15 APAC countries ranked in mental health index for World Mental Health Day

October 19, 2016

As part of this year’s World Mental Health Day celebrations, results of the Asia Pacific Mental Health Integration Index, which compares and ranks the level of effort of 15 countries and territories across the Asia Pacific region in implementing effective mental health policies, were recently released.

The 15 countries ranked from highest overall score to lowest are: New Zealand (94.7), Australia (92.2), Taiwan (80.1), Singapore, (76.4), South Korea (75.9), Japan (67.4), Hong Kong (65.8), Malaysia (54.1), China (45.5), Thailand (44.6), India (29.4), Philippines (25.5), Vietnam (20.6), Indonesia (15.7), and Pakistan (12.8).

The overall scores reveal wide diversity in mental health integration in these countries.

Commissioned by pharmaceutical company Janssen Asia Pacific and undertaken by the Economist Intelligence Unit (EIU), the Index also looks at the services and programs available to assist people living with mental illness integrate more successfully into society.

The research highlights that these countries have experienced variable success in moving from the institutionalization of people living with mental illness to providing the care, services and environment necessary for them to participate more fully in their communities.

From a regional perspective, the report finds that:

  • There is a need to improve access to mental health services

Despite the attempts of policymakers and governments to prioritize mental illness and a shared aspiration to support the integration of those living with the disease into the community, the report found that across the region, less than half of those affected by mental illness receive any medical treatment. Access to mental health services is also still largely dictated by where a person lives, with a significant rural-urban divide, even in wealthier economies.

  • Mental illness has economic consequences

There is a wide variance in how well Index countries support those living with mental illness, and trends in the findings point to an important link between national wealth and success in this area. The report confirms the economic burden that mental illness places on Asia Pacific economies: even among the best performing economies, Australia and New Zealand, mental illness knocks 3.5% and 5%, respectively, off their GDP.

  • There are gaps in epidemiological data

Another major conclusion in the report is the frequent lack of available data on mental illness prevalence. This is particularly the case in less economically-developed countries, where even basic data is often considered to be guesswork. While the more economically advanced economies do better with gathering statistics on mental illness, there is still a lack of data on outcomes.

  • Persistence of stigma underscores the need for further action

The report finds that stigma still remains pervasive across the region against people with mental illness, especially severe conditions such as schizophrenia. The report notes that the integration of people living with mental illness will ultimately depend on cultural acceptance and anti-stigma efforts, which need to occur alongside the development of community-based infrastructure.

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