INDIA INTRODUCTION RECOMMENDATIONS BY BHORE COMMITTEE • IN 1946
• Recommendations for 6 mental health hospitals in
Amritsar, Hyderabad, Sri Nagar, Jan Nagar, New Delhi, AIIMH,NIMHANS. COMMUNITY PSYCHIATRY
• 1963
• The third revolution in the field of psychiatry.
NEED FOR COMMUNITY PSYCHIARTY SERVICES • To break the social discrimination syndrome. • Institutionalized psychiatric services are more expensive. • Insufficient man power. EXTEND OF PROBLEM IN INDIA • POPULATION 1.7 Billion • PREVALENCE OF PSYCHIATRIC DISORDER 62/1000 population • SEVERE MENTAL ILLNESS Point Prevalence – 10-20%/1000 population. Incidence - 35/100,000 population. • NUROSIS AND PSYCHOSOMATIC DISORDRES Point prevalence – 4-5% • PSYCHIATRIC DISORDERS IN CHILDREN Point prevalence - 2-3% • MENTAL RETARDATION Point prevalence - 20 million children • PSYCHIATRIC OPD ATTENDANCE IN Govt. hospital- 6.63 million/yr Private hospital- 4.83 million/yr Total OPD attendance – 8.49 million/yr EXISTING MENTAL HEALTH SERVICES IN INDIA • No. of Government hospital in India – 40
• Total health beds in India -10,70,180.
• Psychiatric beds in India - 26,000
MAN POWER AVAILABLE IN INDIA • Psychiatrist - 4000 ie,1 psychiatrist for 1000 mentally ill clients.