Introduction

An estimated that 6-7 % of population suffers from mental disorders. The global burden of disease (GBD) due to neuropsychiatric disorder is 12% predicted to increase to 15% by 2020 (World Health Report, 2001). One in four families is likely to have at least one member with a behavioral or mental disorder (WHO 2001). These families not only provide physical and emotional support, but also bear the negative impact of stigma and discrimination.¹ Most of them (>90%) remain un-treated. Poor awareness about symptoms of mental illness, myths & stigma related to it, lack of knowledge on the treatment availability & potential benefits of seeking treatment are important causes for the high treatment gap. The District Mental Health Cell of Singtam District Hospital, East Sikkim initiated several activities to fight against stigma and discrimination by strengthening primary health care system in the provision of mental health service at the community. This article highlights the endeavor of Singtam District, East Sikkim in developing mental health & substance dependence service delivery system.

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Dr Satish Rasaily MD

Psychiatry cum Postdoctoral Fellowship in Addiction Medicine,

Singtam District Hospital