---------|---------------|----------------------------------------------------------------------------------------------|
|      30 | Meghalaya     | Meghalaya Institute of Mental Health & Neurosciences, Shillong, Meghalaya                    |
|      31 | Nagaland      | Mental Hospital, Kohima, Nagaland                                                            |
|      32 | Orissa        | Mental Health Institute, S.C.B. Medical College, Cuttack, Orissa                             |
|      33 | Punjab        | Dr. Vidyasagar Punjab Mental Hospital. Circular Road, Amritsar                               |
|      34 | Rajasthan     | Mental Hospital (Psychiatric Centre), Janta Colony, Jaipur, Rajasthan                        |
|      35 | Rajasthan     | Mental Hospital, (Psychiatric Center), Shastri Nagar, JODHPUR                                |
|      36 | Tamil Nadu    | Institute of Mental Health, Medavakkam Tank Road, Kilpauk, Chennai, Tamil Nadu               |
|      37 | Telengana     | Institute of Mental Health, Govt. Hospital for Mental Care, Hyderabad                        |
|      38 | Tripura       | Modern Psychiatric Hospital, Narsingarh, Agartala, West Tripura.                             |
|      39 | Uttarakhand   | State Mental Health Institute, Selakui, Dehradun                                             |
|      40 | Uttar Pradesh | Institute of Mental Health & Hospital, Billochpura, Mathura Road, Agra, Uttar Pradesh        |
|      41 | Uttar Pradesh | Mental Hospital Bareilly, Civil Lines, Bareilly, Uttar Pradesh                               |
|      42 | Uttar Pradesh | Mental Hospital, S2/1 Pandeypur, Varanasi, Uttar Pradesh                                     |
|      43 | West Bengal   | Lumbini Park Mental Hospital, 115, G.S, Bose Road, Calcutta, West Bengal                     |
|      44 | West Bengal   | Institute for Mental Care, Purulia P.O., Purulia, WEST BENGAL                                |
|      45 | West Bengal   | Mental Hospital Berhampore, Berhampore Mental Hospital, Berhampore, Murshidabad, WEST BENGAL |
|      46 | West Bengal   | Institute of Psychaitry7, D.L. Khan Road, Calcutta, West Bengal                              |
|      47 | West Bengal   | Calcutta Pavlov Hospital, 18, Gobra Road, Calcutta, West Bengal                              |