mental health - a challange ahead

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mental health - a challange ahead

  1. 1. MENTAL HEALTH &National Mental Health Programme<br />
  2. 2. MENTAL HEALTH (WHO)<br />HEALTH( WHO ; 1948,78)<br /><ul><li>“a state of complete physical, MENTAL,and social well-beingand not merely the absence of disease or infirmity to lead a socially & economically productive life “</li></ul>‘ 'state of well-being in which every individual realizes his or her own potential, can cope with the normal stresses of life, can work productively and fruitfully, and is able to make a contribution to her or his community‘’<br />
  3. 3. Causes of mental ill-health<br /><ul><li>poorly developed </li></ul> coping skills <br />* low self-esteem.<br />Psychological<br /><ul><li>LIFE EVENTS
  4. 4. bereavement,
  5. 5. job loss,
  6. 6. severe trauma;
  7. 7. chronic social isolation
  8. 8. lack of social supports.
  9. 9. adversity
  10. 10. unemployment,
  11. 11. poverty,
  12. 12. illiteracy,
  13. 13. child labour and violence); </li></ul>Mental <br />& <br />behavioural<br />Social<br />poor nutrition, <br />infection, <br />physical trauma,<br />endocrine and <br />genetic factors.<br />biological<br />
  14. 14. Why Mental Health is so significant <br /> HLY, <br />QALY,<br />GDP<br />Affect all <br />Race<br />Sex<br />religion<br />public <br />health<br /> burden <br />Disabling<br />Rapid <br />Changing<br /> society<br />stigma<br />DALY<br />YLL,<br />YLD<br />Inadequate <br />Health<br /> service<br />
  15. 15. A satisfactory<br /><ul><li>living environments,
  16. 16. housing,
  17. 17. employment,
  18. 18. transport,
  19. 19. education and
  20. 20. a supportive political structure</li></ul>STRUCTURAL <br /><ul><li>ability to deal with </li></ul>thoughts, <br />Feelings<br /><ul><li>to manage life,
  21. 21. emotional resilience and </li></ul>the ability to cope with stressful or adverse circumstances<br />POSITIVE<br /> MENTAL<br /> HEALTH <br />INDIVIDUAL<br />COMMUNITY<br /><ul><li>a sense of belonging,
  22. 22. social support,
  23. 23. a sense of citizenship and
  24. 24. participation in society</li></li></ul><li>WHO & GLOBAL Initiatives & Activities :-<br />WHO : world health day theme ; 7 thapril 2001 <br />Mental Health : Stop Exclusion, Dare to Care<br />World Mental Health Day (October 10),<br /> Is a day for global mental health education, awareness and advocacy. It was first celebrated in 1992 at the initiative of the World Federation for Mental Health, a global mental health organization with members and contacts in more than 150 countries<br />Mental Illness Awareness Week (MIAW) <br /> It takes place during the first week in October. This week coincides with October 10th – World Mental Health Day. In addition to the U.S., Mental Illness Awareness Week is celebrated in Canada, Israel  and the UK,US where it's known as Mental Health Awareness Week<br />
  25. 25. Neuropsychiatric conditions :- 14 % of the global burden of disease<br />non-communicable diseases, they account for 28% of the DALY's — more than cardiovascular disease or cancer<br />
  26. 26. Increasing Burden of Noncommunicable Diseases and Injuries<br />Change in rank order of DALYs for the 15 leading causes<br />1999 Disease or Injury<br />2020Disease or Injury <br />1. Acute lower respiratory infections<br />2. HIV/AIDS<br />3. Perinatal conditions<br />4. Diarrhoeal diseases<br />5. Unipolar major depression<br />6. Ischaemic heart disease<br />7. Cerebrovascular disease<br />8. Malaria<br />9. Road traffic injuries<br />10. Chronic obstructive pulmonary disease<br />11. Congenital anomalies<br />12. Tuberculosis<br />13. Falls <br />14. Measles<br />15. Anaemias<br />1. Ischaemic heart disease<br />2. Unipolar major depression<br />3. Road traffic injuries<br />4. Cerebrovascular disease<br />5. Chronic obstructive pulmonary disease<br />6. Lower respiratory infections<br />7. Tuberculosis<br />8. War<br />9. Diarrhoeal diseases<br />10. HIV<br />11. Perinatal conditions<br />12. Violence <br />13. Congenital anomalies<br />14. Self-inflicted injuries<br />15. Trachea, bronchus and lung cancers<br />DALY = Disability-adjusted life year<br />Source: WHO, Evidence, Information and Policy, 2000<br />
  27. 27. In 2011,WHO estimated a shortage of <br />1.18 million mental health professionals, including <br />55,000 psychiatrists, <br />628,000 nurses in mental health settings<br />493,000 psychosocial care providers needed to treat mental disorders in 144 low- and middle-income countries. <br />The annual wage bill to remove this health workforce shortage was estimated at about US$ 4.4 billion<br />
  28. 28. DSM-IV-TR Multiaxial Evaluation System<br />Axis I-Clinical disorders and other conditions <br /> that may be a focus of clinical attention<br />Axis II-Personality disorders and mental <br /> retardation<br />Axis III-General medical conditions<br />Axis IV-Psychosocial and environmental <br /> problems<br />Axis V-The measurement of an individual’s <br /> psychological, social, and occupational functioning on the Global assesment & functioning Scale<br />
  29. 29. SUBSTANCE ABUSE<br />SMOKING – associated with SCHIZOPHRENIA<br /> ( OR 5.9 )<br />DEPRESSION & ANXIETY<br /> (OR 1.5 – 2.0 )<br />NFHS ( 2005 )<br />12.2 % Smoke > 10 cigarettes / day<br />3.2 % men DRINK every day<br />
  30. 30. Schizophrenia<br />Schizophrenia affects around 0.3–0.7% of people at some point in their life <br />24 million people worldwide as of 2011<br />1.4 times more frequently in males than females<br />typically appears earlier in men<br />the peak ages of onset are 20–28 years for males and 26–32 years for females<br />1% DALY worldwide<br />
  31. 31.
  32. 32. Thank you<br />

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