National Mental Health Programme

NHMP Workdone
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Introduction

1	6-7 percent population suffer.
2	World-Bank assessment-1993: DALY (Disability adjusted Life- year-due to Neuropsy-disorder is   higher than diarrhea, worm Infestation and TB.
3	Accounts- 12% disease burden.
4	Can increase to 15% by 2020 (world Health Report 2001).
5	1 in 4 families can have – behavioral or mental disorder by 2020 (world Health Report 2001).
6	90% remain untreated.
7	Poor awareness, myths of- stigma & lack of knowledge of treatment- leads to a high treatment   gap.

NMHP Started in 1982
Motives

• Minimum mental-health care in Community.
• Mental health knowledge in general health care & social development.
• Promoting community- Participation and self-help concept.
• Availability of drugs.
• Awareness- to ensure early treatment & reduce stigma.


Brief History:

• 1996-Bellary-district-model-dr. Murlitharan.
• Initial-4 districts in Karnataka- after decisions by high level committee, C.S, V.C, D.M etc
• 27 districts in IX-Plan (1999-2003).
• 92 districts in X-Plan (2004-2008).
• 123 districts in XI-Plan (2009-2013).
• In 12th 5-yr Plan- DMHP to be extended to all districts of country (2014-2018)
• Four Districts viz. Bandipora, Kulgam, Pulwama and Ganderbal teams are in place .


DMHP Goals:

• Mental Health knowledge to doctors, paramedics, non-medicos & community at large.
• Intensive I.E.C activities for awareness & dissemination of mental health knowledge & to reduce stigma.
• Early diagnosis & early treatment.
• Life skills education & counseling in schools.
• College Counseling-services.
• Stress-management.
• Suicide- prevention.
• Clinical services, Mental Health Clinics.
• Training of general health-care workers.
• Proper Record keeping.
• Ultimate goal NPPSORS.


Dates of Implementation OF DMHP in Kashmir Division:


District	Date
Srinagar, Kupwara, Baramulla, Budgam, Anantnag, Pulwama, Kulgam, Leh, Shopian.	July 2008
Kargil	July 2011
Ganderbal	Oct. 2013
Bandipora	June 2014
Funds received for 04 districts (Bandipora, Kulgam, Ganderbal, Pulwama)during 2016-17.



Mental Health Clinics:


Srinagar,	JLNM hospital, Central Jail
Kupwara,	D.H Hospital Handwara, SDH Kupwara
Budgam	D.H. Budgam, SDH Khan Sahib
Anantnag	D.H. Anantnag, District Jail Mattan
Kulgam,	D.H. Kulgam, SDH D.H.Pora.
Pulwama	D.H. Pulwama
Shopian	D.H. Shopian
Ganderbal	D.H. Ganderbal
Baramulla	D.H. Baramulla, SDH Sopore, District Jail Baramulla
Bandipora	SDH Bandipora
Leh & Kargil	D.H. Leh & D.H. Kargil



Drug De-addiction Centers :


Community Centre SMHS Hospital	30 Bedded
PCR Srinagar	10 Bedded 24x7
PCR Anantnag	5 Bedded Day Care
PCR Baramulla	6 Bedded Day Care
SDH Bandipora	4 Bedded day care
SDH Sopora	2 bedded day care
SDH Khan Sahib	2 bedded day care
Khanyar Raahat	10 bedded 24x7
GMC Community cum De-addiction center	30 Bedded 24x7