Knowledge, Attitude and Practice Questionnaire for Nodal Officers

Department of Psychiatry

National Institute of Mental Health and Neuro Sciences, Bangalore

National Institute of Mental Health and Neuro-Sciences, Bangalore

National Institute of Mental Health and Neurosciences Department of psychiatry, NIMHANS Knowledge Attitude and Practice Questionnaire for nodal officers SL # Item Person with mental disorders do not come to see general practitioners 1 or primary care physicians Mentally ill persons are very dangerous and mental hospital is the 2 appropriate place to treat them Many healthy people come to the primary care hospital or GP clinic 3 to waste the doctors time. Many of the patients who present with ill defined bodily complaints 4. have emotional problems Mentally ill individuals are unlikely to recover with treatment and 5 therefore they should be left alone Hallucinations, delusions, disorganized thinking and lack of insight 6 are features of psychosis Emotionally strong people do not develop mental illness 7 Very intelligent individuals are liable to develop mental disorders 8 Mental disorders are treatable 9 Mental illness is the result of black magic and evil spirits 10 Clinical depression is brain disorder. It is characterized by morbid 11 sadness, lack interest, decreased energy, motor retardation and biological function disturbance 2 out every 1000 individuals suffer from schizophrenia 12 10 out every 1000 persons are known to have mental retardation. 13 1 out of every four persons attending primary care facility have one 14 of more diagnosable mental disorders Children are too young to develop mental health problems 15 Persons who attempt suicide do so because of mental disorders 16. Addiction to drug is a anti-social behavior 17 Once an addict is always a addict 18 To a large extent mental retardation can be prevented by providing 19. good antenatal care, nutrition and safe delivery Minor mental health problems or neurosis can be very effectively 20 managed with minor tranquilizers . Lack of time, large number of out patients, lack of mental health 21. skills are some of the common reasons associated with inability to integrate mental health care into general health care Yes No

National Institute of Mental Health and Neuro-Sciences, Bangalore 22. 23. 24 25 26 27 28 29. 30 31 32 33 35 36 37 38 39 40 It is myth to presume that primary care doctors can provide mental health care in primary care settings 10 out every 1000 people suffer from epilepsy in the community Most of the patients with clinical depression present to primary care settings with depressed and suicidal ideas. Mental health problems take a long time for evaluation and diagnosis and therefore such problems cannot be handled in primary care or GP settings Counseling means advice Effective management of person with emotional distress is likely to reduce the incidence of chronic physical health problems in the long run Psychotic symptoms remit because drugs ensures adequate sleep Hyper-dopaminergic state characterizes psychotic disorder. Depressive disorders are associated with decreased serotonin in certain areas of the brain. Most often acute dystonia is a very fatal side effect that follows antipsychotic drug use. Feedback, Reassurance, linking between symptoms and stress, problems solving and coping strategies are very effective psychological interventions that can be used in primary care settings. Memory loss or forgetfulness is always due excessive masturbation. Suicidal patients should be persuaded not to carry out self-destructive acts. Treatment of the mentally ill by traditional healers and faith should be strongly discouraged. Mentally ill person can recover with early identification and treatment. Persons with psychosis need only drug treatment to remain well all through their life. Visual hallucination is pathognomonic of organic psychosis. Inattention to mental health needs of the community worsens poverty.