Community Mental Health Program

COMMUNITY MENTAL HEALTH PROGRAM
DEFINITION OF MENTAL HEALTH

“Mental health as an adjustment of human being to the world and to each other with a maximum of
effectiveness and happiness”.
- Karl Meninger
DEFINITION OF COMMUNITY MENTAL HEALTH

“Community mental health is the application of specialized knowledge to population and
communities to promote and maintain mental health, and to rehabilitate population at risk that
continue to have residual effects of mental illness.”
- Sreevani
DEFINITION OF COMMUNITY MENTAL HEALTH PROGRAM

“The community mental health program (CMHP) includes all community facilities pertinent in any
way to prevention, treatment and rehabilitation.”
– K. Park
AIMS
1. To ensure treatment and prevention of mental and neurological disorder.
2. Use of mental health technology
3. Application of mental health principles in total national development to improve quality of life.
ELEMENTS
 Inpatient services
 Outpatient services
 Emergency services
 Diagnostic services
 Pre-care and aftercare services
 Education services
 Training
 Research and evaluation
SERVICES RENDERED UNDER COMMUNITY MENTAL HEALTH

PROGRAM
• Early diagnostic and treatment

• Rehabilitation
• Group and individual psychology
• Mental health education
• Use of modern psychoactive drugs
• After-care services
STRATEGIES
• Integration of mental health with primary health care through the national mental health
program.
• Provision of tertiary care institutions for treatment of mental disorders.
• Eradicating stigmatization of mentally ill patients and protecting their rights through regulatory
mental health institutions like the central mental health authority, and state mental health.
NATIONAL MENTAL HEALTH PROGRAMME

OBJECTIVES
 Basic mental health cares to all the needy especially the poor from rural, slim and tribal
areas.
 Application of mental health knowledge in general health care and in social development.
 Promotion of community participation in mental health service development and increase
of efforts towards self help in the community.
 Prevention and treatment of mental health 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.
APPROACHES
 Integration of mental health care services with the existing general health services.
 Utilization of the existing infrastructure of health services and also deliver the minimum
mental health care services.
 Provision of appropriate task oriented training to the existing health staff.
 Linkage of mental health services with the existing community development program.
REVISED NATIONAL MENTAL HEALTH PROGRAMME

 Extension of DMHP to 100 districts.
 Up gradation of psychiatric wings of government medical colleges/ General Hospitals.
 Modernization of state mental hospitals.
 IEC
 Monitoring & evaluation
DISTRICT MENTAL HEALTH PROGRAMME

It was launched in 1996 in 4 districts under NMHP and was expanded to 27 districts of the
country by the end of IXth five year plan period.
COMPONENTS
 Early detection and treatment

 Training
 IEC
 Monitoring
WELFARE AGENCIES IN COMMUNITY MENTAL HEALTH

PROGRAM
 Psychiatric Emergency Care
 Day-Treatment Programs
 Residential Treatment Programs
 Psychiatric Home Care
 Aftercare and Rehabilitation
THERAPEUTIC SERVICES PROVIDED BY COMMUNITY MENTAL

HEALTH CENTERS
 Medication
 Individual and family therapy
 Crisis intervention
 Social skill training
ROLE OF COMMUNITY MENTAL HEALTH PROGRAM IN DISASTER

MANAGEMENT
 Reducing negative psychological impact of hazardous event on community peoples
through mental health support and psychosocial treatment.
 Strengthening community peoples mental health and preparedness for future disaster
events.
 Monitoring and evaluation of community mental health status at disaster stages.
FUNCTIONS OF COMMUNITY HEALTH NURSE IN COMMUNITY

MENTAL HEALTH PROGRAM
 Assisting in the immediate diagnosis and treatment of mental illnesses.
 Making special arrangements to protect and take care of patients to prevent them from
physical injuries and attempted suicides.
 Establishing the importance of mental health in general patients and telling them the
methods of attaining good mental health.
 Follow up of mental patients.
 Conducting guidance clinics.
 Assisting the patients in social rehabilitation after their treatment.
 Providing mental health education during home visits, hospital nursing and community
care.
LIMITATION OF COMMUNITY MENTAL HEALTH PROGRAM
 Non-availability of psychiatrists and other mental health professionals.

