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ISLAMABAD: President Dr Arif Alvi has emphasised the need to set up an integrated, effective and standardised national-level mental health helpline to provide appropriate services and counselling at the grassroots level.

“A coordinated, sound, and singular approach at the federal and provincial levels, with the participation of the public and private sectors, should be adopted to address the issues of mental health and well-being in Pakistan,” the president said during a follow-up meeting on mental health at Aiwan-e-Sadr on Tuesday.

Country Director of the World Health Organization (WHO) Dr Palitha Gunarathna Mahipala, representatives of the National Commission for Human Rights, Pakistan Psychological Association, Pakistan Psychiatric Society, and other organisations, and officials of the federal and provincial governments attended the meeting.

The president emphasised that all resources and initiatives be taken at the federal and provincial level and in the private sector related to mental health and well-being should be enlisted and incorporated into creating a single national helpline for providing speedy and prompt mental health services to the people of Pakistan. He further emphasised the need to enlist mental health institutions, teaching hospitals, and other mental health facilities, besides creating a database of mental health providers, which should be integrated into the helpline for providing efficient and effective referrals to the patients.

The president said that avenues in the public and private sectors should be explored in order to meet the financial need of Rs45 million for the establishment and launching of the first-ever national mental health helpline. He added that after the establishment and activation of the mental health helpline, there should be a fully coordinated awareness campaign through conventional and social media and other means of communication to sensitize the masses to seek counselling and help through the helpline.

He called for creating a curriculum on mental health and well-being in coordination with relevant stakeholders from the public and private sectors and teaching it at an appropriate level in educational institutions to sensitize students on stress and tension management during their studies and handling emotional and social issues. He said that such students would also be able to educate their family members regarding the importance of mental health and well-being. He underlined that a separate initiative may be taken to educate parents and family members to remain engaged with their family members and provide mental health counselling and help.

The president said that the HEC, universities, and teaching hospitals should create additional seats to encourage enrolment in mental health education to create a critical mass of psychologists and psychiatrists to cater to the need of growing mental health issues in society. He also said that the management of the national helpline may also consider engaging final-year students in the psychological and psychiatric disciplines for six-month internships to respond to the queries and provide counselling to the patients using the helpline.

The president appreciated the committee for coming up with a fully integrated comprehensive and all-inclusive first-ever national helpline model with an integrated WhatsApp chatbot, web-based counselling and referral system across the country at par with the world standards.

The president said that a separate committee may be set up comprising stakeholders from federal and provincial governments and the private sector and legal fraternity to review all the existing laws and rules that exist at different levels and propose improvements and suggestions while factoring in best practices around the world. He said that it should come up with standardised laws and rules which may later be adopted at the federal and provincial levels to create an interface across the country of the resources and interventions in the mental health sector.

The president also took notice of the high suicide rate in certain parts of Gilgit-Baltistan and emphasised the need to carry out a comprehensive study to unearth reasons for such a high rate and put in place a counselling and remedial system to first arrest this trend and later fully eliminate it.

The country director of the World Health Organization (WHO) said that the helpline should be made part of an integrated system of providing mental health services to the masses by integrating the primary, secondary and tertiary health systems at the federal and provincial levels and should also involve Lady Health Visitors to provide mental health education and information at the grassroots levels and to unprivileged people in underserved areas. He further said that WHO would provide the seed money of Rs5 million to start the project. He also said that there was a need to establish a sustainable and fully budgeted program to pursue mental health wellbeing in society.

The participants thanked the president for providing his leadership to the stakeholders to develop the model of the first-ever national-level mental health helpline by assembling the stakeholders from the public and private sectors and providing them with the motivation to proceed on a timeline basis to achieve the set targets.

Copyright Business Recorder, 2022

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