Mental health and security of elderly citizens
The studies show that not meeting the needs of caregivers, burnout and high burden of care, high social stigma, low social support for caregivers, and low quality of life of caregivers were among the most important challenges faced by caregivers. Elderly citizens are most vulnerable in terms of physical safety around mental patients. Society should be concerned about the conditions of the families and care givers of the senior citizens with mental health problems and others with chronic mental illnesses like schizophrenia, bipolar disorders, intellectual disabilities and many more. The miseries and the suffering the families and caregivers have to face starting from all aspects of health- physical, social, financial, and emotional should be understood and society should be refer to experts for seeking solutions. Officials and policymakers can consider the problems and challenges of these caregivers and by adopting appropriate legislation facilitate the path of solving the problems of these caregivers.
Family caregivers while being able to manage and control the patient and their disease play a vital role in maintenance and rehabilitation of patients. Thus, family caregivers suffer great pressure physically, mentally, and socially in the course of care and control of the sick members of the family. In fact, patients and their families are constantly affected by the changes resulting from the disease and its treatment. These changes gradually reduce the levels of performance and the ability of family members, destruction of emotional system and communication structures of family, ineffective relationships among members, emergence of financial and economic problems, reduced social interactions of the family, changes in roles, reduced life expectancy, and emergence of symptoms such as anger, feeling guilty, grief, and even denial
One of the main challenges for family caregivers is not meeting their needs. Classified in five main themes – illness management, consulting, economic needs, continuous care, and attention and understanding of the society. Thus, educational, economic, and moral support were among the most important unmet needs of these caregivers. The need of caregivers for information was one of the main challenges. Evidence-based guidelines for the treatment of schizophrenia recommend family interventions for schizophrenia, and research studies confirm their effectiveness; however, numerous barriers at the organizational level have deterred implementation of family and caregiver involvement in clinical interventions.
The family caregivers face many challenges in Nepal. Uncertainties in meeting the needs of caregivers and the lack of their provision, burnout and high care burden, high social stigma, low social support from caregivers, and low quality of their life were the most important challenges in the literature.
Every member of society should respect and pay attention to the vital role caregivers play, and this can reduce a lot of stress these caregivers experience. Members of a professional health team should provide more opportunities to train proper care, support resources in society, and proper communication skills not only for caregivers but also for members of the community by improving interprofessional approach.
The suicide rates among people with serious mental illness were high, highlighting the requirements for increasing psychological assessment and monitoring. Specific symptoms of serious mental illness are associated with violent behavior who are responsible for mass shootings more frequently happening abroad and other acts of mass violence. People with mental health concerns report that caregivers and patients have to keep going back to the emergency rooms or rehabilitation centers. The patient wants to kill himself or kill someone else. The system isn’t geared towards supporting quickly. It is very stressful and stress continues in the family the whole time including insecurities physically specially among senior citizens.
The police department of Nepal has reported that such cases are on rise and there is no mechanism to mobilize required resources and protect people around maniacally violent mentally disturbed individuals. There is a division of " Dept of Non-communicable Disease" and it has a section on Mental Health also. They support and coordinate for social rehabilitation and management of victims from mental health problems. They also support for monitoring and evaluation, surveys, surveillance and research related activities at national level national health. The efforts of authorities in Nepal, family caregivers of patients with mental disorders face challenges. Therefore, the need for all-inclusive support for family caregivers of patients with mental health problems is necessary. There is a need of opening branches at local wards strenghtening the securities of elderly citizens backed by adequate resources.
Cybersecurity
Misusing personal information, identity theft, pornography, cyber extortion, and cyber stalking can cause mental disorders such as depression, PTSD, anxiety, and even schizophrenia. The institute such as Cyber Bureau are struggling with understaffing and underfunding. The gap between rise of cyber crimes and the lack of resources leaves the virtual space a dangerous place, especially for girls, women and mental patients who are already vulnerable due to unsafe physical environments. Integrated approach can help to address this problem.
This is the area of public health and safety concern. We need to collaborate with other 155 Rotary clubs to organize a talk program on growing concern about management of safety measures of the caregivers and the people around dangerous mentally ill patients with maniac violent psychiatric disorder.
Harness AI to transform mental health
Every one of us has been part of our mental health. Aging problem in Nepal should be taken seriously by all concerned stakeholders. War and conflict are impacting us. We have our own coping mechanisms of aging and support systems from robotics are emerging in the market. We have aging people in a global context. We have heard about an actionable data base in developed countries and we should have strategies for actionable plans in our country too. Need of mental health services across the world has gone up.
