OPERATIONAL GUIDELINE 2019-20 NATIONAL MENTAL HEALTH ... · NATIONAL MENTAL HEALTH PROGRAMME (NMHP)...
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Operational Guideline for the FY 2019-20 of National Mental Health Programme
OPERATIONAL GUIDELINE
2019-20
NATIONAL MENTAL HEALTH PROGRAMME (NMHP)
National Health Mission, Assam
Saikia Commercial Complex, Christian Basti, Guwahati-05
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Operational Guideline for the FY 2019-20 of National Mental Health Programme
INDEX
Sl.
No
.
FMR Code
Activity
RoP
Approval
s, 2019-20
State HQ Allocation Total Allocation
against Districts
Page
No.
Phy.
Target
Fresh
RoP
approv
als (Rs.
In
Lakhs)
Phy.
Target
Fresh
RoP
approvals
(Rs. In
Lakhs)
1 2.3.2.3
DMHP: Targeted
interventions at
community level
Activities &
interventions targeted at
schools, colleges,
workplaces, out of
schools, colleges,
workplaces, out of
school adolescents,
urban slums and suicide
prevention camps and
strengthening of Day
Care Centre
162.000
3 Day
Care
Centre
16.33 27
districts 145.66
5 - 9
5 6.2.16.1 Drugs and Supplies for
NMHP 81.00
27
districts 81.00 - -
10
6 7.7 Ambulatory Services 13.50 27
districts 10.8
27
districts 2.7
11-12
7 9.5.16.1
Training of PHC
Medical Officers,
Nurses, Paramedical
workers & Other Health
Staff working under
NMHP
40.50 - 1.53 27
districts 38.95
13- 15
8 9.5.16.2 Others (Training) 67.50 27
districts 67.50 - -
16
9 11.19.1
Translation of IEC
materials and
distribution
16.20 27
districts 5.40
27
districts 10.80
17- 18
10 11.19.2
Awareness generation activities in the
community, schools,
workplace with
community involvement
40.50 27
districts -
27
districts 40.50
19- 21
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Operational Guideline for the FY 2019-20 of National Mental Health Programme
Sl.
No
.
FMR Code
Activity
RoP
Approval
s, 2019-20
State HQ Allocation Total Allocation
against Districts
Page
No.
Phy.
Target
Fresh
RoP
approv
als (Rs.
In
Lakhs)
Phy.
Target
Fresh
RoP
approvals
(Rs. In
Lakhs)
12 16.1 –
(16.1.4.2.6)
Operational expenses of the district centre:
rent, telephone expenses,
website etc.
2.70 - - 27
districts 2.70
22- 23
13 16.1-
(16.1.3.3.13)
Miscellaneous/Travel/
Contingency under
NMHP
75.60 27
districts 20.25
27
districts 55.35
24- 25a
14 16.3.5 Call Centre
(Capex/Opex) 22.56
27
districts 22.56
25
Total 522.06 225.37 296.69
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Operational Guideline for the FY 2019-20 of National Mental Health Programme
District wise total fund breakup for the FY- 2019-20
Sl.No. District/ State HQ Allocated Fund including all
activity (Rs. In Lakhs)
1 Baksa 10.98
2 Barpeta 10.98
3 Bongaigaon 10.98
4 Cachar 10.98
5 Chirang 10.98
6 Darrang 10.98
7 Dhemaji 10.98
8 Dhubri 10.98
9 Dibrugarh 10.98
10 DimaHasao 10.98
11 Goalpara 10.98
12 Golaghat 10.98
13 Hailakandi 10.98
14 Kamrup (M) 10.98
15 Kamrup (R) 10.98
16 Karimganj 10.98
17 KarbiAnglong 10.98
18 Kokrajhar 10.98
19 Lakhimpur 10.98
20 Majuli (Jorhat) 10.98
21 Morigaon 10.98
22 Nalbari 10.98
23 Nagaon 10.98
24 Sivasagar 10.98
25 Sonitpur 10.98
26 Tinsukia 10.98
27 Udalguri 10.98
Total 296.46
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Operational Guideline for the FY 2019-20 of National Mental Health Programme
Activity No. 1:
FMR Code: 2.3.2.3
FMR Owner & Responsible Person: At State HQ: State Programme Officer, NMHP
At Dist. Level: District Programme Officer
Name of the Activity: DMHP: Targeted interventions at community level Activities & interventions
targeted at schools, colleges, workplaces, out of school adolescents, urban slums and suicide
prevention camps and strengthening of Day Care Centre.
About the activity:
District level screening cum intervention camps in whole community including schools,
colleges, offices, slum areas, out of schools, jails, NGOs by a team of District Program
Officer, Clinical Psychologist, Psychiatric Social Worker, Psychiatric Nurse and Community
Nurse.
Stress management workshops at workplaces.
Camps on suicide prevention in the community/ Depression clinics on fixed days.
Strengthening of Day Care Centre
Aim: To sensitize the whole community by the trained community health workers about mental
health, features of mental disorders, screening of mental health disorders among whole population,
availability of their management in the PHCs/CHCs/District Hospitals and benefits of treatment.
Expenditure can be incurred on the following activity:
1. Targeted interventions about mental health, features of mental disorders, availability of their
management in the community.
2. Targeted intervention about mental health, features of mental disorders, availability of their
management in schools.
3. Targeted interventions about mental health, features of mental disorders, availability of their
management in colleges.
4. Targeted interventions about mental health, features of mental disorders, availability of their
management and stress management at work places.
5. Targeted interventions about Adolescents problems& targeted interventions at urban slums
about mental health, features of mental disorders, availability of their management.
6. Targeted interventions about mental health, features of mental disorders, availability of their
management and stress management in the jail once in a month (about the same time in
every month.)
7. Targeted interventions about mental health, features of mental disorders, availability of their
management and stress management at NGOs (Twice in a month to each NGO).
8. Camps in the community on suicide prevention/depression.
Timeline to complete the activity: This activity needs to be completed by the end of the February,
2020.
*NB: Those districts who do not have NGO for mentally ill/homeless mentally ill/de-
addiction centre/halfway homes will conduct these camps in the community, school &
colleges.
A detailed report shall have to be submitted to the State cell after the completion of the
activities along with the UC and SOE.
