This document provides an overview of mental health, including definitions, types of mental illnesses, causes, burden, prevention strategies, and the evolution of national mental health programs in India. Some key points include:
- Mental health is defined as a state of well-being where an individual can cope with stress and function productively.
- Major types of mental illnesses include psychosis like schizophrenia and bipolar disorder, as well as neuroses.
- Mental illnesses have multifactorial causes including genetics, medical conditions, life stressors, and social factors.
- Around 13% of Indians experience mental morbidity, which places a large burden on communities and the health system.
- The National Mental Health Program was established in
the importance of epidemiological studies, important historical research on mental health, techniques and processes, and epidemiological research findings on mental health during covid 19 are included.
the importance of epidemiological studies, important historical research on mental health, techniques and processes, and epidemiological research findings on mental health during covid 19 are included.
Mental Health, Illness, Stigma and Awareness Strategies Aaradhana Reddy
Mental health, Illness, Health definitions, psychology, mental health professionals, Global scenario and Indian Scenario of Mental Illness prevalence, statistics, Common Mental Disorders, Stigma against Mental illness, Awareness, strategies to reduce stigma
A general overview on Social Work in Psychiatric Settings.
Global and National Statistics on Mental Health.
Role and Challenges of Psychiatric Social Worker.
This handbook is jointly prepared by Malaysian Psychiatric Association (MPA), Malaysian Mental Health Association (MMHA) and Pfizer Malaysia, and made available at:
(https://www.myhealthmylife.com.my/)
National mental health programme - Presented By Mohammed Haroon Rashid Haroon Rashid
Subject - Mental Helath Nursing topic - National Mental Health Programme, Presented By Mohammed Haroon Rashid, Basic B.Sc Nursing 3rd Year in Florence College Of Nursing
Definition of mental health
Describe the problem statement
List the characteristics of a mentally healthy person
List the warning Signals of Poor Mental Health
Classify mental illness
Enumerate the causes of mental ill-health
Discuss the consequences of poor mental health
Explain about the Mental Health Services
Epidemiology of Alcoholism and Drug Dependence
Describe the Symptoms of drug addiction
Prevention, treatment, and rehabilitation for drug dependence
When is World Mental Health Day
Mental Health, Illness, Stigma and Awareness Strategies Aaradhana Reddy
Mental health, Illness, Health definitions, psychology, mental health professionals, Global scenario and Indian Scenario of Mental Illness prevalence, statistics, Common Mental Disorders, Stigma against Mental illness, Awareness, strategies to reduce stigma
A general overview on Social Work in Psychiatric Settings.
Global and National Statistics on Mental Health.
Role and Challenges of Psychiatric Social Worker.
This handbook is jointly prepared by Malaysian Psychiatric Association (MPA), Malaysian Mental Health Association (MMHA) and Pfizer Malaysia, and made available at:
(https://www.myhealthmylife.com.my/)
National mental health programme - Presented By Mohammed Haroon Rashid Haroon Rashid
Subject - Mental Helath Nursing topic - National Mental Health Programme, Presented By Mohammed Haroon Rashid, Basic B.Sc Nursing 3rd Year in Florence College Of Nursing
Definition of mental health
Describe the problem statement
List the characteristics of a mentally healthy person
List the warning Signals of Poor Mental Health
Classify mental illness
Enumerate the causes of mental ill-health
Discuss the consequences of poor mental health
Explain about the Mental Health Services
Epidemiology of Alcoholism and Drug Dependence
Describe the Symptoms of drug addiction
Prevention, treatment, and rehabilitation for drug dependence
When is World Mental Health Day
Similar to my presentation on mental health.pptx (20)
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
Follow us on: Pinterest
Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
2. Tables of contents
Definition
Assessment of mental health
Types of mental illness
Causes of mental illness
Burden
Prevention
Evolution of National Mental Health programs
District Mental Health program
Mental health action plan
Mental Health policy
Mental Health act
3. Definition
Health is a state of complete physical, mental and
social well-being and not merely an absence of disease
or infirmity .
Mental health is defined as a state of well-being in
which the individuals realize their own abilities, can
cope with the normal stresses of life, can work
productively and fruitfully, and are able to make a
positive contribution to their community.
