Lok Sabha Question No. 2294 (UNSTARRED), answered on 2023-12-15
Subject: Mental Healthcare Facilities
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Magunta Sreenivasulu Reddy

## GOVERNMENTOFINDIA MINISTRY OFHEALTH AND FAMILY WELFARE DEPARTMENTOFHEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRED QUESTION NO. 2294 TO BE ANSWERED ON 15 TH DECEMBER, 2023

## MENTALHEALTHCAREFACILITIES

## 2294. SHRI MAGUNTASREENIVASULU REDDY:

Will the Minister of HEALTHANDFAMILYWELFARE be pleased to state:

- (a) whether the Government is aware that in rural areas the access to mental health facilities and professionals is hampered by inadequate infrastructure and if so, the details thereof along with the steps taken in this regard in the country, State/UT-wise including Andhra Pradesh (AP);
- (b) the details of the funds allocated for the same;
- (c) whether the Government proposes to create more infrastructure that are resistant in face of natural calamities like floods which AP is especially prone to; and
- (d) if so, the details thereof?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILYWELFARE (PROF. S. P. SINGH BAGHEL)

- (a) to (d) As per the National Mental Health Survey (NMHS) 2016, conducted by the National Institute of Mental Health and Neuro Sciences (NIMHANS), Bengaluru in 12 States of the country, the prevalence of mental disorders in adults over the age of 18 years is about 10.6%. The treatment gap for mental disorders ranged between 70% to 92% for different disorders.

To enhance the capacity of health services in the country, the Government of India is implementing the National Mental Health Programme (NMHP). Under the Tertiary care component of NMHP, 25 Centres of Excellence have been sanctioned to increase the intake of students in PG departments in mental health specialities as well as to provide tertiary level treatment facilities, State-UT wise list of these institutions is enclosed at Annexure-I. The Government has also supported 19 Government medical colleges/institutions to strengthen 47 PG Departments in mental health specialties, StateUT wise list of these institutions is enclosed at Annexure-II. 22 AIIMS also have provision of Mental Health Services. These services are also available under PMJAY.

For providing affordable and accessible mental healthcare facilities in the country, the Government is implementing the National Mental Health Programme (NMHP) in the country. The District Mental Health Programme (DMHP) component of the NMHP has been sanctioned for implementation in 738 districts for which support is provided to States/UTs through the National Health Mission. Facilities made available under DMHP

at the Community Health Centre(CHC) and Primary Health Centre(PHC) levels, include outpatient services, assessment, counselling/ psycho-social interventions, continuing care and support to persons with severe mental disorders, drugs, outreach services, ambulance services etc. In addition to above services there is a provision of 10 bedded in-patient facility at the District level.

In addition to the above, the Government is also taking steps to strengthen mental healthcare services at primary healthcare level. The Government has upgraded more than 1.6 lakh SHCs, PHCs, UPHCs and UHWCs to Ayushman Arogya Mandirs. Mental health services have been added in the package of services under Comprehensive Primary Health Care provided at these Ayushman Arogya Mandirs. Operational guidelines on Mental, Neurological, and Substance Use Disorders (MNS) at Ayushman Arogya Mandirs have been released under the ambit of Ayushman Bharat.

Besides the above, the Government has launched a 'National Tele Mental Health Programme' on 10th October, 2022, to further improve access to quality mental health counselling and care services in the country. As on 04.12.2023, 34 States/ UTs have set up 46 Tele MANAS Cells and have started mental health services and more than 4,81,000 calls have been handled on the helpline.

The budget allocated for mental health services under the Ministry, including allocation for National Mental Health Programme (NMHP), District Mental Health Programme (DMHP), 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, during the last three years is as follows:

|   Sr. No. | Year    | Total Allocation for Mental Health (Rs. in Crore)   |
|-----------|---------|-----------------------------------------------------|
|         1 | 2020-21 | 713.01                                              |
|         2 | 2021-22 | 846.17                                              |
|         3 | 2022-23 | 949.74 + 120.98*                                    |

*The amount of Rs. 120.98 crore was allocated for National Tele-Mental Health Programme (NTMHP) for the year 2022-23, which was launched on 10th October, 2022.

