National Mental Health Survey of India 2015-16

NMHS
sensitisation of health functionaries during
their routine meetings about the MHSA and
the need to provide data that was as accurate
as possible. The other steps listed werefilling
up of the proforma based on data
from multiple sources, review of the draft
filled up proforma, feedback to the state
teams, identifying the missing information
and discrepancies and resolving the same,
final review of the proforma, development
of indicators and scores based on this final
draft, finalization of the draft proforma /
filled up of information during the consensus
meeting and refinement of indicators. Thus,
this detailed and elaborate process helped
to develop a near final document which was
used to develop final indicators, scoring
system and a fact sheet for each state.
This OG document also specified the
methodology of conducting the consensus
meeting including the individuals who
needed to be invited to participate. In brief, it
laid down that “a larger and broader holistic
view has to be taken in the assessment” and
“a comprehensive assessment of the domain
is important”, as the information pertains to
the whole of the state or the entire district.
It was specified that this process was to be
consultative, participatory, review based and
factual and was to be used for developing a
baseline state mental health report. It was
made amply clear that it was not a process
of self-appreciation or ranking and was
independent to any other ongoing activities.
4.3.4 Focus under SMHSA
The MHSA tool is organized into sets of
domains and sub-domains. A domain is
defined as an area of interest or related
interest. The tools captures related
information about the Mental Health
Systems within the state under 10 domains
(Box 2). Currently, the SMHSA includes
information on all 10 domains along with
their sub-domains.
Box 3 : Domains and sub-domains
under MHSA
1. General information about the state
2. State health resources
a. Number of health care institutions
in the state from both Government
and Non-Government sectors (Non-
Government Organization includes
for profit, not for profit, voluntary,
etc.)
b. Health human resource availability
c. State health management
Information System
3. Mental health systems and resources
a. Mental health policy
b. Mental health action plan
c. State level authority responsible for
supervising mental health related
activities / programmes within the
state
d. Human resources development
i Mental health human resources
1 Health sector
2 Health-related sector
ii Training in mental health and
related areas
iii Mental health education /
sensitization programmes
e. Mental health legislation and
implementation
f. Financing and budgetary
provisionsfor mental health care
g. Mental health services within the
State
i Facilities for mental health services
ii Other facilities
4. Management of mental health problems
a. Details of inpatient care
i. Total number of patients in mental
hospitals (by length of stay)
ii. Involuntary and total admissions to
inpatient mental health facilities
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SMHSA