Thousands of good comments have a good impact on the brain in a positive way while using social media, however, one nasty comment can destroy the brain of the user. The pump in the chest is important. It does trigger and matter to us. Psychiatrists are capturing the behaviour of mentally ill patients through choice of emojis. The other tool they use is music mood analysis. Virtual dogs (robotic) therapy are also used. AI generated art therapy and sleep quality analysis are also used. Emotion recognition in video calls by close relatives and recording body language are also captured for analysis. AI driven mental health assessments include happy apps from AI. Old age sessions also use AI for fun which helps in capturing micro expressions. It is cost effective. AI can help people at the early stages.
AI strategic tools, AI driven powered screening sessions, AI driven power analytics, AI powered therapy sessions, AI powered adherence and AI powered reports are also available. AI powered support systems and AI powered engagements. a dynamic technological landscape is also important.
Just as seniors need health care that is specific to their needs in this phase of their lives, they also can benefit from elderly mental health services provided by geriatric behavioral health experts.
Though adoption of artificial intelligence (AI) has been delayed in mental health research and clinical care relative to other fields, AI could potentially enhance diagnostic, prognostic, and treatment approaches for the growing aging population. With ubiquitous usage of wearable sensors, advancements in explainable AI, and growing acceptance of AI in medicine, these approaches could support increasing clinical demands. Despite enthusiasm for AI, usage in clinical settings is tempered by validity and ethical concerns. Integrating AI in clinical settings will require collaborations between clinicians and AI experts, inclusive study samples, and rigorous evaluation (akin to clinical trials for pharmacotherapies).
Mental health act
During the past three decades Nepal has gone through series of reforms to address the mental health needs of the Nepalese population by promulgation of an exclusive National Mental Health Policy and related Strategic Action Plan. Small but significant improvements have been achieved in Nepal with regard to mental health policies and plans. It is essential that every healthcare facility has a psychiatric unit. Enhancing both mental and digital health literacy might be an appropriate strategy to improve mental healthcare utilisation.
Factors including an insufficient workforce, limited training and frequent transfer of healthcare workers that limits those trained in mental health from providing continuing care are further barriers to attaining the goals of the Strategic Action Plan on mental healthcare. Furthermore, many people avoid seeking mental healthcare, largely because of stigma, discrimination and the high out-of-pocket costs of psychiatric care and medicines. The plan focuses on coordination with the health insurance programme to provide super-specialised mental health services at community level along with a telemental health service. However, this will be a challenge, as the national health insurance system is in its juvenile stage and there is inadequate digital health literacy among Nepalese people, especially those living in rural areas. Moreover, a task-shifting approach involving the training of all primary healthcare workers in mental healthcare might be a viable solution towards making mental health services available at the community level. Additionally, it is crucial to clarify roles and responsibilities at each level of government to improve accountability and transparency in mental healthcare and create good governance to monitor both telemental health services and mental healthcare in Nepal.
Emplyment : CSR funded NGOs and INGOS
Some clubhouses can offer employment counselling. Work is an important part of the recovery process. THey should be encoraged to work. Recovery from mental illness includes getting back a feeling of hope, more power to make decisions in your life, taking responsibility and finding meaningful roles in life. Work is an important part of this process. Employment is an important part of recovery from mental illness as it provides the opportunity to make a living, socialize with other people make each day more interesting and develop personal pride (helps the person to feel better about themselves).
Geriatric Psychiatric Assessment
Although one of the newest fields, there is already a serious undersupply of Geriatric Psychiatrists in the world due to our aging population. GPsts are at the forefront of education, research and clinical service delivery relative to patients and their families with a range of age-related neuro-psychiatric syndromes. For many older adults, the first step to finding the right care is a geriatric assessment which include depression, memory loss, behavior problems, frequent falls, dizzy spells, side effects from medicines, unexplained symptoms and other difficulties.
There is a need to explore the psychosocial risk factors and burden associated with geriatric depression in low-and-middle-income. Nepal is resource-poor and research-naïve. Research, in general, and mental health studies, in particular, are the least prioritized in this country. The lack of culturally adapted psychiatric inventories is one of the possible reasons for the low number of mental health research in Nepal.
