National Mental Health Programme

Programme background: The National Mental Health Programme (NMHP) was started in 1982 with the following objectives: to ensure the availability and accessibility of minimum mental healthcare for all in the foreseeable future, particularly to the most vulnerable and underprivileged sections of the population; to encourage the application of mental health knowledge in general healthcare and in social development; and to promote community participation in the mental health service development and stimulate efforts towards self-help in the community.

District Mental Health Programme (DMHP) was initiated under NMHP in 1996 to provide community based mental health services in the country in line with the National Health Policy 2002, the objectives of the NMHP and global trend of community care of mentally ill. NMHP was re-strategized in 2003 and had the following components: Expansion of DMHP to 100 districts all over the country, Strengthening and Modernization of State run Mental Hospitals, Upgradation of Psychiatry Wings of Govt. Medical Colleges/General Hospitals, IEC activities, Research & Training in Mental Health for improving the service delivery.

District Mental Health Programme (DMHP): The main objective of DMHP is to provide basic mental health services to the community & to integrate these with general health services. It envisages a community based approach to the problem, which includes: Training of mental health team at identified nodal institutions. Increase awareness & reduce stigma related to Mental Health problems. Provide service for early detection & treatment of mental illness in the community (OPD/ Indoor & follow up). Provide valuable data & experience at the level of community at the state & center for future planning & improvement in service & research.

Strengthening and Modernization of State Run Mental Hospitals: Under this scheme, a onetime grant with a ceiling of Rs. 3.00 crores per hospital on the basis of benchmark of requirement and level of preparedness is available. The grant covers activities such as construction/ repair of existing buildings, purchase of equipment, provision of infrastructure such as water tanks and toilet facilities, purchase of cots and equipments. Up gradation of Psychiatric Wings of Govt. Medical Colleges/ General Hospitals: This scheme is for strengthening the Psychiatric Wings of Govt. Medical Colleges/ General Hospitals with a one-time grant of up to Rs. 50 lakhs for up-gradation of infrastructure and equipment. Current Status: At present DMHP has been extended to 123 Districts, Up-gradation of 88 Psychiatric Wings of Medical Colleges/ General Hospitals & Modernisation of 29 Mental Hospitals have been funded under NMHP.

Taking into account the constraints in implementation of the Programme in the 10th Plan i.e. shortage of skilled manpower in mental health and non availability of community based mental health services, the strategy for the Programme during 11th Plan has been drawn up with the following components: Extension of DMHP to more districts of the country with added components of Life Skills Training & Counselling in Schools, College Counselling Services, Work Place Stress Management and Suicide Prevention Services; Manpower Development in mental health by supporting establishment of Centers of Excellence and of PG training departments in mental health specialties; IEC activities; Research and Training; NGO/ PPP; Spill over activities of Xth plan i.e. Upgradation of Psychiatric wings of Govt. Medical Colleges / General Hospitals and Modernisation of State-run Mental Hospitals.

The NMHP would be mainstreamed by integrating it with NRHM and NUHM. The proposal for NMHP during the 11th five year plan with an outlay of Rs. 1000 crore was considered by the EFC in July 2008. Based on EFC recommendations, CCEA approval for following components of the Programme with outlay of Rs.473.445 crore has been obtained and sanction for the same has been conveyed to the State Governments. Manpower Development in Mental Health Spill over activities of the 10th Plan (upgradation of psychiatric wings of Government Medical Colleges/ General Hospitals, and Modernization of Government Mental Hospitals), as per existing norms. Continuation of existing DMHPs under implementation on existing norms. Under the Manpower Development Schemes, Centres of Excellence in the field of Mental Health (at least 11 no.s) (Scheme A) would be established by upgrading and strengthening identified existing mental health hospitals/ institutes. Funding support is upto Rs. 30 crores per centre. Assistance would also be provided for setting up/ strengthening 30 units of Psychiatry, 30 departments of Clinical Psychology, 30 departments of Psychiatric Social Work and 30 departments of Psychiatric Nursing (Scheme - B) with the support of upto Rs. 51 lakh to Rs. 1 crore per PG department. Based on proposals received from the States and inspection of the provisionally identified Institutes by the Inspection teams of the Ministry/ Dte.G.H.S. the Standing Committee on NMHP under the Chairmanship of DGHS has recommended grant for 10 Institutes under Scheme A and 15 Institutes under Scheme B. Funds for 10 Institutes under Scheme A (Rs. 110.02 crores) and 10 Institutes for 23 departments under Scheme B (Rs. 9.64 crores) have been released. Approval for expansion of DMHP with added components, IEC activities, NGO/PPP schemes, Research & Training etc. was to be taken up separately as desired by EFC after an external evaluation of the existing programme. Evaluation studies of the major components of the Programme have been completed which has recommended the expansion of DMHP with additional service components. The following additional components were submitted to the EFC for approval, apart from the manpower development, spillover activities and evaluation components, which had been approved in March 2010:

i.

