3.NMHP_.pptx1111111111111111111111111111

nmhp

1. NATIONAL MENTAL HEALTH PROGRAM Dr. DINESH SHARMA

2. INTRODUCTION The Government of India launched the National Mental Health Program (NMHP) in 1982, keeping in view the heavy burden of mental illness in the community, and the absolute inadequacy of mental health care infrastructure in the country to deal with it.

3. AIMS OF NMHP 1. Prevention and treatment of mental and neurological disorders and their associated disabilities. 2. Use of mental health technology to improve general health services. 3. Application of mental health principles in total national development to improve quality of life.

4. OBJECTIVES OF NMHP 1.The ensure availability and accessibility of minimum mental health care for all in the foreseeable future, particularly to the most vulnerable and underprivileged sections of population. 2.To encourage application of mental health knowledge in general health care and in social development. 3.To promote community participation in the mental health service development and to stimulate efforts towards self-help in the community.

5. APPROACHES OF NMHP Integration of mental health care services with the existing general health services Utilization of the existing infrastructure of health services Provision of appropriate task oriented training to the existing health staff Linkage of mental health services with the existing community development program

6. COMPONENTS OF NMHP Treatment Village & sub centre level Primary health centre level District hospital Mental hospital & teaching psychiatric units Rehabilitation Prevention

7. 1. TREATMENT Multiple Levels Were Planned . a. Village And Sub centre Level- Multi-purpose workers (MPW) and health supervisions (HS) under the supervision of medical officer (MO) to be trained for: Management of psychiatric emergencies. Administration and supervision of maintenance treatment for chronic psychiatric disorders. Diagnosis and management of grand mal epilepsy, especially in children. Counseling in problems related to alcohol and drug abuse.

8. b. Primary Health Centre (PHC) MO, Aided By HS, To Be Trained For. Supervision of MPW’S performance Treatment of Functional Psychosis. Treatment of uncomplicated cases of psychiatry disorders associated with physical diseases. Management of uncomplicated psychosocial problems. Epidemiological surveillance of mental morbidity .

9. c. District Hospital It was recognized that there should be at least 1 psychiatrist attached to every district hospital as an integral part of the district health services. The district hospital should have 30-50 psychiatric beds . The psychiatrist in a district hospital was envisaged to devote only a part of his time in clinical care and greater part in training and supervision of non- specialist health workers.

10. D. Mental Hospitals And Teaching Psychiatric Units The major activities of these higher centers of psychiatric care include I. Help in care of ‘difficult’ cases. II. Teaching. III. Specialized facilities such as occupational therapy units, psychotherapy, counseling and behavior therapy.

11. 2. REHABILITATION The components of this subprograms include maintenance treatment of epileptics and psychotics at the community levels and development of rehabilitation centers at both the district level and the higher referral centers.

12. 3. PREVENTION The prevention component is to be community-based, with the initial focus on prevention and control of alcohol-related problems. Later, problems such as addictions, juvenile delinquency and acute adjustment problems such as suicidal attempts are to be addressed

13. ROLE OF NURSE IN NMHP Provide care and meeting their basic needs Conducting occupational, recreational and group therapy Mental health education to the family and public Active participation and training to professionals and non professionals in PHC. Supervise the task of multipurpose workers Assist psychiatrist in research activities in monitoring mental health care at district and PHC Creating public awareness in the care of individuals with various mental disorders .