A monthly format capturing the number of cases screened and interventions given in each
such camp has to be recorded.
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Operational Guideline for the FY 2019-20 of National Mental Health Programme
During the visit to the NGO, a survey needs to be done as per the Mental Healthcare Act
and Rules and report shall be submitted at the State cell on a monthly basis.
Average number of camps will be 7-9 per month. The clinical Psychologist shall take active
part in camps conducted in schools and colleges and shall visit the schools and colleges as
and when required.
A fixed day depression clinics or outreach sessions can be conducted for the vulnerable
group such as single elderly, widows, orphans etc. A simple questionnaire PHQ9 can be
used for this purpose by the clinical psychologist.
It is necessary to take support of Joint Director of Health ServicesandDC concernedto
organize the targeted intervention cum screening camps at workplaces
Total Budget and Numbers of Camps:
Unit
Cost
Targeted interventions at community Targeted interventions at schools
Rs. 5.52
lakhs/dis
trict
Total camps: 8 Total camps: 9
Budget: Rs.52,000/-
Rs. 6500/camp
Budget: Rs.58,500/-
Rs. 6500/camp
Ma
y
July Aug Se
p
Nov De
c
Jan Feb Ma
y
Jun
e
Jul
y
Au
g
Se
p
O
ct
N
ov
Ja
n
Fe
b
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
Unit
Cost
Targeted interventions at colleges Stress management at workplaces
Rs. 5.52
lakhs/dis
trict
Total camps: 9 Total camps:8
Budget: Rs.58,500/-
Rs. 6,500/camp
Budget: Rs.52,000/-
Rs. 6,500/camp
Ma
y
Jun
e
Au
g
Se
p
Oct N
ov
De
c
Jan Fe
b
May Jun
e
Jul
y
Aug Sep No
v
Dec Fe
b
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
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Operational Guideline for the FY 2019-20 of National Mental Health Programme
Unit
Cost
Adolescent problems and targeted
interventions at urban slums
Suicide prevention/Depression campsat different
community
Rs. 5.52
lakhs/dis
trict
Total camps:6 Total camps:7
Budget: Rs.39,000/-
Rs. 6,500/camp
Budget: Rs.45500/-
Rs. 6,500/camp
May July Sep Nov Dec Feb June July Aug Oct Nov Dec Feb
1 1 1 1 1 1 1 1 1 1 1 1 1
Unit Cost Targeted interventions at Jail once in a month (about the same time of every
month)
Rs. 5.52
lakhs/district
Total camps:12
Budget: Rs. 78,000/-
Rs. 6,500/camp
Apr May June July Aug Sep Oct Nov Dec Jan Feb Mar
1 1 1 1 1 1 1 1 1 1 1 1
Unit Cost Targeted interventions at NGOs, Halfway Homes twice in a month (every
2nd
and 4th
Friday)
Rs. 5.52
lakhs/district
Total camps: 24
Budget: Rs. 1,56,000/-
Rs. 6,500/camp
Apr May June July Aug Sep Oct Nov Dec Jan Feb Mar
2 2 2 2 2 2 2 2 2 2 2 2
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Operational Guideline for the FY 2019-20 of National Mental Health Programme
Budget Breakup for targeted intervention cum screening camps:-
FMR
Code
Sl.
No
Particulars Unit Cost Quantity Amount
2.3.2.3 1 IEC materials (Banner,
Poster etc.)
500/- 1 500/-
2 Tea & Refreshment 50/- 10 500/-
3 Lunch 250/- 10 2500/-
4 Vehicle 2000/- 1 2000/-
5 Miscellaneous 1000/- 1 1000/-
Total 6500/-
Note:
Above mentioned budget breakup is applicable for all kind of targeted intervention cum screening
camps under the FMR code:2.3.2.3
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Operational Guideline for the FY 2019-20 of National Mental Health Programme
District wise fund breakup under FMR Code- 2.3.2.3
Sl.No. District/ State HQ Phy. Target Allocated Fund (Rs. In
Lakhs)
1 Baksa 83 camps 5.39
2 Barpeta 83 camps 5.39
3 Bongaigaon 83 camps 5.39
4 Cachar 83 camps 5.39
5 Chirang 83 camps 5.39
6 Darrang 83 camps 5.39
7 Dhemaji 83 camps 5.39
8 Dhubri 83 camps 5.39
9 Dibrugarh 83 camps 5.39
10 DimaHasao 83 camps 5.39
11 Goalpara 83 camps 5.39
12 Golaghat 83 camps 5.39
13 Hailakandi 83 camps 5.39
14 Kamrup (M) 83 camps 5.39
15 Kamrup (R) 83 camps 5.39
16 Karimganj 83 camps 5.39
17 KarbiAnglong 83 camps 5.39
18 Kokrajhar 83 camps 5.39
19 Lakhimpur 83 camps 5.39
20 Majuli (Jorhat) 83 camps 5.39
21 Morigaon 83 camps 5.39
22 Nalbari 83 camps 5.39
23 Nagaon 83 camps 5.39
24 Sivasagar 83 camps 5.39
25 Sonitpur 83 camps 5.39
26 Tinsukia 83 camps 5.39
27 Udalguri 83 camps 5.39
Total for 27 district 145.66
28 State HQ (For strengthening of
day care centre)
- 16.33
Total 162.00
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Operational Guideline for the FY 2019-20 of National Mental Health Programme
Activity No. 2:
FMR Code: 6.2.16.1
At State HQ:
FMR Owner & Responsible Person: At State HQ: DSM (HQ)/State Programme Officer (NMHP)
Name of the Activity: Drugs and supplies under NMHP
Aim: For providing all needed psychotic drugs to the District Hospitals
Guideline: This activity will be started under the supervision of DSM (HQ)/State Programme Officer
for providing all needed psychotic drugs and consumables to the District and the procurement process
will be done at the State level.
Timeline to complete the activity: This activity needs to be completed at the earliest.
The activity will be implemented at State HQ, so there is no budget provision for
districts.
