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Community Psychiatry
Mental Health Situation in Nepal
• About 25-30% of people in Nepal suffer from mental health problems
• Over 54% seek help from traditional healers and 39 % from health
workers
Problems
• Mental health is not integrated into primary health service.
• Demand of care and supply gap is high
• Sensitization of policy makers is low
• No clear regulating body
• No psychiatric social worker
• Stigma associated with mental health disorder.
Solutions
• Different levels of prevention
• Mental Health services
• Community mental health program
• Policy and strategy of government
Levels of prevention
• Primary prevention: improving social environment and promotion of
social, emotional and physical well being of all people
• Secondary prevention : Diagnosis and treatment of mental illness
• Tertiary prevention: prevent further breakdown and worsening of the
condition
Mental Health Services
• Diagnosis and treatment: To improve accessibility, affordability and
compliance towards treatment mental health must be integrated into
primary health service
• After care services and rehabilitation
• Mental health education in community.
Community Mental Health Program
• Community residential services.
• Supported employment or education.
• Social firms and assertive community treatment.
• Medication management( self medication training and support).
• Coping skills, activity of daily living and socializing.
Policy and strategy of government
Mental health policy 1996 and 2017
It has adopted 5 policies in the area of mental health:
1. Mental health psychosocial services
2. Protect the fundamental rights of the people with psychosocial
disability and mental illness
3. Enhance public awareness to promote mental health
4. Combat stigma resulting from mental illness
5. Promote and manage health information system and research.
Few Organizations working on mental health in nepal
• Nepal mental health foundation
• Center for mental health and counselling Nepal (CMC- Nepal)
• KOSHISH
• Maryknoll Nepal
• Chhahari Nepal for mental health
• Trans-cultural psychosocial Organization (TPO) Nepal
• Autism Care Nepal
• Terre des hommes Nepal
• Antardristi Nepal
• Patan Community based rehabilitation Organization
Thank
you

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Community psychiatry

  • 2. Mental Health Situation in Nepal • About 25-30% of people in Nepal suffer from mental health problems • Over 54% seek help from traditional healers and 39 % from health workers
  • 3. Problems • Mental health is not integrated into primary health service. • Demand of care and supply gap is high • Sensitization of policy makers is low • No clear regulating body • No psychiatric social worker • Stigma associated with mental health disorder.
  • 4. Solutions • Different levels of prevention • Mental Health services • Community mental health program • Policy and strategy of government
  • 5. Levels of prevention • Primary prevention: improving social environment and promotion of social, emotional and physical well being of all people • Secondary prevention : Diagnosis and treatment of mental illness • Tertiary prevention: prevent further breakdown and worsening of the condition
  • 6. Mental Health Services • Diagnosis and treatment: To improve accessibility, affordability and compliance towards treatment mental health must be integrated into primary health service • After care services and rehabilitation • Mental health education in community.
  • 7. Community Mental Health Program • Community residential services. • Supported employment or education. • Social firms and assertive community treatment. • Medication management( self medication training and support). • Coping skills, activity of daily living and socializing.
  • 8. Policy and strategy of government Mental health policy 1996 and 2017 It has adopted 5 policies in the area of mental health: 1. Mental health psychosocial services 2. Protect the fundamental rights of the people with psychosocial disability and mental illness 3. Enhance public awareness to promote mental health 4. Combat stigma resulting from mental illness 5. Promote and manage health information system and research.
  • 9. Few Organizations working on mental health in nepal • Nepal mental health foundation • Center for mental health and counselling Nepal (CMC- Nepal) • KOSHISH • Maryknoll Nepal • Chhahari Nepal for mental health • Trans-cultural psychosocial Organization (TPO) Nepal • Autism Care Nepal • Terre des hommes Nepal • Antardristi Nepal • Patan Community based rehabilitation Organization