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OrganizationOrganization- Sowmanasya Hospital and Institute of Psychiatry, Trichy
Group 6 Swaroop Bala Teja Ketan Sawarmale Subhajit Das Mohd Pervez Nitesh Kumar Das
....................................................................................................................................................................................... 12 Recommendations for Mental Health Awareness ........................................................................................................................................................................................... 3 Introduction............ 9 Situation in Trichy .............................................................................................................................................................. 11 Common mental Disorders and Reasons ............................................................................ 6 Community Mental Health Care services in Trichy...........................................................................................................Contents Objectives............. 13 .. 4 Mental Health in India ...Why Mental Health Awareness?...........
Trichy Trichy. Recommending the solutions in order to increase mental health awareness. • • • • . To study mental health awareness programs conducted by Sowmanasya Hospital and Institute of Psychiatry. Spread knowledge about mental health and encourage its practices in Trichy.Objectives To understand the challenges in current situation of mental health awareness awarene programs in India.
with the least restrictive or intrusive treatment. Mental illness is not a case of personal failure. mental or physical. or feign ignorance of such individuals – as if we do not dare to understand and care. And a third is that every patient shall have the right to be treated in a very light environment. The risk of certain disorders. many of us still do not want to talk about AIDS. These barriers are slowly and gradually being broken down. The first of these principles is that people should not discriminate on the grounds of mental illness. psychological and . "A state of complete physical. increases with age. It is related to promoting the well-being. every patient shall have the right of being treated and should be cared for in his or her own community. such as Alzheimer’s disease. are influenced by a combination of biological.IntroductionIntroduction. and the treatment and rehabilitation of people who are affected by mental disorders. mental and social well-being. Yet many of us still shy away from mental ill people.Why Mental Health Awareness? Mental health refers to a wide array of activities directly or indirectly related to the mental well-being. It doesn’t happen only to other people. Today we know that most illnesses. and how their influence on each other is complex and profound. There is a new understanding that can offer real hope to the mentally ill people. the prevention of mental disorders. One in every four person has a chance to be get affected by a mental disorder at some stage of life. There are some principles which need to be followed so that things can be made better for mentally challenged people. WHO has defined health as. That remained as a family secret. Another is that as far as possible. Mental health has been neglected for far too long but it is crucial to the overall well-being of individuals. The conclusions are really obvious for the world’s ageing population. societies and countries and must be globally regarded in a new light. Understanding how inseparable mental and physical health is in reality. and not merely the absence of disease". There is no justification for excluding people with a mental illness or brain disorder from our communities – there is a room for everyone. The social and economic burden of mental illness is huge. Today. There was a time and that not too long ago when we couldn’t openly speak about cancer.
therefore. Mental Health Promotion seeks to strengthen individual competencies. anywhere. traditional public mental health interventions that are effective in alleviating mental illness do not necessarily promote mental health. We should also consider promotional activities to enhance the wellbeing of the remainder of the population. that can be treated with effectiveness. . To improve the mental wellness of individuals and communities. The main reason for this new task is that the absence of mental illness does not necessarily imply the presence of flourishing mental health. Our understanding of the relationship between mental and physical health is increasing rapidly as technology is advancing. mental health does have important individual. the others must also be addressed. Furthermore. it is important to understand about the determinants of health. Mental health promotion can be seen as an important new task for public mental health. and utilization of health care and even mortality. how they are interconnected and influence mental health. resources. Even when one try to control the symptoms of mental illness. Mental. mental health has an independent relation with psychosocial adaptation. and economic consequences. physical disease. and to strengthen community assets to prevent mental disorder and enhance wellbeing and quality of life for people and communities. We know they can affect anyone. In an effort to make improvements in any one of these strands.social factors. We know that mental disorders are the outcome of many factors and have a physical base in the brain. to study whether and how mental health can be effectively promoted or not. societal. An important challenge for the coming time is. As a result. and psychological strengths. And we know that more often than not. work productivity. physical and social health is vital and important strands of life connected to each other.
