A groundbreaking national survey conducted by the Wadadli Initiative for Self-care and Healing (WISH) has unveiled critical insights into the mental health landscape of Antigua and Barbuda. The comprehensive study, executed in October 2024 with 154 participants across multiple parishes, demonstrates a nation at a pivotal juncture in its mental health journey.
The research reveals a paradoxical reality: while public awareness and openness to discuss mental health concerns have markedly improved, substantial obstacles to care persist. Affordability issues, limited service availability, information deficiencies, and enduring social stigma continue to hinder access to essential mental health services.
Chaneil Imhoff, Founder of WISH, characterized the findings as reflective of a critical transition period. ‘We’re witnessing tangible progress in mental health discourse and health sector modernization,’ Imhoff noted, ‘yet the accelerating public demand for services now exceeds the system’s current capacity. Bridging this divide necessitates strategic policy interventions, substantial investment, and comprehensive legislative action.’
Notably, the survey identified overwhelming perceptions of stigma surrounding mental health conditions, even as respondents demonstrated strong interest in digital and community-based service delivery models. Adults aged 25-44 constituted the largest demographic among participants, highlighting the profound implications of mental health policy on workforce productivity, economic stability, and family wellbeing.
WISH has formally acknowledged the Antiguan and Barbudan government’s ongoing efforts in health sector reform while emphasizing the urgent need for robust mental health legislation to safeguard patient rights, enhance system coordination, and facilitate long-term strategic planning. The organization has committed to supporting government initiatives through technical expertise, community mobilization, data analysis, and public awareness campaigns.
This pioneering research received partial funding through the UNESCO X SEVENTEEN – Going Together Grant, enabling WISH’s evidence-based advocacy work. The complete policy brief, including detailed data visualizations and actionable recommendations, is publicly accessible through the organization’s official digital platform.