Community based mental health agencies and services

Community based mental health agencies and services

1. COMMUNITY BASED MENTAL HEALTH AGENCIES AND SERVICES

2. Community mental psychiatric nursing is the application of specialized knowledge to population communities to promote and maintain mental health, to rehabilitate population at risk. Psychiatric nurse must possess knowledge about community resources.

3. GOALS OF C M H NURSING Provide prevention activities to population for the purpose of promoting mental health. Provide prompt interventions Provide corrective learning experiences Help individuals develop a sense of self worth and independence. Anticipate emotional problems Identify and change social and psychological factors that influence human interactions Develop innovative approach to primary preventive activities Provide mental health education and how to assess the mental health. e.g..

4. NATIONAL MENTAL HEALTH PROGRAMME (2 ND AUGUST 1982) OBJECTIVES Basic mental health care to all the needy. Encourage application of mental health knowledge Promote community participation. Prevention and treatment of mental and neurological disorders and their associated disabilities. Use of mental health technologies to improve general health services. Application of mental health principles in total national development to improve quality of life.

5. COMPONENT OF NATIONAL MENTAL HEALTH PROGRAM 1. Treatment 2. Rehabilitation 3. Prevention

6. A COMMUNITY MENTAL HEALTH PROGRAM SHOULD Provide mental health care in the community itself. Focus services on total community Focus on preventive and promotive services Provide continuing and comprehensiveness of services Provide indirect services like consultation, mental health education etc

7. FEATURES OF COMMUNITY MENTAL HEALTH CENTERS – Commitment ,Services ,Long term care , Case Management , Community Participation ,Evaluation and Research

8. COMMUNITY FACILITIES FOR MENTALLY ILL Suitable well supported caregivers Suitable accommodation Suitable occupation Arrangements to ensure patients collaboration and treatment Regular reassessment Effective collaboration among carers

9. COMMUNITY MENTAL HEALTH FACILITIES AVAILABLE Hospital Services Partial Hospitals Quarter way homes Half way homes Self Help Groups Suicide prevention centers Hospitals Part of continuum of mental health services. Offer variety of treatment facilities Partial Hospitals Innovative alternative suitable for chronic psychiatric syndromes Include day care centres, day hospitals and day treatment programs

10. QUARTER WAY HOMES Located within the hospital campus Lack regular services of hospital Most of the care by patients themselves. Half Way Homes Transitory residential center Patients are not completely independent maintains a climate of health Aids to develop individual capacities.

11. OBJECTIVES OF HALF WAY HOMES To ensure smooth transition from the hospital to the family. To integrate the individual into the mainstream of life. Activities Monitor the progress of discharged patients for medications regimen coordination of other facilities

12. SELF -HELP GROUPS Composed of people having problem of life crises have improved emotional health of people don’t explore individual psychodynamics in depth don’t change personality functioning People have same disorder. Share their good/bad experiences work together using their strengths Educate each other Provide mutual support alleviate sense of isolation

13. Individual does not feel lonely Aids to generate alternate ways to view and resolve problems Emphasize cohesion Strong emotional bond among members promotion of dialogue, self disclosure and encouragement are used by leaders psycho-education, mutual support, self disclosure, self affiliation, learning self control and modeling to cope with stress.

14. SELF – HELP GROUP - E.g. A.A., in Bangalore Deesha at Nagpur & Manas at Akola Suicide Prevention Centers Helping hands and MPA in Bangalore Sneha in Chennai Sahara in Mumbai

15. PSYCHIATRIC REHABILITATION SERVICES Workplace accommodations Supported employment or education Social firms Assertive community Medication management Housing Employment Family issues Coping skills Activities of daily living and social skills

16. AREAS OF WORK IN PSYCHIATRIC REHABILITATION Psychiatric symptom management Social area includes relationships, family, boundaries, communications and community integration Vocational and educational area including coping skills and motivation Basic living skills Financial area or budgeting Community and legal resources Health and medical to maintain consistency of care Housing to provide safe environments

17. BENEFITS OF REHABILITATION Helps in promoting recovery and minimizing disabilities Helps in full community integration and improved quality of life for persons with any serious mental health condition Provides assistance in accepting the client in family and community It assists the client in developing harmonious relationship among family members It helps in improving their ability to lead meaningful lives in the community Helps in developing skills and access resources needed to increase their capacity Helps in satisfying mentally ill client in the living , working, learning and social environments of their choice It provides assistance in vocational training and supervision

18. REHABILITATION TEAM Psychiatrist Clinical psychologist Psychiatric social worker Mental health nurse Occupational therapist Recreational therapist Counselor Other supportive staff

19. STEPS IN PSYCHIATRIC REHABILITATION Reduction of impairments Remediation of disabilities through skill training Remediating disabilities through supportive interventions Remediation of handicaps

20. MENTAL HEALTH AGENCIES There are 42 mental hospitals in the country with bed availability of 20,893 in the Government sector In private sector, there are 5096 beds

21. Agencies Area of work The Eclat Society for the Welfare of Mentally Retarded MR Association for Social Health in India Drug Deaddiction counseling centers Association of National Brotherhood for Social Welfare Drug Deaddiction, MR Servants of the People Society MR Parents Association for the Welfare of Mentally Handicapped MR

22. Youth and Masses Drug Abuse Society for Social Services Day Care Center for Aged Aasha Kiran Mentally ill Abhilasha Special Education Center Mentally ill, Speech Disorder Nav Jyothi Center Mentally ill National Institute for Mentally Handicapped Mentally ill Model School for Mentally Deficient Children MR

23. International agencies WHO UNESCO WFMH (World Federation for Mental Health -1948) Goals of WFMH To promote mental health and optimal functioning To prevent mental, neurological and psychosocial disorders To heighten public awareness on mental health To improve the care and treatment ISMO ( The Society for Mental Health Online – 1997) NAMI (National Alliances for the Mentally Ill – 1979)

24. VOLUNTARY/ NGO MENTAL HEALTH AGENCIES They are strongly committed to innovation and change They fill gap between community needs and available community services They play an important role in suicide prevention and crisis support and many other essential mental health services

25. LISTS OF MHNGOS Alzheimer and Related Disorders Society of India (ARDSI- Kochi) Sangath Society (Goa) The Research Society (Mumbai) Samadhan (New Delhi) Schizophrenia Research Foundation (SCARF – Chennai) Medico – Pastoral Association (Bengaluru) T.T. Krishnamachari Foundation (Chennai) Total Response to Alcohol and Drug Abuse (TRADA- Kerala & Karnataka) ACTIVITIES OF MHNGOS Clinical care and rehabilitation Community outreach programmes Support groups Training Advocacy and building awareness Research Networking