Nimhans Report Updated

8/11/2019 Nimhans Report Updated

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INTRODUCTION

Block Placement is considered as an integral part of social work education where

training helps the social workers to bring out the theory of profession into practical. As

we know that the principles and methods of social work cannot be taught in a vacuum its

study cannot be confined to only set of people. Like wise, intellectual and theoretical

knowledge developed in the class room has to be necessarily argument by a practical

programme of block placement. This would enable the social work trainees to visualize

the realistic approach to the many problems to be met with in the field.

Being a second year student of social work trainee placed in ational !nstitute of

"ental #ealth and euro $ciences %!"#A$&, Bangalore for block placement where

social work trainee was e'pected to become involved in the process of developing

programmes, and in the ongoing work of the agency. !n this placement, social work

trainee observed the various units with the help of P$( )onsultants, ".Phil $cholars *

Ph.d $cholars. $o, the trainee thought that it was right time to develop hisprofessionalism in doing the Block Placement training successfully.

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AGENCY PROFILE

NATIONAL INSTITUTE OF MENTAL HEALTH & NEUROSCIENCES

The ational !nstitute of "ental #ealth and euro $ciences is a multidisciplinary

!nstitute for patient care and academic pursuit in the frontier area of "ental #ealth and

euro $ciences. The Lunatic Asylum which came into being in the latter part of the +th

)entury was renamed as "ental #ospital in +- by the erstwhile /overnment of

"ysore. This hospital and All !ndia !nstitute of "ental #ealth established in +0 by

/overnment of !ndia were amalgamated on -1th 2ecember +10, and thus was formed

the autonomous ational !nstitute of "ental #ealth and euro $ciences %!"#A$&.

The priority gradiant adopted at the !nstitute is service, manpower development

and research. "ultidisciplinary integrated approach is the mainstay of this institute,

paving the way to translate the results from the bench to the bedside. 3n ovember +0,

+0, !"#A$ has been declared a 2eemed 4niversity by the 4niversity /rants

)ommission, with academic autonomy. The !nstitute functions under the direction of

"inistry of #ealth and 5amily (elfare, /ovt. of !ndia and "inistry of #ealth and 5amily

(elfare, /overnment of 6arnataka. $everal ational and !nternational funding

organisations provide resources for research.

MISSION STATEMENT

7volve strategies to offer diagnostic and therapeutic facilities to all corners of

!ndia in the field of "ental #ealth and eurosciences utilizing the advances in

information technology and to be the nodal center.

7stablish training facilities and impart knowledge in the field of "ental health and

eurosciences to all the developing countries by !nstitutional and 2istance

Learning.

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7stablish state8of8the8art diagnostic and therapeutic facilities in neurological

disorders with special reference to genetically transmitted disorders and

vaccinology of tropical infectious diseases and be the nodal center for the )ountry

in 9esearch and 2evelopment. 2evelop strategies for 2isaster "anagement and Psychological 9ehabilitation.

!ntegrate physical and metaphysical aspects of euroscience 9esearch.

Participate in euroscience and Behavioural 9esearch related to $pace, Atomic

energy and Transplantation.

Be part of world leadership in the field of euroscience and Behavioural science.

ADMINISTRATION CHART

NIMHANS Society

:

Director/ Vice-Ch!ce""or

:

: : : : : : :

9egistrar 2ean "edical

$uperintendent

2epartments )entral

5acilities

ational

5acilities

Board of

"anagement

9egistrar

:

: : : : :

Administrative

3fficer

5inance

3fficer

7'ecutive

7ngineer

$pecial 3fficer

7valuation

P93

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:

AA3%A&

AA3%P&

AA3%)&

AA3%$&

AA3%#&

AA3%3P2&

AA3%2P * 9&

2ean

:

Board of $tudies

"edical $uperintendent

:

2eputy "edical $uperintendent

:

: : :

)hief ursing 3fficer9esident "edical 3fficer"edical 9ecords 3fficer

2epartments

:

Biophysics

Biostatistics

7pidemiology

#uman /enetics

"ental #ealth and $ocial psychology"ental #ealth 7ducation

euroanaesthesia

eurochemistry

euroimaging * !nterventional 9adiology

europathology

euromicrobiology

europhysiology

eurosurgery eurovirology

ursingPsychiatry

Psychiatric and eurological 9ehabilitation

Psychiatric $ocial (ork

Psychopharmacology

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eurology $peech Pathology and Audiology

)entral 5acilities

:Ayurvedic 9esearch

Biomedical 7ngineering

)entral Animal 9esearch 5acility

)ental Photography and 2ocumentation

7ngineering

Publication

ational 5acilities:

Library and !nformation $ervices

Brain Bank

Board of "anagement

:


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Planning and "onitoring Board

Academic )ouncil

5inance )ommittee

Building and )onstruction )ommittee

9habilitation )ommittee

#ospital management )ommittee

7thics )ommittee

/rievance 9edressal )ommittee

DEPARTMENT OF PSYCHIATRIC SOCIAL #OR$ PROFILE

The 2epartment started as a part of 2epartment of Psychiatry in the year +


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Association of $chools of $ocial (ork %A!$$(& and Asian and Pacific Association

for $ocial (ork 7ducation.