District Mental Health Programme: There are 123 ongoing DMHPs in the country. As recommended by EFC, the number is to be restricted to 123 districts. Future expansion will be undertaken in the 12th plan period once the existing DMHPs are consolidated with newer components proposed in the current plan and more skilled manpower is available in the country as a result of proactive measures by the NMHP to increase the PG training capacity in mental health related specialties.

Additional activities, that is, promotive and preventive activities, have been proposed in the existing DMHPs in addition to ongoing components of early identification and treatment. These include Life Skills Education and Counselling in Schools, College Counselling Services, Work Place Stress Management The unit costs have also been changed.

ii. IEC Activities: Innovative IEC strategies involving Electronic/ Print/local media at Central level to reduce stigma attached to mental illness and increase awareness regarding available treatment and health care facilities. Increased awareness regarding provisions under Mental Health Act 1987 iii. Monitoring & Evaluation: At Centre & State level to support for monitoring, implementation, evaluation etc. iv. Training & Research: To address shortage of manpower in mental health in short term basis for DMHP teams. To support CME, Distance Learning, E-Mode learning. Addressing specialty training areas such as Child Psychiatry, Geriatric Psychiatry etc. Operational Research related to NMHP. v. Support for Central/ State Mental Health Authority: To assist in regulation development, direction and coordination with respect to Mental Health services. Support proposed for Establishment & maintenance of a small technical secretariat during the plan period. The existing and additional components for the DMHP is as follows: EXISTING ACTIVITIES OF 123 DMHPS Early Identification and Treatment of Mental Illness near patients doorsteps Training of Health and Community Workers for 3 years only IEC activities at district level ADDITIONAL ACTIVITIES OF 123 DMHPS FOR 11TH PLAN PERIOD Life Skills Education and Counselling in Schools, College Counselling Services, Work Place Stress Management Training of Health and Community Workers for all years

Dedicated Monitoring team, Essential participation of Community based organisations, More effective Integration of DMHP in the district health system

Revised unit cost for DMHP: Existing costing of DMHPs Rs. 112.1 lakh and Rs. 115.7 lakh per district in five installments for DMHPs initiated in 10th plan and 11th plan period respectively. 6 member DMHP team for 10th plan districts, 11 member DMHP team for 9th plan districts Revised Costing of existing DMHPs Rs. 2.54 lakh per district in five installments for an average size district with a population 20 lakh for remaining installments of existing DMHPs. Revised to seven member implementing DMHP. team for

Budget for DMHP (in lakhs) year-wise for an average size district (population-20 lakhs) Rs 253.93 lakhs for five years period (Recurring: 251.93 lakhs, Non recurring: 2 lakhs)

Components

1st year

2nd year -

3rd year -

4th year -

5th year -

Total

Establishment of DMHP office & counseling center in district (non recurring) Operational Expenses of the DMHP centre including maintenance of website Staff Salary Training & IEC Promotive interventions activities & interventions targeted at schools, colleges, workplaces, out of school adolescents, urban slums, suicide prevention including district counselling center and crisis helpline. Drugs Miscellaneous/Travel/ Contingency Total

2.00

5.00

13.62 9.25 12

18.46 9.25 12

19.38 9.25 12

20.35 9.25 12

21.37 93.18 9.25 12 46.25 60.00

4 4.5 46.37

4.5 4.5 49.71

5 4.5 51.13

5.5 4.5 52.60

6 4.5

25.00 22.50

54.12 253.93

Year wise Expenditure in current EFC proposal recommended by EFC for NMHP (In Rs. Crore) Schemes DMHP with added components IEC activities Monitoring & Evaluation CMHA/ SMHA Support Research & Training Total 2010-11 53.33 10.000 4.0 2.5 3.0 72.83 2011-12 57.17 10.000 4.0 2.5 3.5 75.67 Total 110.49 20.0 8.0 5.0 6.5 149.99

Total for DMHP and remaining components of NMHP for 2010-12: Rs 149.99 crores. The approval of Honble HFM before implementing the proposed components of National Mental Health Programme has been obtained.

District Mental Health Programme

District Mental Health Programme (DMHP) was initiated under NMHP in 1996 to provide community based mental health services in the country in line with the National Health Policy 2002, the objectives of the NMHP and global trend of community care of mentally ill. NMHP was restrategised in 2003 and had the following components: Expansion of DMHP to 100 districts all over the country, Strengthening and Modernization of State run Mental Hospitals, Upgradation of Psychiatry Wings of Govt. Medical Colleges/General Hospitals, IEC activities, Research & Training in Mental Health for improving the service delivery.

District Mental Health Programme (DMHP): The main objective of DMHP is to provide basic mental health services to the community & to integrate these with general health services. It envisages a community based approach to the problem, which includes: Training of mental health team at identified nodal institutions. Increase awareness & reduce stigma related to Mental Health problems. Provide service for early detection & treatment of mental illness in the community (OPD/ Indoor & follow up). Provide valuable data & experience at the level of community at the state & center for future planning & improvement in service & research.