4. Not at war with self, free from internal conflicts
Well-adjusted, accepts criticism & not easily upset.
Searches for identity
Has a strong sense of self-esteem
Knows oneself, ones needs, problems & goals
Has good self control, balances rationality & emotionality
Tries to cope up with stress & anxiety
Feels right towards others.
Responsibility for fellowmen
Meet demands of life.
Not bowled over by his emotions
5. MENTAL ILLNESS
is a medical condition that disrupts a person's thinking,
feeling , mood, ability to tolerate others and daily
functioning.
Mental illnesses are medical conditions that often result in
a diminished capacity for coping with the ordinary
demands of life”.
National Alliance on Mental Illness(NAMI)
6. Warning signs for Poor mental health
Menninger drew up the following questions
Q.1- Are you always worrying?
Q.2- Are you unable to concentrate because of unrecognized reason?
Q.3- Are you continuously unhappy without justified cause?
Q.4- Do you loose you temper easily and often?
Q.5- Are you troubled by a regular insomnia?
Q.6- Do you have wide fluctuations in your mood?
Q.7- Do you continually dislike to be with people?
7. Q.8- Are you upset if the routine of your life is disturbed ?
Q.9-Do your children consistently get on your nerves ?
Q.10- Are you “browned off’’ and contently bitter?
Q11-Are you afraid with out real cause ?
Q12-Are you always right and the other person always wrong?
Q13-Do you have Nemours aches and pains for which no doctor can find a physical causes ?
( acc to Menninger if answer to any question is yes ------- person needs help
8. Mental Illness- Types
Major (Psychosis):
Schizophrenia(Split personality).
Manic depressive psychosis (Bipolar).
Paranoid: extreme suspicion.
Minor illness:
Neurosis: unable to react to normal situations.
Personality and character disorders.
Vast, broad and difficult to precise.
Individual suffer one or more disorders
10. BURDEN
Global
10% prevalence of mental morbidity .
450 million worldwide suffer mental morbidity . (WHO)
India
Prevalence of mental morbidity is 13.7%( NMHS 2015 -2016 )
1in 20 people suffer from depression , prevalence is higher in females
1 % of population reported higher suicidal tendencies.
1.9% are affected by sever mental disorder
prevalence in teenager is 7.3%
11. According to Kashmir Mental health survey 2015
1.8 million (45%) adults having significant symptoms of mental
distress
1.6 million adults (41%) in valley are living with significant symptoms
of depression,
10% meets diagnostic criteria for sever depression
1 million adults(26%) have symptoms of GAD
1 in 5 adults(19%) are living with PTSD
District Baramulla and Budgam have highest prevalence of these
mental disorder.
Dept of psychology KU,IMHANS Srg
12. Causes of Mental Illness
Multifactorial.
Organic condition:
cerebral arterioslerosis, neoplasms, chronic diseases etc
Heridity:
Child of schizophrenic parents more likely to develop same condition.
Social patholgical causes:
Emotional stress , anxieties, broken marriages and homes, Cruelty, rejection, neglection
Industrialization, Urbanization, migration, poverty.
Others:
Toxic substances, Psychotropic substances, Nutritional factors, Minerals, Infective agents,
Trauma and Radiation.
13. Crucial points in Life cycle
Prenatal period- pregnancy is stressful period for some women they need
help not only physically but emotionally as well .
First 5 years child requires love and care. Broken homes produce disorders.
School child- everything that happen in school affect the mental health .
Adolescence- transition from adolescent to manhood is often a stormy period
Old age- also prone to mental disorders due to organic cause ,economic
insecurity ,lack of homes etc.
14.
15. Prevention
Primary:
community based, improving social environment and promotion of the
social ,emotional and physical well being.
Secondary:
Early diagnosis of mental illness by screening programs.
Provision of treatment facility and effective community resources.
Family based health services with counselling.
Tertiary:
Reduced duration of illness, reduce mental stress and prevent further
breakdown and disruption .
16. Evolution of Mental Health in India
1960: need for setting up of district psychiatric clinic (Mudaliar Committee.)