Vi%io! Sttee!t

Promotion of psychosocial well being of individuals, families and

communities.

Mi%%io! Sttee!t

To provide the best possible psychosocial services for the persons affected

with psychiatric, neurological and neuro surgical problems by involving the

inherent potentials in the clients, families and communities.

To offer advanced level of teaching and training in psychiatric social work.

To undertake socially relevant and culturally appropriate researches to help

understand, assess and develop cost effective psychosocial intervention

strategies.

To 7nrich the collaboration and cooperation with $chools of $ocial

(ork?Post /raduate 2epartment of $ocial (ork and other /overnmental and

on8governmental organisations related to health, education, welfare and

developmental !nstitutions.

To formulate appropriate policies involving psychiatric social work

ingredients for the promotion of mental health, prevention, treatment and

rehabilitation of mental health problems.

C"i!ic" Ser'ice%

The staff members, trainees and research scholars have been e'tending Psychosocial

services to the patients in 3ut8Patient and !n8Patient 4nits, )hild and Adolescent

"ental #ealth )entre, 5amily Psychiatric )entre, eurological and eurosurgery

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services, Psychiatric and eurological 9ehabilitation, 2eaddiction and )ommunity

"ental #ealth 4nits.

Fo""o(i!) %er'ice% re *ro'i+e+ -

Psychosocial study of the patients and their families.

#ome visits for diagnostic and therapeutic services.

)ommunity agencies contacts for 9esource mobilization.

7ducating the patients?family members about the illnesses, treatment and

rehabilitation.

"arital counseling ? therapy ? intervention services.

5amily counseling ? therapy ? intervention services.

/roup interaction ? intervention services for patients ? family members.

Liaison services with families and community.

Training the para8professionals and non8professionals in mental health

services.

7'tension services 8 camps and outreach programmes.

These services are offered in various permutations and combinations depending on

the nature of the problems, felt needs of the patients, families and communities. !n

addition to the therapeutic or treatment services, certain promotive ? preventive

services are also undertaken by the members of the 2epartment in collaboration with

voluntary agencies, 5actories, educational institutions etc.

ORGANI,ATION AND ADMINISTRATION

The functioning of the !nstitute is under the direction of the !"#A$ society

with the 4nion "inister for #ealth * 5amily (elfare as the President. The Principal

organ of management is the Board of "anagement. The other statutory bodies are

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5inance )ommittee, Academic )ommittee, 7thics )ommittee, Building and (orks

)ommittee and 9ehabilitation )ommittee.

The !nstitute is funded by the /overnment of !ndia. $everal national and international

agencies like !)"9 %!ndian )ouncil of "edical 9esearch&, 2$T %2epartment of $cience

and Technology %!ndia&&, 4/), )$!9, (#3, 3'fam, Alcoholics Anonymous, 2esperate

4nited 4!)75are other charities resources.

TRAINING PROGRESS

UNITS OSERVED

Adult Psychiatry

)entre for Addicted "edicine

)hild Psychiatry

)ommunity Psychiatry
http://en.wikipedia.org/wiki/Indian_Council_of_Medical_Researchhttp://en.wikipedia.org/wiki/University_Grants_Commission_(India)http://en.wikipedia.org/wiki/CSIR_Indiahttp://en.wikipedia.org/wiki/WHOhttp://en.wikipedia.org/wiki/UNICEFhttp://en.wikipedia.org/wiki/Indian_Council_of_Medical_Researchhttp://en.wikipedia.org/wiki/University_Grants_Commission_(India)http://en.wikipedia.org/wiki/CSIR_Indiahttp://en.wikipedia.org/wiki/WHOhttp://en.wikipedia.org/wiki/UNICEF


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5amily Psychiatry

SEMINARS PARTICIPATED

)ouples Therapy

Article 9eview

utritional /uidelines for Person with A2$

$uicidal Behavior among )hildren * Adolescent

$pecial !ssues@ eurology

)hild $e'ual Abuse

Life $kill 7ducation

ACTIVITIES OF TRAINEE IN ADULT PSYCHITRY .UNIT I0

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DATE/DAY UNIT ACTIVITIES

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OSERVATION

- The Block Placement Trainee learnt about the activities going on in Adult

Psychiatry. #e observed the "entally !ll womenFs activities during the ward

rounds at female ward.

- Then he learnt about few things in $chizophrenia and its management by

referring the books in library.

