QUINTO, Jemma Hanna

RIVERA, Martin
SURAWONGSIN, Sirat
Mental health problems are prevalent and
troubling, with about 3 in 10 Filipinos affected
by mental illness that is serious enough to affect
functioning

SURAWONGSIN, SIRAT
In the Philippines
• Studies on mental health in general health care:
– 17-20% of adults and 10-15% children (5-15 years)
consulting primary health care clinics have
psychiatric disorders (Ignacio et al, 1981)
• Doctorless barrios:
– 50% of adults consulting rural health clinics have
psychological morbidity, (unpublished report)
• Studies among survivors of disaster:
– Consistently show that psychosocial consequences
of disaster are significant
SURAWONGSIN, SIRAT
What is Mental Health?
• It is a state of well-being in which the
individual realizes his/her abilities, can cope
with the normal stresses in life, can work
productively & fruitfully, & is able to make a
contribution to his/her community
World Health Organization

SURAWONGSIN, SIRAT
What is Mental Health?
• Clinical Definition:
– Clinical significant behavioral problems
– Associated with distress
• Painful symptoms
– Causes disability
• Impairment in functioning
– A biological illness that responds to treatment
– Not to be confused with weakness of character

SURAWONGSIN, SIRAT
Aspect of Mental Health
• Emotional Intelligence
– Feels comfortable about oneself
– Have emotional self control
– Can handle relationships
– Recognize emotions in others
– Accepting people for what they are
• Enjoys life & contented with simple everyday pleasures
• Ambitious but sets realistic goals
• Accepts new challenges, new experiences & new ideas

SURAWONGSIN, SIRAT
Aspects of Mental Health
• Resiliency
– Emerge & grow from negative life events
• Spirituality
– That part of us that deals with relationships,
values & addresses questions of purpose &
meaning in life

SURAWONGSIN, SIRAT
WHO Statistics
• More than 450M across the globe suffer from
mental illness
• By 2030, depression will be the 2nd highest cause
of disease burden in middle-income countries &
the 3rd highest in low-income countries
• In the last 45 years, suicide rates have increased
by 60% worldwide
• Mental & psychosocial disabilities are associated
with rates of unemployment as high as 90%
SURAWONGSIN, SIRAT
Characteristics of a person with good mental
health
• He feels comfortable about himself
• He can take life’s disappointments
• He enjoys & is contented with simple everyday pleasures
• He can handle situations
• He gets along well with people by accepting them for what
they are
• He solves his own problems instead of passing them to
others
• He is not usually swayed or affected by the opinion of others
• He accept new challenges, new experiences & new ideas
SURAWONGSIN, SIRAT
Which mental illness is most common?

• Depression with anxiety affects 9.2% of the

population
• 1 in 20 experience severe depression

SURAWONGSIN, SIRAT
Where does mental illness come from?

• Heredity
– Genes
• Stress / Traumatic life events
• Parenting style
• Psychosocial, environmental & sociocultural
factors

SURAWONGSIN, SIRAT
Fact about Mental Illness
• Has nothing to do with intelligence
• Can happen to anyone
• Chronic but not contagious
• Difficult to diagnose & to treat
• Treated but not cured
• Mentally ill are not all dangerous
• Should not be confused with terms like
psychopath or sociopath
SURAWONGSIN, SIRAT
Ten elements of mental health
• Environmental quality • Emotional deprivation
• Self-esteem • Emotional abuse
• Emotional processing • Emotional negligence
• Self-management • Stress
skills • Social exclusion
• Social participation

SURAWONGSIN, SIRAT
PUBLIC MENTAL HEALTH

QUINTO, Jemma Hanna

The World Health Organization (WHO) estimates
that :
• 154 million people suffer from depression
• 877,000 people die by suicide every year
• 50 million people suffer from epilepsy
• 24 million from Alzheimer’s disease and other
dementias
• 15.3 million persons with drug use disorders 

QUINTO, Jemma Hanna

QUINTO, Jemma Hanna
QUINTO, Jemma Hanna
 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

QUINTO, Jemma Hanna

 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.

QUINTO, Jemma Hanna

 OBJECTIVES
1. To promote participatory governance and
leadership in mental health

QUINTO, Jemma Hanna

 OBJECTIVES
2. To strengthen coverage of mental health
services through multi-sectoral partnership to
provide high quality service aiming at best
patient experience in a responsive service
delivery network

QUINTO, Jemma Hanna

 OBJECTIVES
3. To harness capacities of LGUs and organized
groups to implement promotive and preventive
interventions on mental health

