World Mental Health Day 2024: Enhancing Mental Well-Being at Work

(Ministry of Health and Family Welfare)

October 09, 2024

World Mental Health Day, observed annually on October 10, was first initiated in 1992 by the World
Federation for Mental Health (WFMH). This global observance aims to raise awareness about mental
health issues and mobilize efforts in support of mental health care worldwide. Over the years, the
day has grown into a significant platform for governments, organizations, and individuals to
collaborate on initiatives that drive lasting change in mental health care. The importance of World
Mental Health Day is underscored by the growing recognition of the profound impact mental health
has on individuals, families, and communities.

The theme for 2024, Mental Health at Work, highlights the critical connection between mental
health and the workplace. With an estimated 60% of the global population in some form of
employment, addressing mental health at work has become imperative. Safe and inclusive work
environments can promote mental well-being, whereas poor working conditions can result in
significant mental health risks. The theme emphasizes the importance of taking collective action
to ensure that workplaces foster mental health, protect against harm, and support those who need
help.

Mental Health in the Workplace: Key Factors and Considerations

• Mental Health and Work Are Closely Related: A positive and supportive work
environment is critical for fostering mental well-being, providing employees with a sense of
purpose, stability, and job satisfaction. On the other hand, adverse working conditions can
negatively affect mental health, lowering productivity and morale. Employees tend to be
more motivated in an inclusive and respectful workplace. Conversely, stress, discrimination,
abuse, and micromanagement can create a hostile environment that diminishes motivation
and job satisfaction.

• Risks to Workers' Mental Health: Employees face various risks to their mental health,
such as poor working conditions, discrimination, and limited autonomy. Jobs that are low-
paid or insecure often come with insufficient protections, making workers in these roles more
vulnerable to psychosocial risks, which can further impact their overall well-being.

• Impact on Employees: Without adequate support, individuals dealing with mental health
challenges can experience diminished self-confidence, reduced enjoyment at work, and
frequent absences. The effects can extend beyond the workplace, impacting the ability to find
or maintain employment. These challenges also affect family members and caregivers,
adding further stress to their lives.

• Broader Effects on Work and Society: Mental health issues in the workplace are not
isolated to individual workers; they have a wider societal impact. Poor mental health can
result in reduced performance, absenteeism, and higher staff turnover. Globally, depression
and anxiety alone contribute to the loss of approximately 12 billion workdays each year,
underscoring the economic and social consequences of untreated mental health conditions.

• Stigma and Barriers to Employment: Stigma surrounding mental health is a significant

barrier that prevents individuals from seeking help and maintaining employment. Workplace
discrimination against those with mental health conditions can hinder their ability to thrive.
Awareness programs, training, and engagement with employees who have mental health
conditions can contribute to more inclusive, supportive work environments that break down
these barriers.

• Supporting Workers to Thrive: Employers play a crucial role in ensuring that workers with
mental health conditions can succeed in the workplace. Reasonable accommodations, such
as regular supportive meetings, scheduled breaks, and a gradual reintroduction to tasks, help
employees manage their conditions and stay productive. Offering simple supports like
medication storage can also make a significant difference.

• Training Managers to Support Mental Health: Employers should invest in training for
managers to identify and address mental health stressors in the workplace. Trained managers
are better equipped to foster a positive and supportive work environment, which is key to
reducing stress and promoting mental well-being among staff.

• Government Action and Collaboration: For meaningful change, governments, employers,

 and representative organizations must collaborate on creating policies that prevent mental
health risks and promote mental well-being. Such efforts should aim to create workplaces
where mental health is prioritized, and protective measures are in place for employees.

• Taking Care of Your Own Mental Health: While governments and employers are
responsible for promoting mental health at work, individuals can also take steps to support
their own well-being. Learning stress management techniques and staying mindful of
changes in mental health are important. If necessary, reaching out to a trusted person or
mental health professional can provide essential support.

Mental Health: Policy Recommendations by Economic Survey 2023-24

India, home to one of the largest populations in the world, faces unique challenges in addressing
mental health issues. With a history of underfunded mental health services and significant stigma
surrounding mental illness, the country has taken significant steps toward improving mental health
care infrastructure and policies.

For the first time ever, the Economic Survey 2023-24 tabled by the Union Minister of Finance
and Corporate Affairs Smt. Nirmala Sitharaman in Parliament on July 22, 2024, talked about
mental health, its significance and implications on policy recommendations. Acknowledging
mental health as a principally impactful driver of individual and national development, the Survey
notes that as per the National Mental Health Survey (NMHS) 2015-16, 10.6% adults in India
suffered from mental disorders while treatment gap for mental disorders ranged between 70%
and 92% for different disorders. Further, the prevalence of mental morbidity was higher in urban
metro regions (13.5%) as compared to rural areas (6.9%) and urban non-metro areas (4.3%). Citing
NCERT’s Mental Health and Well-being of School Students Survey, the Survey highlights an
increasing prevalence of poor mental health among adolescents exacerbated by the COVID-19
pandemic, with 11% of students reported as feeling anxious, 14% as feeling extreme emotion and
43% experiencing mood swings.

The survey points out that at an aggregate economic level, mental health disorders are associated
with significant productivity losses due to absenteeism, decreased productivity, disability,
increased healthcare costs, etc. There is also evidence of poverty affecting the risk of mental health
via stressful living conditions, financial instability, and a lack of opportunities for upward mobility,
which contribute to heightened psychological distress.