1970: Important national-level initiative were taken, to integrate mental
healthcare with general healthcare
1975, WHO published a document titled ‘Organization of mental health
services in developing countries’
1975–81: The ideas generated by this documents were put to test at NIMHANS
& PGI, Chandigarh, to integrate mental health with general health services,
16
17. 1975: starting of Community
Mental Health unit by
NIMHANS
1975-1981:WHO multi-
country project “ Strategies
for extending Mental Health
Services to the community (
focus on testing and
evaluating Model)
18. 1980
• Expert group formed who discussed the issue with people
concerned
1980
• Meeting with Director, Division of mental health WHO , Geneva
1981
• First draft was prepared atLucknow
• Draft presented at a workshop of experts in July, New Delhi
18
1982
• Draft revised and presented again.
• Final draft submitted to Central Council Of health in August.
• The National Mental Health Programme came into existence.
1992
• World Mental Health Day
19. In 1992 on 10 oct World Federation for Mental Health ,
a Global mental health organization with members
from more than 150 countries celebrate
World Mental Health Day for the Ist time.
On this day thousands of supporters came to
celebrate this annual awareness program to bring
attention to mental illness and major effect
on peoples life worldwide.
20. VARIOUS MENTAL HEALTH DAY THEMES
In 2017- Theme for world health day was also
about mental health it was ----
DEPRESSION LET’S TALK
2017- MENTAL HEALTH IN THE WORK PLACE
2016- PSYCHOLOGICAL FIRST AID
2015- DIGNITY IN MENTAL HEALTH
2014- LIVING WITH SCHIZOPHERNIA
23. 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.
23
24. OBJECTIVES
(1) To ensure the availabilityand accessibilityof minimum mental
healthcare for all , particularly to the most vulnerable and
underprivileged sections of the population.
(2) To encourage the application of mental health knowledge in general
healthcare and in social development.
(3) To promote community participationin the mental health service
development and to stimulate efforts towards self-help in the community.
25. INITIAL PROBLEMS
Nobudgetary estimates or provisions were made for
the implementation of the programme.
There was a very lukewarm response to the programmeby
psychiatrists .
Difficulty in implementing the programme in
larger populations and in real world settings.
RealizingthattheNMHPwasnotlikelytobe implemented
onalargerscalewithoutdemonstrationof its feasibilityin
larger populations,theneedfor planning forthe
implementationoftheprogrammeata districtlevelwas
highlighted.
26. February 1996 : A national workshop was organized by
NIMHANS, in collaboration with Ministry of Health and Family
Welfare ,Govt. of India involving the health departments of all
the states
to implemented District Mental Health Programme
and then later they merge District Mental Health Programme
(under National Mental Health Programme) with NRHM
as a fully centrally funded programme
27. Initially DMHP was launched by NIMHANS as Bellary Model in 4 districts
In the states of Andhra Pradesh , Tamil Nadu, Assam and Rajasthan
The Program was re-strategized in 2003 to include two schemes, viz.
Modernization of State Mental Hospitals and Up-gradation of Psychiatric
Wings of Medical Colleges/General Hospitals.
Presently programme covers 241 district in India, it is proposed to
expand DMHP to all districts in a phased manner
In Kashmir this programme is launched in 4 District
Bandipora
Ganderbal
Kulgam
Pulwama
28. GOAL Of DMHP
To improve Health and Social out comes
related to mental illness
29. OBJECTIVE OF DMHP
1. To provide sustainable health services to community and to integrate these
services with other services.
2. Early detection and treatment of patients withinthe
community itself.
3. Tosee that patient and their relatives do not have to travel long
distances
4. Totake pressure off mental hospitals.
5. Toreduce the stigma attached towards mental illness through change
of attitude and public education.
6. Totreat and rehabilitate mentally ill patients
30. COMPONENTS OF DMHP
Training programmes of all workers in the mental health
team at the identified nodal institute in the state.
Sensitization & training of health personnel: at the district &
sub-district levels
Awareness camps: for dissemination of awareness regarding
mental illnesses and related stigma through involvement of
local PRIs, faith healers, teachers, leaders etc
For early detection and treatment , the OPD and indoor
services are provided.
Providing valuable data and experience at the level of
community to the state and centre for future planning ,
improvement in the service and research.
