NATIONAL MENTAL HEALTH PROGRAM

NATIONAL MENTAL HEALTH PROGRAMME (NMHP)-1985: 

NATIONAL MENTAL HEALTH PROGRAMME (NMHP)-1985

definition: 

definition Mental health is a state of wellbeing characterized by the absence of mental or behaviour disorder where by the person has made a satisfactory adjustment as an individual, and to the community, in relation to emotional personal social and spiritual aspects of there life. K. park

Slide 4: 

According to WHO Mental health has been defined as a state of balance between the individual and the surrounding world, a state of harmony between oneself and others, a coexistence between the realities of the self and that of other people and that of the environment.

  Objectives : 

Objectives To ensure availability and accessibility of minimum mental health care for all in the foreseeable future, particularly to the most vulnerable and underprivileged sections of population. To encourage application of mental health knowledge in general health care and in social development.

Cont….: 

Cont…. To promote community participation in the mental health services development and to stimulate efforts towards self-help in the community

  Aims : 

Aims Prevention and treatment of mental and neurological disorders and their associated disabilities. Use of mental health technology to improve general health services. Application of mental health principles in total national development to improve quality of life. To provide appropriate task oriented training to the existing health staff.

  Strategies : 

Strategies Integration of 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 protecting their rights through regulatory institutions like the Central Mental Health Authority, and State Mental health Authority .

APPROACHES TO THE STATEMENT OF PROGRAMME OBJECTIVES: 

APPROACHES TO THE STATEMENT OF PROGRAMME OBJECTIVES DIFFUSION OF MENTAL SKILLS TO THE PERIPHERY OF THE HEALTH SERVICE SYSTEM: APPROPRIATE APPOINTMENT OF TASKS IN MENTAL HEALTH CARE EQUITABLE AND BALANCED TERRITORAIL DISTRIBUTION OF RESOURCES

Cont…..: 

Cont….. INTEGRATION OF BASIC MENTAL HEALTH CARE INTO GENERAL HEALTH SERVICES LINKAGE TO COMMUNITY DEVELOPMENT MENTAL HEALTH CARE PROGRAMMES. MENTAL HEALTH TRAINING PROGRAMMES.

  TARGETS OUTLINED IN NMHP: 

TARGETS OUTLINED IN NMHP Adoption of programme (NMHP) by all states. Formation of National Mental Health Advisory Body as focal point Co-ordination cell at DGHS Formulation of curriculum for health personnel of different levels. Organization of mental health training programmes for Primary Health Care (PHC) personnel at the State levels.

Slide 12: 

Provision of programming officers for mental health at State level. Provision of psychiatrists at District level. Enhancing mental health training in under graduate medical education. Development of linkages with other developmental programmes like Integrated Child Development Services Scheme (ICDS) Improvement of mental hospitals and psychiatric teaching units.

COMPONENTS OF NMHP: 

COMPONENTS OF NMHP TREATMENT REHABILITATION PREVENTION

Components: 

Components Training programmes of all workers in the mental health team at the identified Nodal Institute in the State. 2. Public education in the mental health to increase awareness and reduce stigma.

Slide 15: 

3. For early detection and treatment, the OPD and indoor services are provided. 4. Providing valuable data and experience at the level of community to the state and Centre for future planning, improvement in service and research

OUTCOMES. : 

OUTCOMES. Gave more significance to MH care Efforts to reduce stigma of mental illness Allocation of budgets for the mental health programmes during 5 year plans Budgetary allocation of Rs.28 crores during the ninth five-year plan for NMHP Rs. 100 crores during 10 th 5 year plan

Main Strategies During  The Tenth  Plan Period: 

Main Strategies During  The Tenth  Plan Period Expansion of DMHP to 100 districts all over the country. Strengthening and modernization of mental hospitals Up- gradation of psychiatry wings in the general hospital/ medical colleges. Research & training in Mental Health for improving service delivery

Thrust areas for 10th Five Year Plan: 

Thrust areas for 10th Five Year Plan District mental health programme in an enlarged and more effective form covering the entire country. Modernization of mental hospitals in order to modify their present custodial role.

Slide 19: 

Upgrading department of psychiatry in medical colleges and enhancing the psychiatry content of the medical curriculum at the undergraduate as well as postgraduate level. Strengthening the Central and State Mental Health Authorities with a permanent secretariat. Research and training in the field of . community mental health, substance abuse and child/ adolescent psychiatric clinics.

