Mental Illness Prevention and Control

mental illness prevention and control according to who guideline and mental health program of India

1. Mental Illness Prevention and Control From the outside looking in, Its hard to understand . F rom the inside looking out, Its hard to explain . Presented by: Zulquarnain 2012 Moderators: Dr. Sadia Dr . Sakhtivel Dr. Farha Dr. Shaighan

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3. PRIMORDIAL PREVENTION 2/12 TARGET GROUPS Pregnant females Pre school children School going children Adolescent Pre Employed Elderly Primary prevention operates on a community basis: -Improving the social environment -Promotion of social, emotional and physical well being. Problem solving Techniques Life skill approach De stressing exercise PRIMARY PREVENTION Good interpersonal relationship Good Parenting Skills

4. PRIMARY PREVENTION 3/12 Risk Factors Identification Risk Control Hectic Life Schedule and Sedentary life style Meditation, Religious activities & exercise Academic failure and scholastic demoralization Good parenting Family conflict or family disorganization Positive attachment and early bonding Exposure to aggression, violence and trauma (especially in case of childhood abuse) Stress and conflict management skills School Psychological counselor Support Loneliness, Cultural Shock Pro-social behavior Medical illness, Neurochemical imbalance, Disability Medical / Surgical support Substance abuse (access to drugs and alcohol) De addiction Stressful life events Eg : death of spouse/ Divorce etc. Social support of family and friends Individual and family-related determinants of mental health:

5. Social, environmental and economic determinants of mental health:   5 Risk Factor Identification Risk Control Lack of education, transport, housing Literacy and proper economic stability Poor nutrition, Poverty Empowerment, Proper Nutritional care Urbanization Safe Shared Places to interact Violence and War Social responsibility and stable environment Unemployment Literacy and skill development Peer rejection Positive interpersonal interactions Racial injustice and discrimination Ethnic minorities’ integration Social Networking 23% of teens report that they are or have been the target of cyber bullying ultimately leading to depressive episode and other conduct disorders. Using social networking websites like Facebook, twitter etc. For more than 2 hours in a day-may lead to life style related diseases and mental disorders. - National Institute of Mental Health (2012) 4/12

6. Secondary Prevention 5/12 TREATMENT Pharmacological Psychotherapy, Group therapy Cognitive behavioral therapy Biofeedback therapy Creative therapy -art therapy - music therapy - play therapy Electroconvulsive therapy VNS -Vagus Nerve Stimulation TMS -Trans cranial Magnetic Stimulation Surgical

7. Secondary prevention in the Case Discussed 6/12

8. Warning signs (prodromal symptoms) 7/12

9. TERTIARY PREVENTION 8/12

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11. National Mental Health Programme 10/12 Launched in 1982, presently covers 94 districts in India Objectives: Availability and accessibility of mental health care for all Encourage application of mental health knowledge Promote community participation Programme Strategies: Integration of mental health with primary health care Provision of tertiary care institution to provide mental health services. Eradicating Stigmatization Components of District Mental health Programme: Training programmes of all workers in identified nodal institute. Public education in mental health to increase awareness and reduce stigma. For early detection and treatment the OPD and indoor services are provided. Providing data and experience to state and center for further planning and actions.

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13. Celebrities with mental disorders 12/12 John Nash Mel Gibsin Howard Hughes Michael Phelps Kurt Cobain Heath Ledger Parveen Babi

14. It is an odd paradox that a society, which can now speak openly and unabashedly about topics that were once unspeakable, still remains largely silent when it comes to mental illness. - Glenn Close Flu, Holiday Njoyyyyy  ? Thank you