Transcript DMHP-Madurai - HS-Prod

District Mental Health Programme
Madurai District
DISTRICT POPULATION
Male
- 12,95,124
Female
- 12,67,155
Total Population - 25,62,279
Population survey 2002
Existing services in INDIA and
Prevalence Of Mental Disorders
 70 million mentally ill in the Country
(1 billion population)
 20,000 beds in 42 mental hospitals.
 2000 to 3000 beds for psychiatric patients in general and
teaching hospitals.
 At the most 10% alone receive active psychiatric
assistance or help.
 Point prevalence is that 10 to 20/1000 population are
affected by serious mental disorder.
 20 to 30 million people may require mental health care .
 1 bed available for psychiatric patient per 32,500
population.
 10% of the patients require urgent mental health care.
 Roughly 2,50,000 new psychiatric cases with serious
mental disorders manifesting each year.
PSYCHIATRIC SERVICES IN INDIA
CURRENT SITUATION
Psychiatrists (4,000 )
Psychologists(200)
Psychiatric Social Workers (2,000)
Psychiatric nurses (400)
UNEVEN DISTRIBUTION
NEEDS
SERVICES
• Based on Uneven distribution of needs & services,
National mental health programme was formulated in
1982.
• DMHP was launched in 1996- 1997 in four districts, one
each in Andra Pradesh, Assam, Rajasthan and
TamilNadu
• In Tamilnadu, DMHP was launched in 1998 in Trichy.
•
• Simultaneously launched in Madurai and Ramnad in
2001
AIM OF THE IMPLEMENTATION OF
DMHP
 To ensure availability and accessibility of mental
health care to all the most vulnerable and underprivileged.
 Integration of Basic mental heath care with general
health services.
 To promote community participation in the mental
health services and to stimulate efforts towards Selfhelp.
 To Increase awareness about mental health in
general public.
MENTAL HEALTH CARE PROGRAMMES
Phase - I - Training & I.E.C
Phase – II – Treatment
Phase – III - Rehabilitation
Phase - I
IEC Activities
Carried out during the year 2002 -2004
• Colour display boards distributed to display in all Taluk
hospitals and PHC
• Stickers pasted in important places of PHCs and Taluk
hospitals
• Booklets distributed to the public
• News letter published bilingual
• Slides distributed and screened in Cinema Theatres of both
the district.
MENTAL HEALTH FESTIVALS
 Conducted during the year 2002-03 in
different hamlets of Madurai District
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Thiruparankundram
Chellampatti
Kallandiri
T. Kallupatti
Street play on Alcoholism
Training programme
 For effective implementation of the programme,
Training plays an effective role in sustainable health
care. During 2002, training was given to the
following persons:
 Medical Officers of PHCs
 Para Medicals
 Non- Medicals
MEDICAL OFFICERS TRAINING
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Medical officers of the PHCs were given 15 days
training programme.
Books on mental Illness were distributed
Case demonstration
Field Training was also given.
Faculties from the Institute of mental health,
Chennai, Institute of Psychiatry, Madurai,
Psychiatrists and Psychologists from various
parts of Tamilnadu delivered lectures.
• In the year 2002 – 2003 100 PHC
Medical officers from both the districts
were given training
• In the year 2003 -2004 50 PHC Medical
officers from both the districts were given
training
• During this booklets, case demonstration
and field training were given.
Because of this training programme, They
will be able to..
• Recognition and management of disorders.
• Manage Psychiatric emergencies through simple
crisis management skills and appropriate
utilization of specified medicine.
• Administration and supervision of maintenance
treatment .
PARA-MEDICAL TRAINING
• 100 Paramedical were given one week training
during the year 2002.
• Another 100 paramedical were given training
during the year 2003
• Books on mental illness (Tamil) were distributed.
• Case demonstration.
• Field Training was also given.
•
Liaison with the local school teachers and parents in
identifying and managing children with mental
retardation and behavior problems.
•
Counseling in alcohol and drug abuse
•
This task will be performed in accordance with
simple operations and instruction included in the
MPW’S manual.
