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2023, CPBRD Policy Brief 2023-02
This paper aims to refocus attention on the mental health agenda, emphasizing the continued inadequacy in addressing the issue despite the issuance of the National Mental Health Policy in 2001 and the enactment of the Mental Health Act in 2018. It examines the current mental health situation, considers the initiatives undertaken by the Department of Health, identifies the issues and challenges confronting the mental health sector, and provides an overview of existing legislative proposals. The paper reveals that the country’s mental health situation, exacerbated by the pandemic, has not gained sufficient priority and attention even with its evident decline. The scenario was already worrisome pre-Covid 19, and then more so after. Social stigma, high treatment cost, limited primary care, low public spending on the sector, and lack of a national registry of cases present further complications. To underscore the mental health agenda, key recommendations include the passage of a telemedicine law, increased visibility for the Philippine Mental Health Council, reassessment of mental health integration in the education system, democratization of mental health service access through PhilHealth, and greater representation in the budgetary allocations, among other measures.
Unpublished
Co-authored with: Lorenzo Capinpin, Abegail Esteban, Edenburgh Fojas, and Alysandra Luis We only realized that there was no law on mental health services in the Philippines when we came across an online petition by the PPA (Philippine Psychiatric Association), advocating for it (https://www.change.org/p/mhactnow). According to the members of PPA, they have been proposing various bills to Congress advocating for a mental health act for the past fifteen years (Crisostomo, 2014). Unfortunately, none of these bills have ever been passed into law.
Spectrum, 2018
Filipinos experience numerous barriers to mental health care in their country, such as stigmatization ofillness and behaviours, lack of mental health care services, and resource deficits. The Philippine MentalHealth Act of 2017 was formed to resolve these issues and is in its early stages of implementation.Legislation and policy interventions of this nature are but one level of many interventions that can addresshealth care at a population level. The influence of this legislation for different levels of society is analyzed inorder to understand the different barriers and alternatives to its implementation. Solutions suggested in thelegislation, such as addressing lack of accessibility in rural areas, creating liaisons between different levelsof mental health care, and educating the population regarding mental health, are explored for their effects ondifferent spheres, or levels, of influence. The comprehensiveness of the legislation to address the needs ofmental health service users...
An Overview of the Scale and Neglectedness of Mental Health Disorders and Self-Harm Cases in the Philippines, 2021
The burden of mental health problems in the Philippines is largely understated and overlooked. This study aimed to determine the scale and neglectedness of local mental health disorders and self-harm cases (MHDSCs) through the synthesis of related literature, the compilation of empirical evidence (mainly from the Global Burden of Disease 2019, the World Health Organization, and the Philippine Department of Health), and an interview with a psychiatrist in the Philippines. The findings of the study show that MHDSCs cause more than 2,000,000 DALYs, and 15,000,000 cases of compromised mental health in 2019; and the majority of this total DALY burden is caused by mental disorders. Among the 13 MHDSCs included in this study, anxiety disorders and depressive disorders cause the most burden and are the most prevalent in the Philippines. Some risk factors have also been attributed to the harm caused by MHDSCs, including both behavioral and environmental/occupational risks. Moreover, there is a shortage of mental health professionals and beds in mental hospitals relative to the scale of the burden. Between 2018-2019, the health budget allocated to mental health services increased from 0.002% to 2.8%. Better access to mental healthcare and the control of MHDSC risk factors may alleviate some of the local burden caused by the MHDSCs. Future research can investigate the progress of mental health services since the enactment of the Mental Health Act, how the mental health budget is being allocated, and the effectiveness of current mental health interventions.
2022
This is a qualitative study which attempts to answer the following questions: Where does mental health stigma come from and what does it have to say for possible job prospects, and state of Philippine healthcare in the near future? Objectives of this qualitative paper include: To identify, and expound upon specific monumental points in Philippine history where a shift in the general perspective on mental illness begins to manifest, to create a collection of notable events on Mental Health Perception parallel to occasions of Philippine History, and to determine the present-day general perception or opinions towards issues revolving mental health.
