Continuum of Care

Our Approach

Mental health support is not a single service. People need different kinds of help at different moments—from prevention and early support, to crisis response, treatment, and longer-term reintegration. The PEMA follows a continuum-of-care model so that support is coordinated, practical, and consistent over time.

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Prevention and Engagement

Promoting mental health literacy, resilience, and early support acrosscommunities and institutions.
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Response Services

Immediate support and protection for people in distress, includinghelplines, counselling, and safeguarding services.
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Treatment and Rehabilitation

Inpatient and outpatient care for mental health conditions and substanceuse disorders, including continuing care.
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Reintergation and Aftercare

Skills, livelihoods, and structured aftercare to help people rebuild stability,dignity, and social connection.
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Services Directory

A confidential, 24/7 helpline for protection and psychosocial support. It supports women, children, and anyone experiencing distress, and can guide you to the most appropriate services in your area.

A supportive space to talk through challenges, relationships, stress, or life changes with a trained counsellor. Online counselling is available through email, Zoom, WhatsApp, Telegram, and telephone. Walk-in counselling is available by appointment.

Support for children in difficult circumstances, including those in conflict with the law, survivors of violence, and those affected by emergencies through comprehensive child protection services. These include safety planning, family-based interventions, child protection in emergencies, and specialized support during parental separation and child custody proceedings.

Ongoing recovery support through structured group sessions and shared lived experience. Peer support strengthens coping skills, motivation, and relapse prevention, and is integrated into hospitalbased and residential rehabilitation services.

Support for domestic and intercountry adoption, guided by the Child Adoption Act of Bhutan 2012 and related rules, regulations, and guidelines. The child’s best interests guide every decision.

Call 1098 (24/7) – protection and psychosocial support

If in immediate danger, call 1010 (Royal Bhutan Police)

Email: helpline@thepema.gov.bt (support)

Email: enquiry@thepema.gov.bt (enquiries)

Also available via official social media channels.

Top FAQs

1098 is the national helpline for women and children. It operates 24/7 and provides confidential support, guidance and referrals. It can also
assist anyone experiencing mental health distress or seeking information about services.

In most cases, you can contact 1098 directly without a referral. If a referral is required for specialised services, you will be guided through the process.

Counselling is a safe and supportive space where you can speak openly about your thoughts, feelings and experiences. It is a confidential conversation with a trained professional who listens without judgement and helps you gain clarity, develop coping strategies and make informed decisions. You do not need to be in crisis to seek counselling.

Yes. What you share remains private. The only exception is if there are serious concerns about your safety or someone else’s safety. In such cases, protective action may be required, and you will be informed and involved where possible.

Many core services, including the 1098 Helpline and initial assessments, are provided free of charge. Specific programme details can be explained when you contact the service.

A trained responder will listen to your concern, assess the situation and help you understand your options. You may receive immediate guidance, emotional support or referral to appropriate services.

Frequently Asked Questions

Common Questions

1098 is the national helpline for women and children. It operates 24/7 and provides confidential support, guidance and referrals. It can also
assist anyone experiencing mental health distress or seeking information about services.

In most cases, you can contact 1098 directly without a referral. If a referral is required for specialised services, you will be guided through the process.

Counselling is a safe and supportive space where you can speak openly about your thoughts, feelings and experiences. It is a confidential conversation with a trained professional who listens without judgement and helps you gain clarity, develop coping strategies and make informed decisions. You do not need to be in crisis to seek counselling.

Yes. What you share remains private. The only exception is if there are serious concerns about your safety or someone else’s safety. In such cases, protective action may be required, and you will be informed and involved where possible.

Many core services, including the 1098 Helpline and initial assessments, are provided free of charge. Specific programme details can be explained when you contact the service.

A trained responder will listen to your concern, assess the situation and help you understand your options. You may receive immediate guidance, emotional support or referral to appropriate services.

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