National Mental Health Survey of India 2015-16

Recommendations

Info

4. State Mental Health System Assessment 4.1 Project Management • The Director of NIMHANS constituted a Core team and an NMHS - NIMHANS study team to plan, undertake and implement the different components of the NMHS including those for State Mental Health Systems Assessment. The Centre for Public Health was entrusted with the responsibility of coordinating and Implementing the NMHS and was supported by faculty from the Department of Psychiatry. One faculty from the CPH was the designated coordinator for 2 of the 12 NMHS states. • THE NIMHANS – NMHS State Team comprised of the Principle Investigators (PIs) and Co-Principle Investigators (Co-PIs) at the state level along with team members of the Centre for Public Health (CPH). The CPH team provided continuous support and handholding for the implementation of the SMHSA and the DMHSA for the individual state teams. • NMHS State Advisory Committee at the state level consisted of representatives from the State Health and Family Welfare department, the Directorate of Health and Family Welfare / Public Health, State Mental Health Programme Officer, and mental health professionals from both the public and private sectors including NGOs, leaders in the mental health field, academicians and researchers of repute were also invited wherever possible. While the PI of the study was the Convener, the senior most person / functionery was designated as the Chairperson. The NMHS state Advisory Committee supported and facilitated the smooth conduct of the NMHS survey and played a key role in completing data gathering and review activities. • Data Collection Team at the state comprised of the Community Medicine / Public Health Investigator along with the PI of the project. With support from the study coordinator and field data collectors, the SMHSA coordinator collected, reviewed and collated the information from different secondary and tertiary sources. The SMHSA coordinator was also the convener of the NMHS state advisory board / committee. 4.2 Ethics Approval The final NMHS Master Protocol (NMP) which included the component of undertaking the Mental Health Systems Assessment was submitted to the NIMHANS Institutional Ethics Committee for approval. After deliberations, the NIMHANS IEC provided clearance for the NMP vide its letter NIMHANS/DO/97th IEC/2015 dated: 29-04-2015. Further, each of the study sites, adopting the NMHS Master Protocol, obtained separate IEC approval from their individual institutional ethical committees. As the NMHS in Tamil Nadu was undertaken by the Office of the Nodal Officer of the NMHP in Tami Nadu, the NIMHANS ethics approval was deemed valid. 24 SMHSA
NMHS 4.3 Methodology 4.3.1 Selection of study sites The NMHS, a unique endeavour in postindependent India, was undertaken as a large scale, multi centred national study on mental health problems in India. After due deliberations in the National Technical Advisory Group (NTAG), the study sites for Phase 1 of the NMHS were selected based on the availability of an interested and reliable partner and the willingness of the partner to be a stakeholder in the project. These states also formed the participating centres for the survey component of the NMHS. The following states were identified for undertaking Phase 1 of the NMHS for India: 1. North : Punjab and Uttar Pradesh, 2. South : Tamil Nadu and Kerala, 3. East : Jharkhand and West Bengal, 4. West : Rajasthan and Gujarat, 5. Central : Madhya Pradesh and Chhattisgarh, 6. North-east : Assam and Manipur. Figure 3: NMHS states included for SMHSA SMHSA 25
Page 1:
National Mental Health Survey of In
Page 4 and 5:
© National Institute of Mental Hea
Page 6 and 7:
5.5 Coverage of District Mental Hea
Page 8 and 9: NATIONAL INSTITUTE OF MENTAL HEALTH
