Uploaded byDr. Poonamjot Kaur Sidhu
Psychiatry department
This document discusses psychiatry departments and services including de-addiction and lifestyle modification centers. It describes that psychiatry involves the diagnosis and treatment of mental disorders by physicians called psychiatrists. De-addiction centers and lifestyle modification centers aim to treat addiction and promote healthy behaviors through a team-based approach. The document also outlines the services, staffing, and basic requirements for establishing a psychiatry hospital or wing.
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Psychiatry department
- 1. PSYCHIATRY DEPARTMENT Submitted by: Dr. Poonamjot Kaur Sidhu
- 2. INTRODUCTION • MENTAL HEALTH A state of complete physical, mental and social well-being, and not merely the absence of disease. • PSYCHIATRY Psychiatry is the medical specialty devoted to the study and treatment of mental disorders. These mental disorders include various affective, behavioural, cognitive and perceptual abnormalities. • PSYCHIATRIST A psychiatrist is a physician who specializes in the diagnosis and treatment of mental disorders.
- 3. INTRODUCTION • DE-ADDICTION CENTRES A place where a Professional team comprising of Psychiatrist, Medical Officer, Counsellor, Social Workers and Yoga Therapist involve in the treatment of addiction • LIFE STYLE MODIFICATION CENTRES It carries out program that include fitness training, nutrition counselling, health screening, health education and behaviour modification. Such places incorporates all of these elements into a one comprehensive plan.
- 4. IMPORTANCE OF PSYCHIATRY DEPARTMENTS • The World Health Organization estimates that by 2020, mental depression will be the largest cause of disability worldwide. It also says that by 2025, mental illness will catch up with heart disease or may even overtake it as the biggest global health concern. • The National Institute of Mental Health and Neurosciences (NIMHANS) in Bangalore estimates that two crore Indians need help for serious mental disorders, while a further five crore suffer from mental illnesses not considered very serious. These figures do not include neurological age- related progressive disorders such as Alzheimer's and Parkinson's.
- 5. • It alsoestimates that at least 35 lakh Indians need hospitalisation on account of mental illnesses. But the country has only 40 institutions that are equipped to treat patients suffering from mental disorders. The total number of beds is less than 26,000. Of these 40 institutions, only nine are equipped to treat children. Moreover, many of them are medieval-era, asylum-style institutions with high boundary walls, artificial barriers and patients kept in solitary confinement. • "We need to get out of this 'mental hospital' structure. More importantly, we need to stop reinforcing negative stereotypes of the mentally ill," says Vandana Gopikumar, member of the policy group appointed by the Union health ministry to frame a national mental health policy.
- 6. PSYCHIATRY HOSPITALS •Psychiatric hospitals, also known as mental hospitals, are hospitals specializing in the treatment of serious mental disorders. • Psychiatric hospitals vary widely in their size and grading. • Some hospitals may specialise only in short-term or outpatient therapy for low-risk patients. Others may specialise in the temporary or permanent care of residents who, as a result of a psychological disorder, require routine assistance, treatment, or a specialised and controlled environment.
- 7. • Crisis stabilization • Open units • Medium-term • Juvenile wards • Long-term care facilities • Halfway houses • Political imprisonment • Secure units
- 8. PSYCHIATRY WINGS •These form a part of a general or a multispecialty hospital • Usually located away from the general OPD or IPD • Allot of government and private hospital prefer them to be on dead ends or in lesser traffic areas of the hospital as such patients may become violent at times
- 9. BASIC REQUIREMENTS • Certainbase line provisions should be present in case a psychiatric hospital or wing is being planned • These are given by the mental health act 1987 and completion of them is necessary to get a mandatory licence. • These can be discussed under various aspects being:
- 10. PHYSICAL FEATURES OPEN AND CARPET AREA REHABLITATION DORMITORY DIAGNOSTIC DRAINAGE FACILITIES SYSTEM EMERGENCY BASIC FACILITY AMMENITIES COMPOUND WALL
- 11. SERVICES Registration Outpatient Treatment Inpatient Treatment Emergency services Dispensing of medications (pharmacotherapy) Psychosocial interventions Laboratory services Referral / Consultation / Linkages Record maintenance
- 12. STAFF REQUIREMENTS psychiatrist Medical Clinical officer psychologist Psychiatric hospital Staff nurses attendants In accordance to need
- 13. QUALIFICATION OF STAFF Psychiatrist MedicalOfficer Clinical Psychologist Trained Psychologists Psychiatric social worker Staff Nurse
- 14.