Journal of Humanities and Education Development, 2020
The outcomes of the present study will be beneficial and valuable to the following: To the students. The result of this study will provide necessary pieces of information of the mental health of the student which could be a great help to the respondents in understanding themselves. It can also help them to be more aware about mental and psychological health through the help of the recommendation of the researchers; To the Parents. The results of this study will be beneficial to the parents having children who have the same age bracket as the respondents. The recommendations will help them in dealing with the problems with their children's mental health issues which is not easy to know. To the School. The results of this study can help the school as well as the guidance counselors to know what the main problem of the students is and immediately formulate actions to avoid possible negative effects that can harm the well-being of the students under their supervision. To the Philippine Mental Health Association, Inc. The results of this study will strengthen their promotion of mental health and the prevention of mental health disorders. Lastly, this will also be beneficial to future researchers to draw pertinent results to their studies. The researchers used a set of a survey questionnaire in gathering pertinent data. The questionnaires were disseminated via an online Google form survey sent to the respondents. After all the data needed were gathered, the frequencies of answers in each question were tallied and their percentage was obtained. Through these, the researchers obtained well conclusions and suitable recommendations.
Psychology and Education: A Multidisciplinary Journal, 2024
This study aims to expand the understanding of mental health, its importance, and the promotion of mental health services within barangays in the Philippines. 16 barangay healthcare workers in Bacoor City participated in a questionnaire survey, with five individuals undergoing follow-up interviews. The researcher used a self-made 5-point Likert-scale to measure the level and relationship of accessibility, awareness, and applicability of mental health services. The findings of this study revealed a significant positive correlation among the key factors of applicability, awareness, and accessibility of mental health services. This correlation underscores the potential for substantial enhancements in mental health services through targeted interventions.
Open Access Macedonian Journal of Medical Sciences
BACKGROUND: During the coronavirus disease 2019 (COVID-19) pandemic, psychological reactions of the population play a critical role in both the spread of the disease and the occurrence of emotional distress and social disorder. AIM: This study aimed to measure the prevalence and severity of psychological distress to evaluate the current mental health burden on society that leads to the provision of a concrete basis for tailoring and implementing relevant mental health intervention policies to efficiently and effectively respond to the challenges brought by the pandemic. METHODS: An anonymous, internet-based, cross-sectional survey was conducted from March to April 2020. In this regard, a structured online questionnaire was utilized to collect sociodemographic data and the COVID-19 Peritraumatic Distress Index (CPDI). Descriptive statistics were used to summarize the sociodemographic and prevalence of CPDI among respondents. Logistic regression analysis was performed to identify sign...
Australasian Psychiatry, 1996
Asia Pacific Journal of Counselling and Psychotherapy, 2014
This study aims to provide a review of potential barriers to seeking mental health services among Filipinos. Research on help-seeking behaviours among Filipinos living in the Philippines and other countries (e.g., US, Canada, and Australia) suggest that mental health services in the Philippines are inaccessible and monetarily prohibitive, and beliefs about the aetiology and nature of mental illness are inconsistent with the medical model. Other cultural variables such as shame, stigma, and collectivist beliefs also discourage Filipinos from seeking help from mental health professionals. Furthermore, these variables could account for the preference for folk healers and lay networks in treating mental illnesses. As such, cultural and economic factors need to be accounted for in conceptualizing Filipinos' utilization of mental health services. Implications and suggestions to aid practice were also discussed.
Health Promotion Perspectives
The coronavirus disease 2019 (COVID-19) pandemic has subjected the mental health and wellbeing of Filipino children under drastic conditions. While children are more vulnerable to these detriments, there remains the absence of unified and comprehensive strategies in mitigating the deterioration of the mental health of Filipino children. Existing interventions focus on more general solutions that fail to acknowledge the circumstances that a Filipino child is subjected under. Moreover, these strategies also fail to address the multilayered issues faced by a lower middle-income country, such as the Philippines. As the mental well-being of Filipino children continues to be neglected, a subsequent and enduring mental health epidemic can only be expected for years to come.
