State of Mental Health in The Philippines

State of Mental Health in
the Philippines
Statistics
The World Health Organization (WHO) estimates that:
154 million people suffer from depression
21 million people suffer from schizophrenia
877,000 die by suicide yearly

Statistics
The World Health Organization (WHO) estimates that:
50 million suffer from epilepsy
24 million suffer from Alzheimer’s disease and other

dementias
15.3 million persons with drug use disorders

Statistics
In the Philippines:
According to a joint study in 2014 by UP Manila NIH–

Institute of Clinical Epidemiology, DOH, Foundation for
Advancement of Clinical Epidemiology and the PPA, which
analyzed data from 2,562 patients with mental illness,
schizophrenia is the top brain disorder affecting mentally ill
Filipinos. (DOST-PCHRD website)
There are 700 psychiatrists and 1000 psychiatric nurses

providing mental health services. (DOST-PCHRD website)
Statistics
In the Philippines:
2004 WHO study: Up to 60% of people attending primary care

clinic daily are estimated to have one or more MNS disorders
2000 population census: Mental illness and mental retardation

rank 3rd and 4th respectively among types of disabilities in the
country
PGH 2014 data: Epilepsy accounts for 33.44% of adult and

66.20% of pediatric neurological outpatient visits yearly
Statistics
In the Philippines:
2015 DDB Nationwide Survey: Drug use prevalence

among Filipinos aged 10 to 69 years is at 2.3% or an
estimated 1.8 million users
2011 WHO Global School-Based Health Survey: 16% of

students between 13-15 years have seriously considered
attempting suicide, 13% have actually attempted suicide
one or more times during the past year
Statistics
In the Philippines:
Redaniel, Dalida, and Gunnell (2011): incidence of

suicide in males increased from 0.23 to 3.59 per 100,000
between 1984 and 2005, suicide in females rose from 0.12
to 1.09 per 100,000
DOH (2003): Intentional self-harm is the 9th leading cause

of death among the 20-24 years old
Statistics
In the Philippines:
DOH (2006): 32% out of 327 government employee

respondents in Metro Manila have experienced a mental
health problem in their lifetime
Statistics
Global Epidemiology on Kaplan and Saddock’s Synopsis of
Psychiatry (2015), and Kaufman’s Clinical Neurology for
Psychiatrists, 7th edition (2013):
A. Schizophrenia - 1% or 1 million
B. Bipolar Disorder - 1% or 1 million
C. Major Depressive Disorder – 17% or 17 million
D. Dementia – 5% (of older than 65)
E. Epilepsy – 0.06% or 600,000
Areas of Research in Mental Health in the
Philippines
 Victims of Calamity
 Ondoy and Yolanda (MHPSS, CISD, PFA, TIC)
 Filipina Migrant Workers (stress, psycho-emotional

symptoms)
 Displaced Populations
 Amerasians (discrimination, social isolation, substance use)
 Mindanao Refugees (discrimination, trauma from war zones)
 Filipino Children (intellectual impairment, substance use)

Mental Health Program (DOH)
Description
Mental health and well-being is a concern of all. Addressing

concerns related to MNS contributes to the attainment of
the SDGs. Through a comprehensive mental health
program that includes a wide range of promotive,
preventive, treatment and rehabilitative services; that is for
all individuals across the life course especially those at risk
of and suffering from MNS disorders; integrated in various
treatment settings from community to facility that is
implemented from
Description (cont.)
the national to the barangay level; and backed with

institutional support mechanisms from different
government agencies and CSOs, we hope to attain the
highest possible level of health for the nation because
there is no universal health care without mental health
Vision
A society that promotes the well-being of all Filipinos,

supported by transformative multi-sectoral partnerships,
comprehensive mental health policies and programs, and a
responsive service delivery network
Mission
To promote over-all wellness of all Filipinos, prevent

mental, psychosocial, and neurologic disorders, substance
abuse and other forms of addiction, and reduce burden of
disease by improving access to quality care and recovery
in order to attain the highest possible level of health to
participate fully in society
Objectives
1. To promote participatory governance and leadership in

mental health
2. To strengthen coverage of mental health services

through multisectoral partnership to provide high quality
service aiming at best patient experience in a responsive
service delivery network
Objectives
3. To harness capacities of LGUs and organized groups to

implement promotive and preventive interventions on mental
health
4. To leverage quality data and research evidence for mental

health
5. To set standards for compliance in different aspects of

services
Program Components
1. Wellness of Daily Living (healthy lifestyle)

2. Extreme Life Experience (MHPSS during personal and
community-wide disasters)
3. Mental Disorder
4. Neurologic Disorders
5. Substance Abuse and Other Forms of Addiction
Partner Institutions
 NGAs (DOLE, DSWD, DepEd, TESDA, CHED, DILG)
 NGOs (WHO, PPA, PAP, Philippine Neurological

Association, AWIT Foundation, World Association for
Psychosocial Rehabilitation)
Laws and Legal Observances
 RA 10029 (Philippine Psychology Act of 2009)
 RA 11036 (Philippine Mental Health Act)
 World Suicide Prevention Day (September 10)
 World Mental Health Day (October 10)
 National Mental Health Week (2 nd week of October)