Social stigmatization, verbal and/or physical abuse, and neglect by the family further worsen their symptoms. Furthermore, elderly depression is highly distressing and burdensome. Hence, conducting mental health research on the elderly, utilizing culture-sensitive research tools, should not only be of academic interest but also a public health concern in this country. Research can only pave the way for elderly mental health care and help in mitigating the burden associated with mental health conditions like depression.
Growing numbers of elderly people are suffering problems in different aspect, but there are limited studies in relation to general morbidities as well as specific in this group of people. The government of Nepal has formulated a National policy, act and regulations on ageing and the problems of elderly; however, this has not been operationalised because of limited resources. The welfare for the elderly people must be the agenda in three levels. First is obviously the government, second the society/family and third by non-government agencies/private. People at all three levels needs to be coordinated and produce the combined efforts for the benefit of this group of people.
Criteria for regular health care and medicines, provision for mental and physical relaxation such yoga should be set up and strictly followed. The effort of government and non-government sectors is not suffi cient; private sector involvement has been necessary.
Family wellness and networking
Awareness program on family wellness should be launched by the goverment in collaboration with community leaders. Support groups at affordable can help people with mental disorders achieve independence and grow personal relationships. Many sad unfortunate cases are on rise specially among vulnerable groups in Nepal. Those who are suffering mentally have no knowledge about the disease at celular level. The affected family members of metally affected patients lack knowledge about the risks involved. There are many cases caretakers dying because of the stress given by mentally affected loved ones with aggressive voilent behavior.
Tools for families to explore strategies for coping with stress are available for learning ways to better meet the needs of their loved ones with mental illness. Online therapy assisted by AI tools should be promoted and may cost less than conventional in-person therapy. There is a need of collaborative approach between police officers, mental health educators, family members, close relatives and community advocates in helping resolve high intensity police interactions in ways that minimize additional voilence Nepal government should engage a variety of online groups and chats for people with schizophrenia as well as their family and friends.
Independent living skills
Psychosocial rehabilitation is the process that facilitates opportunities for persons with chronic mental illness to reach their optimal level of independent functioning in society and for improving their quality of life. However, such psychosocial rehabilitation centers are limited in Nepal. AI assisted independent living includes being productive in work or school, social relations, and family life.The main aspect of this dimension is the ability to take care of one's personal and healthcare needs without assistance. Apart from these, independent functioning could also be defined as managing one's own medication, and money without regular supervision. Community-based psychosocial rehabilitation center should be assisted by AI to improve daily living skills, social, and life skills to enable persons with mental illness to live independently.
Community acceptance
Collaborating with other civil service organization, district-level authorities (health, education, livelihood, social justice and empowerment departments and district legal service authority) would be advantageous in terms of availing timely different Government services by sensitizing other professionals on mental illness. Training community health workers or volunteers on mental health can potentially maximize effectiveness of the treatment and rehabilitation of persons with mental illnesses. Extensive outreach activities with the community and witnessing recovery of a person with mental illness increase acceptance as well as access rehabilitation services. Mental health experts alone cannot manage all problems related to sustaining the recovery of patients with mental illnesses. It is important to provide and train lay health workers, specialists mental health service providers, and linking with tertiary mental health service provider for continuous education and specialist mental healthcare consultation through telemedicine. For recovery to become completely integrated into a public mental healthcare system, widespread systemic changes may be needed. Such a model requires a robust information management system and documentation backed by AI tools for monitoring of the progress and evaluation of its effects on patients’ recovery.
Scaling-up
The outcome of community-based rehabilitation is empowering. It presents an opportunity to scale-up at the state level through the District Mental Health Programme. It can be linked with District Hospital with Psychiatric Units to expand its scope of service and reach. Furthermore, integrating the community-based psychosocial rehabilitation components into primary healthcare services (like health and wellness centers and primary health center) presents a strategic opportunity to overcome access barriers and reach the largest number of people. At the same time, it assists minimizing stigma and discrimination around mental illness. Cost-effectiveness study of rehabilitation program would be valuable for creating evidence for decision-makers for scale-up at State and National level.
There is a need for improvement in psychiatric disabilities such as self-care, communication, interpersonal relationships, vocational activities, family relationships, and participation in community and leisure time activities. Community-based psychosocial rehabilitation can be seen as an eclectic rehabilitation model that integrates bio-medical, psycho-social and economic interventions. It is a dynamic model that can be altered and modified as per the requirement of the patients, demands of time and environment, obviously according to the socio-cultural background of the patients.
