NATIONAL MENTAL HEALTH PROAMGRME

SUBMITTED TO ;

• MISS RINKI GHOSH

• LECTURER OF TSCN

SUBMITTED BY;

• SURAJIT DAS

• ROLL NO. 19

• BSC NURSING 4TH YEAR

What is health?

• "Health is a state of complete physical, mentaland social well-being and not merely the absence of disease or infirmity.“

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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

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•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)

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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.

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AIMS

•Three aims are specified in the NMHP in

planning mental health services for the country:

1.Prevention and treatment of mental andneurological disorders and their associateddisabilities.

2.Use of mental health technology to improvegeneral health services.

3.Application of mental health principles toimprove quality of life.

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OBJECTIVES• The Government of India has launched the National Mental Health

Programme (NMHP) in 1982, with the following objectives:

1. 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;

2. To encourage the application of mental health knowledge in general healthcare and in social development; and

3. To promote community participation in the mental health service development and to stimulate efforts towards self-help in the community.

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Strategies under national mental health programme.

1. Integration of mental health with primary health care through the NMHP;

2. Provision of tertiary care institutions for treatment of mental disorders;

3. Eradicating stigmatization of mentally ill patients & protecting their rights through regulatory institutions like the central mental health authority, & state mental health authority.

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COMPONENTS

• I) TREATMENT

• II) REHABILITATION

• III) PREVENTION

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District mental health program

Launched 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.

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Objectives of District Mental Health programme.

1. To provide sustainable basic mental health care services in the community by integrating mental helathinto general health care services in primary care settings

2. Early identification and treatment

3. To see that patient and their relatives do not travel long distances to go to hospitals.

4. To take pressure out of the mental hospitals

5. To reduce stigma attached towards mental illness 13

Components of service provided by DMHP ;

1) BASIC MENTAL HEALTH CARE

2) FOLLOW UP OF TREATED CASES

3) INFORMATION , EDUCATION AND COMMUNICATION(IEC) ACTIVITIES

4) SCHOOL MENTAL HEALTH PROGRAMME

5) COLLEGE MENTAL PROGRAMME

6) SUICIDE PREVENTION

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The team including in DMHP

•PSYCHIATRIST

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CLINICAL PSYCHOLOGIST

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PSYCHIATRIC SOCIAL WORKER

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COMMUNITY NURSE

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PROGRAM MANAGER

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CASE RESISTRY ASSISTANT

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RECORD KEEPER

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NMHP during 12th 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).

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

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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

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• 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.

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GOAL

• Improve health and social outcomes related to mental illness

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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.

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•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.

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• 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.

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ROLE OF COMMUNITY HEALTH NURSE IN MENTAL HEALTH ;

• ASSESSMENT OF COMMUNITY

• ASSESSMENT OF FAMILY

• PLANNING AND IMPLEMENTATION

• COMMUNITY AND FAMILY INTRVENTION

• EVALUATION.

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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

In Tertiary prevention ;

providing diversion therapy, Recreation therapy, Community Mental Health Facilities, Day-Evening Treatment/ Partial Hospitalization Programs, Community Residential Facilities, Support Groups.

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