Mental health literacy is needed globally

Mental health conditions are major contributors to the disease burden globally (14%).The World Health Organization in 2002 reported estimates that depression affects about 154 million people while schizophrenia affects about 25 million globally. Mental disorder is sometimes believed to be incurable which can cause delay or prevention for help seeking and can be damaging.

Research on mental health literacy in various parts of the globe among adolescents and young adults showed that about half of them aged 12–25 years identified depression correctly and about a quarter identified psychosis. Mental health literacy has related components including recognition and identification of mental health disorders and help seeking, knowledge on prevention of mental disorders, strategic knowledge about seeking self-help, knowledge regarding treatment and skills on how to provide support and first aid to others.

Mental health literacy in developing countries


According to an article published by KA Ganasen, S Parker, CJ Hugo, DJ Stein, RA Emsley and S Seedat Mental health is an issue of major concern in both the developed and developing world. With a lifetime risk of more than 25% for any psychiatric disorder, most people are either directly or indirectly affected. In fact, psychiatric disorders are estimated to account for 12% of the global burden of disease, yet the mental health budgets of most developing countries constitute a very small fraction of total health expenditure. In the World Mental Health (WMH) Survey conducted in 14 countries (6 less developed, 8 developed), as many as 50% of serious cases of mental illness in developed countries and 85% of serious cases in less developed countries had received no treatment in the preceding 12 months. The situation would be even worse in less developed countries.

Beliefs about causation and experience may influence patients’ beliefs about effective treatment and may also determine the type of treatment that is sought. Recognition of mental illness is an important determinant of treatment-seeking behavior, because to be mental health illiterate does not only mean that one has little or no evidence-based knowledge of mental illness or of treatment but may also mean that the knowledge and beliefs held may be derived from other sources, such as superstitions or cultural and personal beliefs

Mental health literacy in India


The prevalence of mental health conditions in India is at about 18–207/1000 population while about 2–3% are known to suffer from major mental illnesses. Less than a third of the adolescents in India could clearly identify depression (29.04%) while identification of schizophrenia was even lower at (1.31%).On assessing help seeking for mental health conditions, about 30.68% of the adolescents preferred not to seek help for possible mental health conditions with preferred sources of help being largely indicated as the mother. Professional help was relegated more for others than for self. The poor need for help seeking for mental health conditions could be an important indicator of the stigma related to mental health conditions reflecting the deeply entrenched attitude toward mental literacy in Indian society. The attitude that mental conditions should not be brought out into the open is reflects the deeply pervasive perceived stigma against mental health conditions in society. Studies indicate that mental health literacy in India is lower than average.

What is mental health literacy?

Mental health literacy (MHL) refers to an individuals’ knowledge and beliefs about mental disorders that aid their recognition, management, and prevention.

The Role of Mental health literacy in Accessing services

Mental health literacy


“Knowledge and beliefs about mental disorders which aid in their recognition, management or prevention.”

Jorm

Mental healthealth literacy includes


  • Ability to recognise mental disorders
  • Knowing how to seek information
  • Knowledge of risk factors and cause
  • Knowledge of professional help available
  • Knowledge of self- treatment
  • Attitudes that promote recognition and help-seeking

Why Mental Health literacy is important


  • Mental health literacy places a limit on the implementation of evidence-based health care.
  • Poor mental health literacy means that the task of preventing and helping mental disorders is largely confined to professionals.

Mental Health Literacy in Rural India


Poor knowledge about mental health is one of the main barriers for seeking treatment in our country, especially among rural areas. It also contributes significantly toward stigma and discrimination that persons with mental disorders face. Early recognition and intervention for persons with mental health problems have positive outcomes. Mental health literacy is being seen as one of the key indicators in predicting successful outcomes in persons with mental disorders. People with mental illness are subjected to discrimination and are treated with contempt due to the deep-rooted stigma present in the rural society.

Due to this, there is a need to understand the local and cultural contexts of stigma to develop effective and innovative methods to change such attitude. With newer research, today, various new techniques have been implemented to increase the mental health literacy among the rural societies in India.