{"id":32284,"date":"2025-07-29T17:13:05","date_gmt":"2025-07-29T17:13:05","guid":{"rendered":"https:\/\/www.newsbeep.com\/ca\/32284\/"},"modified":"2025-07-29T17:13:05","modified_gmt":"2025-07-29T17:13:05","slug":"as-india-lags-global-standards-in-mental-health-care-a-government-telehealth-initiative-is-stepping-up","status":"publish","type":"post","link":"https:\/\/www.newsbeep.com\/ca\/32284\/","title":{"rendered":"As India lags global standards in mental health care, a government telehealth initiative is stepping up"},"content":{"rendered":"<p><a style=\"display:block\" href=\"https:\/\/www.theglobeandmail.com\/resizer\/v2\/K5JRCSUVYREVBDYWU34ZME34BY.JPG?auth=641bc66a97956c08180fde6a73040b3e0cf79ca69ff869ecb8a84a6f50f8fabb&amp;width=600&amp;height=400&amp;quality=80&amp;smart=true\" aria-haspopup=\"true\" data-photo-viewer-index=\"0\" rel=\"nofollow noopener\" target=\"_blank\">Open this photo in gallery:<\/a><\/p>\n<p class=\"figcap-text\">Despite a population of more than 1.4 billion, India has only 0.93 psychiatrists per 100,000 people, far below the World Health Organization\u2019s recommended three per 100,000.Adnan Abidi\/Reuters<\/p>\n<p class=\"c-article-body__text text-pr-5\">India falls far below the world standard of mental health care, with millions of people lacking access to counselling. However, a telehealth program is increasingly being credited with providing that much-needed care, especially in remote areas.<\/p>\n<p class=\"c-article-body__text text-pr-5\">Tele-MANAS is a free, 24\/7 helpline offering mental-health services in more than 20 languages. With 53 operational centres across the country, the initiative is part of India\u2019s effort to integrate such services into its broader health system.<\/p>\n<p class=\"c-article-body__text text-pr-5\">Since its launch by the Indian government in October, 2022, Tele-MANAS has handled more than 1.8 million calls, many from impoverished states where mental-health services are scarce. <\/p>\n<p class=\"c-article-body__text text-pr-5\">While an estimated 150 million Indians need mental-health services, only around 30 million are seeking treatment \u2212 held back by stigma, isolation, and the severe shortage of facilities and caregivers.<\/p>\n<p class=\"c-article-body__text text-pr-5\">Despite a population of more than 1.4 billion, the country has only 0.93 psychiatrists per 100,000 people, far below the World Health Organization\u2019s recommended three per 100,000.<\/p>\n<p class=\"c-article-body__text text-pr-5\">Most psychiatrists are based in urban areas, and rural mental health remains severely neglected. <\/p>\n<p class=\"c-article-body__text text-pr-5\">\u201cIn rural India, mental illnesses are wrapped in myths and superstitions. The idea that mental-health conditions are medical disorders, just like diabetes or heart disease, is not widely accepted,\u201d said Praveen Raj, a psychiatrist at the National Institute of Mental Health and Neuro Sciences.<\/p>\n<p class=\"c-article-body__text text-pr-5\">Dr. Raj described an encounter he had with a 58-year-old farmer who called the service. That first call, made in December, 2023, was filled with distress and anger, Dr. Raj recalled. <\/p>\n<p class=\"c-article-body__text mv-16 l-inset text-pb-8\" data-sophi-feature=\"interstitial\"><a href=\"https:\/\/www.theglobeandmail.com\/canada\/article-teen-mental-health-crisis-data-youth-canada\/\" rel=\"nofollow noopener\" target=\"_blank\">New hub for teen mental-health data launches with eye on tailoring supports for Canadian youth<\/a><\/p>\n<p class=\"c-article-body__text text-pr-5\">Living on the fringes of his village in Raichur district in the south Indian state of Karnataka, the farmer was ostracized by his villagers, who believed his family was cursed.<\/p>\n<p class=\"c-article-body__text text-pr-5\">His daughter\u2019s schizophrenia, his wife\u2019s blindness, and his own struggle with mental illness had turned them into outcasts. The stigma surrounding their condition ran deep, with villagers believing their suffering was a result of past sins or a supernatural curse that could spread to others.<\/p>\n<p class=\"c-article-body__text text-pr-5\">One day, desperate for help, the farmer went to a local government office to apply for a disability pension. Ignored by officials, he began shouting at the people there, drawing the attention of a passerby. Seeing his distress, the individual dialed the toll-free Tele-MANAS helpline on his phone and handed it to the farmer. <\/p>\n<p class=\"c-article-body__text text-pr-5\">\u201cThe focus of Tele-MANAS is to reach vulnerable and underserved populations who have long been overlooked,\u201d said Naveen C. Kumar, a professor of psychiatry with NIMHANS in Bangalore. \u201cIt eliminates financial barriers, ensuring equitable access to mental-health services, regardless of socioeconomic status,\u201d Dr. Kumar said.<\/p>\n<p class=\"c-article-body__text text-pr-5\">For the farmer, mental health care was virtually nonexistent in the region, with the nearest general-health centre 50 kilometers away and the closest mental-health facility nearly 400 kilometers away, in Dharwad.<\/p>\n<p class=\"c-article-body__text text-pr-5\">That single call on behalf of the farmer set in motion a year-long effort by the Tele-MANAS team to not only challenge stigma and provide the farmer with medical care but also to help reintegrate his family into their village. <\/p>\n<p class=\"c-article-body__text text-pr-5\">\u201cAt first, he was suspicious of us,\u201d Dr. Raj said. \u201cHe didn\u2019t believe he had a mental-health illness. But we kept following up with him, building trust, and ensuring he received his disability pension.