2. INTRODUCTION:-
The Government of India Launched
the National Mental Health Program
(NMHP) in1982, keeping in view the
heavy burden of mental illness in the
community & the absolute
inadequacy of mental health care
infrastructure in the country to deal
with it.
3. OBJECTIVES OF NMHP
1. To ensure availability & accessibility of minimum
mental health care for all in the foreseeable
future, particularly to the most vulnerable &
underprivileged sections of the population.
2. To encourage application of mental health
knowledge in general health care & social
development.
3. To promote community participation in the
mental health services development & to
stimulate efforts towards self-help in the
community.
4. AIMS OF NMHP
1. Prevention & treatment of mental
neurological disorders & their associated
disabilities.
2. Use of mental health technology to
improve general health services.
3. Application of mental health principles in
total national development to improve
quality of life.
5. STRATEGY FOR IMPLEMENTATION OF
NMHP
CENTRE TO PERIPHERY STRATEGY:
Establishment and strengthening of
psychiatric units in all district hospitals, with
outpatient clinics and mobile teams reaching
the population for mental health services.
PERIPHERY TO CENTRE STRATEGY:
Training of an increasing number of primary
health care health personnel in basic mental
health skills to provide minimum mental
health care to the people. With availability of
referral service.
6. APPROACHES/STEPS TO NMHP
1. Integration of mental health care services
with the existing health services.
2. Utilization of the existing infrastructure
of health services & also deliver the
minimum mental health care services.
3. Provision of appropriate task-oriented
training to the existing health staff.
4. Linkage of mental health services with
the existing community development
program.
7. CONT...
Realizing that the NMHP was not
likely to be implemented on a larger
scale without demonstration of its
feasibility in larger populations, the
need for planning for the
implementation of the programme at a
district level was highlighted.
8. DISTRICT MENTAL HEALTH
PROGRAMME
In feb. 1996, in a joint conference of
Ministry of Health and Family Welfare,
NIMHANS Bengaluru and WHO, it was
strongly recommended that 25% district
of the nation requires community based
approach and district mental health
programme (DMHP).
9. DMHP includes following activities:
Providing mass education about
mental health.
Arrangements for the immediate
diagnosis and treatment of mental
diseases.
Follow up of mental patients.
Training of the mental health team.
Providing statistics to central and state
government for the formation of future
plans and research work.
10. Areas of concern of the
programme:
Poor availability of skilled manpower.
Stigma attached to mental illness.
Lack of awareness regarding mental
illness.
Lack of coordination among
departments.
Worksite stress management, suicide
prevention, college and school
counseling were not covered properly.
11. REVISED NATIONAL MENTAL HEALTH
PROGRAMME(2003)
Redesigning DMHP around a model
institution, a zonal medical college.
Strengthening medical college to improve
psychiatric treatment facilities with adequate
man power.
Streamlining and modernization of mental
hospitals.
Research and development programmes in
the field or community mental health.
Promotes inter-sectorial collaboration and
linkages with other national programmes.
12. CONT...
Plan for cost effective intervention
models.
Health and policy planning.
Promotion of referral services.
Home care support by provision of
sufficient man power.
Provision of essential drugs.
Public mental health education.
13. ROLE OF PSYCHIATRIC NURSE
LIAISON ROLE
CONSULTANT
ROLE
PRACTITIONER
OR CLINICIAN
ROLE
COUNSELLOR
ROLE
NURSE
EDUCATOR
ROLE
COORDINATOR
ROLE
THERAPEUTIC
ROLE
DOMICILIARY
ROLE
RESEARCHER
ROLE
15. INTRODUCTION:
This programme was launched in
1954 with objective to provide safe
water and appropriate drainage in
urban as well as rural.
“ACCELERATED RURAL WATER
SUPPLY PROGRAMME” was
launched in 1974 as a supplementary
part of this programme.
16. CRITERIA WERE USED:
Source of water is farther then the limit
of 1.6 km.
Source of water is more then 15
meters deep.
Water has excessive salts (hard
water) or toxic substances in it.
Cholera and guineaworm is suspected
from the consumption of water.
17. In 1981, GOI had started National water
supply and sanitation programme with
the targeted period of 10 year.
Conversion of all unsafe latrines into low
cost sanitary toilets, was on priority.
Properly development of proper outlet of
drainage in the big cities was also
emphasized.
Despite many efforts the expected
targets of this programme could not be
achieved.
19. Programme was started in 1984.
This programme runs with technical
assistance of WHO.
Now India has eradicated guineaworm
and since aug. 1996, no single case is
reported till now.
In feb. 2000, the International
commission for certificate of
dracunculiasis eradication has
declared India free from
dracunculiasis transmission.
21. YEP was launched as centrally
sponsored scheme in 1996-97.
The programme aimed to reach the
unreached tribal areas of the country.
Programme is implemented by the
state health directorate through
existing health care system.
22. STRATEGIES:
Case finding
Treatment of the cases
Manpower development
IEC activities
Multisectorial coordination
From 2004, no case has been
reported from any state till now.
