National Mental Health Programme Community Health Nursing Ppt (1)

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    NATIONAL ANDCOMMUNITY MENTAL

    HEALTH PROGRAMME

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    AIMS OF NCMHP

    To ensure treatment and prevention ofmental and neurological disorder.

    Use of mental health technology

    Application of mental health principles intotal national development to improvequality of life.

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    OBJECTIVES

    To ensure availabilty and accessibility ofminimum mental health care for all in theforeseeable future, particularly to the mostvulnerable and under privileged sections ofpopulation.

    To encourage application of mental healthknowledge in general health care and in thesocial development.

    To promote community participation in mentalhealth services development , and to stimulateefforts towards self help in the community.

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    STRATEGIES

    Integration of mental health with primary healthcare through the national mental healthprogram.

    Provision of tertiary care institutions fortreatment of mental disorders.

    Eradication stigmatization of mentally ill patientsand protecting their rights through regulatoryinstitutions like the central mental healthauthority, and state mental health.

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    APPROACHES

    Intergration of the mental healthcare services with the exixtinggeneral health services.

    To utilize the existing infrastructure of healthservices and also to deliver the minimum mentalhealth care services.

    To provide appropriate task oriented training to

    the existing health staff. To link health services with the existing

    community development programe.

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    DISTRICT MENTAL HEALTH PROGRAMMECOMPONENTS

    Training programs of all workers in the mentalhealth team at the identified institution

    Public education

    Early detection and treatment

    Providing valuable data and experience at thelevel of community .

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    COMPONENTS OF PROGRAME

    TREATMENT SUB PROGRAME

    -village and sub center

    -Primary health center

    -District hospital

    -Mental hospital and teaching

    psychiatric units.

    REHABLITATION SUB PROGRAME

    PREVENTION SUB PROGRAME

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    MENTAL HEALTH SERVICES IN INDIA

    In 1946 Bhore committee

    Muddaliar health committee

    General hospital psychiatric units.

    Community care approach.

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    EXTENT OF THE PROBLEM ANDFACILITIES AVAILABLE IN INDIA.

    MANPOWER AVAILABLE

    Psychiatrist -2500

    qualified doctors -240,000clinical psychologist -600-700

    psychiatric social worker -500-600

    psychiatric nurse -600pG center -48

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    National mental health policy Mental health act Mental health health act 1987

    Post mental health services Present status of mental health services. Future of mental health services. School mental health programme.

    Community care in mental health. Trust areas of NMHP Creating awareness and reducing stigma.

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    FIVE YEAR PLANS

    FIVE YEAR

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    REVISED NATIONAL MENTALHEALTH PROGRAMME

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    COMMUNITY FACILITY FORMENTALLY ILL

    Day hospital\centres. Half way homes. Group homes.

    Foster homes. Sheltered workshop. Mental health

    emergency care.

    Walk in clinic. Home visit. Self help group.

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    APPROACHES TO COMMUNITYHEALTH

    Primary prevention

    Secondary prevention

    Tertiary prevention

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    ROLE OF COMMUNITY HEALTHNURSE IN MENTAL HEALTH

    Assessment of family

    Assessment of community

    Planning and implementation Family interventions

    Community interventions

    Evaluation

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    CHANGING FOCUS OF CARE

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