During the 9th Five Year Plan, District Mental Health Programme a total amount of Rs. 1,15,70,000/- was to be released to the districts as per the following funding pattern: (Rs. In lakhs) Phase I Phase II st nd rd S.No. Item 1 Year 2 3 Year 4th Year 5th Year Year 1 Staff 7.0 8.0 9.2 10.5 12.0 2 Medicine/ Stationery/ 5.5 6.5 7.5 8.5 10.0 Contingencies etc. 3 Equipments, Vehicles etc. 9.0 4 Training 5.0 5.0 2.0 5 IEC 2.0 2.0 2.0 2.0 2.0 Total 28.5 21.5 20.7 21.0 24.0

During the 10th Five Year Plan a total amount of Rs. 89,40,000/- was to be released to these districts as per the following funding pattern: (Rs. In lakhs) st nd rd 1 Year 2 Year 3 Year 4th Year S.No. Item 1 Staff 8.7 9.3 10.2 11.2

2 3 4 5

Medicine/ Stationery/ Contingencies etc Equipments, Vehicles etc. Training IEC Total

4.5 6.0 5.0 2.0 26.2

5.5 5.0 2.0 21.8

6.5 2.0 2.0 20.7

7.5 2.0 20.7

The details of funds released to various districts is enclosed.

List of Districts where DMHP is being implemented Sl. No 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. Dadra Nagar Haveli 23. Daman & Diu Chhattisgarh 2006-07 2006-07 2006-07 2006-07 1998-99 Raipur Raigarh Durg Silvassa Daman & Diu 26,20,000 26,20,000 58,67,326 1,15,70,000 Chandigarh Assam 2004-05 2004-05 2004-05 1999-00 2004-05 2004-05 2004-05 Arunachal Pradesh 2006-07 1996-97 1999-00 2004-05 East Siang Nagaon Goalpara Darrang Morigaon Nalbari Tinsukia Chandigarh Bastar Bilaspur Dhamtari Andhra Pradesh 2004-05 2006-07 2006-07 1997-98 States Year of Initiation 1996-97 2000-01 2004-05 District Medak Vizianagaram Cuddapah Prakasham Nalgonda Mahaboob Nagar Naharlagun Grant Released till date in Rs. 1,15,70,000 50,00,000 48,00,000 41,50,085 26,20,000 26,20,000 1,02,24,500 26,20,000 1,15,70,000 70,70,000 26,20,000 26,20,000 26,20,000 26,20,000 1,15,70,000 26,20,000 26,20,000 26,20,000 26,20,000

Sl. No 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38. 39. 40. 41. 42. 43. 44. 45. 46. 47. 48.

States

Year of Initiation 1999-00 2006-07

District South (Chhattarpur) North-West District West District South West District North District South Goa Navsari Amreli Godhra Surendranagar Dang Porbander Junagarh Banaskantha Gurgaon Hissar Kurukshetra Bilaspur

Grant Released till date in Rs. 1,15,70,000 47,48,133 26,20,000 26,20,000 26,20,000 93,10,000 91,70,000 26,20,000 67,43,216 26,20,000 26,20,000 26,20,000 26,20,000 26,20,000 43,47,945 41,25,749 91,70,000 70,70,000

Delhi

2007-08 2007-08 2007-08

Goa

1998-99 1998-99 2004-05 2004-05 2004-05

Gujarat 2006-07 2006-07 2006-07 2006-07 2004-05 Haryana 2004-05 1997-98 1997-98 Himachal Pradesh 2004-05 2004-05 2004-05 Jammu & Kashmir 2004-05 2004-05 2004-05 Jharkhand 2007-08

Kangra Jammu Kathua Rajauri Udhampur Dumka Daltonganj

26,20,000 26,20,000 26,20,000 26,20,000 26,20,000 26,20,000 26,20,000

Sl. No 49. 50. 51. 52. 53. 54. 55. 56. 57. 58. 59. 60. 61. 62. 63. 64. 65. 66. 67. 68. 69. 70. 71. 72. 73. 74.

States

Year of Initiation 2007-08 2004-05 2004-05

District Gumla Chamrajnagar Gulbarga Karwar Shimoga Thiruvananthapuram Thrissur Idukki Kannur Wayanad Shivpuri Dewas Sehore Mandla Satna Raigard Amravati Buldhana Parbhani Jalagaon Satara Imphal East Imphal West Thoubal Churachandpur Chandel

Grant Released till date in Rs. 26,20,000 39,64,800 45,79,400 44,39,200 47,28,200 1,15,26,027 1,15,07,816 26,20,000 48,00,000 48,00,000 47,71,428 26,20,000 26,20,000 26,20,000 26,20,000 70,70,000 26,20,000 26,20,000 26,20,000 26,20,000 26,20,000 1,15,70,000 86,10,804 87,02,251 47,77,000 48,00,000

Karnataka 2004-05 2004-05 1998-99 1999-00 Kerala 2004-05 2004-05 2006-07 1997-98 2003-04 Madhya Pradesh 2003-04 2004-05 2004-05 1997-98 2003-04 2003-04 Maharashtra 2003-04 2004-05 2004-05 1999-00 2003-04 Manipur 2003-04 2007-08 2007-08

Sl. No 75. 76. 77. 78. 79. 80. 81. 82. 83. 84. 85. 86. 87. 88. 89. 90. 91. 92. 93. 94. 95. 96. 97. 98. 99. 100.

