National mental-health-programme-community-health-nursing-ppt

1. NATIONAL AND NATIONAL AND
COMMUNITY MENTAL COMMUNITY MENTAL
HEALTH PROGRAMMEHEALTH PROGRAMME

2. AIMS OF NCMHPAIMS OF NCMHP
To ensure treatment and prevention of To ensure treatment and prevention of
mental and neurological disorder.mental and neurological disorder.
Use of mental health technologyUse of mental health technology
Application of mental health principles in Application of mental health principles in
total national development to improve total national development to improve
quality of life.quality of life.

3. OBJECTIVESOBJECTIVES
To ensure availabilty and accessibility of To ensure availabilty and accessibility of
minimum mental health care for all in the minimum mental health care for all in the
foreseeable future, particularly to the most foreseeable future, particularly to the most
vulnerable and under privileged sections of vulnerable and under privileged sections of
population.population.
To encourage application of mental health To encourage application of mental health
knowledge in general health care and in the knowledge in general health care and in the
social development.social development.
To promote community participation in mental To promote community participation in mental
health services development , and to stimulate health services development , and to stimulate
efforts towards self help in the community.efforts towards self help in the community.

4. STRATEGIESSTRATEGIES
Integration of mental health with primary health Integration of mental health with primary health
care through the national mental health program.care through the national mental health program.
Provision of tertiary care institutions for Provision of tertiary care institutions for
treatment of mental disorders.treatment of mental disorders.
Eradication stigmatization of mentally ill patients Eradication stigmatization of mentally ill patients
and protecting their rights through regulatory and protecting their rights through regulatory
institutions like the central mental health institutions like the central mental health
authority, and state mental health.authority, and state mental health.

5. APPROACHES APPROACHES
Integration of the mental healthIntegration of the mental health
care services with the exixting care services with the exixting
general health services.general health services.
To utilize the existing infrastructure of health To utilize the existing infrastructure of health
services and also to deliver the minimum mental services and also to deliver the minimum mental
health care services.health care services.
To provide appropriate task oriented training to To provide appropriate task oriented training to
the existing health staff.the existing health staff.
To link health services with the existing To link health services with the existing
community development programe.community development programe.

6. DISTRICT MENTAL HEALTH PROGRAMME DISTRICT MENTAL HEALTH PROGRAMME
COMPONENTSCOMPONENTS
Training programs of all workers in the mental Training programs of all workers in the mental
health team at the identified institutionhealth team at the identified institution
Public educationPublic education
Early detection and treatment Early detection and treatment
Providing valuable data and experience at the Providing valuable data and experience at the
level of community .level of community .

7. COMPONENTS OF COMPONENTS OF
PROGRAMEPROGRAME
TREATMENT SUB PROGRAMETREATMENT SUB PROGRAME
-village and sub center-village and sub center
-Primary health center-Primary health center
-District hospital-District hospital
-Mental hospital and teaching -Mental hospital and teaching
psychiatric units.psychiatric units.
 REHABLITATION SUB PROGRAMEREHABLITATION SUB PROGRAME
 PREVENTION SUB PROGRAME PREVENTION SUB PROGRAME

8. MENTAL HEALTH SERVICES IN INDIAMENTAL HEALTH SERVICES IN INDIA
In 1946 Bhore committeeIn 1946 Bhore committee
Muddaliar health committeeMuddaliar health committee
General hospital psychiatric units.General hospital psychiatric units.
Community care approach.Community care approach.

9. EXTENT OF THE PROBLEM AND EXTENT OF THE PROBLEM AND
FACILITIES AVAILABLE IN INDIA.FACILITIES AVAILABLE IN INDIA.
MANPOWER AVAILABLEMANPOWER AVAILABLE
Psychiatrist Psychiatrist -2500-2500
qualified doctors qualified doctors -240,000-240,000
clinical psychologistclinical psychologist-600-700-600-700
psychiatric social workerpsychiatric social worker-500-600-500-600
psychiatric nurse psychiatric nurse -600-600
PG center PG center -48 -48

10. National mental health policyNational mental health policy
Mental health actMental health act
Mental health health act 1987Mental health health act 1987
Post mental health servicesPost mental health services
Present status of mental health services.Present status of mental health services.
Future of mental health services.Future of mental health services.
School mental health programme.School mental health programme.
Community care in mental health.Community care in mental health.
Trust areas of NMHPTrust areas of NMHP
Creating awareness and reducing stigma.Creating awareness and reducing stigma.

11. FIVE YEAR PLANSFIVE YEAR PLANS
FIVE YEAR FIVE YEAR

12. REVISED NATIONAL REVISED NATIONAL
MENTAL HEALTH MENTAL HEALTH
PROGRAMMEPROGRAMME

13. COMMUNITY FACILITY FOR COMMUNITY FACILITY FOR
MENTALLY ILLMENTALLY ILL
Day hospital\centres.Day hospital\centres.
Half way homes.Half way homes.
Group homes.Group homes.
Foster homes.Foster homes.
Sheltered workshop.Sheltered workshop.
Mental health Mental health
emergency care.emergency care.
Walk in clinic.Walk in clinic.
Home visit.Home visit.
Self help group.Self help group.

14. APPROACHES TO COMMUNITY APPROACHES TO COMMUNITY
HEALTH HEALTH
Primary preventionPrimary prevention
Secondary preventionSecondary prevention
Tertiary preventionTertiary prevention

15. ROLE OF COMMUNITY HEALTH ROLE OF COMMUNITY HEALTH
NURSE IN MENTAL HEALTHNURSE IN MENTAL HEALTH
Assessment of family Assessment of family
Assessment of communityAssessment of community
Planning and implementation Planning and implementation

Family interventionsFamily interventions
Community interventionsCommunity interventions
EvaluationEvaluation

16. CHANGING FOCUS OF CHANGING FOCUS OF
CARECARE