The document discusses India's National Mental Health Programme (NMHP). It was launched in 1982 to address the high burden of mental illness and lack of infrastructure. The NMHP aims to prevent and treat mental disorders, integrate mental health into general healthcare, and apply mental health principles to quality of life. It established the District Mental Health Programme (DMHP) to provide basic mental healthcare through primary care centers. The DMHP aims to ensure access to care, early identification and treatment of mental illnesses, and reduce stigma. It utilizes a team including psychiatrists, psychologists, social workers, nurses, and program managers to screen and treat communities. The NMHP also aims to close non-viable mental hospitals and create general hospital psychiatry

1. NATIONAL MENTAL HEALTH PROAMGRME
SUBMITTED TO ;
• MISS RINKI GHOSH
• LECTURER OF TSCN
SUBMITTED BY;
• SURAJIT DAS
• ROLL NO. 19
• BSC NURSING 4TH YEAR

2. What is health?
• "Health is a state of complete physical, mental
and social well-being and not merely the absence
of disease or infirmity.“
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4. MENTAL HEALTH.
•Mental health is a state of well-being in
which an individual realizes his or her own
abilities, can cope with the normal stresses
of life, can work productively and is able to
make a contribution to his or her community.
• - WHO
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5. •MENTAL ILLNESS ;
• “A mental illness is a medical condition that disrupts a
person's thinking, feeling, mood, ability to relate to
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)
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6. INTRODUCTION
•The Government of India Launched the National
Mental Health Program (NMHP) in 1982,
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.
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7. AIMS
•Three aims are specified in the NMHP in
planning mental health services for the country:
1.Prevention and treatment of mental and
neurological disorders and their associated
disabilities.
2.Use of mental health technology to improve
general health services.
3.Application of mental health principles to
improve quality of life.
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8. OBJECTIVES
• The Government of India has launched the National Mental Health
Programme (NMHP) in 1982, with the following objectives:
1. To ensure the availability and accessibility of
minimum mental healthcare for all in the
foreseeable future, 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; and
3. To promote community participation in the
mental health service development and to
stimulate efforts towards self-help in the
community. 8

9. Strategies under national mental health
programme.
1. Integration of mental health with primary health
care through the NMHP;
2. Provision of tertiary care institutions for
treatment of mental disorders;
3. Eradicating stigmatization of mentally ill
patients & protecting their rights through
regulatory institutions like the central mental
health authority, & state mental health authority.
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10. COMPONENTS
•I) TREATMENT
•II) REHABILITATION
•III) PREVENTION
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11. District mental health program
Launched under NMHP in the year 1996 (in IX Five Year Plan). The
DMHP was based on ‘Bellary Model’ with the following components:
1. Early detection & treatment.
2. Training: imparting short term training to general physicians for
diagnosis and treatment of common mental illnesses with limited
number of drugs under guidance of specialist. The Health workers are
being trained in identifyingmentally ill persons.
3. IEC: Public awareness generation.
4. Monitoring: the purpose is for simple Record Keeping.
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13. Objectives of District Mental Health
programme.
1. To provide sustainable basic mental health care
services in the community by integrating mental helath
into general health care services in primary care
settings
2. Early identification and treatment
3. To see that patient and their relatives do not travel long
distances to go to hospitals.
4. To take pressure out of the mental hospitals
5. To reduce stigma attached towards mental illness 13

14. Components of service provided by
DMHP ;
1) BASIC MENTAL HEALTH CARE
2) FOLLOW UP OF TREATED CASES
3) INFORMATION , EDUCATION AND
COMMUNICATION(IEC) ACTIVITIES
4) SCHOOL MENTAL HEALTH PROGRAMME
5) COLLEGE MENTAL PROGRAMME
6) SUICIDE PREVENTION
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15. The team including in DMHP
•PSYCHIATRIST
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16. CLINICAL PSYCHOLOGIST
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17. PSYCHIATRIC SOCIAL WORKER
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18. COMMUNITY NURSE
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19. PROGRAM MANAGER
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20. CASE RESISTRY ASSISTANT
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21. RECORD KEEPER
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22. NMHP during 12th five year plan ;
•The district mental health programme will
be extended to the remaining 161-districts.
• Non-viable mental hospitals will be closed
down or merged with general hospitals to
create general hospital psychiatry units
(GHPUs).
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23. •PRINCIPLES, GOALS &
OBJECTIVES OF THE DMHP IN THE
XII TH PLAN
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24. PRINCIPLES
I ) A life course perspective with attention to the
unique needs of children, adolescents and adults.
ii) An equity perspective through specific
attention to vulnerable groups and to ensure
geographical access to mental health services
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25. • iii) An evidence based perspective by
following established guidelines and
experiences on treatments and delivery
models.
iv) A rights based perspective to ensure rights
of persons with mental illness are protected
and respected by mental health services.
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26. GOAL
• Improve health and social outcomes
related to mental illness
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27. OBJECTIVE
• The primary objective of the District Mental
Health Programme is to reduce distress, disability
and premature mortality related to mental illness
and enhance recovery from mental illness by
ensuring the availability of and accessibility to
mental health care for all in the XIIth Plan period,
particularly the most vulnerable and
underprivileged sections of the population.
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28. •Other objectives of the DMHP are:
• a) To reduce the stigma attached towards
mental illness.
• b) To promote community participation in the
mental health service development and to
stimulate efforts towards self-help in the
community.
• c) To increase access to preventive services to
the population at risk, in particular, addressing the
risk of suicide and attempted suicide.
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29. • D) To ensure a motivating and
empowering work place for staff by
allowing an opportunity to improve their
skills and recognition of their work.
• E) To generate knowledge and evidence
related to the delivery of mental health care
and services;
• F) To improve the infrastructure for
mental health service delivery.
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31. ROLE OF COMMUNITY HEALTH NURSE
IN MENTAL HEALTH ;
• ASSESSMENT OF COMMUNITY
• ASSESSMENT OF FAMILY
• PLANNING AND IMPLEMENTATION
• COMMUNITY AND FAMILY INTRVENTION
• EVALUATION.
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32.  EARLY DIAGNOSIS and Case Finding achieved by
educating the public and community leaders , Mahila Mandals,
Balwadis etc.
 recognizing early symptoms.
 Early Reference.
 SCREENING PROGRAMMES: Simple questionnaires
should be developed and administered.
 For Early and Effective Treatment.
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33. In Tertiary prevention ;
providing diversion therapy, Recreation therapy,
Community Mental Health Facilities, Day-Evening
Treatment/ Partial Hospitalization Programs,
Community Residential Facilities, Support Groups.
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