States

Year of Initiation 2003-04

District

Meghalaya 2003-04 1999-00 Mizoram 2006-07 Nagaland 2003-04 2003-04 2003-04 Orissa 2004-05 2004-05 2004-05 2004-05 2004-05 2004-05 1997-98 Punjab 2006-07 2006-07 Rajasthan Sikkim Tripura 1996-97 2001-02 2001-02 1996-97 2000-01 2000-01 Tamil Nadu 2003-04 2003-04 2004-05 2004-05

Jaintia Hills East Khasi Hills Aizwal Lunglei Phek Mayurbhanj Puri Balangir Dhenkanal Karaput Keonjhar Khandhamal Khurda Muktsar Sangrur Hoshiarpur Seekar East Gangtok West Tripura Trichy Ramanathapuram Madurai Kanyakumari Theni Dharampuri Erode

Grant Released till date in Rs. 48,00,000 48,00,000 91,70,000 26,20,000 26,20,000 26,20,000 26,20,000 26,20,000 26,20,000 26,20,000 26,20,000 26,20,000 26,20,000 47,71,428 26,20,000 26,20,000 1,15,70,000 70,69,616 37,96,000 1,15,70,000 66,28,500 66,28,500 26,20,000 26,20,000 26,20,000 26,20,000

Sl. No 101. 102. 103. 104. 105. 106. 107. 108. 109. 110. 111. 112. 113. 114. 115. 116. 117. 118. 119. 120. 121. 122. 123.

States

Year of Initiation 2004-05 2007-08 2007-08 2007-08 2007-08 2007-08 2007-08 2007-08 2007-08 1997-98 2004-05 2004-05 2004-05 2004-05

District

Nagapattinam Kancheepuram Thiruvallur Cuddalore Perambalur Virudhunagar Thiruvarur Namakkal Chennai Kanpur Banda Faizabad Ghaziabad Itawah Mirzapur Moradabad Muzaffarnagar Raibareli Sitapur Bankura Jalpaiguri West Midnapur South 24 Parganas

Grant Released till date in Rs. 26,20,000 26,20,000 26,20,000 26,20,000 26,20,000 26,20,000 26,20,000 26,20,000 26,20,000 68,41,428 26,20,000 68,70,000 26,20,000 26,20,000 26,20,000 26,20,000 26,20,000 68,47,000 48,00,000 70,70,000 42,01,648 47,18,564 48,00,000

Uttar Pradesh 2004-05 2004-05 2004-05 2004-05 2004-05 1998-99 2003-04 West Bengal 2003-04 2006-07

Upgradation of Psychiatric Wings of Govt. Medical Colleges/ General Hospitals: Every medical college should ideally have a Department of Psychiatry with minimum of three faculty members and inpatient facilities of about 30 beds as per the norms laid down by the Medical Council of India. There should be outpatient facilities, as well as facilities for providing various forms of therapy including Electro-convulsive therapy. In addition to psychiatrists, psychiatric social workers, and psychiatric nurses are essential for an ideal psychiatric department in a medical college. Out of the existing medical colleges in the country, approximately 1/3rd of them do not have adequate psychiatric services. The following strategies were adopted for up gradation of the undergraduate and postgraduate training in psychiatry in medical colleges: Provision for independent psychiatry department in medical colleges where they do not exist. Up gradation of existing psychiatry services including provision of inpatient services, with necessary equipment; provision of trained manpower. The department of psychiatry to be responsible for implementing and providing support for execution of National Mental Health Programme/DMHP. Facilities to train psychiatric social workers and nurses; provision for accreditation and licensing for health professionals. Provision of enhancing capacity of existing central/state governmental institutes/colleges to train manpower. The selected medical college will be required to send periodic report to the Ministry of Health and Family Welfare through the state Government concerned regarding progress of the scheme/activities/expenditure.

On the above lines, a scheme for strengthening the psychiatric wings of general hospitals and Medical Colleges in the Government sector provides for a one-time grant of Rs.50 lakhs for up gradation of infrastructure and equipment. This grant is sanctioned on receipt of a written proposal from the state government giving details of the requirement. The grant covers: 1. Construction of new ward. 2. Repair of existing ward. 3. Procurement of items like cots and tables. 4. Equipment for psychiatric use such as modified ECTs The grant does not cover recurring costs such as salary and other running expenses. Proposals received from the State Governments are referred to a committee which lays down minimum standards for quality of construction and facilities and ensure that the facilities meet minimum standards. Where a central agency is engaged in construction/ repair of a ward, the funds would be released directly to that central agency. Funds were released to88 Institutes in the country under this scheme. The details of funds released to different Institutes is enclosed.

