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Figure from:Underscoring the Mental Health in the Philippines

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Source: Pyramid and description of each layer from IASC, 2007 (pp12-13); (edited) current MHS situation from Cuevas, 2021) MENTAL HEALTH AND PSYCHOSOCIAL SUPPORT INTERVENTION PYRAMID VERSUS CURRENT PHILIPPINE SITUATION ON MENTAL HEALTH SERVICES — Table 5 Source: Pyramid and description of each layer from IASC, 2007 (pp12-13); (edited) current MHS situation from Cuevas, 2021) MENTAL HEALTH AND PSYCHOSOCIAL SUPPORT INTERVENTION PYRAMID VERSUS CURRENT PHILIPPINE SITUATION ON MENTAL HEALTH SERVICES

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Notes:* The 2019 GSHS survey was expanded to include 16 and 17 year olds. For the mental health indicator on the percentage of students who seriously considered attempting suicide during the past 12 months, the figures were nearly the same: 23.1% for 13-15 years old vs. 23.2% for 16-17 years old. For both age brackets, higher incidence rates were observed for females compared to males: 27.2% vs 18.5% for 13-15 years old and 26.4% vs 20.4% for 16-17 years old. *“Drugs was replaced with the word” marijuana” in the 2019 survey. Also, for Indicator 6, the following activities were outlinec in the question for the 2019 survey: watching tv, playing computer games, talking with friends, when not in school or doing homework. Mm... 2 LAT IPRS. RAR R /INNdN\ £.. 4k. ANdANA ....... .2 1. 2. 2k 2k BEI INNA RP ££ OnE kr ew ce TABLE I PREVALENCE RATES AMONG HIGH SCHOOL STUDENTS AGED 13 To 15 JN SELECT INDICATORS OF THE GLOBAL SCHOOL-BASED HEALTH SURVEYS (2003-2015 Bullying. Prevalence of bullying among 13-to-15 year-olds is consistently high, ranging from 36.6% to 51.2% (Table 1). The UNICEF’s Longitudinal Study (2015-2020) following a cohort of more than 3,400 children, pegged the prevalence at an alarming 65% (Faingold, 2022). Relatedly, the Department of Education (DepEd) reported in February 2023 (Felipe, 2023) that there has been a rising trend in the number of cases of school bullying, averaging 10,275 cases for the academic years 2013-2014 until 2019-2020. Reporting of cases increased threefold in school year 2014-2015, likely as a result of the enactment of RA 10627, the Anti-Bullying Act of 2013. Beginning academic year 2017-2018, the total reported cases reached five digits to 15,866, increasing further by more than a third to 21,521 in the next academic year, then tapering off to 11,637 in academic year 2019-2020. The decline was attributed to the pandemic given the needed shift from face to face to online classes (Ramos-Araneta, 2023).

PERFORMANCE OF THE PHILIPPINES IN SELECT MENTAL HEALTH INDICATORS, 2017/2020 ‘ Information collected from the 2020 Mental Health Atlas. " Except for Indicators 1 and 2 which were culled from the 2017 Mental Health Atlas, the rest of the figures were from WHO (2020b). Note that for Indicator 2, mental health worker per 100,000 population, Sec. Duque in a 2020 DOH press release revealed that the country only actually has less than one mental health worker for every 100,000 Filipinos. “i The consensus of the Delphi panel managed by Mundt et al (2022) is that less 15 beds:100K reflect severe shortage, 15-to-25 beds:100K show moderate shortage, and 25-to-30 beds:100K show mild shortage. The panel of experts agreed on 30:100,000 as the minimum ratio and 60:100,000 as the optimal number. TABLE 2

*Removed the item — Motor Vehicle — in the presentation since there were no allocations. Source: GAA 2020-2022; NEP 2023 Provisions from the DSWD programs and projects (PAPs) were reflected for the NCMH and Mariveles Mental Wellness and General Hospital (MMWGH) for 2021 and 2022. An amount of P154.2 million was appropriated in 2021 for the construction of a Wellness Center Building in MMWGH and P14.1 million for a multi-purpose building in the NCMH. In 2022, at least P110 million was appropriated for the MMWGH’s multipurpose buildings while the NCMH was allotted at least P47 million for the completion of their Health Workers Cottage and improvements in drainage and water systems.

SHARE OF NCD SUB-PROGRAM TO PUBLIC HEALTH PROGRAM & DOH (OSEc) NEw APPROPRIATIONS, 2018-2023 Note: All appropriations for Prevention and Control of NCDs Sub-Program fell under Maintenance and Other Operating Expense. Also, included only 2018 onwards since the DOH shifted from Major Final Output/MFO-basea nomenclature to its current standard program and sub-program names in 2018. Sorrere: GAA 2018-32022: NEP 909232

See wee eae NCMH NEw APPROPRIATIONS (IN BILLION PESOS) & NCMH NEW APPROPRIATIONS SHARE TO GOVERNMENT CURRENT HEALTH EXPENDITURE (%), 2016-2023 Note: General government current health expenditure, based on the 2022 released PNHA is used to represent the domestic government health expenditure Source: GAA 2018-2022; PSA’s Philippine National Health Accounts 2022 towever, the increase in new appropriations for the NCMH across the years has not been nanifested in corresponding increases in its share in the government current health expenditure yased on the Philippine National Health Accounts (PNHA”°). The share has actually declined rom 2016 to 2018, then remained flat from 2019 to 2021. The downward trend may allude o either differences in the rate of increases among health budget items, with the NCMH vaving a snail-pace, or to the start of deinstitutionalization efforts, in keeping with RA 11036. Jeinstitutionalization is defined in RA 11036 as “the process of transitioning service users rom institutional and other segregated settings to community-based settings that enable social participation, recovery-based approaches to mental health, and individualized care in accordance with the service user’s will and preference.”

BILLS AND RESOLUTIONS ON MENTAL HEALTH FILED IN THE 19™ CONGRESS Source: www.congress.gov.ph/legisdocs/?v=bills, and http://legacy.senate.gov.ph/lis/leg_sys.aspx, as of 25 April 2025

Source: Reference list based on DOH list of vetted 3" party providers (https://doh. gov. ph/list-of-doh-vetted-3rd-party-telemedicine- service-providers). Details processed from individual websites and pages of the service providers.

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