MNS Care for MO- National Mental Health Programme.pptx

YTJUY

1. NATIONAL MENTAL HEALTH PROGRAMME Prepared by: Kajal more MSc 2 nd year

2. NATIONAL MENTAL H E ALTH PROGRAMME National Health Programs are one of the prominent measures taken by the nation primarily for the control of both communicable and Non-Communicable diseases. MNSUDs (Mental, Neurological & Substance Use Disorders) are a broad domain included under the NCDs. These are the disorders which currently addressed least in terms of community attention, identification & treatment which proportionally reflects as large mental health gap (mhGap). India is one of the major countries to adopt a national program for mental health at the national level after the meeting of WHO mental health advisory group. The National Mental Health Programme (NMHP) was implemented all over the country in a phased manner.

3. The NMHP was launched with the stated objectives- To ensure the availability and accessibility of mental health care for all in the foreseeable future, particularly to the most vulnerable and underprivileged sections of the population. Encourage the application of mental health knowledge in general health care and social development. Promote community participation in mental health services development and stimulate efforts towards self-help in community. NMHP – OBJECTIVES

4. Integration of mental health with primary health care through the NMHP Provision of tertiary care institutions for treatment of mental disorders Eradicating stigmatization of mentally ill patients and protecting their rights through regulatory institutions like the Central Mental Health Authority (CMHA) and State Mental Health Authority (SMHA) NMHP – STRAT E GIES

5. Lack of steady administrative structure & lack of adequate funding Lack of periodical introspection, supervision, reporting & mentoring which lead the way for initiatives to slowly die over time, resulting in poor timely delivery of services The program gave more emphasis on curative components rather than promotive and preventive aspects Most importantly lack of manpower resource LIMITATIO N S OF NMHP

6. To overcome this limitation of NMHP, an initiative was taken where the district was considered to be the administrative and implementation unit of this program. The District Mental Health Program (DMHP) has been in existence since 2003, and provides basic mental health care services for a range of facility and community-based interventions. To assess the feasibility of DMHP, National Institute of Mental Health and Neurosciences (NIMHANS) undertook a pilot project (1985–1990) at the Bellary District of Karnataka. Till now, DMHP have been implemented in 655/724 districts in India. Out of this, 550 districts have operational DMHP. DISTRICT MENTAL HEAL T H PROGRAMME (DMHP)

7. Service P ro v isi o n - Manag e men t o f cas e s o f menta l disor d er s a n d counseling at different levels of district health care delivery system Capaci t y B u i l din g - M anpow e r t ra i ning a n d dev e lopment for pr e vention, early identification and management of mental disorders Awarene s s g enera t i o n thr o ugh I nfor m atio n Edu c atio n C om m u n ication (IEC) activities COMPONENTS OF DMHP

8. To provide sustainable basic mental health services in the community and integration these with other services E a rl y detec t ion an d t r eatme n t i n t he com m unity i t s el f t o ens u r e e a s e of caregivers To take pressure off mental hospitals To reduce stigma, to rehabilitate patients within the community To detect as well as manage and refer cases of epilepsy OBJECTIVES OF DMHP

9. Clinical services, including the outreach services. Trai n ing al l t h e groun d level workers (A n ga n wa d i workers, ASHA worker s , ANMs) in identifying and referring patients with mental illness Training of all the medical officers to identify and start first line treatment for mentally ill life skill s ed u cat i o n and IEC activ i ties Targ e te d i nte r ve n tion s ar e be i ng focu s e d on counselling in schools, College counselling services Work place stress management and Suicide prevention services SER V ICES PROVIDED UNDER DMHP

10. SUMMARY Today we have discussed about NMHP, its evolution, objectives of NMHP, various approaches to achieve the objectives of NMHP. Then we have discussed about DMHP (District Mental Health Programme ), its components and finally the role of nurse in the implementation of National Mental Health Programme .

11. BIBLIOGRAPHY: 1.Ahuja Niraj, A Short Textbook of Psychiatry, Vith Edition, New Delhi; Jaypee Brothers (Pvt) Ltd,2001:Pp 251-254. 2.Kapoor Bimla, Textbook of Psychiatric Nursing, Vol- II, New Delhi; Kumar Publishing House, 2006: Pp 424-425. 3.Park K, Textbook of Preventive & Social Medicine,18 th Edition, Jabalpur; Banarsidas Bhanot : Pp 347. 4.Literature from IGNOU, BNS-108, Mental Health Nursing, Block-4, IGNOU, New Delhi:2005:Pp 58- 62. 5.www.google.com

12. Thank You