Grant-in-aid released under National Mental Health Programme for Up gradation of Medical Colleges
Sl. No. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. Year 2005-06 2006-07 2006-07 2006-07 2006-07 2006-07 2009-10 2005-06 2005-06 2006-07 2004-05 2004-05 Nagar One-Time 2009-10 2005-06 2006-07 2006-07 2006-07 2006-07 2006-07 2008-09 Gujarat Haryana 2008-09 2005-06 One Time One Time One Time One Time One Time One Time One Time One Time One Time Installment One Time One Time One Time One Time One Time One Time One Time One Time One Time One Time One Time One Time Medical College Kurnool Medical College Andhra Medical College, Vishakhapatnam SVRRG General Hospital, Tirupati, Chittoor Osmania Medical College, Hyderabad Kakatiya Medical College, Warangal General Hospital, Naharlagun General Hospital, Pasighat Assam Medical College and Hospital, Dibrugarh Guwahati Medical College & Hospital, Guwahati Silchar Medical College & Hospital, Silchar J.N.M.Govt College Raipur Chhattisgarh Institute of Medical Sciences, Sardar Vallabh Bhai Patel Hospital, Bilaspur Sh. Vinoba Bhave Civil Hospital Silvassa, Dadra & Nagar Haveli Govt Medical College, Surat Govt. Medical College, Kalanala/Bhavnagar M.P.Shah Medical College, Jamnagar Medical College, Baroda. Pandit Dindayal Upadhyay Medical College, Rajkot. B.J.Medical College, Ahmedabad. Surat Municipal Institute of Medical Education & Research (SMIMER), Surat Smt. NHL Municipal Medical College, Ellisbridge, Ahmedabad Government Medical Amount (in Rs.) 47,00,000/42,50,000/19,40,000/8,81,000/30,00,000/18,00,000/50,00,000/50,00,000/50,00,000/34,00,000/47,00,000/47,00,000/-

States Andhra Pradesh Andhra Pradesh Andhra Pradesh Andhra Pradesh Andhra Pradesh Arunachal Pradesh Arunachal Pradesh Assam Assam Assam Chhattisgarh Chhattisgarh Dadra Haveli Gujarat Gujarat Gujarat Gujarat Gujarat Gujarat Gujarat &

13. 14. 15. 16. 17. 18. 19. 20. 21. 22.

50,00,000/47,00,000/8,10,000/44,00,000/49,99,000/49,99,000/14,10,000/20,33,000/50,00,000/50,00,000/-

Sl. No.

States

Year

Installment Medical College College,Rohtak Principal, Govt. Medical College, Jammu. SKIMS Medical College, Bemina, Srinager Karnataka Institute of Medical Services, Hubli Bangalore Medical College, Bangalore Govt. Medical College, Bellary Mysore Medical College, Mysore Govt. Medical College, Thiruvanathapuram Govt. Medical College, Thrissur

Amount (in Rs.)

23. 24. 25. 26. 27. 28. 29.

Jammu & Kashmir Jammu & Kashmir Karnataka Karnataka Karnataka Karnataka Kerala

2005-06 2006-07

One Time One Time One Time

43,00,000/50,00,000/49,00,000/34,50,000/48,35,000/46,25,000/47,62,100/-

2005-06 2006-07 2006-07 2006-07 2004-05 & 2007-08 2004-05 & 2007-08 2004-05 & 2007-08 2006-07 2007-08 2005-06 2006-07 2005-06 2005-06 2006-07 2006-07 2006-07 2006-07 2006-07 2006-07 2006-07 2006-07 2006-07 2006-07 One Time One Time One Time 1st 2 1st 2 1st
nd

Kerala 30. 31. 32. 33. 34. 35. 36. 37. 38. 39. 40. 41. 42. 43. 44. 45. 46. 47. Kerala Kerala Kerala Madhya Pradesh Madhya Pradesh Maharashtra Maharashtra Maharashtra Maharashtra Maharashtra Maharashtra Maharashtra Maharashtra Maharashtra Maharashtra Maharashtra Maharashtra

44,66,000/nd

Govt. Medical College, Kozhikode 38,80,495/-

2nd One Time One Time One Time One Time One Time One Time One Time One Time One Time One Time One Time One Time One Time One Time One Time One Time

T.D.Medical College, Alapuzha. Govt. Medical College, Kottayam NSCB,Medical College, Jabalpur M.G.M.Medical College, Indore Govt. Medical College, Latur Govt. Medical College, Nanded Vasantrao Naik Govt. Medical College, Yavatmal Govt. Medical College, Kolhapur Dr.V.M.Medical College, Sholapur Govt. Medical College, Nagpur Indira Gandhi Medical College, Nagpur B.J.Medical College, Pune Grant Medical College, Mumbai Miraj Medical College, Sangli Govt. Medical College, Akola Govt.Medical College, Aurangabad

30,68,000/45,20,000/50,00,000/38,00,000/32,95,000/32,95,000/32,95,000/32,95,000/32,95,000/32,95,000/32,95,000/32,95,000/32,95,000/32,95,000/32,95,000/32,95,000/-

Sl. No. 48.