****

## SCHEME - A : CENTRES OF EXCELLENCE

|   S.No. | State            | Name of the Institute                                                                             |
|---------|------------------|---------------------------------------------------------------------------------------------------|
|       1 | Kerala           | IMHANS, Kozhikode, Kerala                                                                         |
|       2 | Gujarat          | Hospital for Mental Health, Ahmadabad                                                             |
|       3 | Odisha           | SCB Medical College Hospital, Cuttack                                                             |
|       4 | Kolkata          | Institute of Psychiatry, Kolkata                                                                  |
|       5 | J&K              | Psychiatric Diseases Hospital, Govt. Medical College, Srinagar                                    |
|       6 | Maharashtra      | Maharashtra Institute of Mental Health, Pune                                                      |
|       7 | Haryana          | State Mental Health Institute, Pandit Bhagwat. Dayal Sharma University of Health Sciences, Rohtak |
|       8 | Chandigarh       | Government Medical College & Hospital, Chandigarh                                                 |
|       9 | Telangana        | Institute of Mental Health, Hyderabad                                                             |
|      10 | Telangana        | Kakatiya Medical College, Warangal                                                                |
|      11 | Punjab           | Institute of Mental Health, Amritsar                                                              |
|      12 | Madhya           | Gwalior Mansik Arogyashala, Gwalior                                                               |
|      13 | Pradesh          | MGMMedical College, Indore                                                                        |
|      14 | Goa              | Institute of Psychiatry and Human Behaviour, Bambolim                                             |
|      15 | Karnataka        | Dharwad Institute of Mental Health and Neurosciences                                              |
|      16 | Delhi            | Dr. RML Hospital, Delhi                                                                           |
|      17 | Delhi            | IHBAS, Delhi                                                                                      |
|      18 | Himachal Pradesh | Dr. Rajendra Prasad Govt. Medical College, Kangra, Tanda                                          |
|      19 | Rajasthan        | S.P. Medical College, Bikaner                                                                     |
|      20 | Rajasthan        | SMS Medical College, Jaipur                                                                       |
|      21 | Andhra Pradesh   | Hospital for Mental Care, Vishakhapatnam                                                          |
|      22 | West Bengal      | Department of Psychiatry, Calcutta Medical College                                                |
|      23 | Uttar Pradesh    | Institute of Medical Sciences, Banaras Hindu University, Varanasi                                 |
|      24 | Uttar Pradesh    | King George Medical University, Lucknow                                                           |
|      25 | Uttar Pradesh    | Institute of Mental Health and Hospital, Agra                                                     |

## ANNEXURE - I

## SCHEME - B : STRENGTHENING/ ESTABLISHMENT OF PG DEPARTMENTS

## (47 PG Departments in 19 Institutions)

|   S.No. | State             | Name of the Institute                                                                       |
|---------|-------------------|---------------------------------------------------------------------------------------------|
|       1 | Karnataka         | NIMHANS, Bangalore (2 PG Department)                                                        |
|       2 | Jharkhand         | Ranchi Institute of Mental Health & Neuro Sciences, Ranchi (4 PG Department)                |
|       3 | Delhi             | Dr. RML Hospital, Delhi (3 PG Department)                                                   |
|       4 | Assam             | LGBRIMH, Tezpur (4 PG Department)                                                           |
|       5 | Uttar Pradesh     | CSM Medical University, Lucknow (4 PG Department)                                           |
|       6 | Tamil Nadu        | Institute of Mental Health, Chennai (2 PG Department)                                       |
|       7 | Gujarat           | Government Medical College, Surat (1 PG Department)                                         |
|       8 | Gujarat           | PDU Medical College, Rajkot (1 PG Department)                                               |
|       9 | Rajasthan         | R. N. T. College, Udaipur, Rajasthan (1 PG Department)                                      |
|      10 | Rajasthan         | S.P. Medical College, Bikaner (1 PG Department)                                             |
|      11 | Kerala            | Govt. medical College, Trivandrum (4 PG Department)                                         |
|      12 | Madhya Pradesh    | Shyam Shah Medical College, Rewa, Madhya Pradesh (1 PG Department)                          |
|      13 | Mumbai            | INHS Asvini (4 PG Department)                                                               |
|      14 | Maharashtra       | Regional Mental Hospital, Pune (4 PG Department)                                            |
|      15 | Maharashtra       | Regional Mental Hospital, Thane (2 PG Department)                                           |
|      16 | Maharashtra       | Regional Mental Hospital, Nagpur (2 PG Department)                                          |
|      17 | Jammu and Kashmir | Sher-i-Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir (4 PG Department) |
|      18 | Himachal Pradesh  | Indira Gandhi Medical College & Hospital, Shimla (2 PG Department)                          |
|      19 | Karnataka         | Karnataka Institute of Medical Sciences, Hubbali (1 PG Department)                          |