Mental Health Care In The 11th Five Year Plan : 

Mental Health Care In The 11th Five Year Plan The DMHP will be extended to another 200 districts. Psychiatry departments of the remaining medical colleges will be upgraded and the infrastructure created during the previous plan will be reinforced

Slide 21: 

Based on the result of the pilot disinvestments plan the process will be extended to 10 more mental hospitals with the aim of constructing modern buildings , providing state-of-the –art equipments, adequate staff, Qualitative and quantitative improvement will be introduced in the areas of research, Training IEC

Looking to the 11 Five Year Plan: 

Need for greater emphasis on development of mental health technology of community mental health care. A system of support and supervision, evaluation should be the foundation of the programme . In this effort research, should be an integral part Looking to the 11 Five Year Plan

Slide 23: 

there is a need for a national level initiative for human resource development for mental health care. Improving the psychiatric training in the undergraduate medical education, increasing the training for non-medical professionals, utilizing to a larger extent and bringing clear guidelines for the different paraprofessionals like counselors, volunteers, family level carers , etc. , to be part of the mental health care programmes .

Slide 24: 

Need for consolidating the different models of care by systematic evaluation school-based interventions the suicide prevention programme substance abuse programmes family support initiatives rehabilitation needs of the chronic patients

Slide 25: 

need for integrating the mental health components in national level programmes like the ICDS, education system, and use of traditional systems like yoga, meditation, so that the mental health promotive activities become part of the programme

Slide 26: 

the areas not included in the earlier plan periods like support for families of the mentally ill persons prevention of suicide life skills education disaster mental health care care of the elderly, should be taken up to develop models during the 11 Plan, so that suitable expansion in the next Plan period can occur

ROLE OF NURSE IN NATIONAL MENTAL HEALTH PROGRAMME : 

ROLE OF NURSE IN NATIONAL MENTAL HEALTH PROGRAMME Primary prevention. Secondary prevention. Tertiary prevention

Role of nurse in primary prevention: 

Role of nurse in primary prevention Health education should be given to the vulnerable groups such teenagers and homeless families. Educate the community about the importance of prenatal and postnatal care, for the reduction of mental retardation and organic mental disorder. Educate the mother for follow up during antenatal, on nutrition, vaccination, avoidance of the use of drugs and alcohol.

Cont……: 

Cont…… Genetic counseling to the couple with a high risk of chromosomal abnormalities. Encourage abortion of a defective foetus if diagnosed in utero . Educate the client or family members for the arrival and acceptance of new child in the family Educate the public to cope up with stress, mental health education is necessary through exhibition, TV, role plays, radio talks and also by mass media about the leading cause of mental disorder.

Cont….: 

Cont…. Educate the childless couples and guide them for investigation. Teach the parents to provide minimum facilities such as food, shelter, and clothing for the better growth. Educate the child how to meet the stressful situations. Advice should be given to the parents to provide an opportunity to the child to face emotional stress.

Slide 31: 

Educate the parent participation his or her child in group interaction, socialization with the guest and friends so that the child learn to accept his strength and weakness, thus the child can make effort to improve on his weakness. Prepare the individual to cope up with changes such as adolescence, marriage, pregnancy, child birth, family planning, marriage of children, old age. Educate each members of the family to support the client within the family or from the health professionals. Educate the teachers and parents on maintaining a healthy environment at school and home.

Role of nurse in secondary prevention. : 

Role of nurse in secondary prevention . Early diagnosis and promote treatment of the high risk individual. Educate people how to overcome the crisis situation. Orientation of the public about the available outpatient and inpatient treatment facilities within the facilities within the community. Teach about the follow up to ensure the improvement of the client mental and physical health.

Role of nurse in tertiary prevention. : 

Role of nurse in tertiary prevention . The nurse need to ensure the type of psychotropic drugs the patient is taking. The nurse needs to ensure the maintenance of dose, supervision of safe intake of drug, and observe for any side effects. Educate the family members to observe for side effects. Teach the members to support the client and also teach the members how to overcome by crisis situation.

CONT……: 

CONT…… Social skill training can be given to develop effective interaction and communication abilities ie . “drug addict group” alcoholic anonymous group. The patient need to be rehabilitated and helped to become socially productive. Educate the public about the importance of rehabilitation of the mentally disordered patients.