National mental health program

by vijay choudhary

1. NATIONAL MENTAL HEALTH PROGRAMME

2. INTRODUCTION:- The Government of India Launched the National Mental Health Program (NMHP) in1982, keeping in view the heavy burden of mental illness in the community & the absolute inadequacy of mental health care infrastructure in the country to deal with it.

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

4. AIMS OF NMHP 1. Prevention & treatment of mental neurological disorders & 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.

5. STRATEGY FOR IMPLEMENTATION OF NMHP CENTRE TO PERIPHERY STRATEGY: Establishment and strengthening of psychiatric units in all district hospitals, with outpatient clinics and mobile teams reaching the population for mental health services. PERIPHERY TO CENTRE STRATEGY: Training of an increasing number of primary health care health personnel in basic mental health skills to provide minimum mental health care to the people. With availability of referral service.

6. APPROACHES/STEPS TO NMHP 1. Integration of mental health care services with the existing health services. 2. Utilization of the existing infrastructure of health services & also deliver the minimum mental health care services. 3. Provision of appropriate task-oriented training to the existing health staff. 4. Linkage of mental health services with the existing community development program.

7. CONT... Realizing that the NMHP was not likely to be implemented on a larger scale without demonstration of its feasibility in larger populations, the need for planning for the implementation of the programme at a district level was highlighted.

8. DISTRICT MENTAL HEALTH PROGRAMME In feb. 1996, in a joint conference of Ministry of Health and Family Welfare, NIMHANS Bengaluru and WHO, it was strongly recommended that 25% district of the nation requires community based approach and district mental health programme (DMHP).

9. DMHP includes following activities: Providing mass education about mental health. Arrangements for the immediate diagnosis and treatment of mental diseases. Follow up of mental patients. Training of the mental health team. Providing statistics to central and state government for the formation of future plans and research work.

10. Areas of concern of the programme: Poor availability of skilled manpower. Stigma attached to mental illness. Lack of awareness regarding mental illness. Lack of coordination among departments. Worksite stress management, suicide prevention, college and school counseling were not covered properly.

11. REVISED NATIONAL MENTAL HEALTH PROGRAMME(2003) Redesigning DMHP around a model institution, a zonal medical college. Strengthening medical college to improve psychiatric treatment facilities with adequate man power. Streamlining and modernization of mental hospitals. Research and development programmes in the field or community mental health. Promotes inter-sectorial collaboration and linkages with other national programmes.

12. CONT... Plan for cost effective intervention models. Health and policy planning. Promotion of referral services. Home care support by provision of sufficient man power. Provision of essential drugs. Public mental health education.

13. ROLE OF PSYCHIATRIC NURSE

14. NATIONAL WATER SUPPLY AND SANITATION PROGRAMME:

15. INTRODUCTION: This programme was launched in 1954 with objective to provide safe water and appropriate drainage in urban as well as rural. “ACCELERATED RURAL WATER SUPPLY PROGRAMME” was launched in 1974 as a supplementary part of this programme.

16. CRITERIA WERE USED: Source of water is farther then the limit of 1.6 km. Source of water is more then 15 meters deep. Water has excessive salts (hard water) or toxic substances in it. Cholera and guineaworm is suspected from the consumption of water.

17. In 1981, GOI had started National water supply and sanitation programme with the targeted period of 10 year. Conversion of all unsafe latrines into low cost sanitary toilets, was on priority. Properly development of proper outlet of drainage in the big cities was also emphasized. Despite many efforts the expected targets of this programme could not be achieved.

18. NATIONAL GUINEAWORM ERADICATION PROGRAMME:

19. Programme was started in 1984. This programme runs with technical assistance of WHO. Now India has eradicated guineaworm and since aug. 1996, no single case is reported till now. In feb. 2000, the International commission for certificate of dracunculiasis eradication has declared India free from dracunculiasis transmission.

20. YAWS ERADICATION PROGRAMME IN INDIA:

21. YEP was launched as centrally sponsored scheme in 1996-97. The programme aimed to reach the unreached tribal areas of the country. Programme is implemented by the state health directorate through existing health care system.

22. STRATEGIES: Case finding Treatment of the cases Manpower development IEC activities Multisectorial coordination From 2004, no case has been reported from any state till now.

23. THANK YOU