States Maharashtra

Year

Installment One Time Medical College Rajiv Gandhi Medical College & Chatrapati Shivaji Maharaj Hospital, Thane Topiwala Nair Medical CollegeMumbai J.N.Hospital, Porampat, Imphal Civil Hospital, Tura Civil Hospital, Jowai Naga Hospital, Kohima V.S.S. Medical College, Burla Govt. Medical College, Amritsar Govt. Medical College, Patiala GGS Govt. Medical College, Faridkot R.T.N.Medical College, Udaipur Govt. Medical College, Kota, S.P. Medical College, Bikaner Madras Medical College, Chennai Stanley Medical College, Chennai Kilpauk Medical College, Chennai Chengalpatu Medical College, Chengalpattu Tirunelveli Medical College, Tirunelveli Madurai Medical College, Madurai Mohan Kumarmangalam Medical College, Salem Coimbatore Govt. Medical College, Coimbatore K.A.P.Vishwanathan Govt. Medical College, Tiruchirapalli Thanjavur Medical College, Thanjavur Govt. Medical College, Toothukudi(Tuticorin) Kanyakumari Government Medical College and Hospital, Nagercoil

Amount (in Rs.) 47,06,000/-

2008-09 One Time One Time One Time One Time One Time One-Time One Time One Time One Time One Time One Time One Time 50% 50% 50% 50% 50% 50% One Time One Time One Time One Time One Time One Time

49. 50. 51. 52. 53. 54. 55. 56. 57. 58. 59. 60. 61. 62. 63. 64. 65. 66. 67. 68. 69. 70. 71. 72.

Maharashtra Manipur Meghalaya Meghalaya Nagaland Orissa Punjab Punjab Punjab Rajasthan Rajasthan Rajasthan Tamil Nadu Tamil Nadu Tamil Nadu Tamil Nadu Tamil Nadu Tamil Nadu Tamil Nadu Tamil Nadu Tamil Nadu Tamil Nadu Tamil Nadu Tamil Nadu

2008-09 2005-06 2007-08 2007-08 2005-06 2009-10 2006-07 2006-07 2006-07 2007-08 2008-09 2008-09 2004-05 2004-05 2004-05 2004-05 2004-05 2004-05 2005-06 2006-07 2006-07 2006-07 2006-07 2008-09

17,05,000/50,00,000/46,38,000/46,38,000/36,28,000/50,00,000/44,00,000/44,00,000/44,00,000/47,60,000/50,00,000/50,00,000/24,97,500/22,42,500/25,00,000/24,50,000/24,50,000/25,00,000/48,00,000/48,00,000/48,00,000/48,00,000/48,00,000/43,50,000/-

Sl. No. 73. 74. 75. 76. 77. 78. 79. 80. 81. 82. 83. 84. 85. 86. 87. 88.

States Tamil Nadu Tamil Nadu Tripura Uttar Pradesh Uttar Pradesh Uttar Pradesh Uttar Pradesh Uttar Pradesh Uttar Pradesh Uttar Pradesh West Bengal West Bengal West Bengal West Bengal West Bengal West Bengal

Year 2008-09 2008-09 2006-07 2005-06 2006-07 2006-07 2006-07 2006-07 2006-07 2008-09 2005-06 2006-07 2006-07 2006-07 2006-07 2006-07

Installment One Time One Time One Time One Time One Time One Time One Time One Time One Time One Time Medical College Govt. Medical College, Theni IRT Perundurai Medical College, Erode Agartala Government Medical College & GBP Hospital, Agartala. MLN Medical College, Allahabad K.G.'s Medical College, Lucknow G.S.V.M.Medical College, Kanpur M.L.B.Medical College, Jhansi L.L.R.M.Medical College, Meerut S.N.Medical College, Agra Institute of Medical Sciences, Banaras Hindu University, Varanasi Sammilani Medical College, Bankura Medical College, Kolkata Burdwan Medical College, Burdwan Chittaranjan Medical College, Kolkata NRS Medical College, Siliguri R.G.Kar Medical College, Kolkata

Amount (in Rs.) 43,50,000/43,00,000/50,00,000/44,00,000/45,00,000/35,00,000/39,00,000/11,60,000/38,00,000/44,00,000/50,00,000/42,97,000/50,00,000/50,00,000/50,00,000/50,00,000/-

One Time One Time One Time One Time One Time One Time

Strengthening and Modernization of State Run Mental Hospitals

As per the existing scheme to modernize the existing state-run mental hospitals, a one-time grant with a ceiling of Rs.3.00 crores per hospital on the basis of benchmark of requirement and level of preparedness is available. The grant would cover activities such as : Construction/repair of existing buildings Purchase of equipment Provision of infrastructure such as water- tanks and toilet facilities Purchase of cots and equipments.

