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Are We Playing With Our Kids Mind?, we urgently need to look at our children's mental health
Abhishek Tyagi is gone forever. Just the way Adnan Patrawala and Lokesh Dadwani recently went -- killed by their peers. It doesn't matter that their parents are mourning their death in Gurgaon, Mumbai and Ahmedabad. Because parents are united across miles today, each wondering what the kids are up to, seeking reassurance that at least theirs are shielded from any dark thoughts.
TIME TO ACT
"There is a lot of work needed in the area of children's mental health," says Dr Shoba Srinath, professor, department of psychiatry at the National Institute of Mental Health and Neuro Sciences (NIMHANS), Bangalore. The institute is one of the handful in India with a full-fledged child and adolescent psychiatry unit. We still seem far from having an exclusive hospital working for the mental health of younger people, like the Bradley Hospital in United States, which was opened as far back as 1931. Hospitals, of course, can come only if we realise the magnitude of the problem. The World Health Organization indicates that by the year 2020, childhood neuropsychiatric disorders, internationally, will rise proportionately by over 50%, to become one of the five most common causes of morbidity, mortality, and disability among children. But there are hardly any figures or researches in India that show the mental, emotional and behavioural problems being faced by the children today. "The issue is huge, but the level of intervention is at an infantile stage," says Dr Deepak Gupta, child and adolescent psychiatrist at Delhi's Sir Ganga Ram Hospital. "We need to have adequate systems at all levels to provide positive mental health to kids. For this, we need big epidemiological studies and data." While a few community surveys have been done on the subject, they mostly take into account severe problems such as mental retardation and epilepsy, leaving out other serious issues like behaviour problems and Attention Deficit Hyperactivity Disorder (ADHD). Click on "Full Story" for more... By Unregistered Visitors, Section Health Posted on Sun Dec 16, 2007 at 11:20:02 PM EST
Experts agree that academic and learningrelated problems need to be examined along with mental health problems of children. Probably the only report on the subject that they can refer to is the 2001 data released by the Indian Council of Medical Research (ICMR). Based on the study, conducted in Bangalore and Lucknow in 1997, the prevalence of psychiatric disorders was observed to be 12.8% in 1-16-year-olds. Though this number is less than the general figures in the West (20-30%), the fact remains that we still don't have enough recent data to get a true picture.
But then experience doesn't lie either. Child clinical psychologists, psychiatrists and counsellors don't hesitate to admit a rise in the incidence of mental and emotional problems faced by kids today. "I see many more cases of anxiety and panic attacks among students today," says Geetanjali Kumar, a counsellor with Delhi's Hansraj Model School who has been working in the field for 14 years. Dr PC Shastri, the Mumbai-based president of the Indian Association for Child and Adolescent Mental Health (IACAM), says that in the last 10 years, there has been almost a 400% increase in mental health problems for children. "Twenty years ago, adults were cautioned that stress could worsen problems like ulcers. Today, even children have it," he says. A 2004 report in Lancet had stated that teenagers in Vellore in Tamil Nadu had the highest suicide rate in the world. It found that the average suicide rate for male and females aged between 15 and 19 years was almost 4 and 70 times higher, respectively, than that in developed western countries. The suicide rate for females in the age group was 148 per 100,000. In the UK, the corresponding figure is 2.1. Even if we accept and understand the disturbing scenario, there are few immediate remedies. "India doesn't have enough humanpower trained to deal with mental problems in childhood," says Dr Srinath of NIMHANS. We need more psychologists, psychiatrists, super-specialised paediatricians and counsellors, as well as more regional centres for mental health. While the 11th Five-Year Plan is concentrating on mental health care, we need to work in more directions to cover the ground already lost. The underlying causes are, of course, many. And they have more to do with the changing social norms and life styles than the mental makeup of a distressed child. "Even though children may be more genetically pre-disposed to problems like ADHD and depression, environmental factors can do much to aggravate the condition," says Dr Gupta. Dr Shastri blames the rapid changes in society. "Parents and schools are not able to cope with it. There is a conflict whether technology is going to help or hurt." Kumar, who also counsels students on the CBSE helpline, feels part of the problem lies in the weakening of social support system around children. "Parental supervision is declining while the influence of the media and peer groups is increasing," she says. There are no role models either. Many parents are materialistic, and teachers don't have adequate qualifications or training to handle kids' problems. Parent-teacher meetings are more of mutual blaming exercises. Friends can make even the most slipshod child brand conscious. And television and video games can desensitise them towards the horrors of gore. They, after all, see violence being justified in Iraq, and 10 TV channels flash one incident of murder for 24 hours. Their skill at playing most video games comes from destroying the maximum number of objects in the minimum time. Lokesh Dadwani, 17, was killed in Ahmedabad this past week when his friend shoved his elbow down his throat in WWF style. And bullying, which took 14-year-old Abhishek's life, is something kids are exposed to all the time. "Four out of the 10 students who come to me complain of being bullied," says Kumar. "The bullying kids see no vice in it. They see their fathers stare hard when another driver honks at their car, their mothers make a rickshawala ferry them for Rs 2 less... We ourselves passively teach bullying to our children." And wail when it reveals its ugliest side. By: Pallavi Srivastava From Times News Network
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