CMHP progress overview - The Live Love Laugh Foundation · PRESENTATION BY CMHP TEAM DAVANAGERE...
Transcript of CMHP progress overview - The Live Love Laugh Foundation · PRESENTATION BY CMHP TEAM DAVANAGERE...
PRESENTATION BY
CMHP TEAM
DAVANAGERE
CMHP progress overview
Before APD mental health situation at Davanagere District
There was no PWMI master list at concern department.
There was no psychiatric services at taluk and PHCs
hospitals.
Many PWMI did not access psychiatric services.
Many care takers were not involving PWMI in
rehabilitation process and did not have access to any govt
benefits.
Poor mental health awareness in community level.
There was no voluntary organization working at mental
health field.
AIM of the program
Ensure quality psychiatric treatment andpromoting recovery for Persons withMental illness.
Working area
Davanagere District profile SlNo
Taluk Name
Population 2011 census
Villages
wards
PHCs
GPs
Anganawadi
DDWOOffice PWMI list
PWMI List
01 Davanagere 681979 229 41 25 40 339 138 401
02 Harpanahalli
302003 237 27 19 35 376 40 277
03 Harihara 254170 88 34 12 25 244 42 207
04 Honnahalli 233206 185 16 11 47 280 15 05
05 Jagaluru 171822 166 15 12 22 243 35 308
06 Channagiri 302317 196 19 25 61 383 21 09
Total 1945497 1101 152 104 230 1865 291 1207
Year wise target list
Year 2011-12 2012-13 2013-14 2014-15 2015-16 2016-17
Plan Ach Plan Ach Plan Ach Plan Ac
h
Plan Ach Plan
Reach 425 346 300 260 1000 940 800 780 950
Staff 1 1+1 1+1 3+2 3+3 3+3
Budget 1,82,200 103,000 2,10000 13,14,406 15,54,840 11,00,000
Capacity
Building615 300 270 750 1000
Davanagere Psychiatric doctors details.
Sl No Psychiatric doctor Name Hospital name Contact no
01 Dr.Nagaraaju. Chigateri District
hospital
9880710331
02 Dr. Anupama Chigateri District
hospital
03 Dr. Nagaraju Roa. Bapuji hospital
04 Dr. Sudharshan Bapuji hospital 9845571767
05 Dr.Mahesh Babu. Bapuji hospital
06 Dr. Sushil kumar SSIMS hospital 8884976550
07 Dr. Deepthy. SSIMS hospital 9448670982
08. Dr. Rajeev swamy SSIMS hospital 8050824704
Govt benefits access
Vocational training/Previous
job/Self employment/ Job
placement
Psycho social education
Follow treatment
Referring treatment
Community mental health
program
CMHP Service process chart
Mental health awareness
Treatment stated details
Sl No Hospital names 2013-2014 2014-2015 2015-2016 Doctors name Came date
01 Davanagere District
Hospital
Yes Yes Yes Dr.Nagaraju.
Chigateri hospital
Every day
02 Channagiri Taluk
Hospital
No 2014
(September)
Yes Dr.Nagaraju.
Chigateri hospital
1st Tuesday
03 Jagaluru Taluk
hospital
No 2015 (May) Yes Dr.Nagaraju. &
Dr.Sivakumar team
Chigateri & NIMHANS
hospital
1st,2nd & 3rd
Tuesday
04 Harpanahalli Taluk
Hospital
No 2014 (July) Yes Dr.Sushil kumar
SSIMS hospital
3rd Tuesday
05 Harihara Taluk
hospital
No 2015
(March)
Yes Dr.Rajeev swamy
SSIMS hospital
4th Tuesday
06 Honnahalli Taluk
hospital
No 2014
(September)
Yes Dr.Nagaraju.
Chigateri hospital
4th Tuesday
These Drugs availability at taluk levelSl No Drugs name Jagalur Harihara Harpanahal
li
Channagiri Honnahalli
01 Risperidone Yes Yes Yes Yes Yes
02 Trihexyphenydyl Yes Yes Yes Yes Yes
03 Promethazine Yes Yes Yes No No
04 Haloperidol Yes Yes Yes No No
05 Chlorpromazine Yes Yes Yes Yes Yes
06 Amitryptaline Yes Yes Yes Yes Yes
07 Fluoxetine Yes Yes Yes No No
08 Imipramine Yes Yes Yes No No
09 Carbamazepine Yes Yes Yes No No
10 Sodium Valproate Yes Yes Yes No No
11 Daizepam INj Yes Yes Yes No No
12 Olanzapine No No No No No
13 Lithium No No No No No
14 Fluphenazine INj No No No No No
15 Clonazepam No No No No No
16 Sertraline No No No No No
Before APD 2014-15 APD Intervention 2015-16
Phenobarbitone.