Psychology and Education: A Multidisciplinary Journal, 2022
The outbreak of COVID-19 has caused the increase of reported mental health problems in the Philippines while the country struggles with mitigating the detrimental impacts of the corona virus disease 2019 pandemic. Filipino adults became one of the most vulnerable to experience the pandemic's negative psychological impact. Hence, concerns suddenly become a subject of discussion among the public in acknowledging the importance of mental health literacy. The researchers conducted this study to determine the level of mental health literacy (MHL) of Filipino adults amidst the COVID-19 pandemic. The instrument by O'Connor and Casey: Mental Health Literacy Scale (MHLS) was used to survey 130 respondents residing in Metro Manila. The results show that the respondents got a moderate MHL level (2.74). Among the six mental health literacy components, knowledge of self-help intervention (3.15), attitudes of recognition and help-seeking behavior (3.12), mental illness recognition (3.11), and knowledge and beliefs about the support available (2.96) were found at a moderate level while knowledge about risk factors and causes (2.24) and knowledge of mental health influences (2.45) were in marginal level. Socioeconomic status was a significant factor in the knowledge of the self-hep intervention (p=0.044, ≤0.05), knowledge, and beliefs about the support available (p=0.008, ≤0.05), attitudes of recognition and help-seeking behavior (p=0.007, ≤0.05), and knowledge about risk factors and causes (p=0.006, ≤0.05). The highest educational attainment was significant to mental illness recognition (p=0.015, ≤0.05), knowledge and beliefs about the support available (p=0.015, ≤0.05), and knowledge of mental health influences (p=0.009, ≤0.05).
The Normal Lights, 2019
To correct negative stigma and support mental health well-being, the Philippines enacted RA 11036 otherwise known as the Philippine Mental Health Law. Using exploratory qualitative method of research, this study mapped the perceived (a) source of mental health concerns, (b) hindrances in the promotion of mental health well-being and (c) activities to promote RA11036 in tertiary institutes. Participants of this study are 12 teachers and administrators which were identified using maximum variation sampling. Data were collected using one-on-one in-depth interview. Results revealed that there were six perceived sources of mental health issues in the institutes :self-acceptance, culture, financial status, technology, environment, and organizational crisis. Also, there were three hindrances in promoting the law: or unawareness, anxiety and inactivity of the implementers. Moreover, there were six perceived activities and solutions to support mental health law: peer counselling, trainings, ...
International Journal of Learning and Teaching
The COVID-19 pandemic has impacted the mental health of Philippine citizens. The authors propose the Integrative Behavioral Health (IBH) model to help facilitate the country’s eventual recovery from a health psychology perspective. Findings were integrated from a faculty consultation from a private university’s psychology department, a literature review, and a survey of students who are learning online. The survey results revealed that living with family members negatively correlated with readiness to learn online, r = -.37, p < .05. Further research is needed. Furthermore, combining themes gathered from the consultation, literature review, and variables used from the survey served as anchor words for the IBH model: 1. Emancipatory Education; 2) Filipino Psychology; 3) Contextualization; 4.) Philippine Mental Health Law; 5). Symptom Science; and 6) Social Determinants of Health (SDH). The constructs were implemented into an online health psychology course. The proposed curriculum...
Adolescent psychiatry, 2013
Background and Objectives: There has been very little research on child/adolescent mental health in the Philippines compared to other developing countries. The few reports that exist have been case studies, literature reviews, intervention research (particularly disaster mental health studies), and surveys and studies on Filipino immigrants in other countries. As part of the World Health Organization (WHO) Seven Nation Collaborative Study (2007), the Philippine study showed that 16% of children had mental disorders. Method: Drawing on population-based studies, this article explores the challenging issues of mental health care for youth in the Philippines and will also provide suggestions that can help in improving these challenges. Results: Unlike many other developing countries, the Philippines has a national health policy. Filipinos, both in their native and adoptive countries, greatly underutilize public outpatient mental health services compared to other Asian populations. Conclusions: Along with stigma, the adherence of traditional practices and healing methods remains a formidable barrier to the appropriate provision of care Furthermore, the onset of mental illness in childhood and adolescents can be missed without appropriate screening and services.
