Lok Sabha Question No. 2198 (UNSTARRED), answered on 2016-07-29
Subject: Mental Patients
Ministry: HEALTH AND FAMILY WELFARE
Asked by: VIRENDRA  KUMAR, KONDA VISHWESHWAR REDDY, RANJANBEN BHATT, JAYSHREEBEN  PATEL

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

## LOK SABHA UNSTARRED QUESTION NO. 2198 TO BE ANSWERED ON 29 TH JULY, 2016

## MENTAL PATIENTS

## 2198. DR. VIRENDRA KUMAR: SHRI KONDA VISHWESHWAR REDDY: SHRIMATI RANJANBEN BHATT: SHRIMATI JAYSHREEBEN PATEL:

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

(a)  whether  the  Government  is  aware of the increasing number of mental patients across the country;

- (b) if so, the details thereof along with the mental disorder these patients commonly get affected;
- (c) the steps taken by the Government to treat the said patients along with the fund allocated and utilized, during the last three years, State/UT -wise;

(d)  whe ther  the  Government  proposes to  revise  the  National  Mental  Health Programme  and implement the said programme throughout the country;

- (e) if so, the details thereof and the action taken thereon; and

(f)  whether  the  Government  has  made provision  in  the  new mental  health  policy for caregiveness, if so, the details thereof and th  steps taken by the Government to make mental health facilities more accessible to vu nerable groups?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI FAGGAN SINGH KULASTE )

(a) & (b): In 2005, the National Commission on Macroeconomics and Health reported that 10- 20 million (1 - 2% of population) suffered from severe mental disorders such as schizophren and bipolar disorder and nearly 50 million (5 % of population) from common mental disorders such as depression and anxiety, yielding an overall estimate of 6.5 per cent of the popula

(c) to (f): To  address  the  burden  of  mental  disorders,  the  Government  of  India  i implementing the National Menta l Health Programme (NMHP) and the District Mental Health Programme (DMHP). Funds have been released for 241 districts in the country under the DMH for  detection,  management  and  treatment  of  mental  disorders/  illness.  With  the  object address the shor tage of mental health professionals in the country, 15 Centers of Excellen Mental Health and 35 PG training departments in mental health specialties to increase t training capacity in mental health as well as improving the tertiary care treatment facility have been  funded.  Besides,  three  Central  Institutions  viz.  National  Institute  of  Mental  Hea Neuro Sciences, Bangalore, Lokopriya Gopinath Bordoloi Regional Institute of Mental Health

Tezpur and Central Institute of Psychiatry, Ranchi have been strengthened for augmenting human resources in the area of mental health and for capacity building in the country. Du 12th Five Year Plan, the DMHP has been restructured to include addition al components like suicide prevention services, work place stress management, life skills training and couns schools  and  colleges.  Support  is  also  provided  for  Central/  State  Mental  Health  Autho Research  and  Training  and  Information,  Educat ion  and  Communication  (IEC)  activities.  The details of funds allocated and utilized, during the last three years for various schemes NMHP, State/UT- wise is at Annexure .

The Mental Health Action Plan 365, delineating the envisaged roles and responsibilities of  different  stakeholders  for  achieving  objectives  enshrined  in  the  National  Mental Policy, assigns the responsibility to care givers for widely disseminating the Nationa Health Policy and creating pressure groups to monitor societal and Government actions.

## Details  of  funds  allocated  and  released  during  the  last  three  years  under  National Mental Health Programme (NMHP)

| Year     | Allocation   | Expenditure   |
|----------|--------------|---------------|
| 2013-14  | 130          | 74.34         |
| 2014-15  | 268.28       | 61.56         |
| 2015-16* | *            | 35 #          |

* District level activities under the National Mental Health Programme along with the National Programme for Control of Blindness, National Tobacco Control Programme and National  Programme  for  Prevention  and  Control  of  Cancer,  Diabetes,  Cardiovascular Disease  and  Stroke  are  a  part  of  the  NCD  Flexible  Pool  under  the  National  Health Mission for which  total allocation for 2015-16  is Rs. 554.50 crores. Funds  for implementation  for  the  district  level  activities  under  NMHP  from  the  year  2015-16 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 level activities under the National Mental Health Programme in the year 201516.

# Expenditure made on various tertiary level activities under the NMHP

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

| 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    |

(Rs. in crore)

* funds released under Non-Communicable Diseases Flexible Pool that include funds for

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/-  |