Fund breakup
FMR Code- 6.2.16.1
Sl.No. District/ State HQ Phy. Target Allocated Fund
(Rs. In Lakhs)
1 State HQ 1 81.00
Total 81.00
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Operational Guideline for the FY 2019-20 of National Mental Health Programme
Activity No. 3:
FMR Code: 7.7
FMR Owner & Responsible Person: At State HQ: State Programme Officer, NMHP
At Dist. Level: District Programme Officer, NMHP
Name of the Activity: Ambulatory Services
About the activity: Ambulatory services for the mobility of the patients
Aim: For providing mobility services for the mentally ill patients within the district and out of the
district also.
Free 102/108 Referral Transport Service will be utilized for referral of patients to the higher
facility.
Local transport facility will be utilized on hired basis as per norms, if 102/108 Referral
Transport Service is not available.
1. For mobility of the patients
Budget:
FMR
Code
Activity Sanctioned
Amount
Unit Cost Quantity Amount
7.7 Ambulatory
Services
Rs. 13.50
Lakh/District
Rs. 0.10 lakh 27 Rs. 2.70 Lakhs for all
27 districts
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Operational Guideline for the FY 2019-20 of National Mental Health Programme
District wise fund breakup under FMR Code- 7.7
Sl.No. District/ State HQ Allocated Fund (Rs. In
Lakhs)
1 Baksa 0.10
2 Barpeta 0.10
3 Bongaigaon 0.10
4 Cachar 0.10
5 Chirang 0.10
6 Darrang 0.10
7 Dhemaji 0.10
8 Dhubri 0.10
9 Dibrugarh 0.10
10 DimaHasao 0.10
11 Goalpara 0.10
12 Golaghat 0.10
13 Hailakandi 0.10
14 Kamrup (M) 0.10
15 Kamrup (R) 0.10
16 Karimganj 0.10
17 KarbiAnglong 0.10
18 Kokrajhar 0.10
19 Lakhimpur 0.10
20 Majuli (Jorhat) 0.10
21 Morigaon 0.10
22 Nalbari 0.10
23 Nagaon 0.10
24 Sivasagar 0.10
25 Sonitpur 0.10
26 Tinsukia 0.10
27 Udalguri 0.10
Total 2.70
28 State HQ 10.80
Total 13.50
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Operational Guideline for the FY 2019-20 of National Mental Health Programme
Activity No. 4:
FMR Code: 9.5.16.1
FMR Owner & Responsible Person: At State HQ: State Programme Officer, NMHP
At Dist. Level: District Programme Officer
Name of the Activity: Training of PHC Medical Officers, Nurses, Paramedical Workers & Other
Health Staff working under NMHP
About the activity: Training of MOs, Staff Nurses, Paramedical workers, 108 & 102 drivers, police
personnels, Jail Doctor, Personal from Social Welfare Deptt., Govt. officials, Magistrates and NGO
workers for mentally ill patient.
Aim:1. For providing knowledge, basic information about the mental illnesses and their treatment to
the Medical Officers of BPHCs/PHCs/MMU/Tea Garden/Jail Doctors, so that later they can at
least provide mental health OPD services in PHC/CHC level and can identify the mentally ill patient
and refer to the District Hospitals.
2. For providing knowledge to the Staff Nurses on mental illnesses and their basic treatment at
PHC/CHC level, so that later they can help the MOs to treat the mentally ill patient and refer
to the District Hospital.
3. For providing the knowledge to the paramedical staff and other staff about the mentally ill
patient and the basic things for their treatment at PHC/CHC level.
4. For providing training to the 108 & 102 ambulance drivers and technicians, so that they
may help in the mobility of the patient from the respective places.
5. For providing training to the Police personnels, Magistrates,Govt. Officials and Personals
from Deptt. of Social Welfare, NGO workerswho are working for homeless mentally ill
patients /De- addiction Centers so that they can get the knowledge about their duty in terms
of homeless mentally ill patients, their rescue, their treatment etc.
6. For providing training to the Panchayat leaders, Community leaders and others in each
district.
Expenditure can be incurred on the following activity:
1. Training of the Medical Officers of BPHCs/PHCs/MMU/Tea Garden/Jail Doctors (Batch
size- 30) (Total- 1 batch)
2. Training of the Staff Nurses (Batch size- 30) (Total- 1 batch)
3. Training of the paramedical staffs, 108 & 102 ambulance drivers and technicians and
other staffs (Batch size- 30) (Total- 1 batch)
4. Training of the Police personnels, Magistrates, Govt. Officials and Personals from Deptt.
of Social Welfare, NGO workers who are working for homeless mentally ill patients /De-
addiction Centres(Batch size- 30) (Total- 1 batch)
5. Training of the Panchayat leaders, Community leaders and others (Batch size- 30)
(Total- 1 batch)
Timeline to complete the activity: This activity needs to be completed by the end of the January,
2020.
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Operational Guideline for the FY 2019-20 of National Mental Health Programme
District wise budget breakup:
Note:
Above mentioned budget breakup is applicable for all kind of training pro grammes under the FMR
code: 9.5.16.1
FMR
Code
Sl.
No
Particulars Unit Cost
(In Rs.)
Quantit
y
Amount (In
Rs.)
9.5.16.1 1 TA for the participants (on
actual)
200.00 30 6000.00
2 Breakfast, Lunch & Tea
for the trainees
350.00 40 14000.00
3 Honorarium for Resource
Person
1000.00 2 2000.00
4 Banner 350.00 1 350.00
5 Venue Hiring 3000.00 1 3000.00
6 Contingency (Teaching
materials, folder, pen etc.)
