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