NATIONAL AND NATIONAL AND COMMUNITY MENTAL COMMUNITY MENTAL HEALTH PROGRAMMEHEALTH PROGRAMME

AIMS OF NCMHPAIMS OF NCMHP

To ensure treatment and prevention To ensure treatment and prevention of mental and neurological disorder.of mental and neurological disorder.

Use of mental health technologyUse of mental health technology Application of mental health Application of mental health

principles in total national principles in total national development to improve quality of development to improve quality of life.life.

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 To promote community participation in mental health services development , and to mental health services development , and to stimulate efforts towards self help in the stimulate efforts towards self help in the community.community.

STRATEGIESSTRATEGIES

Integration of mental health with primary Integration of mental health with primary health care through the national mental health care through the national mental health program.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 Eradication stigmatization of mentally ill patients and protecting their rights patients and protecting their rights through regulatory institutions like the through regulatory institutions like the central mental health authority, and state central mental health authority, and state mental health.mental health.

APPROACHES APPROACHES

Integration of the mental healthIntegration of the mental healthcare services with the exixting care services with the exixting general health services.general health services.

To utilize the existing infrastructure of To utilize the existing infrastructure of health services and also to deliver the health services and also to deliver the minimum mental health care services.minimum mental health care services.

To provide appropriate task oriented To provide appropriate task oriented training to the existing health staff.training to the existing health staff.

To link health services with the existing To link health services with the existing community development programe.community development programe.

DISTRICT MENTAL HEALTH PROGRAMME DISTRICT MENTAL HEALTH PROGRAMME COMPONENTSCOMPONENTS

Training programs of all workers in the Training programs of all workers in the mental health team at the identified mental health team at the identified institutioninstitution

Public educationPublic education Early detection and treatment Early detection and treatment Providing valuable data and experience at Providing valuable data and experience at

the level of community .the level of community .

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

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.

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

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.

FIVE YEAR PLANSFIVE YEAR PLANS

FIVE YEAR FIVE YEAR

REVISED NATIONAL REVISED NATIONAL MENTAL HEALTH MENTAL HEALTH

PROGRAMMEPROGRAMME

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.

APPROACHES TO COMMUNITY APPROACHES TO COMMUNITY HEALTH HEALTH

Primary preventionPrimary prevention Secondary preventionSecondary prevention Tertiary preventionTertiary prevention

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

CHANGING FOCUS OF CHANGING FOCUS OF CARECARE