In the past three decades, the concept of disability has shifted from individual impairment to a

more social phenomenon. Thus disability is a complex phenomenon, reflecting an interaction

between features of a person’s body and features of the society in which he or she lives. In this
view, persons with disabilities are seen as being restricted in performing daily activities because
of a complex set of interrelating factors, some pertaining to the person and some pertaining to the
person’s environment and social/political arrangements. The social concept of disability
introduces the notion that society has erected barriers, physical or attitudinal, which affect a
person with disabilities. Consequently, government programs and policies have evolved to
include fixing the environment (e.g., making buildings barrier-free) and providing income
assistance or work-related supports to help persons with disabilities participate more fully in the
community and the workplace. Even the World Health Organization (WHO) goes beyond a
medical approach to take a much broader view of disability. It also recognizes the role
environment plays in either facilitating functioning or raising barriers.[1]
It is a well accepted fact that mental illnesses are also associated with a significant disability.
Nearly 31% of the world’s disability is accounted by mental disorders. It was found that five of
the ten leading causes of disability worldwide are in the category of mental illnesses: major
depression, alcohol dependence, schizophrenia, bipolar affective disorder and obsessive-
compulsive disorder.[2] World health report 2001 by the WHO assessed the leading causes of
disability using disability adjusted life years (DALY). Mental illnesses accounted for 25% of
total disability and 16 percent of total burden.[3]
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