Registered Psychologists in the Philippines
Year RPsy without RPsy with exams Total
exams
2013 353 - 353
2014 235 35 270
2015 235 36 271
2016 11 63 74
2017 - 96 96
2018 - 127 127
Total 834 357 1,191

Key Ratios in Mental Health Service
 Ratio of Registered Psychologists to the Philippine Population of
about 107 million (1 : 90,338.36)
 The Philippines has only one psychiatrist for every 250,000 mentally
ill patients, far from the ideal ratio of one to 50,000 patients.
 The rate of mental health hospitals in the country is at 0.002, while

the rate of beds in the hospitals is at 4.486 per 100,000 population. In
addition, the rate of persons treated in mental health outpatient
facilities and mental health day treatment facilities is only at 12.25
and 4.35, respectively, per 100,000 population.
Challenges in Mental Health Service
Low number of mental health professionals compared to the
population
Limitation in number of mental health facilities outside Metro

Manila
Need to erase the stigma against seeking help in mental health.
Implementation of Mental Health Act (IRR effective since Feb

19, 2019)
Five-year Strategic Plan of the PCMH (2019-2023)
Moving from Binary approach (illness/no illness) to

Staged approach [Stage 0 (asymptomatic) – Stage 4
(treatment resistance)]
Reduce suicide rate by 10% in the Philippines
Training for Intervention/Action

Sustainable Development Goal 3
3.4 By 2030, reduce by one third premature mortality from

non-communicable diseases through prevention and
treatment and promote mental health and well-being.
3.5 Strengthen the prevention and treatment of substance

abuse, including narcotic drug abuse and harmful use of
alcohol.
Challenges in Mental Health Service for
DSWD
DSWD is in the Technical Working Group (TWG) of the
Strategic Plan but not a member of the PCMH
DSWD is to develop specific guidelines in accordance

with Section 37 of the IRR of RA 11036 by August 2019
(focus on Community Resilience and Psychosocial
Support during disasters)
Challenges in Mental Health Service for
DSWD
Enhancing Psychological Service in the Manual of
Operations in DSWD Centers
Revival of the Writing of the Handbook for DSWD

Psychological Services
Need for Standardized Training Modules for Assessment

and Intervention
Taking an active role in the PPIPS-SIG

Thank you.
Salamat.
Merci.

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State of Mental Health in

154 million people suffer from depression

21 million people suffer from schizophrenia

877,000 die by suicide yearly

50 million suffer from epilepsy

24 million suffer from Alzheimer’s disease and other

15.3 million persons with drug use disorders

According to a joint study in 2014 by UP Manila NIH–

There are 700 psychiatrists and 1000 psychiatric nurses

2004 WHO study: Up to 60% of people attending primary care

2000 population census: Mental illness and mental retardation

PGH 2014 data: Epilepsy accounts for 33.44% of adult and

2015 DDB Nationwide Survey: Drug use prevalence

2011 WHO Global School-Based Health Survey: 16% of

Redaniel, Dalida, and Gunnell (2011): incidence of

DOH (2003): Intentional self-harm is the 9th leading cause

DOH (2006): 32% out of 327 government employee

 Filipina Migrant Workers (stress, psycho-emotional

 Filipino Children (intellectual impairment, substance use)

Mental health and well-being is a concern of all. Addressing

the national to the barangay level; and backed with

A society that promotes the well-being of all Filipinos,

To promote over-all wellness of all Filipinos, prevent

1. To promote participatory governance and leadership in

2. To strengthen coverage of mental health services

3. To harness capacities of LGUs and organized groups to

4. To leverage quality data and research evidence for mental

5. To set standards for compliance in different aspects of

1. Wellness of Daily Living (healthy lifestyle)

 NGAs (DOLE, DSWD, DepEd, TESDA, CHED, DILG)

 NGOs (WHO, PPA, PAP, Philippine Neurological

 RA 10029 (Philippine Psychology Act of 2009)

 RA 11036 (Philippine Mental Health Act)

 World Suicide Prevention Day (September 10)

 World Mental Health Day (October 10)

 National Mental Health Week (2 nd week of October)

2013 353 - 353

2014 235 35 270

2015 235 36 271

2018 - 127 127

Total 834 357 1,191

 The rate of mental health hospitals in the country is at 0.002, while

Limitation in number of mental health facilities outside Metro

Need to erase the stigma against seeking help in mental health.

Implementation of Mental Health Act (IRR effective since Feb

Moving from Binary approach (illness/no illness) to

Reduce suicide rate by 10% in the Philippines

Training for Intervention/Action

3.4 By 2030, reduce by one third premature mortality from

3.5 Strengthen the prevention and treatment of substance

DSWD is to develop specific guidelines in accordance

Revival of the Writing of the Handbook for DSWD

Need for Standardized Training Modules for Assessment

Taking an active role in the PPIPS-SIG

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