National Mental Health Programme Community Health Nursing Ppt (1)
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Transcript of 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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