It would not cover expenses in the nature of salaries and recurring expenses towards running the mental hospitals and cost towards drugs and consumables. Proposals received from the State Governments are referred to a committee, which lays down minimum standards for quality of construction and facilities and ensure that the facilities being proposed meet minimum standards. Where a central agency is engaged in construction or repair of existing building, the funds would be released directly to the central agency. Funds have been released to 29 Mental Hospitals in the country under this scheme. The details are enclosed.

Grant-in-aid provided to Govt. Mental Hospitals under National Mental Health Programme for their Modernisation Year 2005-06 2006-07 2005-06 2005-06 2005-06 2005-06 2007-08 2004-05 2006-07 2005-06 2005-06 2005-06 2005-06 2006-07 2005-06 2005-06 2005-06 2008-09 2008-09 2007-08 2005-06 2007-08 2005-06 2005-06 2006-07 Amount (in Rs.) 2,71,00,000/3,00,00,000/3,00,00,000/76,64,000/2,99,50,000/82,28,000/2,50,00,000/2,45,00,000/3,00,00,000/2,85,00,000/1,10,00,000/2,50,00,000/2,13,00,000/2,99,75,000/2,71,00,000/2,49,50,000/2,89,00,000/2,84,00,000/3,00,00,000/1,60,00,000/1,51,00,000/2,60,50,000/2,69,00,000/2,33,32,000/3,00,00,000/-

S.No. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25.

States Andhra Pradesh Andhra Pradesh Assam Gujarat Gujarat Gujarat Jammu & Kashmir Jharkhand Karnataka Kerala Kerala Kerala Madhya Pradesh Madhya Pradesh Maharashtra Maharashtra Maharashtra Maharashtra Meghalaya Nagaland Orissa Rajasthan Tamil Nadu Uttar Pradesh Uttar Pradesh

Institute Institution of Mental Health, Hyderabad Government Hospital for Mental Care, Vishakhapatnam. Lokpriya Gopinath Boronchloi Regional Institute, Tejpur (Central Govt. Institute) Hospital for Mental Health, Ahmedabad Hospital for Mental Health, Vadodara Hospital for Mental Health, Jamnagar Govt. Psychiatric Diseases Hospital, Srinagar. Ranchi Institute of Neuro Psychiatry & allied sciences, Ranchi Karnataka Institute of Mental Health, Dharwad. Mental Health Centre, Kozhikode Mental Health Centre, Thrissur Mental Health Centre, Trivandrum Gwalior Mansik Arogyasala, Gwalior Mental Hospital, Indore Regional Mental Hospital, Yervada/Pune Regional Mental Hospital, Thane Regional Mental Hospital, Nagpur Regional Mental Hospital, Ratnagiri, Meghalaya Institute of Mental Health & Neurological, Shillong Mental Hospital, Kohima Mental Health Institute, Cuttack Psychiatric Centre, Jaipur Mental Health Institution, Kilpauk Mental Hospital Bareily Institute of Mental Health and Hospital,

26. 27. 28. 29.

Uttar Pradesh West Bengal West Bengal West Bengal

2006-07 2005-06 2005-06 2005-06

Agra. Mental Hospital, Varanasi Pavlov Mental Hospital, Kolkata Behrampore Mental Hospital, Murshidabad Institute of Mental Health Care, Purulia

3,00,00,000/94,40,000/2,94,80,000/1,00,00,000/-

Manpower Development Schemes

Centres of Excellence in Mental Health (Scheme A) Centres of Excellence in the field of Mental Health will be established by upgrading and strengthening identified existing mental health hospitals/ institutes for addressing the acute manpower gap and provision of state of the art mental health care facilities in the long run. These institutes will focus on production of quality manpower in Mental Health with primary aim to fulfill the primary needs of the National Mental Health Programme. The support would involve : Capital work (Academic block, Library, Hostel, Lab, Supportive Departments, Lecture Theatres etc.) Equipments and furnishing Support for faculty induction and retention for the plan period. Preference is given to centres where the State Government shows commitment for faculty and other recurring expenditure annually. Budgetary support is upto Rs. 30 crore per centre. At least 11 Centres of Excellence will be established under the Scheme during the 11th Five Year Plan period. The commitment from the State Governments will be required. Scheme for Manpower Development in Mental Health (Scheme B) To provide an impetus for development of Manpower in Mental Health and other training centres (Govt. Medical Colleges/ Govt. General Hospitals/ State run Mental Health Institutes) would also be supported for starting PG courses or increasing the intake capacity for PG training in Mental Health. The support involves : Physical work for establishing/ improving department in specialties of mental health (Psychiatry, Clinical Psychology, Psychiatric Social work, and Psychiatric Nursing) Equipments Tools Basic infrastructure (hostel, library, department etc.) Support for engaging faculty etc. Support is being provided for setting up/ strengthening 30 units of Psychiatry, 30 units of Clinical Psychology, 30 units of Psychiatric Social work and 30 units of Psychiatric Nursing with the support of up to Rs. 51 lakh to Rs. 1 crore per PG department. The commitment to take over the entire funding of the scheme after the 11th Five Year Plan period from the State Government is required. Funds have been released to 10 Institutes under Scheme A and 23 PG Departments (in 10 Institutes) under Scheme B in the country. The details of funds released are enclosed.

