31.12.2016 Views

National Mental Health Survey of India 2015-16

NMHS%20Report%20%28Mental%20Health%20Systems%29%201

NMHS%20Report%20%28Mental%20Health%20Systems%29%201

SHOW MORE
SHOW LESS

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

NMHS<br />

for nodal <strong>of</strong>ficers, district psychiatrist and<br />

other members <strong>of</strong> the DMHP team (2) funds<br />

were not released in time (3) non-availability<br />

<strong>of</strong> implementation guidelines (4) lack <strong>of</strong><br />

periodic reviews <strong>of</strong> the DMHP and (5) lack <strong>of</strong><br />

a state and central monitoring committee. The<br />

evaluation also highlighted the need to (1)<br />

involve the district administration (2) evolve<br />

guidelines and support for referral and follow<br />

up (3) ensure availability <strong>of</strong> essential drugs<br />

at the PHC (4) develop and ensure uniform<br />

IEC materials (5) conduct annual refresher<br />

training for the DMHP team.<br />

2.2.8 MoHFW, <strong>Mental</strong> <strong>Health</strong><br />

Policy Group Review and<br />

Recommendations -2012<br />

To clearly identify a road map for mental<br />

health and to strengthen implementation,<br />

the Ministry <strong>of</strong> <strong>Health</strong> and Family Welfare,<br />

Government <strong>of</strong> <strong>India</strong> appointed a Policy<br />

Group in 2011 to conduct a situational<br />

analysis <strong>of</strong> the need for mental health care<br />

and the provision <strong>of</strong> mental health services<br />

in the country by carrying out a systematic<br />

review <strong>of</strong> the evidence base to prepare a<br />

<strong>National</strong> <strong>Mental</strong> <strong>Health</strong> Policy and Plan (32).<br />

The recommendations <strong>of</strong> the <strong>Mental</strong> <strong>Health</strong><br />

Policy Group included:<br />

1. Proper training and handholding<br />

by centres <strong>of</strong> excellence and expert<br />

institutions and groups<br />

2. A client - centred approach with<br />

psychosocial counselling in a<br />

befriending environment that supports<br />

and promotes a state <strong>of</strong> overall well -<br />

being<br />

3. Engage users and caregivers in the<br />

process <strong>of</strong> recovery<br />

4. Ensure the availability <strong>of</strong> appropriate<br />

medication<br />

5. Delineate the roles <strong>of</strong> team members,<br />

provide adequate training and ensure<br />

greater co -ordination between team<br />

members as well as other health/welfare<br />

teams<br />

6. Develop a continuum <strong>of</strong> services that<br />

include rehabilitation, long - term care<br />

etc.<br />

7. Focus on the needs <strong>of</strong> vulnerable groups<br />

like women, children, the elderly,<br />

homeless, migrants and persons living<br />

in strife prone areas<br />

8. Develop clear protocols <strong>of</strong> intervention<br />

at each location<br />

9. Build a clear monitoring and evaluation<br />

plan with scope for midcourse correction<br />

10. Constitute a technical advisory team<br />

2.2.9 Report <strong>of</strong> the Technical<br />

Committee on <strong>Mental</strong><br />

<strong>Health</strong> constituted by the<br />

<strong>National</strong> Human Rights<br />

Commission (NHRC).<br />

The Technical Committee constituted by the<br />

NHRC to evaluate mental health services<br />

in <strong>India</strong> submitted its report in 20<strong>16</strong> (33).<br />

The committee highlighted the need for<br />

specialised services and adequate human<br />

resources (both specialised and nonspecialised)<br />

to meet the needs <strong>of</strong> persons<br />

with mental disorders. It recommended the<br />

delivery <strong>of</strong> comprehensive mental health<br />

services with mental health integrated<br />

into primary health care to provide a<br />

continuum <strong>of</strong> services ranging from<br />

emergency and acute care to psychological<br />

and pharmacological treatments. It also<br />

recommended psycho -social rehabilitation<br />

that addresses basic needs (like food, shelter,<br />

clothing, safety),integration with family<br />

and friends, access to social services, equal<br />

opportunity for education and work, gainful<br />

14<br />

SMHSA

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!