This document outlines the National and Community Mental Health Programme in India. The aims are to ensure treatment and prevention of mental disorders, use of mental health technology, and applying mental health principles to improve quality of life. Objectives include making minimum mental care accessible to all, especially vulnerable groups, and promoting community participation in mental health services. Strategies integrate mental health into primary care through the national program and provide tertiary institutions while eradicating stigma. The program has treatment, rehabilitation, and prevention sub-programs. It also discusses the history of mental health services in India and current status, resources, and approaches like community-based care.

1. NATIONAL ANDNATIONAL AND
COMMUNITY MENTALCOMMUNITY MENTAL
HEALTH PROGRAMMEHEALTH PROGRAMME

2. AIMS OF NCMHPAIMS OF NCMHP
 To ensure treatment and prevention ofTo ensure treatment and prevention of
mental and neurological disorder.mental and neurological disorder.
 Use of mental health technologyUse of mental health technology
 Application of mental health principles inApplication of mental health principles in
total national development to improvetotal national development to improve
quality of life.quality of life.

3. OBJECTIVESOBJECTIVES
 To ensure availabilty and accessibility ofTo ensure availabilty and accessibility of
minimum mental health care for all in theminimum mental health care for all in the
foreseeable future, particularly to the mostforeseeable future, particularly to the most
vulnerable and under privileged sections ofvulnerable and under privileged sections of
population.population.
 To encourage application of mental healthTo encourage application of mental health
knowledge in general health care and in theknowledge in general health care and in the
social development.social development.
 To promote community participation in mentalTo promote community participation in mental
health services development , and to stimulatehealth services development , and to stimulate
efforts towards self help in the community.efforts towards self help in the community.

4. STRATEGIESSTRATEGIES
 Integration of mental health with primary healthIntegration of mental health with primary health
care through the national mental health program.care through the national mental health program.
 Provision of tertiary care institutions forProvision of tertiary care institutions for
treatment of mental disorders.treatment of mental disorders.
 Eradication stigmatization of mentally ill patientsEradication stigmatization of mentally ill patients
and protecting their rights through regulatoryand protecting their rights through regulatory
institutions like the central mental healthinstitutions like the central mental health
authority, and state mental health.authority, and state mental health.

5. APPROACHESAPPROACHES
 Intergration of the mental healthIntergration of the mental health
care services with the exixtingcare services with the exixting
general health services.general health services.
 To utilize the existing infrastructure of healthTo utilize the existing infrastructure of health
services and also to deliver the minimum mentalservices and also to deliver the minimum mental
health care services.health care services.
 To provide appropriate task oriented training toTo provide appropriate task oriented training to
the existing health staff.the existing health staff.
 To link health services with the existingTo link health services with the existing
community development programe.community development programe.

6. DISTRICT MENTAL HEALTH PROGRAMMEDISTRICT MENTAL HEALTH PROGRAMME
COMPONENTSCOMPONENTS
 Training programs of all workers in the mentalTraining programs of all workers in the mental
health team at the identified institutionhealth team at the identified institution
 Public educationPublic education
 Early detection and treatmentEarly detection and treatment
 Providing valuable data and experience at theProviding valuable data and experience at the
level of community .level of community .

7. COMPONENTS OFCOMPONENTS OF
PROGRAMEPROGRAME
 TREATMENT SUB PROGRAMETREATMENT SUB PROGRAME
-village and sub center-village and sub center
-Primary health center-Primary health center
-District hospital-District hospital
-Mental hospital and teaching-Mental hospital and teaching
psychiatric units.psychiatric units.
 REHABLITATION SUB PROGRAMEREHABLITATION SUB PROGRAME
 PREVENTION SUB PROGRAMEPREVENTION SUB PROGRAME

8. MENTAL HEALTH SERVICES IN INDIAMENTAL HEALTH SERVICES IN INDIA
 In 1946 Bhore committeeIn 1946 Bhore committee
 Muddaliar health committeeMuddaliar health committee
 General hospital psychiatric units.General hospital psychiatric units.
 Community care approach.Community care approach.

9. EXTENT OF THE PROBLEM ANDEXTENT OF THE PROBLEM AND
FACILITIES AVAILABLE IN INDIA.FACILITIES AVAILABLE IN INDIA.
 MANPOWER AVAILABLEMANPOWER AVAILABLE
PsychiatristPsychiatrist -2500-2500
qualified doctorsqualified doctors -240,000-240,000
clinical psychologistclinical psychologist -600-700-600-700
psychiatric social workerpsychiatric social worker -500-600-500-600
psychiatric nursepsychiatric nurse -600-600
pG centerpG center -48-48

10.  National mental health policyNational mental health policy
 Mental health actMental health act
 Mental health health act 1987Mental health health act 1987
 Post mental health servicesPost mental health services
 Present status of mental health services.Present status of mental health services.
 Future of mental health services.Future of mental health services.
 School mental health programme.School mental health programme.
 Community care in mental health.Community care in mental health.
 Trust areas of NMHPTrust areas of NMHP
 Creating awareness and reducing stigma.Creating awareness and reducing stigma.

11. FIVE YEAR PLANSFIVE YEAR PLANS
FIVE YEARFIVE YEAR

12. REVISED NATIONALREVISED NATIONAL
MENTAL HEALTHMENTAL HEALTH
PROGRAMMEPROGRAMME

13. COMMUNITY FACILITY FORCOMMUNITY FACILITY FOR
MENTALLY ILLMENTALLY ILL
 Day hospitalcentres.Day hospitalcentres.
 Half way homes.Half way homes.
 Group homes.Group homes.
 Foster homes.Foster homes.
 Sheltered workshop.Sheltered workshop.
 Mental healthMental health
emergency care.emergency care.
 Walk in clinic.Walk in clinic.
 Home visit.Home visit.
 Self help group.Self help group.

14. APPROACHES TO COMMUNITYAPPROACHES TO COMMUNITY
HEALTHHEALTH
 Primary preventionPrimary prevention
 Secondary preventionSecondary prevention
 Tertiary preventionTertiary prevention

15. ROLE OF COMMUNITY HEALTHROLE OF COMMUNITY HEALTH
NURSE IN MENTAL HEALTHNURSE IN MENTAL HEALTH
 Assessment of familyAssessment of family
 Assessment of communityAssessment of community
 Planning and implementationPlanning and implementation
 Family interventionsFamily interventions
 Community interventionsCommunity interventions
 EvaluationEvaluation

16. CHANGING FOCUS OFCHANGING FOCUS OF
CARECARE