Phenytoin .
Risperidone 2mg.
THP 2mg.
Risperidone 2mg.
Haloperidol 5mg.
Chlorpromazine 100mg.
Amitriptyline 25mg.
Imipramine 25mg.
Fluoxetine 20mg.
Diazepam Inj 5mg.
THP 2mg.
Sodium Valproate 500mg.
Carbamazepine 300mg.
Promethazine Inj.
Mental health drugs stock at Taluk hospital
Major achievements
3 taluk level treatment established.
Psychiatric service availability at PHCs hospital.
104 PHCs mental health wall writing displayed.
104 PWMI accessed social security schemes.
34 PWMI attended dairy forming training.
23 PWMI applied to swavalambana schemes.
3 taluk level parents meeting running successfully.
PWMI animal husbandary trainikng & ID card list
(Autosaved).xls
Successful case study
Name :- Shiva sharanayya.
Age-41.
Education :- B,com.
Duration of illness:- 10 years.
Diagnosis :- Schizophrenia.
Village:- Kalledevarapura.He was brought to the camp by the villagers and relatives. He was wearing shabby andtorn cloths, unkempt and had not taken bath for many months. While interacting withthe relatives and villagers it was found that he used to roam around the villages talking tohimself, writing something in the walls and used to sleep in the temple despite having ahome to go to. While interacting with the patient it was found that he had done hisgraduation and has been roaming around like this for many years, he had agreed to takeinjections once in two weeks and family members were asked to encourage him to takecare of his personal hygiene. During the next visit it was hard to recognize the patient ashe had a haircut, shave and wore clean clothes. However some of his symptoms stillpersist but he has started taking care of his personal hygiene, has food on time and staysat home.
Changes seen
Reduction in financial burden as drugs are providedfree of cost at the nearest possible place.
PWMI resuming their roles and responsibilities(work/parenting)
Taking part in community activities
Empowering persons with mental disability to getmaintainers pension/ livelihood training etc.
Challenging Case study
Name :- Sharadamma.
Age-29
Education :- uneducated
Duration of illness:- 8 years
Diagnosis :- Schizophrenia
Reference: survey .
Village:- Kechenahalli.
A single female haling from poor socio economic status was found to be housebound for the past few years. On further enquiry it was found that she has beenfighting with neighbors and doesn’t let any new persons enter the house.Family members had taken her to religious places for few months but never feltthe need for any medical help.
She had refused to interact with any staff and refused the need for anytreatment. Family members were not ready for hospitalizing her or providinginjectable medication but had agreed to give her medicine without herknowledge.
Enabling the System
PWMI treatment camp at 3 taluk level.
Mental health training for stakeholders.
MH awareness wall writing written at taluk andPHCs hospitals.
Ensuring availability of mental health drugs.
Ensuring Disability ID card for PWMI.
Getting media support.
Harpanahalli Taluk Camp order letter
Wall writing order copy and Drugs request letter
CMHP program photos
Mental Health awareness wall writing at 104 PHCs
Jagalur project inaugurated by MLA & CRC Dr. CRC interaction with Anganawadi teachers
Harihara taluk Anganawadi teachers training Harpanahalli taluk Anganawadi teachers training
PHCs doctors workshop
VRWs & ANMs doctors workshop
CMHP program camp photos
PHCs doctors workshop paper cutting Harihara treatment camp paper cutting
Challenges
Requirement of continuous long term medication.
Co-operation of different stakeholders(family/community workers/ government/patients)
Involving some PWMI for any livelihood activity isdifficult.
Travel difficulties due to lack of connectivity in ruralareas
Scope of the program
According to WHO 2001 report 3 to 5 members severPWMI and 10 to 15 members are suffering for commonPWMI.
According to this estimate many persons have not acquiredany mental health treatment in our cover area so far. Thisincreases the treatment gap which in turn increases thechance of a person being disabled.
Continuous availability of all mental health drugs athospital level.
Earlier Identifying PWMI will lead to early treatment whichin turn will lead to decreasing disability.
Scope of the program
Community based rehabilitation instead ofhospital/ institution based rehabilitation whichcan be a replicable model anywhere else in thecountry
Empowering PWMI and family members to getservices that they should be provided like any otherdisability.