Rationale –

It’s probably no big surprise that many youngsters with mental health issues don’t readily
seek treatment for their concerns.
The average non-treatment rates for specific disorders were schizophrenia, bipolar disorder,
panic disorder, major depression (56%), generalized anxiety disorder (55%) obsessive-
compulsive disorder, and alcohol dependence (78%). It’s also acknowledged that these rates
are probably lower than the actual number of people failing to receive treatment.
They show that often, the majority of youngster who are dealing with real mental health
issues don’t ever get the appropriate care they need.
The most common reasons that prevent people from obtaining needed mental health services:
Limited A person may acknowledge some mental health concerns but can lack
awareness full awareness of their significance or really don’t understand they
have an actual illness. They may dismiss or minimize their issues and
say, “everyone gets stressed out” or “my problems aren’t that bad”.
Lack of insight If someone has clear signs of a mental illness but says “there’s nothing
wrong with me,” “I’m not sick,” or “I don’t need any help,” this
signals a severe lack of insight. This is also known as anosognosia
seen in 50% or more of youngster with schizophrenia or other severe
mental illnesses. If someone truly believes they aren’t sick, they feel
no need to seek or accept treatment.
Practical barriers Another common barrier to mental health care is inability to pay for
treatment due to financial hardship or lack of health insurance. Not
having reliable transportation, and appointments for treatment that
conflict with work or school schedules can also prevent someone from
engaging in treatment.
Fear and shame One of the most common reasons for not seeking help is fear and
shame. People recognize the negative stigma and discrimination
associated with having a mental illness and don’t want to be labelled
“mentally ill” or “crazy.” They may also have concerns about how
such a label could negatively impact their career, education, or other
life goals.
Feelings of Many youngsters believe they are inadequate or a failure if they have
inadequacy to admit something is “wrong” with their mental health. Further, they
believe they “should be able to handle things” on their own without
assistance and that they must be weak or inferior to have to ask for
help.
It’s difficult to consider revealing personal details to a doctor or
counsellor. Many express concerns about “telling a stranger “About
Distrust their problems. Additionally, they worry that their personal
information won’t be kept confidential.
Hopelessness Some people have become demoralized by their mental health issues
and believe “nothing will help me” or “I’ll never get better.” These
beliefs can be due to depression or hopelessness and can be substantial
roadblocks to seeking help.
Unavailability Even if someone is interested in getting mental health treatment, they
may not know how to find appropriate professional care. In some
 underserved areas, there may be few or no mental health professionals,
particularly those who provide treatment for more complex issues.

Addressing the problem: -

Addressing practical barriers may be possible, by helping to arrange transportation or
negotiating to allow time away from work for mental health appointments. The findings are
unbelievable. Between 30 & 80% of youngster with mental health concerns never receive
treatment. Any one of these factors which delay or prevent appropriate care can be very
difficult to overcome.
As stress among the students has remained a cause of concern in Kota in the past, the
Rajasthan government is now developing a world-class city park with an investment of Rs
100 Crores to keep students de-stressed. The Rajasthan government is constructing ‘City Park
Kota’ (Amusement Park) through its local self-body named Urban Improvement Trust (UIT)
Kota.
The City Park will have amusement structures for the students including leisure trails, art
gallery, Art hill, botanical garden, Kinetic rotary tower, Star Plaza fountain, Disc fountains,
food court, open gyms, musical fountain, Jogging Track, Science Garden, Punting canals,
pond, Wi-Fi cyber zone and Shrub Garden.” Since the city park is in the coaching area of the
city so students also appear excited about the under constructed city park.
The recent expansion in the Kota of mental health insurance benefits and mental health care
centre like Manash hospital Anjaney Mental Health care, Meri Help & many more has
opened new care options for many people who were previously uninsured and who couldn’t
afford to pay out of pocket for their treatment. College students now have a greater demand
for mental health resources that are accessible on and off-campus. Although 43% of students
still find in-person counselling centres important, 46% of students said virtual counselling is a
useful mental health resource.
Finally, many of the more “hidden” factors (fear, shame, inadequacy, depression or
dysthymia, panic disorder, generalized anxiety disorder, phobias, nonaffective psychosis, and
substance abuse/dependence), limited awareness, and hopelessness are challenging, because
the person may function well on the surface and can generally conceal their mental health
concerns. If they begin to talk about these issues, they can then be encouraged to seek care to
relieve their distress. Ongoing efforts to reduce stigma and discrimination are essential to
send the clear message that it’s ok to talk openly about mental health issues and to ask for
help.