National Mental Health Programme

NATIONAL MENTAL HEALTH PROGRAMME Presented By: Mr. karthikeya prasath M.Sc Nursing Department of psychiatry

NATIONAL MENTAL HEALTH PROGRAMME  The Government of India has launched the National Mental Health Programme (NMHP) in 1982.

AIMS  Prevention and treatment of mental and neurological disorders and their associated disabilities.  Use of mental health technology to improve general health services.  Application of mental health principles in total national development to improve quality of life.

OBJECTIVES  To ensure availability and accessibility of minimum mental health care for all in the foreseeable future, particularly to the most vulnerable and underprivileged sections of population.  To prevent or treat psychiatric disorders.  To encourage application of mental health knowledge in general health care and in social development.

Cond… To promote community participation in the mental health services development and to stimulate efforts towards self-help in the community. To utilize appropriate mental health technology to improve general health services. To apply mental health principles for improving quality of life for entire population.

TARGETS National co-coordinating group will be formed, comprises of representatives from all states, senior health administrators, professionals from relative fields like psychiatry, education, social welfare. Curriculum of mental health for the health workers

Cond… Non medical professionals, physicians at the PHC will have a 2 wk training programme in mental health care. Creation of a post for psychiatrist at districts, he will be visiting PHC settings regularly, supervise & organize mental health training programmes & continuing education programmes.

Cond…. Appointment of a programme officer for teaching & supervision. Provision of additional support for inclusion of community mental health components in teaching institutions. Psychotropic drugs will be included in the list of essential drugs in India.

STRATEGIES Integration mental health with primary health care through the NMHP Provision of tertiary care institutions for treatment of mental disorders. Eradicating stigmatization of mentally ill patients and protecting their rights through regulatory institutions like the Central Mental Health Authority, and State Mental health Authority.

Mental Health care 1. The mental morbidity requires priority in mental health treatment 2. Primary health care at village and sub center level 3. At Primary Health Center level 4. At the District Hospital level 5. Mental Hospital and teaching Psychiatric Units

COMPONENTS  Training programmes of all workers in the mental health team at the identified Nodal Institute in the State. Public education in the mental health to increase awareness and reduce stigma. For early detection and treatment, the OPD and indoor services are provided.

Cond… Providing valuable data and experience at the level of community to the state and Centre for future planning, improvement in service and research. Years and thereafter they should manage themselves. Govt. of India has constituted central Mental Health Authority to oversee the implementation of the Mental Health Act 1986.

THRUST AREAS FOR 10TH FIVE YEAR PLAN (2002 – 2007)  District mental health programme in an enlarged and more effective form covering the entire country.  Streamlining/ modernization of mental hospitals in order to modify their present custodial role.  Upgrading department of psychiatry in medical colleges and enhancing the psychiatry content of the medical curriculum at the undergraduate as well as postgraduate level.

Cond… Strengthening the Central and State Mental Health Authorities with a permanent secretariat. Appointment of medical officers at state headquarters in order to make their monitoring role more effective Research and training in the field of community mental health, substance abuse and child/ adolescent psychiatric clinics

ELEVENTH FIVE YEAR PLAN (2007 – 2012): DMHP will be extended to another 200 districts reinforcement of upgrading psychiatry departments with adequate infrastructural facilities construction of modern buildings with good infrastructure

Cond… provision of adequate man power for all psychiatry units research, Training programs have to be organized for qualitative & quantitative improvement ICE training programmes has to be conducted.

TWELFTH FIVE YEAR PLAN (2012 – 2019) DMHP will be extended to remaining 193 districts 20 mental hospitals will be taken up for reconstruction Non – viable mental hospitals will be closed or merged with general hospitals Long term community will be planned to cover all sections of population

REVISED NATIONAL MENTAL HEALTH PROGRAMME (2003)

redesigning DMHP around a modal institution, a zonal medical college strengthening medical colleges to improve psychiatric treatment facilities with adequate man power stream lining & modernization of mental hospitals research and development programmes in the field of community mental health

Cond… promote intersectoral collaboration and linkages with other national programmes plan for cost effective intervention models health and policy planning focused IEC activities

Cond… provision of comprehensive community based mental health services will be cost effective and respects human rights promotion of referral services

Cond… provision of essential psychotropic drugs; family support home care support by provision of sufficient man power crisis interventions, sheltered employment, provision of community care facilities develops self help groups and provision of funds and space for their activities

Cond… human resource development public mental health education Involvement of private sectors and voluntary organizations in provision of mental health care services at community social skills training programmes, life skill education programmes has to be conducted to focus groups

Cond… at district level, mental health teams has to be posted to render clinical care and the integration of mental health at peripheral institutions services are focused to special sections of high risk population prone for stressful disorders