Community mental health

community mental health nursing

1. UNIT 7 COMMUNITY MENTAL HEALTH PRERSENTED BY mr .pritesh patel

2. COMMUNITY MENTAL HEALTH According to the World Health Organization (WHO) , mental health is “a state of well-being in which the individual realizes his or her own abilities, can cope with the normal stresses of life, can work productively and fruitfully, and is able to make a contribution to his or her community”

3. COMMUNITY MENTAL HEALTH NURSING COMMUNITY MENTAL HEALTH NURSING IS THE APPLICATION OF SPECIALISED KNOWLEDGE TO POPULATIONS AND COMMUNITIES TO PROMOTE AND MAINTAIN MENTAL HEALTH, AND TO REHABLITATE POPULATIONS AT RISK THAT CONTINUE TO HAVE RESIDUAL EFFECTS OF MENTAL ILLNESS.

4. Psychiatric nursing in the community setting differes markedly from its hospital counterpart. The community setting requires that the psychiatric nurse possesses knowledge about a board array of community resources and be flexible in approaching problems related to individual psychiatric symptoms, family and support systems and basic living needs such as housing and financial support.

5. 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

6. 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.

7. IMPORTANCE Community provides many elements that are critical to mental health Belonging: Community provides a sense of belonging — a group you identify as being a part of. This is different than conforming to be in a group. A true sense of belonging includes the ability for you to feel you are a part of the community as your true self. There is not anything you have to change to be a part of the community, but instead, you are embraced and appreciated for your unique qualities.

8. Support: Having people you can call on when you need to talk or need help with something can help you through difficult situations that might feel insurmountable alone. Knowing there are people who support you can help you feel cared for and safe, and can benefit your outlook on life. Purpose: In community, people fill different roles. Perhaps you’re the friend who enjoys cooking and can be counted on to bring a hot meal over when someone is going through something. Or you’re the friend who others know they can call when they need to talk about their struggles. These roles can give you a sense of purpose through bettering other people’s lives. Having purpose, and helping others, helps give meaning to life.

9. GENERAL ATTITUDE TOWARDS THE MENTALLY ILL In general, the community responds to the mentally ill through denial, isolation and rejection. There is also a lack of understanding of mental illness as any other illness, and a lack of tendency to reject both the patients and those who treat them. Mentally ill are viewed as people with no capacity for understanding. People feel mental illness cannot be cured, and even if the patient gets better, complete physical rest is considered essential.

10. The mentally ill are by and large perceived as aggressive, violent and dangerous. An individual's values and personal beliefs affect his attitude about mental illness, the mentally ill and treatment of mental illness. There still exists a stigma surrounding individuals who need or use psychiatric mental health services. The need continues for public education to modify or alter misconceptions about mental illness and people with mental disorders.

11. MISCONCEPTIONS ABOUT MENTAL ILLNESS Beliefs about mental illness have been characterized by superstition, ignorance and fear. Although time and advances in scientific understanding of mental illness have dispelled many false ideas, there remain a number of popular misconceptions. some of them are: Mental illness is caused by supernatural power and is the result of a curse or possession by evil spirit mentally ill people show bizzarre behavior

12. 3. Mentally ill people are dangerous 4. Mental illness is something to be ashamed 5. Mental illness is not curable 6. Mental illness is contagious 7. Mental illness is hereditary 8. Marriage can cure mental illness 9.Mental hospitals are places where only dangerous mentally ill individuals are treated and restraint is a major form of treatment

13. PREVENTION OF MENTAL ILLNESS

14. COMMUNITY MENTAL HEALTH SERVICES

15. SOME OF THE INNOVATIVE PROGRAMS IN MENTAL HEALTH Crash programs offered at NIMHANS, Bengaluru Dr RM Varma, Director and Dr Karan Singh, Minister of health in the Central Government, jointly introduced community based mental health program at NIMHANS. A community psychiatry unit was started in october 1975. This unit launched the following programs: Primary health center (PHC) General Practitioner School mental health program Home-based follow up of psychiatric patients

16. 5. Extension programs by “Satellite Clinics” 6. Extensive use of outdoor services 7. Involvement of ICDS prsonnel in child mental healthcare. 8. Anganwadi workers are trained 9. Training by volunteers 10. Student enrichment program and student volunteers program