A public-private partnership of both government machinery and non-government sectors including Corporate Social Responsibility (CSR) grant would be an indispensable strategy for creating rehabilitation opportunities and resources. Furthermore, evidence on the effectiveness of self-help groups on the recovery of mental illness is promising.Self-help group of persons living with mental illness can be linked with livelihood program through supporting self-help groups and collectives—and can explore potential of livelihood opportunities through newer ventures in the rural service sector.
There is an urgent need to make funds available and ensure that mentally ill and women have access to essential services, including gender-based violence services and carer's safety.There is no transparancy in mentally ill and gender-based violence and gender equality funds in Nepal. Those that are functioning to a degree – such as the GBV Elimination Fund and the Rehabilitation Fund – exist at the federal level and not at the provincial or local level, which restricts women’s access to these funds. There is an urgent need for gender responsive budgeting and tracking allocations for gender equality and for achievement of Sustainable Development Goal 5 – Gender Equality. A coordinated, multi-level and multi-sectoral approach is recommended to prevent and respond to the potential increase in gender-based violence in Nepal.
As such, integrating a psychosocial rehabilitation into psychiatric services and its convergence with other government departments involve much more than attitudinal shifts among mental health professionals, health administrators, and managers. It demands multi-level systemic changes as well as including psychosocial rehabilitation in the mental health education curriculum. Mental health literacy of family and community, longitudinal studies on quality of life would help advance the knowledge and create evidence on the effectiveness of this program.
Carer's rights
Caring for someone you love after a heart or stroke event or members with mental health issues can be hard. The responsibilities and the emotional stress of being a caregiver can cause disasters for caregivers. Caregivers have a right to health and happiness, even when they are caring for someone else. To expect and demand that as new strides are made in finding resources to aid physically and mentally impaired older persons or mentally affected patients in our country, similar strides should be made toward aiding and supporting caregivers. Family caregiving affects the caregivers physical, mental and social wellbeing, and the best ways to support family carers. Elderly, female, spousal-carers and primary-carers are groups who are suffering from a lack of positive mental and physical wellbeing as a result of caring. However, the negative effects of caregiving can be balanced by extraversion, social supports and such understanding is lacking in the society due to lack of knowledge. While caregiving can have a negative impact on the physical and mental wellbeing of the carer, specific sociodemographic, personal and situational factors can work as a buffer. Therefore, future interventions that aim to promote family caregivers’ wellbeing may need to take personality, particular circumstances as well as cultural and personal beliefs into consideration. Support for family caregivers must be tailored to individual needs, taking into consideration personality, particular circumstances, along with cultural and personal beliefs.
Mental Illness service providers should help general public understand how caregivers are coping with their finances and other needs. Caregivers face communication, financial, medication management, and transportation challenges in caring for specially mentally ill members with voilent behaviour. Key support is needed of caregivers mentally ill with voilent behaviour. These include financial assistance, training, access to information, and support from healthcare professionals. Financial support systems should address the physical, emotional, financial, and informational needs of these caregivers.
Pilot project
Senior citizens should get engaged by sharing their strengths by getting engaged with mentally ill local caregivers’ societies. There is a need of a complete rehabilitation service for children with cerebral palsy with aggressively violent behaviour and their parents, as well as a school and vocational training center, and a residential program for families living outside urban areas. Women caregivers from rural areas should be encouraged to attend home visitors, caregiver centers, medical camps etc. Collaboration with NGOs is essential who are providing services for children and adults with cerebral palsy with therapeutic and medical intervention, education and practical assistance so that they may live happy, fulfilled and independent lives as far as possible. Collaboration will be even better with NGOs who are focusing in empowering families with the resources they need to best support and care for their child.
Engagging local international experts
The concerned group leaders of caregiver sufferers should engage experienced expert voulenteers who can share sufferings of caregivers, their traumatic experience with mentally disabled patients with violent behavior. Dialogue among large numbers of concernd stakeholders should begin on international and local experiences on legal matters and the support system from police and social workers including engaging authorities from ward and municipalities.
Impact on the life span of caregivers
The survey reported after leading stressful life of going through chronic anxiety handling mentally imbalance violent behaviors of mental patient, many cases of caregivers dying faster than mental patients. General citizens can’t afford rehabilitation center charges. There are many cases of suicidal tendencies among caregivers. There are many cases of suicide among caregivers who face financial difficulties or physical abuses from mental patients. Police support on real time is provided abroad, however, in Nepal police arrives late and find caregivers dead.
