PRELIMS MPB NOTES By: Laren Llanes  In the Philippines, there are only five

psychiatrists per 10,000,000 Filipinos.

CONCEPTS OF MENTAL HEALTH AND MENTAL  Most health insurance companies do not cover
ILLNESS mental health related conditions.
STATE OF MENTAL HEALTH AND MENTAL ILLNESS  We need a mental health law.
IN THE COUNTRY AND THE WORLD In the Philippines,
IMPORTANCE OF HEALTH CARE DELIVERY SYSTEM  the prevalence of mental disorders ranged
IN THE PHILIPPINES between 11.3% and 11.6%,
 Mental Health Care Delivery System in the  with an average annual increase of 2.0%.
Philippines and its importance and Impact in the  increasing from 7.0 to 12.5 million Filipinos
Community diagnosed with a mental disorder between 1990
 Communities prosper when the mental health and 2019.
needs of community members are met.  Underscoring the mental health agenda in the
 Unaddressed mental health issues can have a Philippines. Oct 8, 2023
negative influence on homelessness, poverty,
employment, safety, and the local economy.
 Overcrowding GLOBAL MENTAL HEALTH STATISTICS OVERVIEW
 poorly functioning units
 chronic staff shortages and funding  970 million people around the world struggle
 constraints with some mental illness or drug abuse.
 1 in 4 people will be affected by a mental illness
are ongoing problems, particularly in peripheral facilities at some point in their lives.
 14.3% of deaths worldwide, or approximately 8
million deaths each year, are attributable to
mental disorders. Sep 19, 2022

STATISTICAL INFORMATION ABOUT MENTAL

HEALTH

 An estimated 26% of Americans ages 18 and

older --about 1 in 4 adults suffers from a
diagnosable mental disorder in a given year.
 Many people suffer from more than one mental
disorder at a given time.
 In particular, depressive illnesses tend to co-
occur with substance use and anxiety disorders.
 Adults ages 35 to 44 also experienced the
highest increase in mental health diagnoses
 45% reported a mental illness in 2023 compared
IMPACT OF MENTAL ILLNESS ON INDIVIDUALS
with 31% in 2019
FAMILIES AND COMMUNITIES
 though adults ages 18 to 34 still reported the
 Without treatment, the consequences of mental highest rate of mental illnesses at 50% in 2023.
illness for the individual and society are  Nov 1, 2023
staggering.
PERCENTAGE OF MENTAL ILLNESS IN THE WORLD
 Untreated mental health conditions can result in
2023
unnecessary disability, unemployment,
substance abuse, homelessness, inappropriate  10.7% of the world suffers from some form of
incarceration, and suicide, and poor quality of mental illness. (Our World in Data).
life.  40 million Americans suffer from anxiety (Anxiety
and Depression Association of America).
CURRENT SITUATION OF MENTAL HEALTH IN THE
 Jan 30, 2023
PHILIPPINES
FACTS ABOUT MENTAL HEALTH 2023
WHO reported that one of five people suffer from mental
health problems worldwide.

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  55% of adults with a mental illness have not o and reduce the vulnerability of
received any treatment. individuals and communities to mental
 5.44% of adults experience severe mental neurological, and substance use
illness. disorders.
 Over 12.1 million adults (4.8%) have reported  Health Secretary Teodoro J. Herbosa-confident
serious thoughts of suicide. Nov 7, 2022 that we can address more mental health
concerns in the country
MOST COMMON MENTAL HEALTH DISORDER IN
 WHO Special Initiative for Mental Health, the
2025
patient-centered medical home
 As we look ahead to 2025, the most common
(PCMH)
mental health disorders are likely to remain
similar to those seen in previous years, but with  promotes the basic right of Filipinos to mental
some evolving trends based on social, health by Implementing mental health policies
economic, and environmental changes.  strengthening patient navigation and referral
 81% of adults reported their mental health as pathways,
good or better  creating the Mental Health Internal Review
 while more than one-third (37%) said they have Board
a diagnosed mental health condition  and training media groups on ethical and
 5 percentage point increase from prepandemic responsible reporting and portrayal of suicide.
levels (32% in 2019).
 Most cited anxiety disorder (24%) or depression  WHO reported that one of five people suffer from
(23%). mental health problems worldwide.
 In the Philippines, there are only five
GLOBAL AND REGIONAL PERSPECTIVES ON
psychiatrists per 10,000,000 Filipinos.
MENTAL HEALTH DOH, WHO launch Philippine Council
 Most health insurance companies do not cover
for Mental Health Strategic Framework 2024-2028
mental health related conditions.
 DOH, WHO launch Philippine Council for Mental
MENTAL HEALTH GAP PROGRAM OVERVIEW
Health Strategic Framework 2024-2028
 WHO Mental Health Gap Action Programme
October 12, 2023
(mhGAP)
 launched the 2024-2028 Philippine Council for  aims at scaling up services for
Mental Health (PCMH) Strategic Framework  Mental
 to guide the development and implementation of  neurological and
mental health policies, programs, and services  substance use disorders
 to address the significant burden of mental  for countries especially with low- and middle-
illness and improve mental health and well-being income.
in the country
GOAL of mhGAP Program
National Mental Health Program
 aims to provide criteria to identify the countries
 DOH, WHO launch Philippine Council for Mental with low and lower middle incomes which have
Health Strategic Framework 2024-2028 the largest burdens of MNS disorders and the
 In line with "Ginhawa ng isip at Damdamin," one highest resource gap, and to provide them with
of the Health Sector's 8-Point Action Agenda intensified support.
Para sa Healthy Pilipinas officially adopted  MNS disorders (Mental, Neurological and
through DOH Administrative Order No. 2023- Substance Use Disorder) encompass a wide
0115 range of conditions of the brain from
 various government agencies and key  depression
stakeholders worked together in formulating the  epilepsy
five-year strategic plan  alcohol abuse.
 Aims to:
These and the many other MNS disorders-found
o reduce premature mortality
throughout the world are often linked in a complex way
o prevent and treat substance abuse with other health conditions (WHO, 2008a)
effectively
GAP in MENTAL HEALTH

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  In a 2020 article In Focus: The Journal of
Lifelong Learning in Psychiatry, researchers
define a treatment gap as the
 difference between the number of people with a
condition and the number of people being
treated for it.
 The article estimates the global mental health
treatment gap is over 50% across all countries

GAP is an initiative that aims to

 promote early detection and

 timely intervention for borderline personality
disorder
 across the health, education, welfare, justice
and other relevant systems.

Mental Health Gap Action Programme (mhGAP)

 Grief (GRI)
 Intellectual Disability (ID)
 Moderate-Severe
 Harmful Use of Alcohol and Drugs (SUD)
 Depressive Disorder (DEP)
 Suicide (SUI)
 Psychosis (PSY)
 Epilepsy/Seizures (EPI)