NATIONAL_MENTAL_HEALTH_PROGRAMME_WITH_DISTRICT_MENTAL_HEALTH.pptx

National mental health program

1. NATIONAL MENTAL HEALTH PROGRAMME PRESENTED BY- DR.SHOBITHA GEORGE MODERATOR- DR.JOHN DINESH

2. INTRODUCTION MENTAL HEALTH is a state of complete physical,mental and social well being and not merely the absence of disease.[WHO 1946]. PRE NMHP ERA : 1st mental hospital-mumbai[1745] 1st general hospital psychiatry was established in R.G.KAR med clg culcutta [1933]. Bhore committee was formed to look into health system of india[1942-46]. AIMH bangalore was set up[1954] A .L MUDALIAR committee[1959]

3. Government of India- implemented National Mental Health Program (NMHP) – 1982 To address huge burden of mental disorders and shortage of qualified professionals in the field of mental health The District Mental Health Program- added to the program in 1996 Re- strategized in 2003 to include two schemes ie , Modernization of State Mental Hospitals & Up- gradation of Psychiatric Wings of M edical C olleges/ General hospitals. Manpower development scheme (Scheme- A & B) – part of the Program in 2009.

4. NEED FOR NMHP 6-7 % of population suffers from mental disorders. Disability Adjusted Life Year (DALY) loss due to neuropsychiatric disorder is much higher than diarrhea, malaria and tuberculosis if taken individually. (>90%) remain un-treated. Poor awareness about symptoms of mental illness, myths & stigma related to it, lack of knowledge on the treatment availability & potential benefits of seeking treatment are important causes for the high treatment gap . Govt of India launched NMHP in 1982.[Aug]

5. OBJECTIVES To ensure availability & accessibility of minimum mental healthcare for all in the foreseeable future. To encourage application of mental health knowledge in general healthcare and in social development. To promote community participation in mental health service development and to stimulate efforts towards self help in the community.

6. AIMS 1. Prevention and treatment of mental and neurological disorders and 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. NMHP restrategized in 2003.

7. SERVICE COMPONENTS 1] T reatment Subprogramme : A] Village and subcentre level :MPW,HS to be trained for: Management of psychiatric emergencies Administration and supervision of maintenance Treatment for chronic psychiatric disorders,Diagnosis and management of grand mal epilepsy. Liaison with local school teacher and parents regarding mental retardation and behaviour problems in children. Counselling in problems related to alcohol and drug abuse.

8. B. Primary health centre (PHC): MO, aided by HS,to be trained for: Supervision of MPW’s performance Elementary diagnosis Treatment of functional psychosis Treatment of uncomplicated cases of psychiatric disorders associated with physical diseases Management of uncomplicated psycho social problems Epidemiological surveillance of mental morbidity.

9. C] District hospital : at least 1 psychiatrist,30-50 psychiatric beds. The psychiatrist should train non-specialist health workers. D] Mental hospitals and teaching psychiatric units: Help in care of ‘difficult’ cases,Teaching,Specialised facilities such as occupationaltherapy units, psychotherapy, counselling and behaviour therapy. 2] Rehabilitation Subprogramme : Maintenance treatment of epileptics and psychotics at the community levels and development of rehabilitation centres at both the district level and the higher referral centres. 3] Prevention Subprogramme : Addictions, juvenile delinquency and acute adjustment problems such as suicidal attempts addressed.

10. COMPONENTS OF NMHP 1.District Mental Health Programme (DMHP) 2. Manpower Development Schemes - Centers Of Excellence And Setting Up/ Strengthening PG Training Departments of Mental Health Specialities 3. Modernization Of State Run Mental Hospitals 4. Up gradation of Psychiatric Wings of Medical Colleges/General Hospitals 5. IEC 6. Training & Research 7. Monitoring & Evaluation

11. CRITIQUE OF NMHP 1]Poor information flow across states/districts/Tq. 2]lack of IEC material in all languages. 3]Inconsistent Fund flow. 4]Inadequate Human Resources. 5]Non Availability of treatment. 6]Non integration of MHC at PHC. 7]Lack of full range of service,no crisis management. 8]Access to the treatment was poor.

12. THANK YOU