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National Tele-Mental Health programme

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AN OVERVIEW
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There is no health without mental health.

Mental health in its broadest sense
include mental health promotion, preventing
mental illnesses and treatment of
mental illnesses' Mental health issues
are very common health concerns. suicide
is another important probrem related
to mental hearth. These concerns, when
translated into numbers in a popurated
country rike India, are quite rarge.
Further, many individuars with "minor
mentar hearth issues,, do not seek herp
various reasons, indicating that what for
be seeing and addressing a smarl
proportion of the burden due to mental
healt[ issues.
Access to mentar hearthcare is a basic human right
of every individuar. No
individual suffering from mentar iilness
shourd face discrimination.
The coronavirus Disease 2019 (covrD
19) pandemic added to the burden
mental health problems and had detrimental of
effect on individuals, ability to ask
for mental health assistance. During this period,
there was an exponential
increase in outreacrr for mentar hearthcare
through Tere-Mentar hearthcare
services.

During the COVID i9 pandemic, the

Government of
India launched a National psychosocial
Support
Helpline to provide psychosocial support
during
the pandemic, and over 6 lakh indivijuals
reached
out to the helpline across the country. Furthermore,
several other initiatives by state governmenrs,
government institutions, private bodies,
ano non_
governmental organisations (NGOs) have
demonstrated the advantages and feasibility
of
technology-driven mental healthcare, in other
words, Tele-Mental Healthcare services.
One such
step towards continuing the application
of tele_
mental healthcare services on a larger scale
is the
National Tele-Mental Health progrimme
or Tete
MANAS (Tele-Mental Health Assistance in
and
Networking Across States).
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To enhance hearth service capacity
in order to deriver accessibre and
timely mental hearth care through a tere-mentar
hearth network
support system

To ensure a continuum of services in the community, incruding

tere-
mental health counselling.

To facilitate timery referrar for speciarist

care and foilow-up as
appropriate.

To enhance mental healthcare capacity

and networking at primary
healthcare / health and wellness centres
institution levels.
/ district state/ apex
/

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Any individual in lndia with mental health

issues
In addition, grass root healthcare providers/community
health
providers, i.e., Accredited sociar Hearth
Activists (ASHAs) and
community vorunteers from the community
can reach out on beharf
of an individual or individuals in that community
with mentar health
tssues

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In the Union Budget (2022-23), the Government of India announced in February

2022the establishment of 23 Centres of Excellence of the country, with the National
Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru as the apex
nodal centre to roll out Tele MANAS.

India is one of the veryfew countries in the world to have such a service. Tele MANAS
seeks to leverage teclanology and provide comprehensive mental health services in
an intbgrated fashion including both audio and video based services. Also, if these
do not close the loop, efforts will be made to connect the person to in-person
services as well. A robust,system is set up to monitor and mentor Tele MANAS.
lnitially, this would run as a fully centrally sponsored scheme where in the Central
Govt. will fund the program entirely. After three years, the funding mechanism will
be merged with that of the highly successful National Health Mission.

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workforce/human resources under Tele MANAS is divided into two tiers
based on the level of the services provided (counselling, psychiatric
consultation along with pharmacotherapv/ psychotherapy) and the
expertise of the workforce. These are described in the flow chart below.

|VRS Bpsed liu41o ciits

Assessment
Basic Psychosocial and basic
psychological counselin g Mental Health Professionats
Proactive followup with prior
at Public Health facilities
through DMHP 6.
consent
Mentoring Institutions
ldentifuinq red flaos (Also inc{udes tele consultations
v@ e sanJeevtnu
Referral to Socialists

' Detailed Assessment /

dispensing psychotropic
medications
-
.Audib.& Urgent in person
intervention / plan and
conduct complex
Detailed Assessment evaluations

Triaging for any psychiatric or Detailed psychological

acute management of the and psychosocial
psychiatrist / trained medical interventions
professional Detailed medical
Detailed psychological and evaluation including
Psychosocial interventions admissions and inpatient
care, managernent of
Medical interventions includino
- - -J
psychiatric emergencies
detailed mental status assessment
substance withdrawal
and prescribing psychotropics
Guiding the counseilors
Referral in person centres