31. Linkages with Self-help groups, family and
caregiver groups & NGOs working in the field of
mental health
Sensitization of enforcement officials regarding
legal provisions for effective implementation of
Mental Health Act
32. BASIC DISTRICT MENTAL HEALTH
SERVICES
Out reach components
Satellite clinics ; 4 satellite clinics per month at CHC/PHC
Target intervention
SCHOOL HEALTH SERVICES - life skills education in schools , counselling services.
COLLEGE MENTAL HEALTH SERVICES - Counselling through trained teachers/Counsellor .
WORK PLACE STRESS MANAGEMENT – Formal & Informal sectors ,including farmers, women etc.
SUICIDE PREVENTION SERVICES – Counselling centre at district level, sensitization workshops , IEC,
helplines etc.
33. DMHP TEAM
Manpower (on contractual basis):
Psychiatrist/ Trained medical officer act as programme officer
mental health (POMH)
Clinical Psychologist,
Psychiatric Nurse,
Psychiatric Social Worker,
Community Nurse,
Monitoring & Evaluation Officer,
Case Registry Assistant,
Ward Assistant/ Orderly
Financial support @ Rs. 83.2 lakhs per DMHP
34. SERVICES PROVIDED BY DMHT
Conduct daily out patient services
Providing 10 beds indoor facilities
Referral services
Liaising with primary health services
Follow up services
Undertaking community survey ,if feasible
35. Other activities
PPP Model Activities (financial support @ Rs. 5 lakhs per NGO):
Day Care Centre (financial support @ 50,000 per centre per month):
Residential/ Long Term Continuing Care Centre (financial support @ 75,000 per
centre per month):
Community Health Services
Primary Health services :
Mental Health Services:
Mental Health Helpline
Tertiary level activities:
Support to Central and State Mental Health Authorities:
Training/Workshops
Research & Survey:
Monitoring & Evaluation:
IEC:
36. PPP Model Activities (financial support @ Rs. 5 lakhs per
NGO):
Under this component, there is a provision for the state
governments to execute activities related with mental health
in partnership with Non-Government Organizations/Agencies
as per the guidelines of the NRHM in this regard.
The levels and the areas of partnership of the state
government with the Non-Government Organizations/Agencies
may be as follows
37. LEVELS AREAS OF PARTICIPATION
District
Local IEC, Day-care, Residential/Long-term Residential Continuing Care Centres,
Supplementation or Innovative Mental Health Services, Training/Sensitization of
health workers;
Hiring of a private Psychiatrist/Clinical Psychologist/Psychiatric Social
Worker/Psychiatric Nurse on contract.
Psychiatrists @ Rs 2500/- per day (ten days a month + 4 days/ month for
outreach activity/training);
Clinical Psychologists/Psychiatric Social Worker @Rs 2000/- per day (ten days a
month + 4 days/ month for outreach activity/training);
Psychiatric Nurse @Rs 1000/- per day
State
Advocacy, Local IEC, Dedicated Mental Health Help-line, Training/Sensitization of
health workers, Ambulance services.
38. Day Care Centre (financial support @ 50,000 per
centre per month):
Provides rehabilitation and recovery services to persons with
mental illness
initial intervention with drug & psychotherapy is followed up and
relapse is prevented.
enhancing the skills of the family/caregiver in providing better
support care.
Provides opportunity for people recovering from mental illness for
successful community living.
Financial support of Rs. 6.00 lakhs is earmarked per year.
39. Residential/ Long Term Continuing Care Centre (financial
support @ 75,000 per centre per month):
Chronically mentally ill individuals, who have achieved stability
with respect to their symptoms & have not been able to return to
their families and are currently residents of the mental hospitals,
will be shifted to these centers.
they will get help of multidisciplinary team consisting of
psychologists, social workers, nurses, occupational therapists,
vocational trainers and support staff.
Financial support of Rs. 9.00 lakhs is earmarked per centre per
year.
40. Community Health Centers:
Services available:
Outpatient services & inpatient services for emergency psychiatry patients;
Counseling services.