Details of funds released under Manpower Development Schemes Scheme A : Centres of Excellence S.No. 1. 2. 3. 4. 5. 6. 7. 8. 9 10. Mental Hospital/ Institute Institute of Mental Health & Hospital, Agra, Uttar Pradesh Hospital for Mental Health, Ahmedabad, Gujarat State Mental Health Institute, Pandit Bhagwat. Dayal Sharma University of Health Sciences, Rohtak, Haryana Institute of Psychiatry- Kolkata, West Bengal Institute of Mental Health, Hyderabad, Andhra Pradesh Psychiatric Diseases Hospital, Government Medical College, Srinagar, Jammu & Kashmir Department of Psychiatry, Govt. Medical College, Chandigarh Mental Health Institute, Cuttack IMHANS, Kozhikode IHBAS, Shahdra, Delhi Total Amount Released Rs. 20,84,00,000/Rs. 5,28,00,000/Rs. 20,84,00,000/Rs. 5,28,00,000/Rs. 5,28,00,000/Rs. 15,82,08,352/Rs. 5,28,00,000/Rs. 5,28,00,000/Rs. 20,84,00,000/Rs. 5,28,00,000/Rs. 1,10,02,08,352/-

Scheme B : Strengthening PG Departments S.No. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Mental Hospital/ Institute PDU Medical College, Rajkot, Gujarat Government Medical College, Surat, Gujarat CSM Medical University, Lucknow, Uttar Pradesh Ranchi Institute of Mental Health & Neuro Sciences, Ranchi, Dr. RML Hospital, Delhi S.P Medical College, Bikaner, Rajasthan R. N. T. College, Udaipur, Rajasthan Institute of Mental Health, Chennai LGB Regional Institute of Mental Health, Tezpur, Assam Government Medical College, Trivandrum Amount Released Rs. 32,78,000/(For Psychiatric Nursing) Rs. 47,12,000/(For Clinical Psychology) Rs. 1,73,66,000/(For Psychiatry, Clinical. Psychology, Psychiatric Social Work, Psychiatric Nursing) Rs. 1,21,00,000/(For Psychiatry, Clinical. Psychology, Psychiatric Social Work, Psychiatric Nursing) Rs. 35,16,000/(For Psychiatric Social Work) Rs. 58,60,000/- (For Psychiatry) Rs. 58,60,000/- (For Psychiatry) Rs. 90,38,000/(For Psychiatry & Psychiatric Nursing) Rs. 1,73,66,000/(For Psychiatry, Clinical Psychology, Psychiatric Social Work, Psychiatric Nursing) Rs. 1,73,66,000/(For Psychiatry, Clinical Psychology, Psychiatric Social Work, Psychiatric Nursing)
Rs. 9,64,62,000/-

Total

Budget Provision for 2010-11

S.No. 1 2 3 4 5 Component BE 2011-12 RE 2011-12 Other Administrative Expenses 100 50 Advt. & Publicity 4000 1000 Professional Ser vices 700 50 Grant in aid General 5300 8180 Other Charges 200 20 Total 10300 9300 North Eastern Region 1700 800 Grant-in-aid (Rs. In lakhs) Expenditure 35.3875 848.92 6.8116 8180 0.50 9071.6191 19.22

Budget Provision for 2011-12

S.No. 1 2 3 4 5 6 Component Other Administrative Expenses Advt. & Publicity Professional Ser vices Grant in aid General Grants for creation of capital assets Other Charges Total North Eastern Region Grant-in-aid (Rs. In lakhs) BE 2011-12 50 100 50 2890 7000 10 11000 2000

Plan for year 2011-12: Support for 40 Districts on new pattern during 2011-12 Establishment of 1 Centre of Excellence and continuation of work of 11 Centres of Excellence during 2011-12 Establishment of 40 PG departments and continued support to 63 PG Departments IEC Activities: Media Campaign at National & Regional level in 12 languages with new AV spots Establishment of State & Central Teams under NRHM & Evaluation CMHA/SMHA Support Research & Training Upgradation of Psychiatric Wings of 5 Govt. Medical Colleges, General Hospitals Modernization of 2 State Run Mental Hospitals