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counselring gives peopre

the tirne and space to
exprore their tcugh feerings tark about their probrems
in , uoiing that is confidentiar, and
rnterruption_free. Counselling dependabre, and
,f"n., is different irom
psychiatristlclinical psycholo".rt.r^.,,"^l__1":]'::'r: from psychotherapy
by a
n u rse, wh ch*,,,{:ii.:liliilfiil]::'*xff:"t*::
whici anv individuar wishes
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' onrine Counsering refers
to counselring through
through the lnternet which onrine modes connected
coulci be in real_time
asynchronous i.e., via vra audio, video, or
text *arrug*u, cnat,
or emairs.
' Through Tier 1 workforce
counsering wi, be provided
helprine' mode of which through the 24/7
.orra n* tr".,rorgn ,uJio .Jr, ,na
modes such as text messages asynchronous
and chats.
. Real-time videc
s pe c a, sts a t th,e :tTl1 iffi;iH::;:: n ]; :: i i:tr TJ# [r;J,T :;
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ror

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Telephone Counselling involves providing addressing the concerns of the

caller and counselling individuals seeking help directly or through another
individual such as ASHA or a family member via the telephone, which could
be a laridline or mobile phonewith orwithout Internet connectivity.

Telephone counselling has a unique advantage that an individual in distress

can call and access mental healthcare from a trained healthcare provider
anywhere, 24 hours a day. Also, it enables some privacy to individuals
wherein they can seek help when comfortable and has enough space to
ensu re confidentia I itrr.

W W$Sm* S*srusw$SmHfimxxm
. Tele MANAS team is constantly working with the e-sanjeevani (free video
consultations with medical doctors, an initiative of the Govt. of India)team
of the Govt. to link up callers to e-sanjeevani platform, so that there is
seamless upgradation of the consultation process

. This integration may take anothertwo more months to materialise

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Tele MANAS also is striving hard to link up callers to the nearest available
in-person mental health facilities. These could be the district hospital,
medical colleges, mental health institutes or other tertiary care centres

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Training, accreditation and mentoring of Tele MANAS eounsellors in
delivering basic mental health services will be done through standardized
and recognized courses.

ffi.ms*m vm *r

. lmplementation research on all relevant aspects including service delivery,

caller satisfaction, ease of using technology, outcome assessments etc will
be carried out to chalk out future policies

6. ,,,,
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Whatis Toll-free number
TeIe MANAS? O r++to

A sen ice
J:\

Tele NHNAS is a Tele-Nfenral health

*hi.h includes.

Q ' Pro'iding coLlnsciling rnd counccting *.ith health

care profcrrionnl., folr.i*p*}.irr*ra,
. Enrblinu pcoplc to scek hcip u,hcn u ls nor possrtrte
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F Wfrat f.*O of help are

available at Tele MANAS?

CaII TeICMANAS

Toll-free number

Cr+*ro

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telephonic
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service for mental health & taciliiating

Q refenal to higher center if required.

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How cloes Tele
Toll-free number
il,lANeS work?
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^Tele,,jq MANAS works

on two-tier
D'v^ based
^'/i'.utvLr
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' rer I incluelcs the srare Tere r\L{r{AS ceils, u,hich are'"
staifecl b'trar,red counseliors
and menrar ;;
spccralisrs for tcrc fuunr*[ing and rcic consurtation
'iier 2 consisrs
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Pf{HP)1}ledical collcgc ,,rorrr*, fb, in pelson

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cclnsulrations.

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in TeIe MANAS?
Can t Call TeleMAI,{AS

Toll-free number

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A '$ -
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Callers [m re@t rb Tele MAhIAS rvith

u,ide ranqe of issues. which inclucles rxam
,

stress, *tJonol tobacco or other substance use-

Q related issues,, famiil or relationship problems,

an\rone in distress 0r an\: other mental health

concern/issuc.

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F Is th$;'u"V fee for
accessing the counselling
CaII TeIeMANAS
'l oll-free number

A or consultation? O r++ro

l{r, there is no,fee Tclc 1\{A}\AS

1,4416 is a toll-free number, ancl

Q serviccs like counselling and

Consulting are irce of charge.

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Can I speak in my native
Toll-free number
or regional language?
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I Yes,
)'ou can speak zrly
Indian language rhat
),ou
are cornforhble with,

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F Is TeIe MANAS Service
available on holidays?
CaII TeIeMANAs
Toll-free number
O t++re

;&.

. Senice is available
2417, even on holidays.

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How long does the Toll-free number
counselling session last? O r++to

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