\u201d <\/p>\n<p class=\"c-article-body__text mv-16 l-inset text-pb-8\" data-sophi-feature=\"interstitial\"><a href=\"https:\/\/www.theglobeandmail.com\/life\/health-and-fitness\/article-how-high-tech-mental-health-gadgets-are-helping-millions-feel-better\/\" rel=\"nofollow noopener\" target=\"_blank\">How high-tech mental-health gadgets are helping millions feel better<\/a><\/p>\n<p class=\"c-article-body__text text-pr-5\">That financial support became the turning point in the farmer\u2019s confidence in Tele-MANAS. \u201cOnce he saw that we could actually help, he started opening up,\u201d Dr. Raj said.<\/p>\n<p class=\"c-article-body__text text-pr-5\">\u201cIt wasn\u2019t just about treating the farmer\u2019s mental health; it was about changing societal perceptions.\u201d<\/p>\n<p class=\"c-article-body__text text-pr-5\">Dr. Kumar said that being able to connect people to professional help with the click of a button has significantly reduced the logistical constraints on mental-health services. \u201cWe have created a system where support is immediate, responsive and patient-centric.\u201d<\/p>\n<p class=\"c-article-body__text text-pr-5\">Most inquiries involve common psychological issues such as anxiety, sleep disturbances and stress-related conditions. \u201cBut for some, the helpline has meant the difference between life and death,\u201d said Dr. Raj.<\/p>\n<p class=\"c-article-body__text text-pr-5\">Eighteen-year-old Dhyuti, a student in Kota, Rajasthan, struggled under the pressure of India\u2019s national premedical entrance exam. Alone in her hostel room and battling suicidal thoughts, she noticed the Tele-MANAS helpline number on her coaching centre\u2019s notice board and decided to call. <\/p>\n<p class=\"c-article-body__text text-pr-5\">\u201cI was overwhelmed by stress and fear of failure,\u201d Dhyuti said. The Globe and Mail is identifying Dhyuti by her first name because of her fears of being stigmatized. <\/p>\n<p class=\"c-article-body__text text-pr-5\">A psychologist stayed on the call with her for nearly three hours, using a non-judgmental approach to help her open up, Dr. Raj said. \u201cShe gradually shared her whereabouts, allowing us to co-ordinate an emergency intervention.\u201d <\/p>\n<p class=\"c-article-body__text text-pr-5\">Authorities intervened and reached out to her family in the eastern state of Jharkhand. \u201cWe remained actively involved at every step to ensure she received the support she needed,\u201d Dr. Raj added.<\/p>\n<p class=\"c-article-body__text text-pr-5\">As part of a broader awareness initiative, educational institutions across India have been instructed to display the Tele-MANAS helpline number on notice boards.<\/p>\n<p class=\"c-article-body__text text-pr-5\">While the Mental Healthcare Act of 2017 guarantees access to services as a statutory right, implementation has lagged because of financial and logistical constraints, according to a statement by the Ministry of Health and Family Welfare.<\/p>\n<p class=\"c-article-body__text text-pr-5\">As nearly 60 per cent of the population survives on less than US$3.10 per day, affordability remains a key barrier, the statement said.<\/p>\n<p class=\"c-article-body__text text-pr-5\">With an increased investment in telehealth care and public awareness, experts say they hope reaching out for help will become as normal as seeking care for any other illnesses.<\/p>\n<p class=\"c-article-body__text text-pr-5\">As the farmer told Dr. Raj, for the first time in years, he felt like someone was listening.<\/p>\n","protected":false},"excerpt":{"rendered":"Open this photo in gallery: Despite a population of more than 1.4 billion, India has only 0.93 psychiatrists&hellip;\n","protected":false},"author":2,"featured_media":32285,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[35],"tags":[901,888,902,879,877,903,49,48,876,895,896,891,878,875,46,549,295,894,887,914,880,881,893,84,889,890,884,904,393,394,885,909,910,912,907,911,905,908,882,898,899,714,897,906,865,61,900,892,886,883,913],"class_list":["post-32284","post","type-post","status-publish","format-standard","has-post-thumbnail","category-mental-health","tag-alberta","tag-arts-news","tag-bc","tag-breaking-news","tag-breaking-news-video","tag-british-columbia","tag-ca","tag-canada","tag-canada-news","tag-canada-sports","tag-canada-sports-news","tag-canada-trafficcanada-weather","tag-canadian-breaking-news","tag-canadian-news","tag-economy","tag-education","tag-environment","tag-federal-government","tag-foreign-news","tag-globe-and-mail","tag-globe-and-mail-breaking-news","tag-globe-and-mail-canada-news","tag-government","tag-health","tag-life-news","tag-lifestyle","tag-local-news","tag-manitoba","tag-mental-health","tag-mentalhealth","tag-national-news","tag-new-brunswick","tag-newfoundland-and-labrador","tag-northwest-territories","tag-nova-scotia","tag-nunavut","tag-ontario","tag-pei","tag-photos","tag-political-news","tag-political-opinion","tag-politics","tag-politics-news","tag-quebec","tag-sports-news","tag-technology","tag-travel","tag-trudeau","tag-us-news","tag-world-news","tag-yukon"],"_links":{"self":[{"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/posts\/32284","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/comments?post=32284"}],"version-history":[{"count":0,"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/posts\/32284\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/media\/32285"}],"wp:attachment":[{"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/media?parent=32284"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/categories?post=32284"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/tags?post=32284"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}