NON-MEDICAL’S TRAINING
• About 200 persons trained in the year 2002
Participants :
 Opinion leaders
 Self help group members
 Teachers
 And parents of mentally disabled
Booklets were distributed (Tamil).
Case demonstration.
Field visit.
NON-MEDICAL TRAINING PROGRAMME
Phase - II
TREATMENT FACILITIES
 In-patient and outpatient services is given at
Usilampatti Government Hospital.
 Modern ECT Equipment - Brief-pulse Therapy with
ECG, EEG monitoring facility is provided at
Usilampatti to improve quality of treatment.
TALUK HOSPITALS
Out Patient services is carried out by mobile psychiatric
team at each Taluk hospitals on the following days
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
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–
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–
Usilampatti
Thirumangalam
Melur
Usilampatti/ Peraiyur
Vadipatti
Sholavandan/ Manadimangalam
Areas Covered under DMHP
Usilampatti
Tirumangalam
14%
13%
Peraiyur
13%
14%
Vadipatti
Solavandan
13%
Mannadimangalam
14%
14%
Melur
Madurai CorporationNot Covered
Performance of DMHP during
July 2002 - March 2003
1000
900
800
700
600
500
400
300
200
100
0
488
508
617
ar
ch
M
be
r
em
y
Se
pt
Ju
l
210
N
ov
em
be
r
Ja
nu
ar
y
No.Cases
Treated
885
From April 2003 to July 2004
1400
1200
1000
800
600
400
No of
Cases
Treated
801 938 1084 1153 1286
1243
1186
Ju
ne
Ap
ril
Ju
ne
Au
gu
st
O
ct
ob
er
De
ce
m
be
r
Fe
br
ua
ry
Ap
ril
200
0
1209
DIAGNOSTIC BREAKDOWN- CASES REGISTERED
AVERAGE OF EVERY MONTH
Others
Childhood mental Illness
15
1
MR
93
Epilepsy
Dementia
230
1
Drug
27
Alcohol
36
Anxiety
290
OCD
26
Hysteria
34
Acute Psychosis
137
Mood Disorder
130
Schizophrenia
0
100
200
300
400
In Patient
160
140
120
100
80
60
40
In patient service
20
0
A
B
A- During 2002 – March 2003 (47 cases)
B- April 2003 - July 2004
(156 cases)
Phase III
Rehabilitation services in
Madurai District
• “MANASA” – A society is registered under
chairmanship of District Collector.
• 6.5 acres land allotted at Thanakkankulam
village
• 24 Lakhs allotted by district administration for
construction of building for the treatment and
rehabilitation of the wandering lunatics
• District Disabled Rehabilitation Centre a project
of NIMH was taken over by “MANASA”.
Services provided by DDRC
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Issue of identity cards
Free bus pass
SpecialEducation
Vocational Training and Rehabilitation
Occupational Therapy
Physio and speech Therapy
Job placement
Supply of Aids and Appliances
• Presently we are referring patient to NGOs
who are willing to render services to
mentally disabled
• In collaboration with M.S.Chellamuthu
Trust and Research Foundation, we
formed Self Help Group comprising
predominantly of mentally disabled
persons
SELF HELF GROUP
 Self Help Group is the small group of women (mothers)
who belong to mentally disabled families
 This women group comprising of 20 mothers started
collecting monthly subscription and operating the
accounts in the bank.
 There are eight self-help groups started and they meet
once a month on the day of medical camp conducted in
their area. The improvement in the health of disabled
members, the management of saving collected are
discussed regularly. There are about 125 families
benefited from this activity.
Nambikkai Group
Lone Distribution
Accounting
• 18 acres of land allotted for SHG members to
involve in agricultural activities (waste land
development programme)
• Members are involved in Vocational Training
Activities and produce Phenyl, Soap oil, wire
bags, paper cups, Toys and Greeting cards.
• A shop has been allotted in the DRDA shopping
complex for selling the products produced by
SHGs members
Thank You