Manpower:
Medical Officer;
Clinical Psychologist or Psychiatric Social Worker
Primary Health Centers:
Services available:
Outpatient services;
Counseling services in accessing social care benefits;
Pro-active case findings and mental health promotion activities
41. Additional mental health services will be delivered through government
mental hospitals or medical colleges/hospitals with department of psychiatry.
Under the overall supervision of the Head of Psychiatry Department.
Financial support of up-to Rs. 15.00 lakhs per year per medical
college/hospital/mental hospital
Mental Health Helpline:
A country wide 24 hours dedicated help-line is provided
To give information to public on mental health resources, emergency
situation and crisis management,
Registration of complaints on Human Rights Violation of mentally illness.
and assistance on medico-legal issues .
42. Tertiary level activities:
Manpower Development Schemes ( Scheme-A & Scheme-B):
Scheme A. Centers of Excellence in Mental Health
Up- gradation of 10 existing mental hospitals/ institutes/ Med.
Colleges
strengthen courses in psychiatry, clinical psychology, psychiatric
social work & psychiatric nursing.
Financial Support of upto Rs. 33.70 cr will be provided to each centre
and would include capital work (academic block, library, hostel, lab,
supportive departments, lecture theatres etc.), equipments , faculty
induction .
As of now, 15 mental health institutes have been funded for
developing as Centers of Excellence in Mental Health .
43. Scheme B. PG Training Departments of Mental Health facilities
Government Medical Colleges/ Government Mental Hospitals
will be supported for starting / increasing intake of PG courses
in Mental Health.
Financial support of upto Rs. 0.86 to 0.99 cr per dept. would be
provided.
Till date, 39 PG Departments in 15 Medical Colleges/ Mental
Hospitals in mental health specialties viz. Psychiatry, Clinical
Psychology, Psychiatric Nursing and Psychiatric Social Work have
been provided support for their establishment /strengthening.
44. Up-gradation of two Central MH Institutes to provide Neurological and Neuro-
surgical Facilities on the pattern of NIMHANS (CIP, Ranchi & LGB, Tezpur):
LGB Regional Institute of Mental Health, Tezpur and Central Institute of
Psychiatry, Ranchi to be up-graded.
Basic Neurological & Neurosurgical facilities to be included on the pattern of
NIMHANS.
Add. Support will be provided for establishing departments in Neurology &
Neurosurgery, equipments & tools and for engaging required faculty.
45. Support to Central and State Mental Health Authorities:
Central Mental Health Authority (CMHA) & State Mental Health Authority (SMHA) are
meant for regulation & co-ordination of mental health services under the central &
state governments respectively.
Support to be provided for purchase of infrastructure (non-recurring) and Office and
Professional Expenses (recurring).
Non-Recurring support to CMHA & each SMHA: Rs. 2.0 lakh
Recurring support to CMHA & each SMHA: Rs. 7.0 lakh
46. Training/Workshops:
Trainings will be provided to master trainers from each state/UT
who shall further train DMHP team and other staff working in the
field of mental health.
Trainings will be standardized and delivered at identified
centres.
The standardized training manuals are being formulated and
circulated to all stakeholders.
Budget for training programme is Rs. 15.00 cr (Rs. 5.00 cr per
year).
47. Research & Survey:
Research & survey should be conducted in different regions of the country
in the field of mental health.
It will help in understanding regional needs and framing plan and
strategies .
Budget (Rs. 6.00 cr per year).
48. Monitoring & Evaluation:
Standard formats for recording and reporting have been developed and circulated.
These will be used by medical colleges/institutes (under Manpower Development
Scheme), District, CHC and PHC.
Continuous evaluation of the activities of the program is being done.
49. IEC:
The central level dedicated website will be introduced to provide on hands
information on mental health resources, activities, plans, policy and programmes.
Extensive mass media activities will be supported at district and sub-district level.
The support for TV /RADIO programs and innovative media campaigns on mental
health in vernacular languages through local channels and other media.
50. WHO MENTAL HEALTH ACTION PLAN, 2013-2020
Vision
A world in which mental health is valued, promoted &
protected, mental disorders are prevented and persons
affected by these disorders are able to exercise full range of
human rights and to access high quality, culturally appropriate
health & social care in a timely way to promote recovery, all to
attain the highest possible level of health and participate fully
in society.
