National Mental Health Programme by SuShodh Edutech

1. Sushodh Edutech And Research Organization
(Nursing Coaching)
By: Jaya Deshmukh
(CHN)

2. INTRODUCTION
 Mental health is an integral part of health and
wellbeing, as reflected in the definition of health in
the Constitution of the World Health Organization.
 The overall goal is to promote mental wellbeing,
prevent mental disorders, provide care, enhance
recovery, promote human rights and reduce the
mortality and disability for persons with mental
disorders.

3.  Mental Health:- Mental health refers to our
cognitive, behavioral, and emotional wellbeing – it is
all about how we think, feel, and behave. The term
‘mental health’ is sometimes used to mean an absence
of a mental disorder.
 Mental Illness:- A mental illness is a medical
condition that disrupts person's thinking, feeling,
mood, ability, to release to others and daily
functioning . mental illness are medical condition that
often result in diminished capacity for coping with the
ordinary demands of life.

4. OBJECTIVES
 The Government of India has launched the National
Mental Health Programme (NMHP) in 1982, with the
following objectives:
 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.
 To encourage the application of mental health knowledge in
general healthcare and in social development.
 To promote community participation in the mental health
service development and to stimulate efforts towards self-help
in the community.

5. Components of NMHP
 Treatment of Mentally ill
 Rehabilitation
 Prevention and promotion of positive mental health.

6. Strategies
 Integration mental health with primary health care
through the NMHP
 Provision of tertiary care institutions for treatment of
mental disorders
 Eradicating stigmatization of mentally ill patients and
protecting their rights through regulatory institutions
like the Central Mental Health Authority, and State
Mental health Authority.

7. DISTRICT MENTAL HEALTH
PROGRAM (DMHP)
 NIMHANS developed a program to operationalize and
implement the NMHP in a district. DMHP was
launched in 1996 with an aim to achieve the objectives
of NMHP.
 Pilot project of District mental health program was
done at Bellary district in Karnataka.

8. District Mental Health Program
 Objective: -
 To provide sustainable basic mental health services to
the community and to integrate these services with
other health services
 Early detection and treatment of patients within the
community itself
 To reduce the stigma of mental illness through public
awareness.
 To treat and rehabilitate mental patients within the
community.

9. Strategies:
a) Service provision: provision of mental health
outpatient & in-patient mental health services
with a 10 bedded inpatient facility.
b) Out-Reach Component:
 Satellite clinics: 4 satellite clinics per month at
CHCs/ PHCs by DMHP team
 Targeted Interventions: Life skills education &
counseling in schools, college counseling services,
work place stress management, and suicide
prevention services

10. c) Sensitization & training of health personnel:
at the district & sub-district levels
d) Awareness camps: for dissemination of awareness
regarding mental illnesses and related stigma
through involvement of local faith healers, teachers,
leaders etc
e) Community participation: 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

11.  Training of medical, paramedical personnel and
community leaders
 Community Mental Health care through existing
infrastructure of the health services
 Information, Education and Communication (IEC)
activities

12.  As of now, 241 districts have been covered under the
scheme & it is proposed to expand DMHP to all
districts in a phased manner.
 Manpower (on contractual basis): Psychiatrist, 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.

13. Team workers at the District
 Psychiatrist,
 Clinical Psychologist,
 Psychiatric Social worker,
 Psychiatry/Community Nurse,
 Program Manager,
 Program/Case Registry Assistant and
 Record Keeper.

14. ROLE OF COMMUNITY HEALTH NURSE IN MENTAL
HEALTH
 ASSESSMENT OF COMMUNITY
 ASSESSMENT OF FAMILY
 PLANNING AND IMPLEMENTATION
 COMMUNITY AND FAMILY INTRVENTION
 EVALUATION.
 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.

15.  In Tertiary prevention ;
 providing diversion therapy, Recreation therapy,
Community Mental Health Facilities, Day-Evening
Treatment/ Partial Hospitalization Programs,
Community Residential Facilities, Support Groups.

16. REFERANCES
 https://www.nhp.gov.in/national-mental-health-
programme_pg
 https://www.medicalnewstoday.com/articles/154543
 file:///C:/Users/ADMIN/Downloads/nationalmentalh
ealthprogramnmhp-190227150656%20(1).pdf