Page 10 and 11: esults, implications along with rec
Page 12 and 13: We are thankful to all the members
Page 14 and 15: NMHS NIMHANS Team Principal Investi
Page 16 and 17: 7) Manipur: Regional Institute of M
Page 18 and 19: MADHYA PRADESH Mr. Narendra Sinha,
Page 20 and 21: 1. Mr. Vijeta Das, Assist. Gr. II,
Page 22 and 23: PUNJAB 1. Dr. Bhag Mal, Chairman, D
Page 24 and 25: Tables Table 1 Demographic characte
Page 26 and 27: • Both quantitative and qualitati
Page 28 and 29: Recommendations The organisation an
Page 30 and 31: • The DMHP is the key implementat
Page 32 and 33: legislations to guarantee mental he
Page 35 and 36: 1. Introduction A health system con
Page 37 and 38: NMHS outcomes. Thus, in the present
Page 39 and 40: NMHS limited in scope with the adve
Page 41 and 42: NMHS 2.1 National and District Ment
Page 43 and 44: NMHS deaconate, phenobarbitone and
Page 45 and 46: NMHS pointed out that some of the b
Page 47 and 48: NMHS of mental health systems in Gu
Page 49 and 50: NMHS employment, ownership of asset
Page 51 and 52: 3. Need for Mental Health System As
Page 53 and 54: NMHS Target: The rate of suicide in
Page 55 and 56: NMHS sample drawn from 12 states of
Page 57: NMHS Health Program and secondly, i
Page 61 and 62: NMHS management, training, quality
Page 63 and 64: NMHS b. Burden i. Mental Neurologic
Page 65 and 66: NMHS awareness about mental health
Page 67 and 68: NMHS • Mental health care facilit
Page 69 and 70: NMHS during the fortnightly monitor
Page 71 and 72: NMHS system, based on a scoring pat
Page 73 and 74: NMHS WestBengal Tamilnadu Punjab 4.
Page 75 and 76: 5. Results The National Mental Heal
Page 77 and 78: NMHS The Health Management Informat
Page 79 and 80: NMHS 5.4 Health Human Resources Tab
Page 81 and 82: NMHS The District Mental Health Pro
Page 83 and 84: NMHS role and are key resources in
Page 85 and 86: NMHS Table 9: Mental health science
Page 87 and 88: NMHS Among the NMHS states, the sta
Page 89 and 90: NMHS Information provided by States
Page 91 and 92: NMHS distribution, inadequate utili
Page 93 and 94: NMHS Drug availability at the PHC l
Page 95 and 96: NMHS 5.16 Mental Health Monitoring
Page 97 and 98: NMHS Figure 19: SMHSA Scores - Chha
Page 99 and 100: NMHS Figure: 27: SMHSA Scores - Pun
Page 101 and 102: 6. Implications The National Mental
Page 103 and 104: NMHS requires identifying instituti
Page 105 and 106: NMHS the stepped care model is incr
Page 107 and 108: NMHS Box 5: National Mental Health
Page 109 and 110:
NMHS Box 7: Restrategised NMHP and
Page 111 and 112:
NMHS mechanisms of integration, dev
Page 113 and 114:
NMHS 8. Drug logistics system at st
Page 115 and 116:
NMHS • Sample surveys on represen
Page 117 and 118:
9. References 1. World Health Organ
Page 119:
NMHS 40. World Health Organization.
Page 122 and 123:
NMHS Annexure 1: Indicators Quantit
Page 124 and 125:
NMHS 10 11 12 13 Availability of Be
Page 126 and 127:
NMHS Qualitative indicators Sl No D
Page 128 and 129:
NMHS • State Mental Health Author
Page 130 and 131:
NMHS 8 Intra and Intersectoral coll
Page 132 and 133:
NMHS Public sector 3.General Health
Page 134 and 135:
NMHS 10. Suicide rate (Per 1,00,000
Page 136 and 137:
NMHS Public sector 3.General Health
Page 138 and 139:
Page 140 and 141:
NMHS Public sector 3. General Healt
Page 142 and 143:
Page 144 and 145:
Page 146 and 147:
Page 148 and 149:
NMHS 3. General Health Care Facilit
Page 150 and 151:
Page 152 and 153:
Page 154 and 155:
Page 156 and 157:
Page 158 and 159:
Page 160 and 161:
Page 162 and 163:
Page 164 and 165:
Page 166 and 167:
Page 168 and 169:
Page 170 and 171:
Page 172 and 173:
Page 174 and 175:
Page 176 and 177:
Page 178 and 179:
Page 180:
Notes
show all

National Mental Health Survey of India 2015-16

Create successful ePaper yourself

Delete template?

Save as template?