SUBJECT :COMMUNITY HEALTH NURSING

TOPIC :NATIONAL MENTAL HEALTH PROGRAMME

MR . DHARMARAJ

MSC NURSING II YEAR

( ACON )
 SPECIFICOBJECTIVES

✓Introduction about the National Mental Health Programme.

✓Definition of Mental Health and Mental Illness.
✓Aim of N.M.H.P.
✓Objective of N.M.H.P.
✓Level of N.M.H.P
✓Knowledge about the Organization
✓Warning sign of Mentally ill person
✓Nurse’s Role in N.M.H.P. or Mental Health services
Ii iNTRODUCTION

•The govt. of India launch the national mental health programme

in 1982. keeping in view the heavy burden of mental illness in the
community and inadequate of mental health care infrastructure in
the country to ideal with it.
DEFINITION

1. Mental Health:- (WHO):- Mental health is a state of wellbeing

in which an individual realize his/ her own abilities can cope
with the normal stresses of life, can work productively and is
able to make a contribution to his/her community.
2. Mental Illness:- A mental illness is a medical condition that
disrupts person's thinking, feeling, mood, ability, to release to
others and daily functioning . mental illness are medical
condition that often result in diminished capacity for coping
with the ordinary demands of life.
AIM OFN.M.H.P.

✓Prevent and treatment of mental neurological disorder

and there associateddisability.
✓Use of mental health technology to improve general
health services.
✓Application of mental health principles in total
national development to improve quality of life .
COMPONENT

➢Training programme of all the workers in the mental

health team at the identified nodal institute in the
state.
➢Education of the public regarding the mental health to
increase the awareness.
➢For early detection and treatment out patient
service and in patient service are provided.
➢Providing the valuable data and experience at the
level of community to the state and center for future
planning . Improvement in service and research.
 LEVELOFN.M.H.P

This program include 3 sub program

1. Treatment sub prog a)Village level
b) Primary health level
c) At district level
2. Rehabilitation sub prog.
3. Prevention sub prog.
HISTORYOFMENTALHEALTH SERVICES ANDINITIATIVES

Bhore committee
• The Bhore committee report in 1946 stated that the prevalence of
mental illness during that period was estimated to be 2/1000
general population and India had only 10,000 psychiatric beds
and 30 institutions for a population of over 400 million.
Mudaliar committee
• The Government of India appointed Health Survey and Planning
Committee in 1959, chaired by Dr Mudaliar to assess the state of
health care and review the progress after the implementation of
Bhore committee’s recommendation.

• Committee submitted their report in 1962 and identified that;

Srivastava committee
• The Srivastava Committee recommended the Community health
volunteer (CHV) scheme.

• CHV were supposed to provide their services to a population of

1000.

• They also recommended that one of the manuals of these

workers should deal with identifying and managing mental health
emergencies and problems.
 National Mental HealthProgram (NMHP)

• The Government of India launched the National Mental Health

Programme (NMHP) in 1982, keeping in view the heavy burden
of mental illness in the community, and the absolute inadequacy
of mental health care infrastructure in the country to deal with it.

• The District Mental Health Program was added to the Program in

1996.
Components:

✓ Treatment of Mentally ill

✓ Rehabilitation
✓ Prevention and promotion of positive mental health.
 THETEAM OFWORKERSATTHEDISTRICT UNDERTHEPROGRAME
OFA:-

➢Psychiatrist
➢Clinical psychologist
➢Psychiatric social worker
➢Community nurse
➢Programme manager
➢Case registry assistant
➢Record keeper
ORGANIZATION

➢ Tertiary care institution

➢ Mental Hospital
➢ Supportive Organization
WARNING SIGNS OF MENTALLY ILLPERSONS

IN YOUNG CHILDREN
✓Changes in school performance
✓Poor grades despite strong efforts
✓Changes in sleeping and eating habits.
✓Hyperactivity
✓Frequent temper tantrums.
 IN O L D E R CHILDREN AND P R E ADOLOSCENCE

➢Substance used
➢Inability to cope with problem and daily activities.
➢Changes in sleeping and eating.
➢Excessive complaint of physical alignment.
➢Changes in ability to manage responsibilities at home and school.
➢Prolonged negative mood often accompanied by poor appetite or
thoughts of death.
 NURSES ROLE IN NMHP/MENTAL
HEALTHSERVICES
✓Understand the characteristics of mentally healthy person and
differentiate abnormal form normal behavior in the community.
✓Identified refer follow up the mentally ill person in the
community.
✓Provide first aid during emergencies.
✓Assist and co-ordinate the activities related to care of mentally ill
in the community health center.
✓Conduct mental health education to pt. and there family
members.
✓Providing training to health worker in mental health care.
✓Supervision and monitor the activities of health worker
related mental health care.
✓Participate in various therapies used in treating psychiatric
pt.
✓Assist medical officer and co-ordinate the progress activity
related to NMHP.
✓Organize and co-ordinate the rehabilitation activity for mentally
ill the community.
CONCLUSION

• N.M.H.P. About definition and magnitude history of

the problems in India and aim , objective of N.M.H.P.
,level of N.M.H.P. and organization ,warning sign of
mentally ill person or nurses role in N.M.H.P/mental
health services.
District and Sub-districtLevel Activities Under
NMHP
DISTRICT MENTALHEALTH PROGRAM(DMHP)

• NIMHANS developed a program to operationalize and implement

the NMHP in a district. DMHP was launched in 1996 with an aim
to achieve the objectives of NMHP.

• Pilot project of District mental health program was done at

Bellary district in Karnataka.
The main objectives of DMHP were;
1. To provide sustainable basic mental health services in
community and integration of these with other services.
2. Early detection and treatment in community itself to ensure
ease of care givers.
3. To take pressure off mental hospitals.
4. To reduce stigma, to rehabilitate patients within the community.
5. To detect as well as manage and refer cases of epilepsy.
 Day CareCentre

• Provides rehabilitation and recovery services to persons with mental

illness so that the initial intervention with drug & psychotherapy is
followed up and relapse is prevented.
• Helps in enhancing the skills of the family/caregiver in providing
better support care.
• Provides opportunity for people recovering from mental illness for
successful community living.
• Financial support of Rs. 6.00 lakhs is earmarked per centre per year.
Community HealthCenters

Services available:
• Outpatient services & inpatient services for
emergency psychiatry patients;
• Counseling services.

Manpower:
• Medical Officer;
• Clinical Psychologist or Psychiatric Social Worker
Primary HealthCenters

Services available:
• Outpatient services;
• Counseling services in accessing social care benefits;
• Pro-active case findings and mental health promotion activities

Manpower:
• Community Health Workers (Two)
Mental HealthServices

➢Mental health services will be delivered through Government

Mental hospitals or Medical colleges/hospitals with Department
of Psychiatry.

➢Under the overall supervision of the Head of Psychiatry

Department.

➢Financial support of up-to Rs. 15.00 lakhs per year per medical
college/hospital/mental hospital
CONCLUSION

• N.M.H.P. About definition and magnitude history of

the problems in India and aim , objective of N.M.H.P.
,level of N.M.H.P. and organization ,warning sign of
mentally ill person or nurses role in N.M.H.P/mental
health services.