NATIONAL ANDNATIONAL ANDCOMMUNITY MENTALCOMMUNITY MENTALHEALTH PROGRAMMEHEALTH PROGRAMME
AIMS OF NCMHPAIMS OF NCMHP To ensure treatment and prevention ofTo ensure treatment and prevention ofmental 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 intotal national development to improvetotal national development to improvequality of life.quality of life.
OBJECTIVESOBJECTIVES To ensure availabilty and accessibility ofTo ensure availabilty and accessibility ofminimum mental health care for all in theminimum mental health care for all in theforeseeable future, particularly to the mostforeseeable future, particularly to the mostvulnerable and under privileged sections ofvulnerable and under privileged sections ofpopulation.population. To encourage application of mental healthTo encourage application of mental healthknowledge in general health care and in theknowledge in general health care and in thesocial development.social development. To promote community participation in mentalTo promote community participation in mentalhealth services development , and to stimulatehealth services development , and to stimulateefforts towards self help in the community.efforts towards self help in the community.
STRATEGIESSTRATEGIES Integration of mental health with primary healthIntegration of mental health with primary healthcare through the national mental health program.care through the national mental health program. Provision of tertiary care institutions forProvision of tertiary care institutions fortreatment of mental disorders.treatment of mental disorders. Eradication stigmatization of mentally ill patientsEradication stigmatization of mentally ill patientsand protecting their rights through regulatoryand protecting their rights through regulatoryinstitutions like the central mental healthinstitutions like the central mental healthauthority, and state mental health.authority, and state mental health.
APPROACHESAPPROACHES Integration of the mental healthIntegration of the mental healthcare services with the exixtingcare services with the exixtinggeneral health services.general health services. To utilize the existing infrastructure of healthTo utilize the existing infrastructure of healthservices and also to deliver the minimum mentalservices and also to deliver the minimum mentalhealth care services.health care services. To provide appropriate task oriented training toTo provide appropriate task oriented training tothe existing health staff.the existing health staff. To link health services with the existingTo link health services with the existingcommunity development programe.community development programe.
DISTRICT MENTAL HEALTH PROGRAMMEDISTRICT MENTAL HEALTH PROGRAMMECOMPONENTSCOMPONENTS Training programs of all workers in the mentalTraining programs of all workers in the mentalhealth 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 thelevel of community .level of community .
COMPONENTS OFCOMPONENTS OFPROGRAMEPROGRAME 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 teachingpsychiatric units.psychiatric units. REHABLITATION SUB PROGRAMEREHABLITATION SUB PROGRAME PREVENTION SUB PROGRAMEPREVENTION SUB PROGRAME
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.
EXTENT OF THE PROBLEM ANDEXTENT OF THE PROBLEM ANDFACILITIES AVAILABLE IN INDIA.FACILITIES AVAILABLE IN INDIA. MANPOWER AVAILABLEMANPOWER AVAILABLEPsychiatristPsychiatrist -2500-2500qualified doctorsqualified doctors -240,000-240,000clinical psychologistclinical psychologist -600-700-600-700psychiatric social workerpsychiatric social worker -500-600-500-600psychiatric nursepsychiatric nurse -600-600PG centerPG center -48-48
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.
FIVE YEAR PLANSFIVE YEAR PLANSFIVE YEARFIVE YEAR
COMMUNITY FACILITY FORCOMMUNITY FACILITY FORMENTALLY 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 healthemergency care.emergency care. Walk in clinic.Walk in clinic. Home visit.Home visit. Self help group.Self help group.
APPROACHES TO COMMUNITYAPPROACHES TO COMMUNITYHEALTHHEALTH Primary preventionPrimary prevention Secondary preventionSecondary prevention Tertiary preventionTertiary prevention
ROLE OF COMMUNITY HEALTHROLE OF COMMUNITY HEALTHNURSE 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