National Mental Health Survey of India 2015-16

NMHS
presence of a policy or action plan is a yes or
no; the same yes or no cannot be a response
for the implementation / status of different
action plans. Similar is the case for the status
of implementation of legislation, or with
respect to drug logistics. Thus, for such subdomains,
semi-quantitative and / or ranking of
information has been adopted. For example,
for status of the action plan, consensus is
arrived regarding the components of an
action plan which range from 0 to 10 and are
considered as the overall situation across the
state and not with respect to any one area /
institution specifically. The availability of
drugs is categorised as always, many times,
sometimes or irregular supply. The listing of
different registers for mental health care at
different levels of care has been adopted. For
many domains, all available documents were
examined before accepting final information.
Domain 4: This domain pertains to the
management of mental health problems and
is focused on documenting the burden of
mental health problems within the state. It
collated and collected information pertaining
to management of mental health problems
using the ICD classification. Age and gender
specific burden of suicides was also included.
Supplementary and related aspects of case
management like maintenance of registers,
provision of drugs across the state and at
different service delivery points (district,
CHC, taluka, PHC, etc.,) are recorded. This
section also documents information pertaining
to details of camps and outreach services
conducted. The key output from this section
is an estimate of the total burden of mental
health problems currently being served by the
different health facilities within the state.
Domain 5: The determinants of mental
health reside outside the health sector;
systems for care are incomplete if these
health, and health-related sectors are not
included. In addressing these concerns and
issues about mental health, domain 5 collects
details about the intra and inter-sectoral
activities. The information from this section
underscores the need for both intra- and
inter-sectoral collaboration and recognizes
the contribution of sectors of education,
women and child development, disability /
welfare and others for issues and concerns
of mental health. Recognizing the difficulties
in recording intra- and inter-sectoral
collaboration, this domain documents the
presence of activities either planned or
implemented and provides explanations
regarding the different sets of activities.
Domain 6: This pertains to social welfare
activities. Persons with mental health
problems are highly vulnerable and
sensitive to changes in the socio-economic
sphere, thus necessitating the pro-active
involvement of social assistance, assurance
and other defence mechanisms to support
and boost the livelihood of persons affected
with mental health problems. While, there
can be an array of facilities that could be
provided / made available, in the current
version of the SMHSA, the focus is on
issuing of disability certificates, provision of
monthly pension / assistance, reservation in
jobs and preferential allotment in housing.
Domain 7: Civil society and its organisations
play the role of conscience keeper. Different
mental health NGOs serve to highlight and
monitor, supplement the services in the
government sector. Domain 7 attempts to
profile the different NGOs working in the
state for the welfare and service of persons
with mental illness
Domain 8: IEC activities are an essential
component of any health programme. In the
context of mental health, the need for IEC
activity assumes greater importance because
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SMHSA