Tag Archives: Joel Villanueva

Mental health in the Philippines

After more or less 28 years, the law that could provide affordable mental health services for Filipinos has been signed.

Referred to as the Mental Health Law, the Republic Act 11036 would secure the rights and welfare of persons with mental health needs, provide services for them even in barangays, improve mental healthcare facilities, and promote mental health education in schools and workplaces.

It also aims to (1) provide psychiatric, neurologic and psychosocial services to the regional and other tertiary level hospitals, (2) add mental health service providers, and (3) introduce anti-stigma or anti-discrimination programs in schools and workplaces. Mental healthcare would not just be concentrated in urban areas anymore and would highlight the importance of research required to formulate and develop culturally-relevant national mental health programs.

The Mental Health Law has been signed by Senate President Vicente Sotto III and Senators Loren Legarda, Antonio Trillanes IV, Paolo Bengino Aquino IV, Juan Edgardo Angara, and Joel Villanueva.

A Human Right

Before the Mental Health Law was legislated, there have been at least 16 other bills focusing on mental health.

Former senator Orlando Mercado was the first one to file an act about it in 1989. The next year, another version was filed by Senator Jose Lina. Then in 2000, Executive Order 470 was issued, creating a council for mental health attached to the Department of Health (DOH).

The Philippine Mental Health Policy came into being in 2001, signed by former health secretary Manuel M. Dayrit. But it was revised four years after over 4.5 million cases of depression had been reported.

The figures went down as a result but the cases of anxiety and alcoholism have gone up in the succeeding years. Suicide, too, which was “seriously contemplated” by Filipino students as young as 13 years old. By 2012, 2,558 Filipinos died by suicide (World Health Organization) and 1 in 5 Filipino adults has some form of mental illness (Department of Health).

The destruction wrought by Typhoon Yolanda (Haiyan) across the central Philippines—particularly in Marabut, Samar, Carles, and Estancia—led the government to scale up its community mental health programs and train city and municipal health officers in identifying mental health problems. It spearheaded the first public health convention on PWDs in order to improve their access to health and wellness services.

Then it signed an administrative order in 2016 for the nationwide implementation of its mental health program. It also created a national hotline for mental health assistance in 2017. That same year, the Senate passed the Senate Bill 1354 or the Mental Health Act of 2017 that enable affordable and accessible mental health services to Filipinos.

Globally, more than 300 million people are living with depression so, in the Philippines,  the DOH together with the WHO and the Natasha Goulbourn Foundation launched Hopeline, a 24-hour phone-based counseling service for individuals who suffer from that. Other organizations that are helping are the Youth for Mental Health Coalition, Incorporated, Silakbo PH, Isanliyab Servant Leaders’ Union, and Where There Is Hope (WTIH).

Mental health is important because all aspects of people’s lives is affected by it. Depression, suicidal ideation, and bipolar disorder are currently the most common mental health problems in the country, and one in every three Filipinos has a mental health problem1. There is only one psychiatrist for every 250,000 mentally ill patients, though, and the fund set aside for mental health is just five percent of the health department’s total annual budget2.

Furthermore, most of the mental health facilities and institutions are within the National Capital Region3. Most of the victims are overseas Filipino workers, residents of typhoon-prone areas, families that have abusive parents, and those that lived through disasters and violence.

With these in mind, The PWD Forum cannot but echo a Philippine senator’s hope for mental health in the country: that it will be eventually accepted as a genuine public concern that requires accessible medical care, consistent government support, and compassionate social understanding.

“Help is finally here. The Mental Health Law cements the government’s commitment to a more holistic approach to healthcare: without sound mental health there can be no genuine physical health.” ~ Sen. Risa Hontiveros

Video taken from the YouTube Channel of the GMA News

1This estimate was from a population survey conducted by the UP-Philippine General Hospital in Western Visayas more than 20 years ago. It was shared by Dr. Lourdes Ignacio, professor emeritus at the University of the Philippines College of Medicine, during her lecture on “Reaching the unreached: Integrating mental health care in general health care” before national academicians and national scientists of the National Academy of Science and Technology.

2From the allotment, 95% goes to the maintenance of mental health institutions and personnel’s salary.

3They are the National Center for Mental Health in Mandaluyong, Cavite Center for Mental Health in Trece Martires, Mariveles Mental Ward in Bataan, and psychiatric wards in the Philippine General Hospital, Makati Medical Center, University of Santo Tomas Hospital, University of the East Ramon Magsaysay Memorial Medical Center, and Metro Psychotherapy Facility.

Notes:

  1. Depression is a common and serious medical illness that can cause feelings of sadness and/or a loss of interest in activities once enjoyed. It can lead to suicidal ideation, which means thinking about or planning suicide.

Bipolar disorder, on the other hand, is an illness that causes unusual shifts in mood. Schizophrenia is a mental disorder characterized by failure to understand reality. Anxiety causes nervousness, fear, apprehension, and worrying. All of them—depression, suicidal ideation, bipolar disorder, schizophrenia, and anxiety—can be treated through medication, counselling, and social rehabilitation.

  1. In rural areas: mental disorders are a result of other-worldly spirits or witchcraft.
  2. The state-run insurance firm, Philippine Health Insurance Corporation (Philhealth) recently added mental illness under its coverage but for severe disorders and short- duration of confinement only.
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Education for Filipino CYNS

Children and youth with special needs in the Philippines may have a chance for a quality education in the country once the Senate Bill 1732 passes.

Tagged as the Inclusive Education for Children with Special Needs Act, the SB 1732 seeks to “widen the access to quality education for children and youth with special needs (CYNS) in order to provide equal opportunities for all students.” It also aims to establish Inclusive Education Learning Resource Centers in every public school division in the country and ensure adequate pay to teachers.

Of the 649 special education centers that the Department of Education recognizes, only 471 can cater to elementary students and 177 to high school students. There were also only 2,600 elementary SPED teachers and 280 high school SPED teachers.

“Our current public education structure lacks the necessary tools and resources in better assisting children and youth with special needs in their learning environment, and the role of the government is to provide the essential devices and employ the right people who will aid them to do well in a natural learning environment,” Senator Francis Escudero, chairman of the Senate committee on education, arts, and culture, was quoted saying in his sponsorship speech.

“Importanteng makapagbigay ng sapat na mga kurso para mabigyan ng sapat na training at kaalaman ang mga teachers upang sa gayon makuha natin ang eksaktong datos. Ilan nga ba at gaano karami yan upang makapaglaan din tayo ng sapat na resources para matugunan ang problema at pangangailangang yan,” he added.

Aside from Sen. Escudero, the other lawmakers that filed the SB 1732 last March 7, 2018 were Senators Alan Peter Cayetano, Antonio Trillanes, Joseph Victor Ejercito, Sherwin Gatchalian, Joel Villanueva, Juan Edgardo Angara, and Paolo Benigno Aquino.

Notes:

  1. The bill considers equipping the education sector with “tools and resources to make it responsive to the needs of CYNS as it geared towards integration.”
  2. Children in the Philippines refer to person below eighteen (18) years of age or those over but are unable to fully take care of themselves or protect themselves from abuse, neglect, cruelty, exploitation or discrimination because of a physical or mental disability or condition.
  3. Youth in the Philippines refer to those persons whose ages range from fifteen (15) to thirty (30) years old.

“While we acknowledge the fact that they are in need of special education and care, children and youth with special needs should also be given the chance to live like any other children in our country. It would be best to educate them in such a way that they will be able to interact and learn with children their age.” ~ Sen. Francis Escudero

Video taken from the YouTube Channel of aztecs1953