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5 cc   Introducing Listening
min participating
Psychiatric symptoms are common in general population in both sides
of the globe. These symptoms - worry, tiredness, and sleepless nights
affect more than half of the adults at some time, while as many as
one person in seven experiences some form of diagnosable neurotic
disorder.
-to explain 



5 the meaning
min The Government of India has launched the National Mental Health Lecturing listening OHP Ref 1,2,3
of NMHP
Programme (NMHP) in 1982, keeping in view the heavy burden of
mental illness in the community, and the absolute inadequacy of
mental health care infrastructure in the country to deal with it.
National Mental Health Programme (NMHP 1982) for India envisaged
integration of Mental Health into general health care delivery. Nurses
working in various setting can play a vital role in the implementation
of NMHP in India. Training of nurses to prepare them to work in the
Community Health Centres particularly to deliver the mental health
care to community is very essential.
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5 -to list down 


min the goals of Listing down Listening and OHP Ref 2
Within one year, and explaining participating
NMHP
r Êach state will have adopted the present plan of action in the
field of mental health.
r The Government of India will have appointed a focal point
within the Ministry of Health, specifically for mental health
action.
r „ National Coordinating Group will be formed comprising
representatives of
r „ll states, senior health administrators and professionals from
psychiatry, education, social welfare and other related
professionals.
r „ task force will have worked out the outlines of a curriculum
of mental health workers identified in the different states as
the most suitable to apply basic mental health skills, and for
medical officers working at Primary Health Centres (PHCs)
level.
Within five years,
r „t least 5,000 of the target non -medical professionals will
have undergone a two-week training programme on mental
healthcare.
r „t least 20% of all physicians working in PHC will have
undergone a two-week training programme in mental health.
The creation of the post of a psychiatrist in at least 50% of the
districts within five years.
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Î „ psychiatrist at the district level will visit all PHC settings regularly
and at least once every month, for supervision of the mental health
programme for continuing education. This programme will be fully
operational in at least one district in every state and UT, and in at
least half of all districts in some states within five years.
Î Êach state will appoint a programme officer responsible fo r the
organisation and supervision of the mental health programme
within five years.
Î Êach state will provide additional support for incorporating
community mental health components in the curricula of teaching
institutions (within five years).
Î On the recommendation of a task force, appropriate psychotropic
drugs to be used at the PHC level will be included in the list of
essential drugs in India.
Î Psychiatric units with in-patient beds will be provided at all medical
college hospitals in the country within five years.
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5 -to explain


min the aims of 1.  Prevention and treatment of mental and neurological disorders Êxplaining Listening and OHP Ref 2
participating
NMHP and their associated disabilities.
2.  Use of mental health technology to i mprove general health
services.
3.  „pplication of mental health principles in total national
development to improve quality of life.

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3  To ensure availability and accessibility of minimum mental Êxplaining
Listening and OHP Ref 2
the
min participating
objectives of health care for all in the near foreseeable future, particularly
NMHP to the most vulnerable sections of the popul ation.
 To encourage mental health knowledge and skills in general
health care and social development.
 To promote community participation in mental health service
development and to stimulate self-help in the community

c
c  Êxplaining
5 Listening and OHP Ref 2
-to explain 1.  Integration mental health with primary health care through the
min participating
the
NMHP;
strategies of
2.  Provision of tertiary care institutions for treatment of mental
NMHP
disorders;
3.  Êradicating stigmatisation of mentally ill patients and
protecting their rights through regulatory institutions like the
Central Mental Health „uthority, and State Mental health
„uthority.
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5 -to explain  
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 Êxplaining Listening OHP Ref 3
min participating
the revised 1. Strengthening families and communities for the care of persons
goals of
suffering from mental disorders;
NMHP
2. Organization of a wide range of mental health initiatives to support
individuals and families, with special focus on immediate delivery of
the most essential services to the ones with the greatest needs;
3. Supporting through mental health initiatives rebuilding of social
cohesion, community development, promotion of mental health and
the rights of the persons with mental disorders.