QUINTO, Jemma Hanna

 OBJECTIVES
4. To leverage quality data and research
evidence for mental health

QUINTO, Jemma Hanna

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

QUINTO, Jemma Hanna

 PROGRAM COMPONENTS
1. WELLNESS OF DAILY LIVING
• All health/social/poverty reduction/safety and
security programs and the like are protective
factors in general for the entire population
• Promotion of Healthy Lifestyle, Prevention and
Control of Diseases, Family wellness programs,
etc
• School and workplace health and wellness
programs
QUINTO, Jemma Hanna
2. EXTREME LIFE EXPERIENCE
• Provision of mental health and psychosocial
support (MHPSS) during personal and
community wide disasters

QUINTO, Jemma Hanna

3. Mental Disorder
4. Neurologic Disorders
5. Substance Abuse and other Forms of
Addiction
• Provision of services for mental, neurologic and substance use disorders
at the primary level from assessment, treatment and management to
referral; and provision of psychotropic drugs which are provided for free.
• Enhancement of mental health facilities under Health Facilities
Enhancement Program (HFEP)

QUINTO, Jemma Hanna

 PARTNER INSTITUTIONS
• National Government Agencies ( DOLE,
DSWD, DepEd, Tesda, CHED, DILG)
 PARTNER INSTITUTIONS
• Non- Government Organization (WHO, PPA,
PAP, PNA, PLAE, AWIT Foundation, WAPR,
NGF)
 POLICIES AND LAWS
• DOH Administrative Order No. 8 series of 2001-
The National Mental Health Policy

• DOH Administrative Order No. 2016-0039

Revised Operational Framework for a
Comprehensive National Mental Health Program

• Republic Act No. 11036 Mental Health Act

QUINTO, Jemma Hanna

 Strategies, Action Points and Timeline

• Governance
• Service coverage
• Advocacy
• Evidence
• Regulation
QUINTO, Jemma Hanna
 Program Accomplishments/Status
1. Passage of the Republic Act No. 11036 dated
June 20, 2018 "An Act Establishing a National
Mental Health Policy for the Purpose of
Enhancing the Delivery of Integrated Mental
Health Services, Promoting and Protecting the
Rights of Persons Utilizing Psychiatric,
Neurologic and Psychosocial Health Services,
Appropriating Funds Therefore and for Other
Purposes"

QUINTO, Jemma Hanna

2. DOH Administrative Order No.
2016-0039 dated October 28,
2016 " Revised Operational
Framework for a
Comprehensive National Mental
Health Program"

QUINTO, Jemma Hanna

3. National Mental Health Program
Strategic Plan 2018-2022

4. Harmonized MHPPS Training Manual

5. Development of the Implementing

Rules and Regulation of the RA No.
11036 also known as The Mental Health
Act
QUINTO, Jemma Hanna
6. Conduct of the Advocacy Activities such as 2nd
Public Health Convention on Mental Health,
Observance of the World Health Day, World
Suicide Prevention Day, National Mental Health
Week and Mental Health Fairs
7. Training on Mental Health Gap Action
Programme
8. Conduct of The National Prevalence Survey on
Mental Health
9. Establishment of the Medicine Access Program
for Mental Health
QUINTO, Jemma Hanna
MENTAL HEALTH LAW

Martin Rivera
MENTAL HEALTH is a state of
wellbeing in which the
individual realizes his or her
own abilities, can cope with
the normal stresses of life,
can work productively and
fruitfully, and is able to make
a contribution to his or her
community
---WHO

Rivera, Martin
 Philippine Mental Health Awareness
• Philippines – one of the happiest nation
worldwide but according to WHO, has one of the
highest record of depression in SE Asia
• 18% or 300 million Filipinos are depressed in
2005-2012
• 17-20% suffer from psychiatric disorder
• 10-15% children (5-15 y/o) with mental health
problem
• 2,558 suicide in the year 2012 (8/10 male)
Rivera, Martin
 Philippine Mental Health Awareness

• 5% of health budget goes to mental health

• 7% has psychiatric facility
• 60 psychiatric health care facilities in the
Philippines
• 2015 SUICIDE
– 11% planned
– 17% attempt
– 12% committed

Rivera, Martin
THE MENTAL HEALTH LAW

REPUBLIC ACT 11036

 RA 11036
• An act establishing a national mental health
policy for the purpose of enhancing the delivery
of integrated mental health services, promoting
and protecting the rights of persons utilizing
psychiatric, neurologic and psychosocial health
services
• “The Mental Health Law”
• Signed by Pres. Rodrigo Duterte on June 20,
2018
Rivera, Martin
 Declaration of Policy
• The State affirms the basic right of all Filipinos to mental health
as well as the fundamental rights of people who require mental
health services.
• The State commits itself to promoting the well-being of people
by ensuring that: mental health is valued, promoted and
protected; mental health conditions are treated and prevented;
timely, affordable, high-quality, and culturally appropriate
mental health care is made available to the public, mental health
services are free from coercion and accountable to the service
users; and persons affected by mental health conditions are able
to exercise the full range of human rights, and participate fully
society and at work, free from stigmatization and discrimination.
Rivera, Martin
 Objectives
• Strengthen effective leadership and governance for health by, among
others, formulating, developing, and mental implementing national
policies, strategies, programs, and regulations relating to mental health;
• Develop and establish a comprehensive, integrated effective, and efficient
national mental health care system responsive to the psychiatric,
neurologic, and psychosocial needs of the Filipino people;
• Protect the rights and freedoms of persons with psychiatric. neurologic,
and psychosocial health needs;
• Strengthen information systems, evidence and research for mental
health;
• Integrate mental health care in the basic health services; and
• Integrate strategies promoting mental health in educational institutions,
the workplace, and in communities.

