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National Mental Health Survey of India 2015-16

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Contents<br />

Message from Honourable Minister for <strong>Health</strong> and Family Welfare, Government <strong>of</strong> <strong>India</strong>................v<br />

Foreword by Director, NIMHANS.................................................................................................................. vi<br />

Preface..................................................................................................................................................................vii<br />

Acknowledgements............................................................................................................................................ ix<br />

Abbreviations.................................................................................................................................................... xxi<br />

Tables.................................................................................................................................................................. xxii<br />

Figures................................................................................................................................................................ xxii<br />

Box Items........................................................................................................................................................... xxii<br />

Executive Summary........................................................................................................................................xxiii<br />

1. Introduction..................................................................................................................................................1<br />

1.1 Systems approach to mental health..................................................................................................2<br />

1.2 <strong>Mental</strong> health systems.........................................................................................................................3<br />

1.3 Role and scope <strong>of</strong> mental health systems........................................................................................4<br />

2 <strong>Mental</strong> <strong>Health</strong> Systems in <strong>India</strong>...............................................................................................................6<br />

2.1 <strong>National</strong> and District <strong>Mental</strong> Heatlh Programme: Origin, Progress and Status........................7<br />

2.2 Challenges in implementation <strong>of</strong> the NMHP................................................................................10<br />

2.3 Current scenario.................................................................................................................................<strong>16</strong><br />

3. Need for <strong>Mental</strong> <strong>Health</strong> System Assessment in <strong>India</strong>.......................................................................17<br />

3.1 <strong>Mental</strong> health systems assesment....................................................................................................19<br />

3.2 <strong>Mental</strong> health systems assessment under the NMHS..................................................................20<br />

4. State <strong>Mental</strong> <strong>Health</strong> System assesment.................................................................................................24<br />

4.1 Project management..........................................................................................................................24<br />

4.2 Ethics approval...................................................................................................................................24<br />

4.3 Methodology......................................................................................................................................25<br />

5. Results..........................................................................................................................................................41<br />

5.1 Population characteristics.................................................................................................................41<br />

5.2 <strong>Health</strong> management information system.......................................................................................42<br />

5.3 <strong>Health</strong> care facilities..........................................................................................................................43<br />

5.4 <strong>Health</strong> human resources...................................................................................................................45<br />

SMHSA<br />

iii

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