- #e also went for )onsultant rounds and observed the cases and then he

learnt about the treatment plan discussed by the "ulti8disciplinary team

professionals along with patient and his?her family members.

-

Then he also learnt about )ase history taking format used in AdultPsychiatry.

- #e came to know about the $ymptoms, "anagement of schizophrenia *

BPA2 through observing the cases.

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- #e attended the seminar on $ocial (ork intervention in couple with discord

presented by "r. Praful P. 6apse. !t was >uite useful for the trainee. #e

came to know about what is couple, #ow couple has been classified, $ocial

(ork !ntervention and Therapy and its process.

- #e observed many $chizophrenic cases and BPA2 )ases.

- Then he submitted his assignment to "s. 6im and also he discussed about

his topic to her. $he suggested that to refer more books to know more about

$chizophrenia.

SELF LEARNING

- The trainee learnt about the Transcranial Magnetic Stimulation (TMS& which

helps to reduce the auditory hallucination.

- Then the trainee learnt about #yperthymic where the patient is overconfident, over

active, full of plans and usually is a high achiever.

- #e learnt about )yclothymic Temprament where the person may swing between

high moods and low, for few days he?she become cheerful and energetic, and

suddenly become more lethargic and depressed.

ACTIVITIES OF TRAINEE IN CENTRE FOR ADDICTED MEDICINE

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OSERVATION

- The Trainee came to know about what A2$ is and how it is treated. Then he

observed few A2$ )ases. #e came to know about the duration of treatment

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process and observed how the patients are getting motivated to >uit from

3# #abit through P$( )onsultants.

- Then the trainee listened to the group and the topic $leep, Anger, Time *

"oney "anagement was taught to A2$ Patients by "r. )handrasekar. The

Trainee also came to know about these "anagement techni>ues.

- The trainee attended the family group session organized by "r.

)handrasekar and he asked the members to share their e'periences about

their family member who is admitted in 2eaddiction )entre. Then, "r.

)handrasekar e'plained about the family memberFs role to make their

family members to >uit from the 3# habit.

- #e also attended the )ase )onference in 2eaddiction )entre where a multi8

diciplinary team was involved and Psychiatric $ocial (orkers and

Psychologists discussed about the cases with physician i.e Psychiatrist.

- #e felt it was >uite useful to him and also learned about how to present

)ase.

- #e 3bserved the )ases in 3P2 and also came to know about collecting

history for both 2etail work8up * 5ollow8up cases.

- #e attended the $eminar on article 9eview presented by Mr. Md. Shahid

Eqbal. #e understood about the ideal characteristics of "ental #ealth

practice. #e also came to know about the !deal features of "#

!ntervention such as@ (ell8definedG 9eflect )lient goalsG societal goalsHetc.

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- Then he went to home visit to the place called Bannerghata and the pt. is ;0

years old male staying with =- years old mother also he is separated from

his wife because of 3# habit. The Pt. didnFt come for follow8up regularly

and he is motivated to come for further treatment to prevent complications.

- Then the trainee attended the seminar on Iutritional guidelines for the

person with A2$J Presented by Dr. Sashidhar Dept of Pschiatr. #e

e'plained about why most of the 3# users are not taking food properly.

- Then the trainee submitted his assignment on I"anagement of Alcohol

2ependent $yndromeJ and he finished the 2eaddiction 4nit successfully.

SELF LEARNING

- The trainee learnt about Alcohol 2ependent $yndrome affects marital life

where the patient may get impotence, erectile dysfunction or Premature

7Kaculation as an associated problem with 3# addiction.

- #e also learnt that the Patient may get into the co morbid Psychiatric

complaints such as Anger, 2epression, Antisocial Behavior, $uicidal

!deation, $uspicious thought, hallucination * 2elusion etc.

- The he learnt about the treatment process of -+ days and in those days

2eto'ification, Behavioral )ounseling, !ndividual and group Psychotherapy,

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5amily Therapy, drug and )raving "anagement, )ue e'posure therapy *

9elapse Prevention is to be carried out. Along with this, the )ounselor

Psycho educate the person with A2$ about harmful effects of 3#.

ACTIVITIES OF TRAINEE IN CHILD PSYCHIATRY

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- Then he attended the !P 9ounds where multidisciplinary team professionals

discussed about the cases such as "9, Autism, A2#2 * Learning 2isability. #e

came to know how they are planning for treatment.

- #e trainee attended the $eminar on I$uicidal Behavior among )hildren and

AdolescentsJ Presented by 2r. ishal.6. through this the trainee came to know

about associated Psychiatric illness and )linical )haracteristics etc.

- The Trainee went to child psychiatry 3P2 an observed the cases. There he learnt

more about "9 * )hildren with Autistic features.