100.00 35 3500.00
Total 28850.00
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Operational Guideline for the FY 2019-20 of National Mental Health Programme
District wise fund breakup under FMR Code- 9.5.16.1
Sl.No. District/ State HQ Phy. Target Allocated Fund (Rs. In
Lakhs)
1 Baksa Training (total 5 batches) 1.44
2 Barpeta Training (total 5 batches) 1.44
3 Bongaigaon Training (total 5 batches) 1.44
4 Cachar Training (total 5 batches) 1.44
5 Chirang Training (total 5 batches) 1.44
6 Darrang Training (total 5 batches) 1.44
7 Dhemaji Training (total 5 batches) 1.44
8 Dhubri Training (total 5 batches) 1.44
9 Dibrugarh Training (total 5 batches) 1.44
10 DimaHasao Training (total 5 batches) 1.44
11 Goalpara Training (total 5 batches) 1.44
12 Golaghat Training (total 5 batches) 1.44
13 Hailakandi Training (total 5 batches) 1.44
14 Kamrup (M) Training (total 5 batches) 1.44
15 Kamrup (R) Training (total 5 batches) 1.44
16 Karimganj Training (total 5 batches) 1.44
17 KarbiAnglong Training (total 5 batches) 1.44
18 Kokrajhar Training (total 5 batches) 1.44
19 Lakhimpur Training (total 5 batches) 1.44
20 Majuli (Jorhat) Training (total 5 batches) 1.44
21 Morigaon Training (total 5 batches) 1.44
22 Nalbari Training (total 5 batches) 1.44
23 Nagaon Training (total 5 batches) 1.44
24 Sivasagar Training (total 5 batches) 1.44
25 Sonitpur Training (total 5 batches) 1.44
26 Tinsukia Training (total 5 batches) 1.44
27 Udalguri Training (total 5 batches) 1.44
Total for 27 district 38.95
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Operational Guideline for the FY 2019-20 of National Mental Health Programme
28 State HQ Training cum review meeting(one) 1.55
Total 40.50
Activity No. 5:
FMR Code: 9,5.16.2
FMR Owner & Responsible Person: At State HQ: State Programme Officer, NMHP
Name of the Activity: Training under NMHP
Aim: For providing training to the
1. Non- Psychiatric Medical Officers
2. Clinical Psychologist and
3. Psychiatric Social Worker at Lokpriya Gopinath Bordoloi Regional Institute of Mental Health
(LGBRIMH), Tezpur under National Mental Health Programme (NMHP).
Guideline: For the training of Non- Psychiatric Medical Officers along with Clinical Psychologist
and Psychiatric Social Worker at Lokpriya Gopinath Bordoloi Regional Institute of Mental Health
(LGBRIMH), Tezpur under National Mental Health Programme (NMHP),the communication with
LGBRIMH, Tezpur and the whole training process will be done from the state level.
Timeline to complete the activity: This activity needs to be completed by the end of the March,
2020.
The activity will be implemented at State HQ, so there is no budget provision for
districts.
Fund breakup
FMR Code- 9,5.16.2
Sl.No. District/ State HQ Phy. Target Allocated Fund
(Rs. In Lakhs)
1 State HQ Total 14 batches 67.50
Total 67.50
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Operational Guideline for the FY 2019-20 of National Mental Health Programme
Activity No. 6:
FMR Code: 11.19.1
FMR Owner & Responsible Person: At State HQ: State Programme Officer, NMHP
At Dist. Level: District Programme Officer
Name of the Activity: Translation of IEC materials and distribution
Aim: For providing the IEC materials and training modules to the districts
Guideline: Developing IEC materials and printing of hoarding at district level and printing and
distribution of the training modules at state level under NMHP
Timeline to complete the activity: This activity needs to be completed by the end of the January,
2020.
District wise budget breakup:
FMR
Code
Particulars Unit Cost
(In Rs.)
Quantity Amount (In
Rs.)
11.19.1 Hoarding under NMHP 10000.00 4 40000.00
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Operational Guideline for the FY 2019-20 of National Mental Health Programme
District wise fund breakup under FMR Code- 11.19.1
Sl.No. District/ State HQ Phy. Target Allocated Fund
(Rs. In Lakhs)
1 Baksa 4 hoardings 0.40
2 Barpeta 4 hoardings 0.40
3 Bongaigaon 4 hoardings 0.40
4 Cachar 4 hoardings 0.40
5 Chirang 4 hoardings 0.40
6 Darrang 4 hoardings 0.40
7 Dhemaji 4 hoardings 0.40
8 Dhubri 4 hoardings 0.40
9 Dibrugarh 4 hoardings 0.40
10 DimaHasao 4 hoardings 0.40
11 Goalpara 4 hoardings 0.40
12 Golaghat 4 hoardings 0.40
13 Hailakandi 4 hoardings 0.40
14 Kamrup (M) 4 hoardings 0.40
15 Kamrup (R) 4 hoardings 0.40
16 Karimganj 4 hoardings 0.40
17 KarbiAnglong 4 hoardings 0.40
18 Kokrajhar 4 hoardings 0.40
19 Lakhimpur 4 hoardings 0.40
20 Majuli (Jorhat) 4 hoardings 0.40
21 Morigaon 4 hoardings 0.40
22 Nalbari 4 hoardings 0.40
23 Nagaon 4 hoardings 0.40
24 Sivasagar 4 hoardings 0.40
25 Sonitpur 4 hoardings 0.40
26 Tinsukia 4 hoardings 0.40
27 Udalguri 4 hoardings 0.40
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Operational Guideline for the FY 2019-20 of National Mental Health Programme
Total for 27 district 10.80
28 State HQ - 5.40
Total 16.20
Activity No. 7:
FMR Code:11.19.2
FMR Owner & Responsible Person: At State HQ: State Programme Officer, NMHP
At Dist. Level: District Programme Officer
Name of the Activity: Awareness generation activities in the community, schools, workplaces with
community involvement
About the activity: Activities like advertisement on mental health in local newspapers, magazines,
news channels etc., leaflets, charts, bus panels, exhibitions, wall painting, street plays, puppets’
shows, dance & song shows, community meeting with general people, meetings with the family
members of the patients, interactive sessions on mental health in Haats, other specific activities etc. in
different community, schools, colleges, workplaces for awareness generation on mental illness, their
treatment along with the training of school teachers for early detection of children with mental illness
and training of college teachers for helping the college students to be cured from depression, anxiety,
somatoform disorder, adjustment disorder, personality disorder, stress problem, alcohol and drug
abuse problem and sensitization of ASHA workers at district level etc.
Aim: For creating awareness generation amongst the people on mental health stigma, features of
mental disorder, treatment availability and their management in the PHCs/ CHCs/District hospitals,
benefits of treatment to the ill persons and the family and training of school and college teachers on
mental health.
Expenditure can be incurred on the following activity:
1. Sensitization/Training of College teachers (1 batch)
2. Sensitization/Training of School teachers(1 batch)
3. Sensitization of ASHA workers (2 batches)
4. Outdoor Media
5. Folk Media
6. Interpersonal Communication (IPC)
Timeline to complete the activity: This activity needs to be completed by the end of the February,
2020.