 Low level of community participation.
 Inadequate funding for community mental health program.
 Shortage of delegation of power for procuring medicines and recruiting staff under the
program at the community level.
 Lack of co-ordination between National mental health department and Community level
mental health department.
RESEARCH ARTICLES
Quality of life of community mental health program clients: Validating a measure
 Douglas A. Bigelow Ph.D.,

 Bentson H. McFarland M.D., Ph.D.
 Madeline M. Olson
ABSTRACT
A quality of life theory is proposed as a framework for conceptualizing and evaluating mental
health services. Quality of life consists of fulfilling needs, meeting social expectations, and
accessing opportunities by using abilities. Abilities are impaired by mental illness. Mental
health services moderate social demands, supplement opportunities, and restore abilities. A 263
item questionnaire was developed to assess the impact of mental health services on clients'
quality of life. A 24 site study including 1,154 pre-tests, 758 post-tests, and 190 interviews with
randomly selected community residents was conducted. Evidence for the reliability and validity
of the questionnaire are presented. The instrument discriminates among four known client
groups, client and community samples, communities with known quality of life differences, and
pre- versus post-treatment samples of clients. The convergence between client's retrospective
impressions of improvement and measured pre-post improvement is discussed.
CONCLUSION
Community mental health nursing is the application of knowledge of psychiatric nursing in
promoting and maintaining mental health of people to help in early diagnosis and care and to
rehabilitate the clients after mental illness. The overall goal of community mental health as
outlined by Mrs. Indira Gandhi in May 1981 is services must begin where people are, where
problem are to provide mental health care through multidisciplinary approach and collaborative
services.
BIBLIOGRAPHY:
 AJ Giannini. Biological Foundations of Clinical Psychiatry, NY Medical Examination
Publishing Company, 1986.
 Lakshmi N. Ytham, Vivek Kusumakar, Stanley P. Kutchar. (2002). Bipolar Disorder: A
Clinician's Guide to Biological Treatments,
 Ahuja N A Short text book of psychiatry 6 th ed; New Delhi;Jaypee brothers pbn; 2006;
pag
 Sturt GW, Laraia mt. principle and pracyice of psychiatric nursing 8 th edn st Louis
elsevair 2008.
 Sadoda BJ Sadoda Va synopsis of psychiatry behavioral science /clinical psychiatry. 9 th
edn; Williams & William. Philadelphia 2003
 Lalitha k mental health and psychiatric nursing an Indian perspective VMG book
house: 2009 page 252
 EMMESS text book of psychiatric nursing 2nd edition 2015.
 BasavanthappaBT, Community Health Nursing 1st Edition, 1998, Jaypee Brothers,

Delhi, Page no. 319-321.
 ChalkeyA. M., A Textbook for the Health Worker, 1st Edition, 1985, N.A.I. Limited,
Publisher, New Delhi, Page no. 330-340.
 Kumari Neelam, Essentials of Community Health Nursing, 1st Edition 2011, PV books
Jalandhar, Page no. 225-226.
 Park K., Essentials of Community Health Nursing, 4th Edition 2004, Banarasidas Bhanot
Publisher, Jabalpur, Page no. 225226.
 Swarnkar K., Community Health Nursing, 2nd Edition 2008, N.R. Brother, Indore, Page
no.639-642.
 https://www.slideshare.net/drjayeshpatidar/national mental health programme.
 https://www.scribd.com/doc/25421122/national mental health programme.
Jabalpur institute of nursing sciences and

research
Subject: - mental health nursing
PRACTICE TEACHING ON-

COMMUNITY MENTAL HEALTH PROGRAMME
SUBMITTED TO- SUBMITTED BY-
MRS. SHARIKA RATISH PREETI SHARMA
ASST. PROFESSOR M.Sc. NSG 1ST YEAR

JINSAR JINSAR
SUBMITTED ON-

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COMMUNITY MENTAL HEALTH PROGRAM

DEFINITION OF MENTAL HEALTH

DEFINITION OF COMMUNITY MENTAL HEALTH

DEFINITION OF COMMUNITY MENTAL HEALTH PROGRAM

2. Use of mental health technology

 Pre-care and aftercare services

 Research and evaluation

SERVICES RENDERED UNDER COMMUNITY MENTAL HEALTH

• Early diagnostic and treatment

• Provision of tertiary care institutions for treatment of mental disorders.

NATIONAL MENTAL HEALTH PROGRAMME

REVISED NATIONAL MENTAL HEALTH PROGRAMME

DISTRICT MENTAL HEALTH PROGRAMME

 Early detection and treatment

WELFARE AGENCIES IN COMMUNITY MENTAL HEALTH

THERAPEUTIC SERVICES PROVIDED BY COMMUNITY MENTAL

ROLE OF COMMUNITY MENTAL HEALTH PROGRAM IN DISASTER

FUNCTIONS OF COMMUNITY HEALTH NURSE IN COMMUNITY

LIMITATION OF COMMUNITY MENTAL HEALTH PROGRAM

 Non-availability of psychiatrists and other mental health professionals.

 Douglas A. Bigelow Ph.D.,

 BasavanthappaBT, Community Health Nursing 1st Edition, 1998, Jaypee Brothers,

 https://www.slideshare.net/drjayeshpatidar/national mental health programme.

 https://www.scribd.com/doc/25421122/national mental health programme.

Jabalpur institute of nursing sciences and

PRACTICE TEACHING ON-

SUBMITTED TO- SUBMITTED BY-

MRS. SHARIKA RATISH PREETI SHARMA

ASST. PROFESSOR M.Sc. NSG 1ST YEAR

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