World Mental Health Day 2021: Mental Health in an Unequal World

This year's World Mental Health Day theme reaffirmed the need to ensure that everyone has access to mental health care. Making this a reality is everyone's responsibility. The effects of the COVID19 pandemic can be felt in all walks of life and especially in people's mental health. Many services have been discontinued, including mental illness, neurological disorders, and substance use disorders. People with pre-existing mental illnesses were severely affected because they were unable to access these services in their entirety.

Despite all these events, we are sure that there is still hope. This has led to the need to improve the quality of mental health services provided at all levels throughout the world. Many countries still need to develop resources to expand this, but it appears that some countries have found new ways to provide mental health care to their populations.

According to the World Federation for Mental Health, the theme of this year's campaign was to highlight that access to mental health services remains uneven. More than three-quarters of people with mental disorders in low- and middle-income countries have no access to mental health services at all, and access is not much better in other countries. Lack of investment in mental health that is disproportionate to the overall health budget contributes to the mental health treatment gap.

Research has shown that the quality of care for people with mental health problems is poor. Stigma and discrimination against people with mental illness not only affect their physical and mental health, but also affect educational opportunities, current and future income and job prospects, families and loved ones. It can take up to 15 years for patients who need this quality of care in daily practice to receive medical, social and psychological treatments for mental illness that have been proven in high quality research studies.

‘Mental Health in an Unequal World’ campaign will allow us to focus on the issues that led to inequality in mental health locally and globally. This inequality must be addressed because it should not persist. We all have a role to play in addressing these inequalities and ensuring that people with lived experiences of mental health are fully integrated into all aspects of life. Civil societies should be supported in playing an active role in tackling inequality in their local areas, while researchers should be encouraged to share their knowledge about mental health inequalities, including practical ideas on how to address them.

As we are in the midst of a global crisis that is increasing health, economic and social inequalities, this campaign is an opportunity for us to come together and act together to show how inequality can be addressed to ensure that people are enjoying good mental health.