Voice of mothers
Caregivers of mentally desabled with chronic aggressive behaviour patients have unique stressors and burdens in the Nepalese context, which are dominated by the intersection of patriarchal gender norms, poverty, stigmatization, and poor public policy. A deeper understanding is required among a community-based caregivers which will help understand these stressors better for guiding public health policies to support the caregivers and improve their quality of life.
Society was comparatively negative in nature and from the family itself as they say, experience of ignorance, embracement, and the like added spices to their feelings of distress. “Who will be there for my child after my death” was a most repeated phrase in everyone’s talk. Nepal does have support from the legal services and police protection services for proving support services for lower income catagory. The tendency of withdrawing from society and feeling of rejection, feeling of “less” compared to others were also to be considered as major contributors of distress. Professional support is a key point where something can do from the side of policy makers, psychologists and social work professionals. In the context of Nepal such professional services are expensive. The importance of awareness regarding various stress reduction techniques is also important for many of them to alleviate or reducing their day-to-day life stress.
Diversity, Equity and Inclusion
Recovery-promoting initiatives challenge outdated and inaccurate conceptualizations of mental illness. Most people with psychotic disorders are not dangerous; and that shows such as this one perpetuate the negative ways in which individuals with severe mental illness are viewed by their community. Social learning theory (via entertainment culture) influences beliefs and attitudes. Social and structural context can be leveraged to both help and hinder the prejudices associated with mental illness as well as equity, diversity and inclusion. Living beings “come in a variety of forms, with different capacities and incapacities, abilities and disabilities, strengths and frailties”. Fundamental equality and dignity should not be impacted by these variations. We need to challenge the discriminatory, prejudicial, and oppressive attitudes that negatively impact and segregate individuals labeled mentally ill from more privileged groups and to promote the acceptance of difference and promote equity. In addressing and improving the structures that negatively affect consumers/survivors/and ex-patients, we must not only become comfortable, but celebrate living in a society with a broad range of differences, and adapt our environment in creative ways that serves and benefits the whole community. We must respect that the interests of people with diverse needs are equally important, and work towards creating a world in which these interests are recognized and accommodated. Valuing, centering, and highlighting the voices of lived experience is essential in pursuit of equity, diversity, inclusion, and anti-discrimination.
Nepal government should bring out policies for engaging both caregivers in income generation activities for their economic growth and policies for employment opportunities for their mentally affected loved ones. Nepalese society should be fully engaged in active debate on this topics by engaging various concernd stakeholders.
The 4 way test
The Community member's engagged in social services, chief thought should go an adaptive process. It takes into account everyone's' point-of-view and concerns, as well as their needs and wants. The process is designed to build goodwill and earn trust so a particular end result is mutually beneficial, sustainable and has scalable outcomes. A low-results pattern are beginning to adopt new approaches and ways of engaging with their local stakeholders like NGOs, Local goverment, provincial government etc. encompasses five elements that reinforce one another: strategy, internal and external alignment, multi-stakeholder partnerships, sustainability, and results measurement. The goal is to create lasting improvements in the quality of life for local communities, which in turn generate value for the survice providers in the form of broad community support, reputational benefits, risk reduction, market image gains, and/or competitive advantage. This too is a strategic choice guided by distinct variables, such as the service provider’s objectives, project time horizon, budget, and the characteristics of the local operating context. Women’s participation in community investment programs facilitates better and more broad-based development outcomes. Deliberate steps are required to ensure that women are included in the engagement process, and that gender perspectives and opportunities are taken into account in planning and decision making.
Code of Ethics
The Community member's engagged in social services, chief thought shall be to fill that responsibility and discharge that duty so when each member shall have lifted the level of human ideals and achievements a little higher. The commitment is to service, fellowship, diversity, integrity, and leadership. Furthermore, interdisciplinary collaboration between experts in machine learning, ethics, and other relevant disciplines is expected to play a significant role in addressing ethical challenges. By bringing together diverse perspectives, we can develop comprehensive frameworks and guidelines that consider the societal, cultural, and ethical implications of machine learning technologies.
Focusing on Governance and ethics, service providers role encompasses upholding the highest ethical standards and governance principles within the communities serving as a guardian of service provider's ethical values, ensuring that all community members adhere to these standards and ethical policies.