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Operational Guideline for the FY 2019-20 of National Mental Health Programme
District wise budget breakup for Sensitization/Training:
Note:
Above mentioned budget breakup is applicable for all kind of training programmes under the FMR
code: 11.19.2
Budget:
Unit cost Awareness generation
through outdoor media
Awareness generation
through folk media
Awareness generation
through interpersonal
communication (IPC)
Street plays Community meetings with
general people
Meetings with family
members of the patients
(Home Visit)&Interactive
sessions on mental health in
Markets, Haats etc.
Total:3 Total: 6 Total: As much can
FMR
Code
Sl.
No
Particulars Unit Cost
(In Rs.)
Quantit
y
Amount (In
Rs.)
9.5.16.1 1 TA for the participants (on
actual)
200.00 30 6000.00
2 Breakfast, Lunch & Tea
for the trainees
300.00 35 10500.00
3 Honorarium for Resource
Person
1000.00 2 2000.00
4 Banner 300.00 1 300.00
5 Venue Hiring 2000.00 1 2000.00
6 Contingency (Teaching
materials, folder, pen,
certificates for the
participants and others)
100.00 35 3500.00
Total 24300.00
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Operational Guideline for the FY 2019-20 of National Mental Health Programme
conduct
Rs. 0.52
lakh/
district
Budget: Rs. 5000/ play
Total: Rs. 5000/- x 3=
15000/-
Budget: Rs. 4000/meeting
Total: Rs. 4000/- x 6=
24000/-
Total Budget: 13800/-
District wise fund breakup under FMR Code- 11.19.2
Sl.No. District/ State
HQ
Phy. Target Allocated
Fund (Rs.
In Lakhs)
1 Baksa Sensitization/ training and awareness generation activities 1.50
2 Barpeta Sensitization/ training and awareness generation activities 1.50
3 Bongaigaon Sensitization/ training and awareness generation activities 1.50
4 Cachar Sensitization/ training and awareness generation activities 1.50
5 Chirang Sensitization/ training and awareness generation activities 1.50
6 Darrang Sensitization/ training and awareness generation activities 1.50
7 Dhemaji Sensitization/ training and awareness generation activities 1.50
8 Dhubri Sensitization/ training and awareness generation activities 1.50
9 Dibrugarh Sensitization/ training and awareness generation activities 1.50
10 DimaHasao Sensitization/ training and awareness generation activities 1.50
11 Goalpara Sensitization/ training and awareness generation activities 1.50
12 Golaghat Sensitization/ training and awareness generation activities 1.50
13 Hailakandi Sensitization/ training and awareness generation activities 1.50
14 Kamrup (M) Sensitization/ training and awareness generation activities 1.50
15 Kamrup (R) Sensitization/ training and awareness generation activities 1.50
16 Karimganj Sensitization/ training and awareness generation activities 1.50
17 KarbiAnglong Sensitization/ training and awareness generation activities 1.50
18 Kokrajhar Sensitization/ training and awareness generation activities 1.50
19 Lakhimpur Sensitization/ training and awareness generation activities 1.50
20 Majuli (Jorhat) Sensitization/ training and awareness generation activities 1.50
21 Morigaon Sensitization/ training and awareness generation activities 1.50
22 Nalbari Sensitization/ training and awareness generation activities 1.50
23 Nagaon Sensitization/ training and awareness generation activities 1.50
24 Sivasagar Sensitization/ training and awareness generation activities 1.50
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Operational Guideline for the FY 2019-20 of National Mental Health Programme
25 Sonitpur Sensitization/ training and awareness generation activities 1.50
26 Tinsukia Sensitization/ training and awareness generation activities 1.50
27 Udalguri Sensitization/ training and awareness generation activities 1.50
Total for 27 district 40.50
Activity No. 8:
FMR Code:16.1.4.2.6
FMR Owner & Responsible Person: At State HQ: State Programme Officer, NMHP
At Dist. Level: District Programme Officer
Name of the Activity: Operational expenses of the district centre: rent, telephone expenses, website
etc.
About the activity: Operational expenses of the district centre: rent, telephone expenses, website etc.
Expenditure can be incurred on the following activity:
1. Rent
2. Telephone bill
3. Internet bill
Total Budget:
Activity Unit cost Quantity Total
Operational expenses of the district
centre: rent, telephone expenses,
website etc.
Rs. 0.10 lakh/ district 27 Rs. 2.70 lakhs
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Operational Guideline for the FY 2019-20 of National Mental Health Programme
District wise fund breakup under FMR Code- 16.1.4.2.6
Sl.No. District/ State HQ Phy. Target Allocated Fund
(Rs. In Lakhs)
1 Baksa Rent/Telephone bill/website 0.10
2 Barpeta Rent/Telephone bill/website 0.10
3 Bongaigaon Rent/Telephone bill/website 0.10
4 Cachar Rent/Telephone bill/website 0.10
5 Chirang Rent/Telephone bill/website 0.10
6 Darrang Rent/Telephone bill/website 0.10
7 Dhemaji Rent/Telephone bill/website 0.10
8 Dhubri Rent/Telephone bill/website 0.10
9 Dibrugarh Rent/Telephone bill/website 0.10
10 DimaHasao Rent/Telephone bill/website 0.10
11 Goalpara Rent/Telephone bill/website 0.10
12 Golaghat Rent/Telephone bill/website 0.10
13 Hailakandi Rent/Telephone bill/website 0.10
14 Kamrup (M) Rent/Telephone bill/website 0.10
15 Kamrup (R) Rent/Telephone bill/website 0.10
16 Karimganj Rent/Telephone bill/website 0.10
17 KarbiAnglong Rent/Telephone bill/website 0.10
18 Kokrajhar Rent/Telephone bill/website 0.10
19 Lakhimpur Rent/Telephone bill/website 0.10
20 Majuli (Jorhat) Rent/Telephone bill/website 0.10
21 Morigaon Rent/Telephone bill/website 0.10
22 Nalbari Rent/Telephone bill/website 0.10
23 Nagaon Rent/Telephone bill/website 0.10
24 Sivasagar Rent/Telephone bill/website 0.10
25 Sonitpur Rent/Telephone bill/website 0.10
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Operational Guideline for the FY 2019-20 of National Mental Health Programme
26 Tinsukia Rent/Telephone bill/website 0.10
27 Udalguri Rent/Telephone bill/website 0.10
Total for 27 district 2.70
Activity No. 9:
FMR Code: 16.1.3.3.13
FMR Owner & Responsible Person: At State HQ: State Programme Officer, NMHP
At Dist. Level: District Programme Officer
Name of the Activity: Miscellaneous/Travel
About the activity: Miscellaneous/Travel/Contingency costs under NMHP
Expenditure can be incurred on the following activity:
1. Miscellaneous costs can include overhead expenditures.
2. Travel costs will include the mobility costs as per NHM norms for monitoring and
supervision purposes and for camps if required.
