The socio-economic burden of disability linked with mental health problems – findings from the National Mental Health Survey of India 2015-16 in Uttar Pradesh, India

Abstract

Objective: Mental health problems can lead to a substantial disability, financial loss, and a caregiver burden globally. The national mental health survey of India (NMHS) 2015-16 attempted to estimate the disability and socio-economic impact of mental morbidities in India and the representative state level. This paper reports the socio-economic impact and disability due to mental morbidity in Uttar Pradesh, India, by NMHS-2015-16, which will help the policymakers address the mental healthcare needs of the community. Materials and methods: This was a cross-sectional study done in the community setting. The investigators estimated socioeconomic impact due to mental morbidities by using a structured questionnaire and applying the Sheehan Disability Scale. Results: A total of 3,508 adults were interviewed, of which 282 individuals had a lifetime prevalence of mental health problems (excluding tobacco use disorder). Disability was reported: 27.3% at work, 31.9% in family life and 28.4% in social settings. Disability due to mental health problems were more evident in those with common and severe mental illnesses. The median monthly expense for the illness was found to be about 1,000 rupees INR (10 GBP). The individuals with mental health issues found in this study had 10 days of absentism from work and 20 days of reduced efficiency in work in the past 30 days. Conclusion: Disabilities related to mental health illness are having significant socio-economic impact across India. There is a need for early intervention and more adequate addressing of these issues across the national mental health policy and programming arena.