50
51. OBJECTIVE 1:
To strengthen effective
leadership & governance for
mental health
Target 1.1:
80% countries have developed / updated their
policies/ plans for mental health in line with
international and regional human rights
instruments (by year 2020).
Target 1.2:
50% countries have developed / updated their
law for mental health in line with international
and regional human rights instruments (by year
2020).
OBJECTIVE 2:
To provide comprehensive,
integrated, responsive mental
health & social care services in
Target 2:
Service coverage for severe mental disorders
will have increased by 20% (by the year 2020).
51
52. OBJECTIVE 3:
To implement strategies for
promotion and prevention in
mental health
Target 3.1:
80% of countries will have at least 2
functioning national, multi-sectorial
mental health promotion and prevention
programmes (by the year 2020)
Target 3.2:
The rate of suicide in countries will be
reduced by 10% (by the year 2020).
OBJECTIVE 4:
To strengthen information
systems, evidence & research
for mental health
Target 4:
80% of countries will be routinely
collecting and reporting at least a core set
of mental health indicators every two
years through their national health and
social information systems (by the year
2020).
52
53. Need for a Policy
Enormous burden
Mental illness - key predictor for an increase in suicide
and suicide attempts.
Untreated mental illness - stigma, marginalization and
discrimination often worsening one's quality of life.
a holistic approach
treatment gaps
54. Launched on 10 0ctober 2014
Addresses the mental health problems as they exist currently, and
to understand the mental health issues in context of our country.
Involves stakeholders to initiate action across a wide spectrum of
mental health issues for a comprehensive mental health response
54
Mental health policy
55. Vision
promote mental health
prevent mental illness
enable recovery from mental illness
promote de stigmatization and desegregation
ensure socio-economic inclusion of persons affected by mental illness by
providing health and social care to all persons through their life-span.
55
56. Goals
To reduce distress, disability, exclusion morbidity and premature mortality
associated with mental health problems across life-span of the person.
To enhance understanding of mental health in the country.
To strengthen the leadership in the mental health sector at the national,
state, and district levels.
56
57. Objectives
To provide universal access to mental health care.
To increase access to and utilization of comprehensive mental
health service.
To increase access to mental health services for vulnerable groups
including homeless persons, persons in remote areas and provide
access to educationally/ socially/ economically deprived sections.
To reduce prevalence and impact of risk factors associated with
mental health problems.
To reduce risk and incidence of suicide and attempted suicide.
57
58. Obj contd
To ensure respect for rights and protection from harm of persons with mental
health problems.
To reduce stigma associated with mental health problems.
To enhance availability and equitable distribution of skilled human resources
for mental health .
To progressively enhance financial allocation and improve utilisation for
mental health promotion and care.
To identify and address the social, biological and psychological determinants
of mental health problems and to provide appropriate interventions.
58
59. VULNERABLE POPULATIONS
Poverty
Homelessness
Persons inside custodial
institutions
Orphaned persons with
mental illness -OPMI
Children of persons with
mental health problems
Elderly care-givers
Internally displaced
persons
Persons affected by
disasters and emergencies
Other marginalized
59
60. Mental Health Care Act 2017
This act was passed by Ministry of law and justice on 7th
April 2017
This act provide mental healthcare and service for persons
with mental illness and
to protect ,promote and fulfil the right of such person
during delivery of mental health care and services
61. Key rights
Manner of treatment:
The Bill states that every person would have the right to specify how
he would like to be treated for mental illness in the event of a mental
health situation.
specify who will be the person responsible for taking decisions with
regard to the treatment, his admission into a hospital, etc.
Access to public health care:
The Bill guarantees every person the right to access mental health care
and treatment from the government.
it should be affordable, good quality, easy accessible.
Persons with mental illness also have the right to equality of treatment
and protection from inhuman and degrading treatment.
62. Suicide decriminalized:
Currently, attempting suicide is punishable with imprisonment for up to a
year and/or a fine.
The Bill decriminalizes suicide. It states that whoever attempts suicide
will be presumed to be under severe stress, and shall not punished for it.
Insurance:
The Bill requires that every insurance company shall provide medical
insurance for mentally ill persons on the same basis as is available for
physical illnesses.