NATIONAL MENTAL HEALTH PROGRAMME (2).pptx

NATIONAL MENTAL HEALTH PROGRAMME

1. NATIONAL MENTAL HEALTH PROGRAMME PRESENTER DR.PRISCILLA MARY J PHARM D.,

2. INTRODUCTION Mental health is an integral component of health, which is defined as positive state of well being (Physical, Mental, Social) and not merely an absence of illness. Psychiatric symptoms are common in general population in both sides of the globe. These symptoms are- Worry, tiredness and sleepless nights which affects more than half of the adults at some time, while as many as one person in seven experiences some form of diagnosable neurotic disorder. An expert group was formed in 1980. After several drafts and two workshops (July 1981 and August 1982), the final draft was submitted to the Central Council of Health and Family Welfare (the highest policy making body for health in the country) on 18th to 20th August 1982, which recommended its implementation.

3. DEFINITION MENTAL HEALTH (WHO): Mental health is a state of wellbeing in which an individual realize his/her own abilities can cope with the normal stresses of life, can work productively and is able to make a contribution to his/her community. MENTAL ILLNESS : A Mental illness is a medical condition that disrupts Person’s thinking,feeling , mood, ability to release to others and daily functioning. Mental illness are medical condition that often result in diminished capacity for coping with the ordinary demands of life.

4. NATIONAL MENTAL HEALTH PROGRAMME AND ITS FUNCTIONING The Government of India launched the National Mental Health Programme (NMHP) in 1982, keeping in view the heavy burden of mental illness in the community, and the absolute inadequacy of mental health care infrastructure in the country to deal with it. AIMS: 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 in total national development to improve quality of life

5. THE TEAM OF WORKERS AT THE DISTRIC UNDER NMHP Psychiatrist Clinical psychologist Psychiatric Social worker Community nurse Programme manager Case registry assistant Record Keeper.

6. MAJOR MILESTONES ARE: Child survival and Safe Motherhood Programme (CSSM) in 1992 RCH(Reproductive and Child Health) I in 1997 RCH II in 1997 National Rural Health Mission in 2005 RMNCH(Reproductive, Maternal, Newborn , child and Adolescent Health) and strategy in 2013 Nation Health Mission in 2013 INDIA New Born Action Plan (INBAP) in 2014 Long standing need of urban health mission was accepted in may 2013 by the cabinet of the government of India and rural and urban health mission merged to form National Health Mission in 12th Five year plan.

7. World Bank Report The World Bank Report (1993) revealed that the Disability Adjusted Life Year (DALY) loss due to neuro -psychiatric disorder is much higher than diarrhea , malaria, worm infestations and tuberculosis if taken individually. According to the estimates DALYs loss due to mental disorders are expected to prevent 15% of the global burden of disease by 2020. The prevalence reported from these studies range from the population of 18 to 207 per 1000 with the median 65.4 per 1000 and at any given time, about 2-3% of the population , suffer from seriously, incapacitating mental health disorders or epilepsy. Most of these patients live in rural areas remote from any modern mental health facilities.

8. Strategies were planned for immediate action. Center to periphery strategy: Establishment and strengthening of psychiatric units in all districts hospitals, with outpatient clinics and mobile teams reaching the population for mental health services. Periphery to Center Strategy: Training of an increased number of different categories or health personnel in basic mental health skills, with primary emphasis towards the poor and the underprivileged, directly benefiting about 200 million people.

9. The Objectives of National Mental Health Programme are : To ensure availability and accessibility of minimum mental health care for all in foreseeable future, particularly to the most vulnerable and under privileged section, population To encourage application of mental health knowledge in general health care and so development To promote community participation in the mental health service development and stimulate efforts towards self help in the community.

10. WARNING SIGNS OF MENTALLY ILL PERSON In young children: Changes in school performance Poor grades despite strong efforts Changes in sleeping and eating habits Hyperactivity Frequent temper tantrums

11. IN OLDER CHILDREN AND PRE ADOLOSCENT Substance used Inability to cope with problem and daily activities Changes in sleeping and eating Prolonged negative mood often accompained by poor appetite or thoughts of death. Confused thinking

12. Outcomes of Programme: The National Mental Health Survey 2015-2016 has revealed a huge burden of mental disorders in the Indian Community. This finding is based on a methodology that was scientific, uniform and standardized, undertaken across 12 states at one point of time . The fact that nearly 11% of Indians above 18 years are suffering from mental disorders and most of them do not receive care for a variety of reasons deserves the urgent attention of our policy makers and professionals . The impact is huge affecting all areas of an individual and his/her family life affecting quality, productivity and earning potentials. This data should be used as evidence to strengthen and implement mental health policies and programmes and should be the driving force for future activities in India.

13. Outcomes of Programme: The National Mental Health Policy, Mental Health Action Plan, Mental Health Bill, several national programmes for children, youth, elderly, women and others, India is at an opportune and appropriate juncture to build population centered and public health oriented mental health programmes for the coming years.