Nearly 6% of Kerala’s population has mental disorders. Over 95000 Indians killed themselves in 1997. Between 1987 and 1997. 2001) Above statistics shows that there is a severe problem of mental health in India and also compared to the western countries and Europe we have very less resources to tackle this situation. Considering the population of India. Neuropsychiatry disorders account for 12% of the Global Disease. Suicidal tendencies are one of the mental health issues and it is among the top three causes of death of the people aged 15–34 years. the suicide rate rose from 7.23/100000 is the highest. equal to one suicide every six minutes.03 per 100000 persons. Out of India’s four major cities. Epidemiological studies suggest that 6-7% of the population of India suffer from mental disorders. burden of these disorders is likely to increase to 15% by 2020 (World Health Report. In case of Common Mental Disorders it is over 90 %. Due to lack of proper education about mental health.5 to 10. people in India prefer to ignore mentally ill individuals due to societal pressures and therefore people suffering from some mental health issues does not prefer to come out and accept the illness. Treatment gap in even Severe Mental Disorders is approx. 50%. One in every three people was in the 15–29year age group. About 60 to 70 million Indians suffer from SMDs and CMDs mental disorders. . India has no national policy or program for suicide prevention. the ratio of doctors and nurses for the mental patients is very less compared to the other western countries’ ratios. and for a population of over a billion people there are only 3500 psychiatrists. One in 5 has some sort of emotional and behavioral problems which translate into mental illness. Chennai’s suicide rate of 17. Easy access to alcohol and other toxic substances in India seem to be positively correlated with number of suicides. Data from surveys in India show that common mental disorders are about twice as frequent among the poor as among the rich.Mental Health in India Mental disorders affect all the sections and strata of the society.
As shown in the figure below Bangalore which is known for its IT culture is ranked third in terms of mental and behavioral disorders which have a large impact on individuals. anxiety etc. . families and communities.It’s not that only poor people in India suffers from the mental health issues but researches have shown that people living in metro cities having very fast life and stressful work are also facing mental health issues like depression.
There are nearly negligible promotional activities to promote the mental health attention and at this juncture of time India needs to take significant steps to create awareness for this. nurses. Lack of resources such as mental hospitals. There is a lack of awareness for the importance of mental health and also people are ignorant about the same. psychiatrists is making things worse to spread awareness about the mental health. .In addition to all the challenges there is no significant attention given by the government to form better policies in order to help mentally ill people.
Sowmanasya holds the licence issued by Tamil Nadu Government valid till 2011.M. for the first time and Rs. In-patients’ accommodation . Medical University as a research institution for the purposes of Ph. Sowmanasya also accredited by Dr. New Delhi . He started this Hospital as an outpatient clinic on 14th Sep 1980. a psychologist. Tamilnadu.single rooms – 9 .Community Mental Health Care services in Trichy Sowmanasya Hospital and Institute of Psychiatry. Gopalakrishnan is a psychiatrist churned out of Post Graduate Institute of Medical Education and Research . Institution attached to the hospital has been training doctors for specializing in psychiatry since 1992 till dated. Trichy Sowmanasya Hospitals and Institute of Psychiatry is an exclusive mental health care in Tiruchirapalli. 2 Social workers occupational therapist. .G. Many doctor hare qualified since then.D programmes in psychiatrist and Psychiatric social work.The founder Dr.R. 80 for repeated visits they Qualified Doctors reside inside and near the campus.G. Their Mission statement is DEDICATION TOWARDS PROVIDING QUALITY MENTAL HEALTH CARE SERVICES THROUGH COMMITMENT AND FAITH IN EVERY PERSON IN NEED. for training of 4 DNB ( Diplomate in National Board) candidates each year in the specialty of psychiatry inclusive of post diploma candidates. Chandigarh . It has been accredited by the National Broad Of Examinations. It is situated on the banks of Cauvery . The name Sowmanasya is derived from Sanskrit meaning ‘harmony of the mind’. There have 4 Consultants. AT AN AFFORDABLE COST. Apart from all these functions hospital staff works towards improving the awareness about the mental health care by conducting seminars and personal consulting. 4 resident doctors. Which can be accounted to the fact that their Consultation fee is only Rs.
The majority of them were female and were unmarried and had availed of school education. This centre has 12 beds. The site is a known place for religious healing of the mentally ill for the past 200 years. Age of the patients staying at this centre ranged from 21 to 50. treatment and a small kitchenette with gas. The treatment follows an integrated approach which includes pharmacotherapy. The rehabilitation center is attached to a Hindu temple named after its presiding diety Prasanna Venkatachalapathy Perumal. Wednesday. It site is unique in its approach of using a blend of traditional temple rituals and modern psychiatric intervention involving pharmacotherapy and psychosocial therapies. and Friday). In December 2003 they had started first licensed community-based rehabilitation center Gunaseelam Musiri Taulk. Trichy. psycho education and spiritual therapy. resident doctors.common wards -4. Generally detailed work-up of the patients are done by social workers. consultants & then the treatments and drugs are advised accordingly. Out-patient service is available on alternative days weekly thrice ( Monday. Most of them . Drugs and consultation are free for all the patients.patients are allowed to stay with their family members . They also have a standing panel of consultants & work with other hospitals any other clinical services specially needed. and provides inpatient services exclusively for schizophrenia patients. lunch. The Hospital is provides all professional services to the Temple Trust like a 15-bedded psychiatric residential rehabilitation facilities including amenities such as bed.
