National Mental Health Program: Neethu Vincent Assistant Professor KVM College of Nursing

National Mental
Health Program
Neethu Vincent
Assistant Professor
KVM college of Nursing
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.
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.z
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.
Strategies
• 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.
COMPONENTS
1. TREATMENT
2. REHABILITATION
3. PREVENTION
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
identifying mentally ill persons.
3. IEC: Public awareness generation.
4. Monitoring: the purpose is for simple Record Keeping.
Objectives of District Mental
Health programme.
1. To provide sustainable basic mental health care
services in the community by integrating mental
health 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
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
Activities
1. School mental health services
2. College counselling services
3. Work place stress management
4. Suicide prevention services
The team including in DMHP
1. PSYCHIATRIST
2. CLINICAL PSYCHOLOGIST
3. PSYCHIATRIC SOCIAL WORKER
4. COMMUNITY NURSE
5. PROGRAM MANAGER
6. CASE RESISTRY ASSISTANT
7. RECORD KEEPER
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).
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
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.
GOAL
• Improve health and social outcomes related to
mental illness
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.
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.
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.
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.
In Tertiary prevention ;
• providing diversion therapy, Recreation therapy,
Community Mental Health Facilities, Day-Evening
Treatment/ Partial Hospitalization Programs,
Community Residential Facilities, Support Groups.
The Mental Healthcare Act ,2017
• An act to provide for mental healthcare
and services for persons with mental
illness and to protect, promote and fulfill
the rights of such persons during delivery
of mental healthcare and services and for
matters connected therewith or incidental
thereto.
• Enacted by parliament in the sixty-eighth
year of the republic of India
The Mental Health Care Bill,
2013
• Comes under Ministry Of Health and
Family Welfare.
• Introduced in the Rajya Sabha on August
19, 2013. The Bill repeals the Mental
Health Act, 1987.
• The union cabinet has approved the
amendments on Jan 30, 2014.
Mental Health Care Bill 2013
• “To provide for mental health care and
services for persons with mental illness
and to protect, promote and fulfill the
rights of such persons during delivery of
mental health care and services and for
matters connected therewith or incidental
thereto”
O U
K Y
A N
TH

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National Mental

3. PSYCHIATRIC SOCIAL WORKER

6. CASE RESISTRY ASSISTANT

•PLANNING AND IMPLEMENTATION

•COMMUNITY AND FAMILY INTRVENTION

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