3. Contingency costs will include expenditure for office contingency like maintenance of the
office, internet data card, Office furniture (if not purchase earlier and after proper approval of
Jt. DHS), small handy camera (6000- 7000/-) etc., and review meeting at district level.
Timeline to complete the activity: This activity needs to be completed by the end of the February,
2020.
District wise budget breakup:
Unit
Cost
Office
Continge
ncy/statio
nary/othe
rs
Monitori
ng/super
vision/Tr
avelling
Review
meeting
at
district
level
Small
handy
Camera
for
report
writing
Office
furniture
(If not
purchased
earlier and
after
approval
from Jt.
DHS)
Observati
on of
special
days
(World
Mental
Health
Day &
World
Schizophr
enia Day
etc.)
Cultural
Rally at
district
level
overhea
d
expenses
Rs.2
0.05/
Distri
ct
30000 50000 4000 10000 50000 30000 10000 20000
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Operational Guideline for the FY 2019-20 of National Mental Health Programme
District wise fund breakup under FMR Code- 16.1.3.3.13
Sl.No. District/ State
HQ
Phy. Target Allocated Fund (Rs.
In Lakhs)
1 Baksa Miscellaneous/Travel/Contingency 2.05
2 Barpeta Miscellaneous/Travel/Contingency 2.05
3 Bongaigaon Miscellaneous/Travel/Contingency 2.05
4 Cachar Miscellaneous/Travel/Contingency 2.05
5 Chirang Miscellaneous/Travel/Contingency 2.05
6 Darrang Miscellaneous/Travel/Contingency 2.05
7 Dhemaji Miscellaneous/Travel/Contingency 2.05
8 Dhubri Miscellaneous/Travel/Contingency 2.05
9 Dibrugarh Miscellaneous/Travel/Contingency 2.05
10 DimaHasao Miscellaneous/Travel/Contingency 2.05
11 Goalpara Miscellaneous/Travel/Contingency 2.05
12 Golaghat Miscellaneous/Travel/Contingency 2.05
13 Hailakandi Miscellaneous/Travel/Contingency 2.05
14 Kamrup (M) Miscellaneous/Travel/Contingency 2.05
15 Kamrup (R) Miscellaneous/Travel/Contingency 2.05
16 Karimganj Miscellaneous/Travel/Contingency 2.05
17 KarbiAnglong Miscellaneous/Travel/Contingency 2.05
18 Kokrajhar Miscellaneous/Travel/Contingency 2.05
19 Lakhimpur Miscellaneous/Travel/Contingency 2.05
20 Majuli (Jorhat) Miscellaneous/Travel/Contingency 2.05
21 Morigaon Miscellaneous/Travel/Contingency 2.05
22 Nalbari Miscellaneous/Travel/Contingency 2.05
23 Nagaon Miscellaneous/Travel/Contingency 2.05
24 Sivasagar Miscellaneous/Travel/Contingency 2.05
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Operational Guideline for the FY 2019-20 of National Mental Health Programme
25 Sonitpur Miscellaneous/Travel/Contingency 2.05
26 Tinsukia Miscellaneous/Travel/Contingency 2.05
27 Udalguri Miscellaneous/Travel/Contingency 2.05
Total for 27 district 55.35
28 State HQ Miscellaneous/Travel/Contingency 20.25
Total 75.60
Activity No. 10:
FMR Code: 16.3.5
FMR Owner & Responsible Person: At State HQ: State Programme Officer, NMHP/ State
Programme Manager 2, NHM/ MIS Manager, NHM
Name of the Activity: Call Centre, NMHP
Aim: To provide the “Toll-Free Mental Health Helpline” to avail the medical services regarding the
mental health through telephone from any corner of the state, obviating the need to travel. This
helpline is able to reach anyone in the state who has access to a telephone.
Service Delivered:
1. Information on mental health facilities/ de-addiction centres/District Hospitals/Supporting
schemes and programmes etc.
2. Advice for mental disorders
3. General Counseling on Schizophrenia
4. Psychotic Episodes
5. Bipolar Disorders
6. Suicidal/Homicidal thoughts and tendencies
7. Anxiety and other Psychological Issues
8. Advice for psychosexual problems
9. A grievance will be registered on non- availability of doctors/service providers/any health
facilities etyc.
10. Counseling on Addiction
11. Self-harm Behaviour
12. Sexual Harrasment etc.
Timeline to complete the activity: This activity needs to be completed by the end of the March,
2020.
The activity will be implemented at State HQ, so there is no budget provision for
districts.
Fund breakup
FMR Code- 16.3.5
Sl.No. District/ State HQ Phy. Target Allocated Fund
(Rs. In Lakhs)
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Operational Guideline for the FY 2019-20 of National Mental Health Programme
1 State HQ 27 districts 22.56
Total 22.56
Revised Terms of Reference (TORs) for staff to be appointed at District Hospital under
NMHP, Assam
a) Job Title: Consultant Psychiatrist
Qualification: Essential:
MD in Psychiatry or equivalent degree from institution recognized by Medical
Council of India.
Desirable: 2 years experience of working as a specialist in a hospital.
Job requirements/responsibilities:
a) To examine and manage health care needs of the mentally ill patients
b) To provide in-patient care to the mentally ill patients.
c) To do periodic follow up of the mentally ill patients
d) To do the outreached activity/plan/camps in NGOs for homeless
mentally ill patients, Halfway homes, Shelter homes, Jails along with
the other members of DMHP team in fixed days
e) To refer complicated cases to tertiary level hospitals
f) To impart training to the health professional of community Health
Centre and primary Health Centre as per guidelines issued by
National Mental Health Cell of the State.
b) Job Title: Clinical Psychologist
Qualification: Post Graduate Degree in Psychology or Applied Psychology and a
Master of Philosophy in Medical and Social Psychology or Masters of Philosophy
in Mental Health and Social Psychology obtained after completion of a full time
course of two years which includes supervised clinical training, approved and
recognized by the Rehabilitation Council of India.
