Khanal Gayatri, Selvamani Y, Sapkota Prabhat
School of Public Health, SRM Institute of Science and Technology, Tamil Nadu, India.
Department of Psychiatry, Nisarga Hospital and Research Centre Pvt. Ltd., Kailali, Nepal.
Indian J Psychiatry. 2023 Nov;65(11):1122-1128. doi: 10.4103/indianjpsychiatry.indianjpsychiatry_197_23. Epub 2023 Nov 24.
The present paper has highlighted the mental health development in Nepal. It covers the current state of mental health system and services and a throwback on the significant changes over a period of time. This review grabs a sneak into mental health plan/policies, prevalence; health facilities and human resources, monitoring and supervision, budget allocation, nongovernmental sector involvement, and international agreements. Every description in this paper is substantially based on the progression made at the different time frames, which provides clear understanding of the mental health situation in Nepal. Furthermore, this article throws insights on the main challenges to overcome the current situation on mental health and the associated treatment gap due to stigma toward mental illness, lack of appropriate budget allocation, shortage of human resources, and fear of discrimination.
本文着重介绍了尼泊尔的心理健康发展情况。它涵盖了心理健康系统和服务的现状，以及对一段时间内重大变化的回顾。本综述深入探讨了心理健康计划/政策、患病率、卫生设施和人力资源、监测与监督、预算分配、非政府部门参与情况以及国际协议。本文中的每一项描述都主要基于不同时间框架内取得的进展，这有助于清晰了解尼泊尔的心理健康状况。此外，本文还深入探讨了应对当前心理健康状况的主要挑战，以及由于对精神疾病的污名化、缺乏适当的预算分配、人力资源短缺和对歧视的恐惧而导致的相关治疗差距。