- Then he attended the $pecial issues Program conducted by "s. Priya, Ph.2

$cholar 8 2ept of euro $urgery. $he e'plained about what is Brain, "ind and its

internal parts.

- #e also attended the $eminar on )hild $e'ual Abuse presented by "s. $udha

Thomas, ".Phil $cholar. $he e'plained about what are the types of $e'ual Abuse

such as $e'ual assault, se'ual e'ploitation * $e'ual /rooming. The trainee came

to know about the Psychological * Physical harm because of this se'ual abuse.

- #e went to "9 )ampaign where the psychologist will rank according to the type

of disability and the parents of the "9 )hild may get money, free medications and

all benefits as per P(2 Act, +.

SELF-LEARNING

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- #e learnt about )hromosomal 2isorders, /enetic 2isorders in Prenatal Period *

premature birth, Low birth weight, instrumental birth in Perinatal period, severe

Kaundice, lack of respiration, lack of cry in Postnatal period may also be the cause

of "9.- #e learnt about #ypotonia which means low muscle tone, Tuberous $clerosis

%abnormal hardening of bedy tissues& etc.

- #e learnt about $pecial 7ducation, 3ccupational * Physiotherapy, ocational

9ehabilitation may help the children to manage with "9 * Autism.

ACTIVITIES OF TRAINEE IN COMMUNITY PSYCHIATRY

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OSERVATION

- The trainee went to $akalawara 2istrict "ental #ealth )entre to observe

5ollow8up cases. There he observed few cases of A2$, 2ysthemia *

$eizure 2isorder. Then he attended the $eminar on Life $kills 7ducation

conducted by "r. Aravind E unior )onsultant of )ommunity Psychiatry at

2epartment of Psychiatric $ocial (ork. #e also came to know how to

apply +C Life $kills n day to day life.

- The Trainee went to Anaikal with multidisciplinary team of )ommunity

psychiatry and handled some follow8up cases. There "r. Aravind took

)lasses on 7pilepsy E its misconception, management * Prevention,

2ifference between eurological 5its * hysterical fits, $omatoform

2isorder s. Psychosomatic disorders etc.

- Then The Trainee went to attend the 2r. 6ishore Lecture on 2istrict "ental

#ealth Programme. Through this Lecture he came to know that first 2istrict

"# Programme was started in +=. Then he learnt about the roles to be

carried out in 2"#P. #e also gathered the manuals such as mental health

care * human rights, 9ole of #ealth worker in )ommunity * "anuals for

Psychiatric $ocial workers.

- Then the trainee went to A") E Association of "entally )hallenged E

2isability $pecial $chool and he observed how 2r. 6ishore is handling the

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restless and hyperactive child. #e observed the follow8up process of

"entally )hallenaged )hildren and also observed the ocational training

carried out in that school.

-The trainee travelled with the multidisciplinary team professionals to the

place called "adhugiri where the team done a follow8up for epileptic cases.

Also he observed few psychosis cases were also handled by the team of

people.

- The Trainee went to $akalawara there "# Professionals from $rilanka

came for the 3bservation of 2istrict "ental #ealth )entre. 2r. 6ishore

gave orientation about the unit. The trainee came to know that in !ndia, "#)are was started in +


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- Then he came to know that 0- "ental #ealth hospitals are there in !ndia.

The first 2istrict "# Programme was started in += and gradually it

increases to +-. #e also came to know that more than 0CM of the districts

have no Psychiatrsts in !ndia.

- The trainee understood that 2istrict "ental #ealth Programme is e'tremely

dynamic in Promotive, Preventive * curative services.

ACTIVITIES OF TRAINEE FAMILY PSYCHIATRY

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23/25

- The trainee also got through the details of history taking profoma and "r.

2harma 9eddy has e'plained it in detail to all trainees.

SELF-LEARNING

- #e learnt that most of the common family problem related to inter8personal

conflict, adKustmental problem, family discord etc. and also some family

members having the problem of "ental !llness * alcoholism.

- #e also came to know about intake process i.e gathering information about

family background, relationship dynamics, parental issues and problems.

- #e also came to know about the !ntervention techni>ues to be used in family

therapy.

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CONCLUSION

The social work trainee of Bharathidasan 4niversity is placed in !"#A$ for

his block placement training for a period of one month %C+.C;.-C++ E ;+.C;.-C++&. The

trainee was placed in various units to gain knowledge about the units and the role of

social workers in each unit.

2uring the training period of one month the trainee has observed the role of social

workers in each unit and has gained knowledge about various psychiatric terms. This

training has cast light on the importance of social workers in multi disciplinary team. The

trainee used this opportunity to shape himself as a professional social worker. The trainee

is highly thankful to the staff members and ".Phil scholars of 2epartment of Psychiatric

$ocial work who has shared their knowledge with the trainee.

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Nimhans Report Updated

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Transcript of Nimhans Report Updated