Job requirements/responsibilities:
(a) To examine and manage health care needs of the mentally ill patients
(b) To do periodic follow up of the mentally ill patients
(c) To refer complicated cases to tertiary level hospitals
(d) To impart training to the health professional of community Health Centre
and primary Health Centre as per guidelines issued by National Mental
Health Cell of the State
(e) To impart training to the school teachers and college teachers
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Operational Guideline for the FY 2019-20 of National Mental Health Programme
(f) To do the outreached activity/plan/camps in NGOs for homeless mentally
ill patients, Halfway homes, Shelter homes, Jail etc. along with the
Programme Officer in fixed days.
(g) To train/orient the Psychologist/Counselors of other related programmes
like RBSK/RKSK.
a) Job Title: Psychiatric Nurse
Qualification: BSc. in Nursing or equivalent degree from institution recognized
by Nursing council of India and at least 2 years experience of working in
psychiatry/mental health Institution/Hospital.
Desirable: PG Diploma in Psychiatric Nursing from Institution recognized by
nursing council of India.
Job requirements/responsibilities:
a) To examine and manage health care needs of the mentally ill patients
b) To provide in-patient care to the mentally ill patients
c) To do the outreach activity/plan and manage psychiatry clinics in
PHCs/CHCs and other sites periodically
d) To impart training to the health personnel of Community Health
Centre and Primary Health Centre as per guidelines issued by
National Mental Health Cell
b) Job Title: Psychiatric Social Worker
Qualification- Essential: Post Graduate Degree awarded after completion of
course of study of minimum two years in mental health or psychiatric social work.
Job requirements/responsibilities:
a) To help patients gain access to support groups, day care facilities,
higher education, vocational skills and employment facilities,
certification, reservations and other benefits
b) To make domiciliary visits for persons with Severe Mental
Disorder(SMD) so that the home environment is examined, monitored
and made conducive to the extent possible and to provide a range of
community based rehabilitation interventions
c) To facilitate Access to education for children in the family, old age
pension for elders in the family etc. to reduce the overall burden of
care and improve quality of the life for patients and their families
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Operational Guideline for the FY 2019-20 of National Mental Health Programme
d) To be a part of the team under the Psychiatrist for screening and
awareness camps in different community along with the Clinical
Psychologist.
e) Any other job assigned by the concerned officials.
c) Job Title: Community Nurse
Qualification- Essential: BSc. Nursing from Institution recognized by nursing
council of India.
Desirable: 2 years experience of working in a hospital
Job requirements/responsibilities:
a) To examine and manage health care needs of the mentally ill patients
b) To keep track of follow-up patients availing treatment at CHC and
PHC
c) To do the outreach activity/plan and manage psychiatry clinics in
PHCs/CHCs and other sites periodically
d) To impart training to the health personals of Community Health
Centre and Primary Health Centre as per guidelines issued ny
National Mental Health Cell in the State.
e) To assist the Psychiatric Social Worker to make domiciliary visits for
persons with Severe Mental Disorder(SMD) so that the home
environment is examined, monitored and made conducive to the
extent possible and to provide a range of community based
rehabilitation interventions
d) Job Title: Record Keeper/ Monitoring and Evaluation Officer
Qualification- Essential: Graduation in any subject from a recognized university
Knowledge of Windows-based packages/applications
Desirable: 2 years experience of working in a health care institution
Job requirements/responsibilities:
a) To provide coordination among CMO/CDMO, District Psychiatrist
and other officials of District health department for implementation of
various activities under DMHP
b) To fill the GoI format on monthly basis & submit to the State NMHP
Cell on or before 7th
of each month
c) To facilitate the dissemination of Programme information./Data from
District to the State Programme Cell/Officer
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Operational Guideline for the FY 2019-20 of National Mental Health Programme
d) Monitoring and Evaluation of different programmes activities at
district level under DMHP
e) To prepare the Statements of Accounts and Facilitate the preparation
of utilization certificate and its submission to the State Programme
Officer on monthly basis (On the 7th
of each month).
f) Ensure regular entry of all relevant data in the computer pertaining to
various aspects of DMHP in a systematic manner to facilitate its
analysis
g) To prepare the reports of each camps/activity conducted in the district
under DMHP and submit the same to the State Programme Officer.
h) Analyze Data and Compile report
i) Any other job assigned as per programme need
e) Job Title: Case Registry Assistant
Qualification- Essential: Higher Secondary and knowledge of Windows-based
packages/applications
Desirable: 1 years experience of working in a health care institution
Job requirements/responsibilities:
a) To ensure regular entry of all relevant data in the computer pertaining
to patients in a systematic manner to facilitate their tracking and
follow-up
b) Analyze the data and compile reports at District level
c) Any other job assigned as per programme need
f) Job Title: Ward Assistant/Orderly
Qualification- Essential: Higher Secondary from a recognized Education Board
or equivalent
Desirable: 1 years experience of working in a health care institution
Job requirements/responsibilities:
a) To provide support to the nurses in provision of in-patient care to
the mentally ill Patients in Psychiatry ward of District Hospital
b) Helping the Patients in carrying out their daily chores during their
stay in the hospital
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Operational Guideline for the FY 2019-20 of National Mental Health Programme
Monthly Monitoring Proforma for District Mental Health Programme
1. Reporting month & year: ________(Year)
2. Name of the District: State/UT:
3. Contact details of the authorities concerned with implementation of NMHP in the state
District Nodal Officer
Name &Address*
Telephone*
Mobile*
Fax*
Email id*
Date of joining
1. Status of availability of Mental Health Professionals under DMHP
Designation/Positions
Existing
Recruited under DMHP
Psychiatrist
Yes/No & Number Yes/No
Clinical Psychologist/Psychologist Yes/No & Number Yes/No
Psychiatric Social Worker/ Social Worker Yes/No & Number Yes/No
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Operational Guideline for the FY 2019-20 of National Mental Health Programme
Psychiatric Nurse/
Trained Nurse
Yes/No & Number Yes/No
Community Nurse Yes/No & Number Yes/No
Monitoring & Evaluation Officer Yes/No & Number Yes/No
Case Registry Assistant Yes/No & Number Yes/No
Ward Assistant/ Orderly Yes/No & Number Yes/No
2. Status of trainings and capacity building of the health professionals in the DMHP district
S. No. Health Professionals Total no. in
the district
Total no. of professionals trained
No. yet to be
trained In the reporting
month
Cumulative
A. MOs from BPHC/PHC/MMU
doctors/Tea Garden doctors/Jail
Doctors
A1. Staff Nurse
A2. Para medical staff/Health
workers/108 & 102 drivers &
technicians
A3. Police personals, Magistrates,
Govt. Officials and Personals
from Deptt. of Social Welfare,
NGO workers who are working
for homeless mentally ill
patients /De- addiction Centres
A4. Panchayat leaders, Community
leaders and others
B.