c  
1. Organizing services
2. Community mental healthcare facilities
3. Support to families
4. Human resource development
5. Public mental health education
6. Private sector mental healthcare
7. Support to voluntary organizations
8 Promotion and preventive interv entions
9. „dministrative support.
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5 -to explain cc
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 !"#$%&%'()*'"(+,--.- Ê PL„INING Listening OHP Ref 3
min participating
the
OBJÊCTIVÊS:
objectives
re- r To have a user friendly drug policy such that the psychotropic drugs
strategized are declared as Êssential drugs
NMHP
r To give greater emphasis to psychotherapeutic and a rights based
model of dealing with mental health related issues
r To include psychiatry and psychology, and psychiatric social work
modules in the training of all health care giving professionals
r To empower the primary care doctor and support staff to be able to
offer psychiatric and psychological care to patients at PHCs besides
educating family carers on core aspects of the illness.
r To improve public awareness and facilitate family carer participation
by empowering members of the family and community in
psychological interventions.
r To provide greater emphasis on public private participation in the
delivery of mental health services.
r To upgrade psychiatry departments of all medical colleges to
enhance better training opportunities
r To improve and integrate mental hospitals with the whole of health
delivery infrastructure that offer mental health services thus lifting
the stigma attached
r To provide after care and lifelong support to chronic cases.
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5 -to explain 
c
c   Êxplaining Listening OHP Ref 2
min participating
the
limitations of r Poor funding
NMHP
r Limited undergraduate training in psychiatry
r Inadequate mental health human resources
r Limited number of models and their evaluation
r Uneven distribution of resources across states
r Non-implementation of the MH„ 1987
r Lack of supportive team at the central
r The state level planning has occurred to a limited extent
r Êxcellent models of disaster mental health care have not been
a part of the NMHP
r Stigma of mental disorders

7 
min -to explain 
the nurses 1. Understand the characteristics of mentally healthy person and Êxplaining Listening and OHP Ref 1, 2, 3
participating
role in differentiate abnormal from normal behaviours in the
NMHP
community.
2. To identify, refer, follow-up he mentally ill in the community.
3. To provide first aid during emergencies.
4. To offer home care to mentally ill whenever needed.
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5 Introducing Listening
5. To assist and co-ordinate the activities related to care of participating
min
mentally ill in the Community Health Centres
6. To conduct mental health education to patients and their
family members.
7. To provide training to healthy workers in mental health care.
8. To supervise and monitor the activities of healthy workers
related to mental health care.
9. To participate in various therapies used in treating Psychiatric
patients.
10. To organize and participate in neuropsychiatric extension
clinics.
11. To organize and co-ordinate the rehabilitation activity for
mentally ill in the community.
12. To assist medical officers and co-ordinate the progress activity
related to NMHP.
13. The care includes meeting the basic needs, conducting
occupational therapy, recreational therapy and individual and
group therapy, along with mental health education to families
and the public in general.
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5 Introducing Listening
14. In addition to the above, qualified psychiatric nurses will actively participating
min
participate in decentralised training to professionals and non -
professionals working at taluk and Primary Health Centres
(PHCs).
15. They will also supervise the task of multipurpose workers in
mental healthcare delivery.
16. They will assist psychiatrists in research activities in monitoring
mental healthcare at district and PHC levels.
17. Their active participation in mental health education to the
public will go a long way in creating public awareness in the care
of individuals with various mental disorders.
   
„ multipronged strategy to raise awareness about issues of mental
health and persons with mental illness with the objective of providing
accessible and affordable treatment, removing ignorance, stigma, and
shame attached to it and to facilitate inclusion and acceptance for the
mentally ill in our society will be the basis of the NMHP
 

1). ͞National mental health program of India͟, Indian journal of psychiatry, 1989

2). a 
 , Mental Health an Indian Perspective 1946ʹ2003,2005,oxford publications, New Delhi.

3). Êleventh Five Year Plan, volume 2, 2007, Planning commission, Government of INDI„