Preserve and Strenghthen Family to promote Mental health

Ajit Avasthi Professor, Department of Psychiatry, PGIMER, Chandigarh PRESIDENT, INDIAN PSYCHIATRIC SOCIETY Preserve and strengthen family to promote mental health

What is family ? ,[object Object],[object Object],[object Object],[object Object],[object Object]

Features of family across globe ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Traditional Indian Family ,[object Object],[object Object],[object Object],[object Object]

Why does family care ? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Integration of family in mental health delivery system ,[object Object],[object Object],[object Object]

Integration of family in mental health delivery system 1745: the first mental asylum Till 1946: the approach of the Government was to establish custodial centers 1933: the first GHPU 1957: Dr. Vidya Sagar, involved the family members of the mentally ill in the management 1974: WHO brought out a technical report which paved the way for community-mental health program

Integration of family in mental health delivery Late 70s-onwards: Many GHPUs came up ,[object Object],[object Object],[object Object],[object Object],[object Object],Late 70s: Feasibility studies were conducted in Sakalwara (Chandrasekhar et al, 1981) and Raipur Rani (Wig et al, 1981)

Integration of family in mental health delivery ,[object Object],[object Object],[object Object],[object Object]

Traditional Indian Family: advantages for mental health ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Traditional Indian Family: advantages for mental health ,[object Object],[object Object],[object Object]

Impact on family: the silent sufferers ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Impact on family: burden of care ,[object Object],[object Object],[object Object],[object Object],[object Object]

Impact on family: cost of illness ,[object Object],[object Object],[object Object],[object Object],[object Object]

Impact on family: needs of patients and families ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Impact on family: stigma ,[object Object],[object Object],[object Object],[object Object]

How does family react? ,[object Object],[object Object],[object Object],[object Object]

Coping ,[object Object],[object Object],[object Object]

Contributory role of family in mental disorder

Contributory role of family in mental disorder ,[object Object],[object Object],[object Object]

Role of family in the management Treatment Compliance Rehabilitation

Role of family in treatment ,[object Object],[object Object],[object Object]

Role of family in treatment (contd..) ,[object Object],[object Object],[object Object]

Role of family in treatment (contd..) ,[object Object],[object Object],[object Object],[object Object]

Role of family in treatment compliance ,[object Object],[object Object],[object Object],[object Object]

Role of family in rehabilitation ,[object Object],[object Object],[object Object]

[object Object],[object Object]

Changes in traditional Indian family

Changes in traditional Indian family ,[object Object],[object Object]

Changes in traditional Indian family ,[object Object],[object Object],[object Object],[object Object],[object Object]

Implication of changes in family structure ,[object Object],[object Object],[object Object],[object Object],[object Object]

What needs to be done? ,[object Object],[object Object],[object Object],[object Object]

What needs to be done? ,[object Object],[object Object],[object Object]

Take home message ,[object Object],[object Object],[object Object],[object Object],[object Object]

Preserve and Strenghthen Family to promote Mental health

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