B1. School teachers
B2. College teachers
B3. ASHA workers
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Operational Guideline for the FY 2019-20 of National Mental Health Programme
3. Status of targeted intervention cum screening caps in the DMHP district
S. No. Targeted intervention cum
screening caps
Target given
in the
reporting
month
No. of camps
conducted No. of patient
screened
No. of patient
referred
A. Targeted interventions at
community
B. Targeted interventions at
Schools
C. Targeted interventions at
colleges
D. Stress management at
workplaces
E. Adolescent problems and
targeted interventions at urban
slums
F. Suicide
prevention/Depression camps
at different community
G. Targeted interventions at Jail
once in a month (about the
same time of every month)
H. Targeted interventions at
NGOs, Halfway Homes
twice in a month (every 2nd
and 4th
Friday)
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Operational Guideline for the FY 2019-20 of National Mental Health Programme
4. Status of Mental Health Services available in DMHP district
A. Mental Health Services – Out Patient Department (OPD) and referral services at District
Health Care Level
A 1. Total no. of new patients seen in the OPD in the reported month
A 2. Total no. of follow – up cases seen in the OPD in the reported month
A 3. Total no. of cases referred to tertiary care hospital in the reported month
B. Mental Health Services – In Patient Department (IPD) at District Health Care Level
B 1. Availability of In-patient services (Yes/No)
B 2. No. of beds available
B 3. Total No of patients admitted in IPD
B 4. Average duration of stay (in days)
B 5. are there any linkages between DMHP and other institutions to provide
discharged patients with continuing community care
C.
Mental Health Services- Number of OPD/IPD Patients
Types of Psychiatric Patients
Total
num
bers
of
patie
nts
Mal
e
Fem
ale
New
cases
Follo
w up
cases
Ind
oor
Schiz
ophre
nia
BPA
D
Alcoh
olic &
Subst
ance
abuse
OC
D
MR Depr
ession
Oth
ers
Rem
arks
D.
Mental Health Services – after treatment continuing care services at District Level
D 1. No. of Day care Centers available/set up in the district
D 2. No. of Residential Continuing Care Centre(stay upto 6 mths) in the
district
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Operational Guideline for the FY 2019-20 of National Mental Health Programme
D 3. No. of Long Term Residential Continuing Care Centre (long stay) in
the district
Month Cumulative
D 4 Total No. of Patients availed services at Day care Centers
D 5 Total No. of Patients availed services at Residential Continuing Care
Centre
D 6 Total No. of Patients availed services at Long Term Residential
Continuing Care Centre (
E. Mental Health Services – Availability and Dispensing of Essential Psychotropic Drugs
Classification of Drugs
District Level PHC Level
Hint to fill the responses: (A=regularly available, B=irregularly
available and NA=not available)
E1. Antidepressant
E2. Antipsychotic
E3. Anticonvulsant
E4. Anxiolytic/hypnotic
F. Source of Essential Drugs
F1. Source of essential drugs State govt. /DMHP fund
(mark whichever is applicable)
5. Status of Awareness generation activities (Information, Education & Communication
activities) in the district. {Please attach photographs in support of the activities conducted}
Media Type of Media used
(activities)
No. of IEC activities
undertaken
Level
(District/PHC)
Ma
ss M
edia
Broadcasting of video clips on local TV
channels
Dissemination of messages through
community radio
Showing films on mental health
Advertisement on mental health in local
newspapers, magazines, etc.
Ou
tdo
or
med
ia
Hoardings
Bus panels
Exhibitions
Wall paintings
Street plays
F ol k
m e di a Puppets shows
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Operational Guideline for the FY 2019-20 of National Mental Health Programme
Dance and song shows
Community meetings with general
people
Inte
rper
son
al
com
mu
nic
ati
on
(IP
C)
Meetings with the family members of
the patients
Interactive sessions on mental health in
Haats
Specify activities
Oth
ers
if a
ny
;
6. Financial status – as on …………………………..
S. No. FMR Code Activity Budget
Received
Expenditu
re
incurred
Balance Remar
ks
1. 2.3.2.3 Targeted intervention cum screening
caps
2 5.3.15 District DMHP Centre, counseling
centre
3. 7.7 Ambulatory Services
4. 9.5.16.1 Training at district level
5. 11.19.1 Translation of IEC materials
6. 11.19.2 Awareness generation activities and
teachers training
7. 16.1.4.2.6 Operational expenses
8. 16.1.3.3.13 Miscellaneous/Travel/Contingency
Total
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Operational Guideline for the FY 2019-20 of National Mental Health Programme
Is there any difficulty in using the funds allocated to your district? If Yes, please explain.
7. Communitisation of DMHP
7.1 No. of NGOs engaged for mental health activities……………………………………….
7.2 No. of Panchayati Raj Institutions engaged for mental health activities
ofDMHP………………………………………………………………………………………….
7.3 No. of User Groups/Family Associations in the district ………......................................
8. Any other relevant information ____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
________________________
Signature of nodal officer of DMHP/ DMHP-Psychiatrist Dated……………………
(Please send the filled inproforma to State Programme Officer, National Mental Health Programme, Assam,
on 7th
day of every successive month. Simultaneously, a soft copy of the same may be sent on the