Investing in a modern, well-equipped mental health hospital would signal that Guyana is prepared to bring its care in line with WHO’s standards

Dear Editor,

As Guyana experiences rapid economic and social growth, it is crucial that we address the often-overlooked area of mental health. While physical healthcare infrastructure has received much attention, mental healthcare remains underfunded and understaffed. Now is the time for Guyana to construct a comprehensive mental health hospital to address the rising needs of our population.

The statistics paint a stark picture. According to the World Health Organization (WHO), 1 in 4 people globally will experience a mental health condition at some point in their lives, and Guyana is no exception. In fact, Guyana has one of the highest suicide rates in the world, with 40.3 suicides per 100,000 people in 2019. This is more than double the global average. Depression, anxiety, and substance abuse disorders are also rising, placing a significant strain on our healthcare system, communities, and families. Yet, despite this, the mental health budget accounts for less than 3% of total healthcare spending in Guyana.

To effectively address this crisis, the construction of a dedicated mental health hospital is essential. A modern, fully equipped facility with a capacity of 150–200 beds would cost approximately GYD 3–5 billion (USD 15–25 million) to construct. This investment would not only provide much-needed treatment for severe mental illnesses but also offer preventive care, outpatient services, and rehabilitation. Moreover, it would drastically reduce the need to send patients abroad for specialized treatment, which currently costs the government and families an estimated GYD 500 million (USD 2.5 million) annually.

A specialized mental health hospital would offer many benefits. First, it would centralize resources and expertise, allowing for a multidisciplinary approach to treatment. Patients could receive psychiatric care, psychological therapy, substance abuse counseling, and rehabilitation services all under one roof. This holistic approach would improve outcomes and reduce the burden on families and communities. Studies show that early intervention in mental health can reduce healthcare costs by as much as 20%, as untreated mental health conditions often lead to more severe and costly physical health problems down the line.  Moreover, such a facility could serve as a hub for research, education, and training, helping to build a stronger mental health workforce.

Currently, Guyana has less than one psychiatrist per 100,000 people, well below the WHO’s recommended ratio. By creating an institution dedicated to mental health, we could foster the development of psychiatrists, psychologists, counselors, and social workers who are urgently needed. Investing in this workforce will create jobs and build capacity for decades to come.  The construction of this hospital would also send a powerful message: that mental health is just as important as physical health.

For too long, mental illness has been stigmatized, and many people suffering from mental health conditions have been afraid to seek help. By investing in a dedicated mental health hospital, we would signal to our citizens that it is okay to seek treatment and that support is available.  The government has already recognized the importance of mental health through various policies, but now is the time to take concrete action. A modern, well-equipped mental health hospital is not just a want—it is a need. The long-term benefits to our society, in terms of reduced healthcare costs, improved quality of life, and enhanced social stability, far outweigh the initial investment.

Let us seize this moment and take a bold step toward a healthier, more compassionate Guyana.

Sincerely,

Keith Bernard