Policy Recommendations on Mental Health

The Economic survey emphasizes the need for effective implementation to accelerate progress in
mental healthcare, addressing existing gaps to ensure maximum impact. Key policy
recommendations include:

• Re-doubling efforts to increase the number of psychiatrists, from 0.75 psychiatrists per lakh
population in 2021 to the WHO norm of 3 per lakh population
• Developing comprehensive guidelines for the excellence centers’ services alongside mental
healthcare professionals and users to understand their needs.
• Assessing the effectiveness of the programmes by gathering feedback from the users,
 professionals, and stakeholders to make necessary changes and meet the needs of a wider
population.
• Nurturing peer support networks, self-help groups, and community-based rehabilitation
programmes can help de-stigmatization of mental disorders and develop a sense of
belonging.
• Partnering with NGOs to scale up efforts, share knowledge, and leverage resources to
enhance future policies, to aid in identifying areas of improvement.
• Involving individuals with personal experience with mental health problems in decision-
making, service planning, and advocacy efforts can increase the person-centricity and
recovery orientation of mental healthcare services.
• Sensitization of mental health at the preschool, Anganwadi level to provide precious early
identification of disorders.
• Standardization of guidelines for mental-health services across government and private
sector.
• Effective pathways for integrating mental health interventions in schools including
developing an age-appropriate mental health curriculum for teachers and students,
encouraging early intervention and positive language in schools, promoting community-level
interactions, and balancing the role of technology.
• A bottom-up, whole-of-community approach in addressing the topic of mental health and
breaking the stigma.
• For public health officials, tackling mental health by acknowledging and addressing the
fundamental reluctance at personal level.

Key Initiatives: Efforts by Government for a Better Tomorrow

The Government of India, through the National Institute of Mental Health and Neurosciences
(NIMHANS), Bengaluru, conducted the National Mental Health Survey (NMHS) in 2016.
According to the survey, approximately 10.6% of adults over the age of 18 suffer from mental
disorders.

To address this, the District Mental Health Programme (DMHP), a key component of the National
Mental Health Programme (NMHP), has been rolled out in 767 districts, with support provided to
States/UTs under the National Health Mission. The DMHP aims to deliver services such as suicide
prevention, workplace stress management, life skills training, and counseling for schools and
colleges. Facilities at district hospitals, Community Health Centres (CHCs), and Primary Health
Centres (PHCs) offer outpatient services, counselling, psycho-social interventions, continued care
for severe mental disorders, drugs, outreach programs, and ambulance services. Additionally, a 10-
bed in-patient facility is available at the district level. Furthermore, over 1.73 lakh Sub Health
Centres (SHCs) and PHCs have been upgraded to Ayushman Arogya Mandirs, integrating
mental health services into their care packages.

To further enhance mental healthcare capacity, the government has expanded the NMHP's tertiary
care component. This includes sanctioning, 25 Centres of Excellence have been sanctioned to
increase the intake of students in PG departments in mental health specialities as well as to
provide tertiary level treatment facilities. Additionally, 47 postgraduate departments in mental
health have been strengthened across 19 government medical colleges, with mental health
services also provisioned in 22 newly established AIIMS. Across India, there are 47 government-
run mental hospitals, including three central mental institutions: National Institute of Mental Health
and Neuro Sciences, Bengaluru, Lokopriya Gopinath Bordoloi Regional Institute of Mental Health,
Tezpur, Assam and Central Institute of Psychiatry, Ranchi.

In a significant initiative, the government launched the National Tele Mental Health Programme
(NTMHP) on October 10, 2022, to improve access to quality mental health counselling and care. A
total of 53 Tele MANAS Cells are operational across 36 states /union territories. As of October
08, 2024, more than 14.5 lakh calls have been handled on the helpline number.

Conclusion

World Mental Health Day serves as a critical reminder of the importance of mental health care in
our lives and workplaces. With mental health and work being so closely linked, it is essential for
governments, employers, and stakeholders to take action in creating safe, inclusive, and supportive
environments where mental well-being can thrive. Global initiatives, driven by organizations like
WHO and WFMH, are making progress, but there is still much work to be done in raising awareness,
reducing stigma, and improving access to mental health services.

India’s recent efforts to address mental health challenges through policies, surveys, and programs
are commendable. By increasing mental health resources and integrating services into primary
healthcare, India is making strides toward reducing the treatment gap and addressing the country’s
mental health burden. As these efforts continue, the focus must remain on creating inclusive systems
that enable individuals to thrive both at work and in society. In the coming years, continued
collaboration between governments, organizations, and individuals is essential to ensure that mental
health care is accessible, effective, and free from stigma. This will help create a future where mental
health is recognized as a fundamental right, and everyone can participate fully in both work and life.

References
https://www.who.int/campaigns/world-mental-health-day/2024
https://wmhdofficial.com/about-2024-new-colors/
https://pib.gov.in/PressReleasePage.aspx?PRID=2034931
https://pib.gov.in/PressReleaseIframePage.aspx?PRID=2043511#:~:text=Besides%20the%20abov
e%2C%20the%20Government,started%20tele%20mental%20health%20services.
https://www.who.int/initiatives/who-special-initiative-for-mental-health

Santosh Kumar/ Sheetal Angral/ Aswathy Nair