- 15. NEUROPSYCHIATRY DRUG DEADDICTION CUMREHABLITATION CENTRE Dr. Hardeep Singh MD Psychiatry (PGI) MIPS,MAPA,AIASP,MIACAM Sr. Consultant Psychiatrist
- 16. INTRODUCTION • It isthe first and only licensed private psychiatric hospital in the region • Was established in the year • At Neuropsychiatry Centre their goal is to provide comprehensive drug treatment and alcohol rehabilitation services to individuals whose lives have become unmanageable as a result of addiction and introduce them to a new lifestyle free of drugs/ alcohol. • Provided through a social-therapeutic model and includes education, counselling, new lifestyle training, and introduction to the recovery community.
- 17. MISSION It isto effectively treat individuals suffering from substance abuse and other psychological disorders. It emphasis on the importance of treating clients with dignity while helping them reintegrate into society as productive, drug-free individuals.
- 18. STEPS TAKEN TOACHIEVE MISSION • Providing high quality, cost effective treatment services • Ensuring that their drug rehabilitation centre has sober living environments and is safe, supportive and chemical- free. • Demonstrating significant reductions in substance abuse and corresponding quality of life improvements. • Achieving cooperative partnerships between treatment staff and clients. • Continuing Education and Training of their staff.
- 19. HIERARCHY OF THESTAFF Dr. Hardeep Singh Psychiatrist Mrs. Suman Gupta Counselor Security Staff Nurses Receptionist Attendants Misc Guards 5 3 1 4 3-4
- 20. LAYOUT KITCHEN RECORD REST ROOM ROOM STAFF NURSE ROOMS RECEPTION IPD (15 BEDS ) C COUNSELLER’S H ROOM PSYCHIATRIST’S A ROOM STORAGE I INNER WAITING R ROOM
- 21. CONSULTATION PROVIDED FOR • Psychiatric problems • Drug and alcohol de addiction • Psychosexual disorders • Childhood behavioral disorders • Emotional problems • Marital and interpersonal problems • Counseling / psychotherapy • Behavior therapy • Relaxation therapy • Stress management
- 22. FACILITIES AVAILABLE Electroconvulsive Psychological Pharmacy therapy testing Psychiatric Indoor admission emergency
- 23. PROCESS FLOW OFTHE DEPARTMENT Appointment ( on phone, on line or personally ) Payment made in cash or by card Evaluated by an psychologist Dr. Hardeep consults the patient Diagnosis and treatment planning is done
- 24. INVENTORY • A stock register is maintained • Periodically the amount of goods are checked • Orders are placed in accordance to requirements
- 25. PROBLEMS FACED • Maintenance problems • Patients reporting late for appointments • Long waiting time for patients
- 26. SOLUTIONS TO THEPROBLEM • Reminders for appointments should be given • Patients encouraged to come on time • Time allocations to be made specific • Delays should be patiently explained to the patient
- 27. LIFE STYLE MODIFICATIONCENTRES • Also called as wellness centers or spa • These centers focus on healthy life practices • Usually the concerned individual is admitted for a certain period of time • They usually practice drugless therapy which combines Indian Nature Cure with Yoga and other drugless regimens, namely, Diet Therapy, Physiotherapy, Acupuncture, and exercise. • Such Institutes accepts and provides diagnosis only through scientific methods with modern medical equipment.
- 28. DISEASES CONSIDERED Abdominal disorders Eosinophillia Menstrual Disorders Allergic Rhinitis Gastritis Migraine Amoebiasis Gout Myopia Anaemia (Haemoglobin level Hepatitis - A Obesity not less than 8 gm/ 100 ml) Anxiety Neurosis Hiatus Hernia Osteo Arthritis Arthritis High Blood Pressure Refractive Errors Bronchial Asthma High cholesterol Rheumatoid Arthritis Calcaneal Spur High Uric acid Sciatics Chronic Constipation Hyperacidity Sinusitis Colitis Hypotension Sleep Apnoea Spondylitis-Cervical and Depression Hypothyroidism Lumber Diabetes Mellitus Insomnia Stable Heart Cases Dysentery Irritable bowel Syndrome Ulcers
- 29. ACTIVITIES • Yoga • Laughing session • 15 km walk • Kriya before yoga • 40 minutes aerobics • Swimming • Meditation • Messages and body packs • Outdoor games • One hour lecture on health every night • Two meals a day and 5 L of water
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