Congenital Heart Diseases: Clinical Features & Management
Congenital heart diseases with a focus on clinical features, classification, and management of acyanotic and cyanotic defects, including common pediatric cardiovascular disorders and fetal circulation."
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Operationalizing Mental Health Clinics at District Hospital Dr. Manish Singh Deputy Director Mental Health National Health Mission Bhopal.
Problem Statement: Mental illness now recognized as an important Non Communicable Disorder (NCD), on the lines of cardiovascular disease, diabetes, cancer, cerebrovascular disease. WHO estimates that at any given time 10% of global population suffers from some form of mental illness. Estimates suggest that by 2020, depression, the most common mental disorder. In MP the prevalence rate of mental disorder are 13.9%
Mental Disorders Prevalence and Treatment Gap Prevalence Treatment Gap 94.30% 16.00% 100.00% 91.40% 13.50% 90.00% 14.00% 80% 80.00% 12.00% 66.70% 10.30% 70.00% 10.00% 60.00% 8.00% 50.00% 40.00% 6.00% 30.00% 4.00% 20.00% 1.40% 2.00% 10.00% 0.40% 0.00% 0.00% Common Mental Disorder Severe Mental Disorder Alcohal Use Disorder Depressive Disorder Common Mental Disorder Severe Mental Disorder Alcohal Use Disorder Depressive Disorder Data source : NMHS 2015-16
National Mental Health Program National Mental Health Program started in 1982. The District Mental Health Program (DMHP) was launched under NMHP in the year 1996. In MP DMHP program start on 1997-98. In 2017-18 DMHP program sanctioned in 30 district. 4
Approach adopted by MP Mental health services with the existing community development program Integration of mental health care services Task-oriented Training to the existing staff. Utilization of the existing infrastructure
Infrastructure & Human Recourse DMHP District District Hospital 1 Psychiatric / MO & 1 Clinical Psychologist (NHM). Dedicated Posted Trained Staff Nurse*. Psychiatric / Trained Medical Officer* Provide Treatment Dedicated Posted Trained Staff Nurse*. Trained Medical Officer* Provide Treatment * Regular cadre State Health department
Training District Level Orientation District Level Orientation 1 1 2. 2. 1 Month Training of MO 1 Month Training of MO & 14 Days Training Staff Nurse in & 14 Days Training Staff Nurse in Mental Health Mental Health 3 3 2 Days MO & 6 Days SN orientation for Management of Mental Health Program 2 Days MO & 6 Days SN orientation for Management of Mental Health Program 13 Psychotropic medicines incorporated in EDL of Madhya Pradesh which is available free of cost in all clinics. Various record keeping & reporting formats (Screening Record Register, Case Record Register, Follow up Record Register, MH GAP Mater Chart, Case Booklet Sheet, Referral Slips, Treatment & Follow up Card &Monthly Reporting formats etc). Developed in close coordination with State Government Officials & other technical experts. Supportive supervision by State.
Results District level Orientation Program in all District Hospitals. Total 64 Medical officers & 150 staff Nurses from 51 Districts are trained in Mental Health training (One Month and Two weeks duration).
Results Operationalized Mental Health clinic MannKaksha in all 51 District Hospitals with trained staff. Establishment of Counselling centre at 7 District Hospitals and 3 Medical colleges (2016-17).
Result - Nearly 46322 cases have been screen in MannKaksh out of which approximately 21151 cases are being found positive and are on pharmacological and psychosocial management.(Data Year 2016-17) MANNKAKSH OPD Treatment Facility Morbidity Profile 35000 50000 46322 Other, 16.9 45000 30000 40000 Depression, 28.9 Follow Up 8409 25000 35000 30000 Self harm, 13.3 20000 25000 21151 20000 15000 Drug use, 2.4 24662 15000 OPD 21151 22776 10000 8409 10000 Psychosis, 10.9 Behaviour, 2.3 5000 5000 0 Alchohol Use disorder, 8.1 Epilepsy, 7.4 Screen Mental Disorder Pt. Follow up Dementia, 3.5 0 Developmental Treatment Psychosocial Pharmacological