The evolution of cutting-edge solutions poses substantial challenges in mental health care service industry, necessitating a thorough exploration of ethical, legal, and regulatory considerations. The potential of AI-powered decision support systems to streamline mental health services workflows, assist in diagnostics, and enable personalized treatment is increasingly evident. It is becoming increasingly evident that AI systems are not poised to replace human mental health clinicians on a grand scale. Instead, they are poised to augment the capabilities of human caregivers. As time progresses, mental healthcare professionals are likely to shift their focus toward roles that leverage uniquely human skills. A holistic approach involving all stakeholders, including providers, payers, and patients, is crucial. This knowledge may facilitate the development of frameworks that can balance innovation with the ethical considerations. The identification of ethical and regulatory challenges may also serve as a proactive approach to risk mitigation, contributing to the overall success and acceptance of AI technologies. Patient trust, may be enhanced by addressing ethical concerns and ensuring compliance with regulations, fostering transparency in the implementation of AI technologies. There is a need for continuous improvement in ethical guidelines and regulatory frameworks to keep pace with the evolving landscape of AI technology in mental healthcare caregiver's service industry.
Mobilization of Local governing body
Effective mobilization of the local administration and security apparatus is the key basis for achieving the ‘good governance, social justice and prosperity’ goal. The provincial and local level security units should engage concernd stakeholders keeping with the principle of ‘citizen first’ that calls for being guided as per the provisions of the constitution and the laws, for promoting institutional and professional coordination and collaboration and for building a culture of collective and individual accountability for handling mentally ill patients and aging population with voilent behavious. Dillydallying in real time service flow, non-transparency, irresponsible behaviour, impunity and corruption have become major challenge for the same. THere is a need of initiatives of all including three-tier of governments, general people, service providers, regulatory bodies to protect lives by maintaining good governance. Local administration should play leading role for the same. The identification of ethical and regulatory challenges may also serve as a proactive approach to risk mitigation, contributing to the overall success and acceptance and effective implementation of latest technologies. Think tank groups should engage concerned stakeholders in implemention of such programs which should include issues covering Four Ways tests, DEI (Diversity, Equity and Inclusion) and Code of ethics.
Global Ethics and World Mental Health Day celebration
Rotary international focuses on Diversity, Equity and Inclusion (DEI) . There should be a good program including implementation challenges on Four Way test practices inside DEI implementation challenges . 10th October is World Mental Health Day. Official Theme of World Mental Health Day 2024 - 'It is Time to Prioritize Mental Health in the Workplace'.
The Day provides an opportunity for all stakeholders working on mental health issues to make mental health care and caregivers rights a reality for people worldwide. These stakeholders should be encouraged to dialogue Ethnical issues too. They can showcase the efforts made in some of these countries and encourage to highlight positive stories as part of their own activities, as an inspiration to others with special focus on Mental health, Ethics and Caregivers challenges and rights. Governments from around the world recognized the need to scale up quality mental health services at all levels. Local governing bodies of Nepal should be made resourceful to handle these challenges at local level.
Global Ethics Day will be celebrated on October 16, 2024, with the theme "Ethics Empowered.” There should be new issues like Augumentation through technology in new sectors like mental health services sector focusing on challenges of caregivers and their rights. There should be more sharing of experiences of empowerment programmes and through looking at the ethics and empowerment debate from the wider perspective of social responsibility, all the stakeholders should be aware to make ethics more relevant and accessible to today's complex world.
We always hear our parents, relatives , friends etc are complaining saying that the government did not do anything for us. They’re all are corrupted, immoral, unethical etc. At the same time, no one would admit his parents, uncle or any other person who carry same character.
Addressing these ethical issues requires a comprehensive and multi-faceted approach that involves the government, civil society, private sector and individuals. This includes effective policy and legal frameworks, institutions and mechanisms to combat corruption, and education and awareness raising programmes.
It also includes addressing underlying social and economic factors that contribute to violence and building strong democratic institutions and the rule of law. Our country needs honest application of basic things.
Why aren’t people focusing on bringing change?? People can also contribute in awareness programs.Many parents forbid siblings to know about politics saying it has no future. New generation of people ( in their 20s) can at least teach and talk to new generation that how every thing is connected politically. Without political knowledge, it is difficult to thrive in everyday life. We ourselves should be moral and ethical in the things we try to impart.
People are doing multi tasking under resource constrained environments under STRESS which is the number one KILLER in current complex economic situations. Because of stressful situations there are two sucide rates per day among youth categories including people with violent behaviors with no protection from police and society. Integration of empowerment initiatives into strategies is important to promote mental health programs specifically among low- and middle-income settings for protecting mental health and protections physical violence at all costs.