National mental health program in community 140915121702-phpapp01

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1. NATIONAL MENTAL HEALTH PROAMGRME SUBMITTED TO ; MISS RINKI GHOSH LECTURER OF TSCN SUBMITTED BY; SURAJIT DAS ROLL NO. 19 BSC NURSING 4 TH YEAR

2. What is health? " Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity .“ 2

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4. MENTAL HEALTH. Mental health is a state of well-being in which an individual realizes his or her own abilities, can cope with the normal stresses of life, can work productively and is able to make a  contribution  to his or her community . - WHO 4

5. MENTAL ILLNESS ;  “ A mental illness is a medical condition that disrupts a person's thinking, feeling, mood, ability to relate to others and daily functioning. Mental illnesses are medical conditions that often result in a diminished capacity for coping with the ordinary demands of life”.- National Alliance on Mental Illness(NAMI) 5

6. INTRODUCTION The Government of India Launched the National Mental Health Program (NMHP) in 1982, 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. 6

7. AIMS Three aims are specified in the NMHP in planning mental health services for the country: Prevention and treatment of mental and neurological disorders and their associated disabilities. Use of mental health technology to improve general health services. Application of mental health principles to improve quality of life. 7

8. OBJECTIVES The Government of India has launched the National Mental Health Programme (NMHP) in 1982, with the following objectives : To ensure the availability and accessibility of minimum mental healthcare for all in the foreseeable future, particularly to the most vulnerable and underprivileged sections of the population ; To encourage the application of mental health knowledge in general healthcare and in social development; and To promote community participation in the mental health service development and to stimulate efforts towards self-help in the community. 8

9. Strategies under national mental health programme . 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 & protecting their rights through regulatory institutions like the central mental health authority, & state mental health authority. 9

10. COMPONENTS I) TREATMENT II) REHABILITATION III) PREVENTION 10

11. District mental health program L aunched under NMHP in the year 1996 (in IX Five Year Plan). The DMHP was based on ‘Bellary Model’ with the following components : 1. Early detection & treatment. 2. Training: imparting short term training to general physicians for diagnosis and treatment of common mental illnesses with limited number of drugs under guidance of specialist. The Health workers are being trained in identifyingmentally ill persons. 3. IEC: Public awareness generation. 4. Monitoring: the purpose is for simple Record Keeping. 11

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13. Objectives of D istrict Mental Health programme . To provide sustainable basic mental health care services in the community by integrating mental helath into general health care services in primary care settings Early identification and treatment To see that patient and their relatives do not travel long distances to go to hospitals. To take pressure out of the mental hospitals To reduce stigma attached towards mental illness 13

14. Components of service provided by DMHP ; BASIC MENTAL HEALTH CARE FOLLOW UP OF TREATED CASES INFORMATION , EDUCATION AND COMMUNICATION(IEC) ACTIVITIES SCHOOL MENTAL HEALTH PROGRAMME COLLEGE MENTAL PROGRAMME SUICIDE PREVENTION 14

15. The team including in DMHP PSYCHIATRIST 15

16. CLINICAL PSYCHOLOGIST 16

17. PSYCHIATRIC SOCIAL WORKER 17

18. COMMUNITY NURSE 18

19. PROGRAM MANAGER 19

20. CASE RESISTRY ASSISTANT 20

21. RECORD KEEPER 21

22. NMHP during 12 th five year plan ; The district mental health programme will be extended to the remaining 161-districts . Non-viable mental hospitals will be closed down or merged with general hospitals to create general hospital psychiatry units (GHPUs). 22

23. PRINCIPLES, GOALS & OBJECTIVES OF THE DMHP IN THE XII TH PLAN 23

24. PRINCIPLES  I ) A life course perspective with attention to the unique needs of children, adolescents and adults . ii ) An equity perspective through specific attention to vulnerable groups and to ensure geographical access to mental health services 24

25. iii) An evidence based perspective by following established guidelines and experiences on treatments and delivery models . iv) A rights based perspective to ensure rights of persons with mental illness are protected and respected by mental health services. 25

26. GOAL  Improve health and social outcomes related to mental illness 26

27. OBJECTIVE  The primary objective of the District Mental Health Programme is to reduce distress, disability and premature mortality related to mental illness and enhance recovery from mental illness by ensuring the availability of and accessibility to mental health care for all in the XIIth Plan period, particularly the most vulnerable and underprivileged sections of the population. 27

28. Other objectives of the DMHP are:  a) To reduce the stigma attached towards mental illness.  b) To promote community participation in the mental health service development and to stimulate efforts towards self-help in the community.  c) To increase access to preventive services to the population at risk, in particular, addressing the risk of suicide and attempted suicide. 28

29.  D) To ensure a motivating and empowering work place for staff by allowing an opportunity to improve their skills and recognition of their work .  E) To generate knowledge and evidence related to the delivery of mental health care and services;  F) To improve the infrastructure for mental health service delivery. 29

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31. ROLE OF COMMUNITY HEALTH NURSE IN MENTAL HEALTH ; ASSESSMENT OF COMMUNITY ASSESSMENT OF FAMILY PLANNING AND IMPLEMENTATION COMMUNITY AND FAMILY INTRVENTION EVALUATION. 31

32. Early Diagnosis and Case Finding achieved by educating the public and community leaders , Mahila Mandals , Balwadis etc. recognizing early symptoms. Early Reference. Screening programmes : Simple questionnaires should be developed and administered. For Early and Effective Treatment. 32

33. In Tertiary prevention ; providing diversion therapy, R ecreation therapy, Community Mental Health Facilities, Day-Evening Treatment/ Partial Hospitalization Programs, Community R esidential Facilities, Support Groups . 33

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