NATIONAL MENTAL

HEALTH
PROGRAMME

Presented By:
Mr. karthikeya prasath
M.Sc Nursing
Department of psychiatry
NATIONAL MENTAL
HEALTH PROGRAMME

 The Government of India has

launched the National Mental Health
Programme (NMHP) in 1982.
AIMS
 Prevention and treatment of mental
and neurological disorders and
their associated disabilities.

 Use of mental health technology to

improve general health services.

 Application of mental health

principles in total national
development to improve quality of
life.
OBJECTIVES
 To ensure availability and accessibility of
minimum mental health care for all in the
foreseeable future, particularly to the most
vulnerable and underprivileged sections of
population.

 To prevent or treat psychiatric disorders.

 To encourage application of mental health

knowledge in general health care and in
social development.
 Cond…
To promote community participation in
the mental health services
development and to stimulate efforts
towards self-help in the community.

To utilize appropriate mental health

technology to improve general health
services.

To apply mental health principles for

improving quality of life for entire
population.
TARGETS
National co-coordinating group will
be formed, comprises of
representatives from all states,
senior health administrators,
professionals from relative fields
like psychiatry, education, social
welfare.

Curriculum of mental health for the

health workers
 Cond…
Non medical professionals, physicians at
the PHC will have a 2 wk training
programme in mental health care.

Creation of a post for psychiatrist at

districts, he will be visiting PHC settings
regularly, supervise & organize mental
health training programmes & continuing
education programmes.
 Cond….
Appointment of a programme officer for
teaching & supervision.

Provision of additional support for

inclusion of community mental health
components in teaching institutions.

Psychotropic drugs will be included in

the list of essential drugs in India.
STRATEGIES
Integration mental health with primary
health care through the NMHP

Provision of tertiary care institutions

for treatment of mental disorders.

Eradicating stigmatization of mentally

ill patients and protecting their rights
through regulatory institutions like the
Central Mental Health Authority, and
State Mental health Authority.
Mental Health care

1. The mental morbidity requires priority

in mental health treatment

2. Primary health care at village and sub

center level

3. At Primary Health Center level

4. At the District Hospital level

5. Mental Hospital and teaching

Psychiatric Units
COMPONENTS
 Training programmes of all workers in
the mental health team at the identified
Nodal Institute in the State.

Public education in the mental health to

increase awareness and reduce stigma.

For early detection and treatment, the

OPD and indoor services are provided.
 Cond…
Providing valuable data and experience
at the level of community to the state and
Centre for future planning, improvement
in service and research.

Years and thereafter they should

manage themselves. Govt. of India has
constituted central Mental Health
Authority to oversee the implementation
of the Mental Health Act 1986.
THRUST AREAS FOR 10TH
FIVE YEAR PLAN (2002 – 2007)
 District mental health programme in an enlarged
and more effective form covering the entire
country.

 Streamlining/ modernization of mental hospitals in

order to modify their present custodial role.

 Upgrading department of psychiatry in medical

colleges and enhancing the psychiatry content of
the medical curriculum at the undergraduate as
well as postgraduate level.
 Cond…
Strengthening the Central and State
Mental Health Authorities with a
permanent secretariat. Appointment of
medical officers at state headquarters in
order to make their monitoring role more
effective

Research and training in the field of

community mental health, substance
abuse and child/ adolescent psychiatric
clinics
ELEVENTH FIVE YEAR
PLAN (2007 – 2012):
DMHP will be extended to another
200 districts

reinforcement of upgrading
psychiatry departments with
adequate infrastructural facilities

construction of modern buildings

with good infrastructure
 Cond…
provision of adequate man power for
all psychiatry units

research, Training programs have to

be organized for qualitative &
quantitative improvement

ICE training programmes has to be

conducted.
TWELFTH FIVE YEAR PLAN
(2012 – 2019)
DMHP will be extended to remaining
193 districts

20 mental hospitals will be taken up for

reconstruction

Non – viable mental hospitals will be

closed or merged with general hospitals

Long term community will be planned to

cover all sections of population
REVISED NATIONAL
MENTAL HEALTH
PROGRAMME (2003)
redesigning DMHP around a modal
institution, a zonal medical college

strengthening medical colleges to

improve psychiatric treatment
facilities with adequate man power

stream lining & modernization of

mental hospitals

research and development

programmes in the field of
community mental health
 Cond…
promote intersectoral collaboration and
linkages with other national programmes

plan for cost effective intervention models

health and policy planning

focused IEC activities

 Cond…

provision of comprehensive
community based mental health
services will be cost effective and
respects human rights

promotion of referral services

 Cond…
provision of essential psychotropic drugs;
family support

home care support by provision of

sufficient man power

crisis interventions, sheltered

employment, provision of community care
facilities

develops self help groups and provision

of funds and space for their activities
 Cond…
human resource development

public mental health education

Involvement of private sectors and

voluntary organizations in provision of
mental health care services at
community

social skills training programmes, life

skill education programmes has to be
conducted to focus groups
 Cond…
at district level, mental health teams
has to be posted to render clinical care
and the integration of mental health at
peripheral institutions

services are focused to special sections

of high risk population prone for
stressful disorders