National mental health polic vis à-vis national health policy


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National mental health polic vis à-vis national health policy

  2. 2. CONCEPT…• According to WHO, “Mental Health Policies describe the values, objectives & strategies of the Government to reduce the Mental Health burden & to improve mental health.• They define a vision for helps the future that helps to establish a blueprint for the prevention & treatment of mental illness, the rehabilitation of people with mental disorders, & the promotion of mental health in the community. 2
  3. 3. Count…• The first draft of National Mental Health Policy (NMHP) was prepared in late 2001 & came into existence in 2003.• The NMHP will provide the necessary conceptual framework for achieving goals.• The NMHP is being energetically implemented, with adequate budgetary support in the 10th five year plan. 3
  4. 4. POLICY OBJECTIVES…1. The District Mental Health Program (DMHP) is redesigned around a nodal institution, where most instances will be the zonal medical college. School mental health programs & dementia care services may be gradually integrated with the DMHP. 4
  5. 5. Count…2. Strengthening the medical college psychiatry departments with a view to develop psychiatric manpower, improve psychiatric treatment facilities at secondary level & to promote the development of general psychiatric hospitals in order to reduce & eventually to eliminate, to a large extent the need for big mental hospitals with all their attendant infirmities. 5
  6. 6. Count…3. Streamlining & modernization of mental hospitals to transform them from the present, mainly custodial mode to tertiary care centers to excellence with a dynamic social orientation for providing leadership to Research & Development (R & D) in the field of community mental health. 6
  7. 7. Count…4. Strengthening of Central & State Mental Health Authorities in order that they may effectively fulfill their role of monitoring ongoing mental health programs, determining priorities at the central / state level & promoting intersectoral collaboration & linkages with other national programs. 7
  8. 8. Count…5. Research & training aimed at building up an extensive database of epidemiological information relating to mental disorders & their course / outcome, development of better & more cost effective intervention models, promotion of intersectoral research & providing the necessary inputs/conceptual framework for health & policy planning. 8
  9. 9. Count…6. Focused Information Education & Communication (IEC) activities with the active collaboration of professional agencies such as the Indian Institute of Mass Communication & directed towards enhancing public awareness & eradicating the stigma / discrimination related to mental illness, will form an important component of this policy objective. 9
  10. 10. PRIORITIZED GOALSTENTH FIVE YEAR PLAN (2002-2007):• District mental health program will be extended to one district attached to each of the 100 medical colleges in the country, thereby covering 100 district in the first phase, & there after expanding to 100 district more in the second phase, thus making a total of 200 districts across the country. 10
  11. 11. Count…• Strengthening of medical colleges with allocation of Rs. 50 lakhs each to 100 medical colleges, for upgrading departments of psychiatry.• Strengthening & modernization of mental hospitals with the aim of reduction in chronicity through intensive therapeutic intervention using non-conventional anti-psychotic medication, promoting care of chronically mentally ill patient in the community using outreach maintenance modalities. 11
  12. 12. Count…ELEVENTH FIVE YEAR PLAN (2007-2012)• The DMHP will be extended to another lot of 200 district while consolidating same in 200 district covered at the end of 10th plan.• Qualitative as well as quantitative improvement will be introduced in the areas of research, training & IEC, with more focused attention on epidemiological catchment area surveys on a larger scale. 12
  13. 13. Count…TWELTH FIVE YEAR PLAN (2012-2017):• The DMHP will be extended to the remaining 193 districts & the gains made in the previous plans will be consolidated, further upgradation of the psychiatric departments in medical colleges will be undertaken & 20 mental hospitals will be reconstructed.• IEC activities will be augmented to cover all sections of the population across the whole country. 13
  14. 14. SPECIAL ISSUES• Senior citizens suffering from severely disabling disease such as Alzheimer’s & other types of dementia, Parkinson’s disease, depression of late onset & other psycho geriatric disorders.• Victims of child sexual abuse, marital / domestic violence, dowry related ill treatment, rape & incest.• Victims of poverty, destitution & abandonment, such as women thrown out of the marital home or old & infirm parents left to fend for themselves. 14
  15. 15. Count…• Children & adolescents affected by problems of maladjustments or other scholastic problems, depression/psychosis of early onset, attention deficit hyper activity disorders & suicidal behavior resulting from failure in examination or other environmental stressors.• Victims of natural or man-made disasters such as cyclones, war, terrorism with special attention to the specific needs of children orphaned by such disasters. 15
  16. 16. • NHP was formulated in 1983 & revised in 2002Objectives:The main objective of NHP-2002 is to achieve an acceptable standard of good health amongst the general population in the country. The approach would be to increase access to the decentralized public health system by establishing new infrastructure deficient areas & by upgrading the infrastructure in the existing institutions. 16
  17. 17. Special Recommendation withRegard to Mental Health:• Upgrading infrastructure of institutions at Central Government expense so as to secure the human rights of this vulnerable segment of society.• Envisages a network of decentralized mental health services for ameliorating the more common categories of disorders. 17
  18. 18. Special discussion regarding mentalhealth…• Mental health disorders are actually much more prevalent than is apparent on the surface. While such disorders do not contribute significantly to mortality, they have a serious bearing on the quality of life of the affected persons & their families.• Mental health institutions are woefully deficient in physical infrastructure & trained manpower. NHP-2002 will address itself to these deficiencies in the public health sector. 18
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