were not employed while the remaining were earning and had a mean income of less than Rs1000/month. . The majority of them hailed from nuclear families and had a mean family size of 3. Secondly. It was seen that majority of them manifested the disorder before the age of 22 and 60% reported being under treatment for more than 5 yrs. of this Tamil Nadu is one of the state with higher recognition of mental disorders. Situation in Trichy South India is one of the most liberal states in India due to higher state GDP India and higher literacy rate. Firstly Trichy is one of the best connected cities in TamilNadu. on speaking with the doctor we came to know that the awareness of Mental Disorders in common within Trichy and the social stigma associated with is very less. this can be attributed to two reason. In Trichy . The majority had been through irregular treatment and had a history of multiple hospitalizations prior to their admission at Gunaseelam. hence it getting a lot of visitation of patients from the nearby cities and villages. While there were also patients for whom this was the first instance of hospitalization.8. there are four mental hospitals other than Sowmanasya Sowmanasya Hospital .
Clinical depression or Personality disorder . While talking to us doctors told us it difficult for a person to voluntarily ask for help for mental illnesses. . While In adults the depression was the most common ailment. The reason for this mental disorders varied from some having genetic predisposition towards some ailments like schizophrenia while some were due to environmental factors or personal lifestyle choices like depression. Anxiety/ Phobias caused mainly due to Stress. while major illness were Schizophrenia. Bipolar disorder.On Speaking with the doctors be found that major ailments that affected the people in this area varied with their age as in Children ADHD was a common ailment.Common mental Disorders and Reasons During Our Conversation with Dr. Arun Kumar V we found out that general mental illnesses were Depression. The biggest issue faced by these patients is the social stigma associated with mental illness as majority of Indians even educated ones still believe that t only “mad people” saw counselors. The stigma attached to mental health issues will take time to disappear. to his family members. On the other hand these ailments are so common that it is at times impossible for an person to differentiate between a stressful life and a mental illness.
The focus should be on normalization or acceptance of Mental disorders similar to normal diseases without any ailments The care choices available and their benefits should be widely brought into focus so that responses from the general population. POLICIES. programs and legislation are the steps that are necessary for significant and sustainable action. who will help identify cases of mental illness provide specialized care as well as support for the benign primary health care programs. it seeks to provide for mental health care for persons with mental illnesses and to protect. PROGRAMMES AND LEGISLATION Mental health policy.” Defines the mental health act in its redefining act in 2013 it tries to decriminalize suicide. to make better provision with respect to their properly and affairs and for matters connected therewith or incidental thereto. professionals. The main goal of such programs should be to reduce barriers to social discomfort in dealing with mental disorders and care by increasing awareness of the frequency of mental disorders. The Mental health act of 1987 “An Act to consolidate and amend the law relating to the treatment and care of mentally ill persons. Mental health reforms should be part of the larger health system reforms. Presently in India there is a severe shortage of mental health professionals and facilities in India. DEVELOP HUMAN RESOURCES Increase and improve training of mental health experts in all circles of life who can be messenger of against this social stigma on the fore front of this awareness revolution. media. EDUCATE THE ‘AAM ADMI’ ADMI’ Public education and awareness campaigns on mental health should be launched in all parts of the country. 2. and bring mental and physical health care closer to each other. their treatability. the recovery process and the human rights of people having some kind of mental disorders. 3. policy-makers and politicians reflect the best available knowledge. We need to stop treating it as an afterthought. ESTABLISH NATIONAL POLICIES. Some states that have recently developed or revised their policy and legislation have made progress in implementing their mental health care programs. India lacks in adequate number of such specialists to staff mental health services. Most states need to increase their budgets for mental health programs from existing low levels. This individuals can be social workers or other professionals like teachers. Well-planned education and public awareness campaigns can reduce social stigma and discrimination. can increase the use of mental health services. Specialist mental health care teams ideally should include medical and non-medical people including .Recommendations for Mental Health Awareness 1. promote and fulfill the rights of such persons during the delivery of mental health care and services.
AWARENESS USING MASS MEDIA The various forms of the mass media can be used to strengthen more positive community attitudes and behaviors towards people having mental disorders. and to advocate for change in social. The placement of educational health or social messages in the entertainment media (so-called “edutainment”). Action can be taken to monitor. remove or prevent the use of images. structural and economic factors that influence mental and behavioral disorders. Advertising. 4. who can work together towards the total care and integration of patients in the community. messages or stories in the media that potentially would have negative consequences for persons suffering from mental and behavioral disorders. The media can also be used to inform the public. beliefs and behaviors.members from administration like municipality and Gram panchayats. is useful for promoting change in attitudes. is useful for increasing awareness of issues and events and for neutralizing misperceptions. although expensive. to persuade or motivate individual attitude and behavioral change. . Publicity is a relatively cheaper way to create news to attract the attention of the public and to frame issues and actions to achieve advocacy.
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