Rivera, Martin
 Rights of Service Users
• Freedom from social, economic, and political
discrimination and stigmatization, whether committed by
public or private actors;

• Exercise all their inherent civil, political, economic, social,

religious, educational, and cultural rights respecting
individual qualities, abilities, and diversity of background
without discrimination on the basis of physical disability,
age, gender, sexual orientation, race, color, language,
religion or nationality, ethnic, or social origin;

Rivera, Martin
• Access to evidence-based treatment of the same
standard and quality, regardless of age, sex,
socioeconomic status, race, ethnicity or sexual
orientation;
• Access to affordable essential health and social
services for the purpose of achieving the highest
attainable standard of mental health;
• Access to mental health services at all levels of
the national health care system;
Rivera, Martin
• Access to comprehensive and coordinated
treatment integrating holistic prevention,
promotion, rehabilitation, care and support,
aimed at addressing mental health care needs
through a multidisciplinary, user-driven
treatment and recovery plan;

• Access to psychosocial care and clinical treatment

in the least restrictive environment and manner;
Rivera, Martin
• Humane treatment free from solitary confinement,
torture, and other forms of cruel, inhumane,
harmful or degrading treatment and invasive
procedures not backed by scientific evidence
• Access to aftercare and rehabilitation when possible
in the community for the purpose of social
reintegration and inclusion
• Access to adequate information regarding available
multidisciplinary mental health services;

Rivera, Martin
• Participate in mental health advocacy, policy
planning, legislation, service provision, monitoring,
research and evaluation;
• Confidentiality of all information
• Give informed consent before receiving treatment or
care, including the right to withdraw such consent.
• Participate in the development and formulation of
the psychosocial care or clinical treatment plan to be
implemented

Rivera, Martin
• Legal services
• Access to their clinical records unless, in the
opinion of the attending mental health
professional, revealing such information
would cause harm to the service user's health
or put the safety of others at risk.
• Information, within twenty-four (24) hours of
admission to a mental health facility
Rivera, Martin
Rights of Family Members, Carers and Legal
Representatives
• Receive appropriate psychosocial support from the
relevant government agencies;
• With the consent of the concerned service user participate
in the formulation, development, and implementation of
the service user's individualized treatment plan;
• Apply for release and transfer of the service user to an
appropriate mental health facility; and
• Participate in mental health advocacy, policy planning,
legislation, service provision, monitoring, research and
evaluation

Rivera, Martin
 Rights of Mental Health Professionals

• A safe and supportive work environment;

• Participate in a continuous professional
development program;
• Participate in the planning, development, and
management of mental health services;
• Contribute to the development and regular
review of standards for evaluating mental
health services provided to service users
Rivera, Martin
 Rights of Mental Health Professionals
• Participate in the development of mental health
policy and service delivery guidelines;
• Except in emergency situations, manage and
control all aspects of his or her practice,
including whether or not to accept or decline a
service user for treatment; and
• Advocate for the rights of a service user, in cases
where the service user's wishes are at odds with
those of his or her family or legal representative.
Rivera, Martin
 Mental Health Services at the Community
Level
• Responsive primary mental health services
shall be developed and integrated as part of
the basic health services at the appropriate
level of care, particularly at the city, municipal,
and barangay level

Rivera, Martin
 Community based Mental Health Care
Facilities
• To provide appropriate mental health care services, and
enhance the rights-based approach to mental health
care
• Each community-based mental health care facility shall,
in addition to adequate room, office or clinic, have a
complement of mental health professionals, allied
professionals, support staff, trained barangay health
workers (BHWs) volunteer family members of patients
or service users, basic equipment and supplies, and
adequate stock of medicines appropriate at that level

Rivera, Martin
 Others:
• Psychiatric, Psychosocial, and Neurologic Services in
Regional, Provincial, and Tertiary Hospitals.
• Drug Screening Services.
• Suicide Prevention
• Public Awareness
• Integration of Mental health into the Educational
System
• Mental Health Promotion in Educational Institutions
• Mental Health Promotion in the Workplace
Rivera, Martin
• Research and Development
• NCMH – shall expand its capacity for research
and development of interventions on
neurological and mental services in the
country
• Establishment of the Philippine council for
Mental Health

Rivera, Martin
THANK YOU!!!!