The Professional Counselor
The emergence and global spread of COVID-19 precipitated a massive public health crisis combined with multiple incidents of racial discrimination and violence toward Asian American and Pacific Islander (AAPI) communities. Although East Asian communities are more frequently targeted for instances of pandemic-related racial discrimination, multiple disparities converge upon Filipino communities that affect their access to mental health care in light of COVID-19. This article empowers professional counselors to support the Filipino community by addressing three main areas: (a) describing how COVID-19 contributes to racial microaggressions and institutional racism toward Filipino communities; (b) underscoring how COVID-19 exacerbates exposure to stressors and disparities that influence help-seeking behaviors and utilization of counseling among Filipinos; and (c) outlining how professional counselors can promote racial socialization, outreach, and mental health equity with Filipino commu...
BMC Proceedings, 2020
Background and purpose Mental health has emerged as an important public health concern in recent years. With a high proportion of children and adolescents affected by mental disorders, it is important to ensure that they are provided with proper care and treatment. With the goal of sharing the activities and good practices on child and adolescent mental health promotion, care, and treatment in Japan and the Philippines, the National Center for Global Health and Medicine conducted a training program on the promotion of mental health focused on treatment and care in Japan and the Philippines in September and November 2019. Key highlights The training program comprised of a series of lectures, site visits, and round table discussions in Japan and the Philippines. The lectures and site visits focused on the current situation of child and adolescent psychiatry, diagnosis of childhood mental disorders, abuse, health financing for mental disorders, pharmacotherapy, psychotherapy, and disas...
Acta Medica Philippina, 2020
Background. There is an increasing number of distressed Overseas Filipino Workers (OFWs) due to adverse working conditions and unresolved post-repatriation issues. The enactment of the Republic Act 11036 (Mental Health Act) in 2018 supports the commitment of the State in promoting and protecting the mental health of every Filipino. Methods. A systematic review of literature was conducted to generate evidence-based policy tools for the round table discussion conducted by the UP Manila Health Policy Development Hub, engaging all major stakeholders from all sides of the policy issue. Strengths and challenges of the current government initiatives in the phases of predeployment, deployment, repatriation, and reintegration were discussed to attain consensus policy recommendations. Results. Increased migration led to a cascade of distressed OFWs and their subsequent need for trained mental health professionals. In host countries, challenges in on-site services include (i) limited psychiatr...
The Filipino Public Stigma towards People with Mental Illness , 2017
Yamada, C., et al. (2021). "Quality of life among people who use drugs living in poor urban communities in the Philippines." International Journal of Drug Policy 93. Background: The quality of life (QOL) and mental health of people who use drugs (PWUD) in the Philippines, especially those living in poor urban communities, are highly concerning due to the situations surrounding drug use and the ongoing hard-line antidrug policy. This study aimed to investigate the QOL and mental health status of PWUD, compare them with a comparison group with no history of drug use, and identify factors associated with QOL among Filipino PWUD. Methods: A cross-sectional study was conducted with recruitment from a community-based rehabilitation programme and poor urban communities in Muntinlupa in 2018. QOL was measured using the WHOQOL-BREF, while psychological distress and posttraumatic stress disorder (PTSD) were measured using the Kessler Psychological Distress Scale (K-6) and the Primary Care PTSD Screen for DSM-5 (PC-PTSD-5), respectively. Multivariable linear regressions with each WHOQOL-BREF domain as a dependent factor were conducted to establish three predictions: age-and genderadjusted QOL means, factors associated with QOL among PWUD, and interaction of lifetime drug use with each covariate. Results: In total, 272 PWUD and 402 comparison participants were recruited. Most PWUD were current drug users (53%), primarily of methamphetamine (70%). Among PWUD, the prevalence of moderate to severe psychological distress was 70%, and probable PTSD was 28%-both rates higher than those among the comparison group. All four QOL domain scores (physical, psychological, social, and environmental) of PWUD were lower than those of the comparison group. Multivariable regressions showed that psychological distress, current drug use, selling drugs, experiencing discrimination, and being never-married were associated with lower QOL. Higher individual income, household resources, social activity participation, and service use for drug use problems were associated with higher QOL among PWUD. Stratified and interaction analyses revealed that the QOL of PWUD was more sensitive to changes in individual income relative to the QOL of comparison group. Conclusion: A comprehensive intervention addressing psychological distress reduction, economic empowerment, and social inclusion-complementary to abstinenceoriented programmes-may improve the well-being of Filipino PWUD.
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