National Mental Health Survey of India 2015-16
NMHS%20Report%20%28Mental%20Health%20Systems%29%201
NMHS%20Report%20%28Mental%20Health%20Systems%29%201
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NMHS<br />
sample drawn from 12 states <strong>of</strong> <strong>India</strong>, (ii)<br />
recognizing the treatment gap, and (iii)<br />
assessing the current status <strong>of</strong> mental health<br />
services and systems in the surveyed states.<br />
Thus, at one point <strong>of</strong> time, the NMHS brings<br />
together information on all components<br />
related to mental health care through one<br />
nationally representative study and sets the<br />
baseline for 20<strong>16</strong> to develop – implement –<br />
monitor and evaluate all future activities.<br />
3.2.1 Purpose<br />
The State <strong>Mental</strong> <strong>Health</strong> System Assessment<br />
(SMHSA) under the <strong>National</strong> <strong>Mental</strong><br />
<strong>Health</strong> <strong>Survey</strong> (NMHS) is a systematic and<br />
comprehensive analysis <strong>of</strong> components and<br />
sub-components <strong>of</strong> health systems that cater<br />
to the delivery <strong>of</strong> mental health services at<br />
the individual state level. The SMHSA supplements<br />
information and complements the<br />
recommendation <strong>of</strong> the <strong>National</strong> <strong>Mental</strong><br />
<strong>Health</strong> <strong>Survey</strong>. The SMHSA included the<br />
following 10 areas for enquiry:<br />
1. <strong>Mental</strong> <strong>Health</strong> Policy and a <strong>Mental</strong><br />
<strong>Health</strong> action plan in surveyed states.<br />
2. Infrastructure for the delivery <strong>of</strong> mental<br />
health care.<br />
3. <strong>Health</strong> human resources for mental<br />
health from health and health related<br />
sectors including training / sensitisation<br />
programme for doctors / other health staff<br />
like ANM, HW, etc., and other personnel<br />
like teachers, lawyers, police etc.<br />
4. Delivery <strong>of</strong> mental health care in terms<br />
<strong>of</strong> availability <strong>of</strong> psychotropic drugs<br />
throughout the year in district hospitals<br />
/ Community <strong>Health</strong> Centers (CHCs)<br />
/taluka hospitals / Primary <strong>Health</strong><br />
Centers (PHCs) along with availability<br />
<strong>of</strong> follow up care / domiciliary care in<br />
the community and outreach activities<br />
for mental health problems.<br />
5. Implementation <strong>of</strong> legislations for<br />
mental health.<br />
6. Public education and IEC activities<br />
along with welfare measures for those<br />
with mental health problems.<br />
7. Linkages with other sectors /<br />
departments like education, women<br />
and child welfare, social welfare for<br />
different activities .<br />
8. Dedicated budget for mental health<br />
activities.<br />
9. Engagement with civil society, and<br />
10. Programme monitoring – evaluation<br />
and research including monitoring <strong>of</strong><br />
the quality / type / nature <strong>of</strong> services<br />
provided.<br />
The results <strong>of</strong> the <strong>Mental</strong> <strong>Health</strong> <strong>Survey</strong><br />
are provided separately and only the State<br />
<strong>Mental</strong> <strong>Health</strong> System Assessment details<br />
are in this report.<br />
3.2.2 Objectives<br />
1. To examine the available health and<br />
health related resources for mental<br />
health activities / programmes in the 12<br />
surveyed states.<br />
2. To examine the status <strong>of</strong> mental<br />
health services and programmes in<br />
the surveyed states through a systems<br />
assessment framework.<br />
3.2.3 Preliminary Work<br />
The District <strong>of</strong> Kolar located about 70 kms<br />
from Bengaluru has been designated as the<br />
Public <strong>Health</strong> Observatory <strong>of</strong> the Centre for<br />
Public <strong>Health</strong> at NIMHANS. With a population<br />
<strong>of</strong> nearly <strong>16</strong> lakhs, being a non-DMHP<br />
district, the district <strong>of</strong> Kolar is being devel-<br />
SMHSA<br />
21