Aspects Of Mental Health And Economic Conditions

1. SOME ASPECTS OF MENTAL HEALTH AND ECONOMIC CONDITIONS IN INDIA DR. B. J. PRASHANTHAM PROFESSOR OF COUNSELLING PSYCHOLOGY AND DIRECTOR INSTITUTE FOR HUMAN RELATIONS COUNSELLING AND PSYCHOTHERAPY CHRISTIAN COUNSELLING CENTRE, VELLORE, INDIA

11. Results: National Prevalence rates for all Mental disorders (per 1000 population) : 18-207 24-207 18-142 Range 65.4 66.4 64.4 Median Combined Urban Rural

12. Prevalence rates for specific disorders 14 – 25.3 18.5 Anxiety Neurosis 0.5 - 63 31.2 Affective disorder:Depression 1.1 – 14.2 2.3 Schizophrenia Range Median

14. Prevalence of Mental Disorders in India Channabasavanna et al 1995, Jigani PHC 23.9% Sriram et al 1988, Sakalwara PHC 17.3% Sheshadri et al 1988 Sakalwara PHC 11.8% Author context prevalence

15. Pothen et al ,2003, 2002, Vellore PHC 33.9% Nambi et al,2002 Vellore PHC) 44.0% Patel et al 1998 Panjim, Goa , PHC 46.5% Author Context Prevalence

55. Trying to identify relatives

69. DALAI LAMA’S STATEMENT

70. 31 % 69 %

72. Long term Evaluation of First Batch who had Counselling – PTSD status * Six cases were absent for evaluation. Symptomatic No. % Asymptomatic No. % 149 0 149 100 % 20 – Months After Counselling ( Nov – Dec 2007) * 246 59 24.0% 187 76.0 % Immediately After Counselling ( May 2006 ) 252 203 80.6% 49 19.4 % Before Counselling ( August to Dec 05) Total P TS D Status Period of Evaluation

73. Village Perumalpettai

75. Uric Bronfen Brenner:An Ecological Approach Macrosystem Exosystem Mesosystem Microsystem

76. Odds Ratios of Risk Factors for PTSD, before and after Adjusted by Logistic Regression Note: Total number of cases = 1404 @ Reference Category * Odds Ratio ** Adjusted using Logistic Regression + PTSD Prevalence % # 95% Confidence Intervel 1.967 – 6.516 0.000 1.0 3.520 0.000 1.0 4.102 1316 56.3% 88 84.1% 6. Family Problem No @ Yes 1.081 –1.842 0.011 1.0 1.411 0.000 1.0 1.815 333 46.8% 1071 61.5% 5. Family Structure Joint @ Nuclear 0.377 – 0.907 0.017 1.0 0.585 0.003 1.0 0.540 117 70.9% 1287 56.9% 4. Professional Stability Stable @ Unstable 0.696 – 1.204 0.325 – 0.642 0.521 0.000 1.0 0.915 0.471 0.126 0.000 1.0 0.809 0.343 418 67.0% 618 62.1% 368 41.0% 3. Economic grade (Monthly Income, Rs.) upto, 499 @ 500 – 4999 5000 + 1.491 – 2.357 0.000 1.0 1.874 0.000 1.0 2.075 647 48.5% 757 66.2% 2. Gender Male @ Female 1.031 – 1.712 1.389 – 2.766 1.559 – 4.631 0.028 0.000 0.000 1.0 1.329 1.960 2.687 0.023 0.000 0.000 1.0 1.328 1.980 2.970 579 51.5% 525 58.5% 217 67.7% 83 75.9% 1. Age 18 – 29 @ 30 – 44 45 – 59 60 + 95% C.I # Sig. P O.R. * Sig. P O.R. * Adjusted ** Unadjusted PTSD N Prev + Risk Factors