mental health integrated plan for sehore. to establish a mental health program by addressing...

mhIPS

MENTAL HEALTH INTEGRATED PLAN

FOR SEHORE

INTRODUCTION

SEHORE DISTRICT IN THE STATE OF MADHYA PRADESH

To establish a mental health program by

addressing determinants to provide accessible,

affordable, equitable mental health care and rehabilitation in Sehore

district

To implement and evaluate a comprehensive health program through targeted interventions for the prevention and management of common mental disorders, severe mental disorders, alcohol abuse, child and adolescent mental health problems in communities of Sehore district

OBJECTIVES

PRIORITIES

Priorities

Population 13,11000

81.05% Rural

4% Marginalised

1% Children

80.6% Poor Standard of

Living

18.95% Urban

Health System

1 District Civil Hospital

18 Primary Health Centres

8 CHC

150 Sub Centres

PREVAILING DISORDERS

PROGRAM IMPLEMENTATIO

N

INTERVENTION PLAN FOR CMD, SMD, C/AMD AND AUD

District Level

Primary Health Centre Level

Community Level

COMMUNITY LEVEL INTERVENTIONS

•Screening•Need Assessment•Mental Health First Aid•Family Psychoeduction•Social Network Reactivating/Building•Structured physical and creative activity•Referral and follow-up•Monitoring of anti-psychotic treatment•CBR activities

•Training of Sanghi Sathi•Collaboration of all stakeholders in the district•Mental Health Literacy•Protecting and Promoting Child Rights•Prevention of Developmental Disorders•School level intervention

PRIMARY HEALTH CARE LEVEL INTERVENTIONS

Screening

Diagnosis

Psychopharmacological Intervention

Case Management of acute problems

Referral and Follow-up

Ensure the availability of Psychotic drugs

Developmental Screening

Training of Supervisors

DISTRICT LEVEL INTERVENTIONS

Screening DiagnosisOutpatient

Care/Inpatient Care/Referral Cases

Psychopharmacological Treatment

Ensure regular availability of

Psychotropic drugs

Inclusion of mental health program in the

District Health Plan

Follow-up Referral to Specialist Care centres

Child Guidance Centres

Training of Co-ordinators

HUMAN POWER

300 Sanghi Sathi

(Volunteers) At 150 Sub-

centres

30 Supervisors, 30 Trained

Medical Officers At 15

PHC

2 Coordinators,

1 Paediatrician

at District Level

DMHP Staff i.e. 1

Psychiatrist, 1 Psychologist

OTHER HUMAN POWER

CBOs

NGOs

Health Workers

PRIs Traditional Healers

Teachers

VHC Members

Anganwadi

Workers

Coordinators

Supervisors

Sanghi Sathi

Other Huma

n Resour

cesCAPACITY BUILDING

INTEGRATING USERS

PERSPECTIVES AND PROTECTION

OF HUMAN RIGHTS

USER INVOLVEMENT AT ALL LEVELS

PLWMD groups

PLAN

IMPLEMENT

MONITOR

ADVOCATE

PROTECTION OF HUMAN RIGHTS CRPD

Health (Article 25)

Life (Article 10)

Accessibility (Article 9)

Equity and Non-Discrimination (Article 5)

Education (Article 24)

Work and Employment (Article 27)

Access to Justice (Article 13)

Liberty and Security (Article 14)

Freedom from Torture or Cruel, Inhuman or Degrading Treatment (Article 15)

Respect for Privacy (Article 22)

Habilitation and Rehabilitation (Article 26)

STRATEGIES TO ADDRESS BARRIERS

Challenges Strategies

Lack of Medicines/

Specialists

Cultural Beliefs/

Traditional Healers

Lack of

Government

Support

Stigma/

Discrimination

Challenges Strategies

Unclogging the Supply Chain

Combined Forces

Unifying Leadership

Awareness program

Lack of Medicines/ Specialists

Cultural Beliefs/ Traditional Healers

Lack of Government

Support

Stigma/ Discrimination

MONITORING AND

EVALUATION FRAMEWORK

Objective 1: To build effective partnerships of government, non-governmental, public and private health institutions and CBOS for

advocacyActivities• Building a

collaborative Network

• Social Network reactivating/building

Indicators• # of collaborators

in a network• # of meetings

held• # of networks

functional• Mental health

services provided at the primary level

Objective 2: To include user perspectives and protection

of human rights

Activities• Involvement of

Users at all stages of the project

Indicators• # of users involved

in program planning• # of users involved

in program implementation

• # of users involved in program monitoring

• # of users involved in program advocacy

Objective 3: To raise awareness and educate the

community Activities• Family Psycho-education• Mental Health Literacy• CBR activities

Indicators• # of persons accessing

MHFA & treatment• # of increased

interdepartmental interactions

• # of cases being accepted by the society

• # of persons with developmental disabilities and severe mental disorders have been main streamed

Objective 4: To provide evidence-based psycho-

pharmacotherapyACTIVITIES• Screening• Mental health first aid• Structured Physical and Creative Activity

• Ensure the availability of Psychotropic drugs

• Follow-up• Referrals• CBR• Developmental Screening• OPD/IPD care• Child Guidance Centre• School Mental Health Programs• Training of Human Power at all levels

INDICATORS• # of persons screened for CMDs, SMDs, C/AMD & AUDs

• # of persons provided with MHFA• # of networks built with PRIs, CBOs, NGOs, health workers and others

• Type and quantity of drugs procured

• # of patients and care-givers followed up

• # of referrals• # of children in schools who have been screened

• # of children who received counselling

• # of trainings conducted• # of participants

KEY LEADERSHIP

SKILLS

VISIONARY

COMPASSIONATE

INSPIRING COMMITMENT

RELATIONSHIP MANAGEMENT

DECISIVE AND CONFIDENT

EMPLOYEE DEVELOPMENT

TOLERANT OF AMBIGUITY

STRATEGIC PLANNING

THANK YOU ! MY INDIA

JACINTAMARIAURMILAKAARENRAJENDRARAHULPRASHANTRAJUPROBHAT