Jan-Man Swasthya Pariyojana (JMSP)

8 reasons to include Menntal Health in Public Health: 

• Scale of the Burden of Mental Disorders

• No health without mental health

• Economic costs are back breaking

• Social costs to the patient and family are devastating

• Social determinants of mental health are very significant

• As a matter of Humaan right

• Existing policy, legislation and planning guidelines for mental health are available

• Effective treatments are available

Overarching aim:

• Implementation of population based mental health services for priority mental disorders in selected parts of India

Priority’ disorders

      • Common Mental Disorder

      • Severe Mental Disorder

      • Convulsive epilepsy

      • Alcohol Use Disorder

      • Suicide Risk

UnderJan-Man Swasthya Pariyojanaa total 322 Patients have been enrolled in 1½ years from our project area or nearby places in Mirzapur and Sonebhadra districts. 

Community Mental Health Project was initiated covering the entire population of 100,000 people in our villages for providing psychiatric and neurological services in a phased manner. In the first phase a total of 30,000 people in 4 village clusters of Patewar, Naugwan, Loohara, Manjhawan, and in the second phase it would be 60,000 people with annother villages Manikpur, RamnagarSikari, Gaura and Amoi are receiving 2 tiered comprehensive psychiatric and neurological treatments for (i) Common Mental Disorders, 173 (ii) Severe Mental Disorders including Psychosis, Bipolar disorder and Major Depression 52 and (iii) Epilepsy 97.The treatment includes psycho-education, Counselling and medication involving the step care method of service delivery :- Step-1 Primary care team intervention by Community Health Workers (CHW), Middle Level Team (MLT) and Doctors. Step-2 CCBC (Collaborative Community based care) intervention (CHWs, MLT, Doctors and a Mentor Psychiatrist), Step-3 Specialist care and assertive (greater frequency of home visit) community care by CHWs, MLT and Doctors. Most importantly a Mentor Psychiatrist from Delhi visits these villages, sees patients and overseas all aspects of our community mental health work regularly. Patients’ required in investigations, hospitalization, day-care and rehabilitation services are also being taken care of.

Patients at a Glance in Jan Man Swasthya Programme :

 

Disorders
Total enrolled
On treatment
Unplanned discharge
SMD
52
39
13
CMD
173
140
30
Epilepsy
97
85
12

 

Staff Team Development :

• During the year our team members were benefited by the following special programmes:

       • Trainings :

 

Topic
Resource person
Number of trainings
Intellectual Disability (Screening Schedule:- GTT, DST, VSMS)
Dr. RamLakhan Sharma (USA)
28 skype classes
Epilepsy
Dr. Moreno Toldo
4 days
Jan Man SwathyaPariyojana (JMSP), Mental Health training
Mentor Dr. Amiya Banerjee
once in every two months
JMSP formats
Ms. Smita
2 days
Community Mental Health
Parivartan ,Satara
4 times for 37 days
Intervention and formative interviews
Parivartan
2 days at Pune
Intellectual Disability and online data base
Parivartan
3 days at Kolkata
Community Mental Health
By MT and Head
43 days
Community Mental Health
Master Trainer
24 days
Training on counseling techniques
Master Trainer
1 day
16 ASHAs and 2 ANMs training on symptoms
Master Trainer
At Naugawan (14.11.14 and 28.11.14)


    • Workshops :


S.No
Topic
Resource person
1
Film on Epilepsy (EkNaya Din)
Dr.V.N.Mishra (BHU)
2
Stress Management
RHema Ben (People’s Health and Development Trust )
3
Schizophrenia
Sw. Dr. Varishthananda Ji Maharaj
4
Stress Management
Sw. Dr. Varishthananda Ji Maharaj
5
Relaxation techniques
Luei Zeena ( Alice Project )


      • Meetings :


S.No.
Topic
Number of meetings On treatment
1
Meeting for training activity
80 days ( 24 every 15 days)
2
Community awareness meeting with ERW’s women and during Health Education Programme
203
3
Meeting with Medical Officer 97
13.08.14 Naugawan
4
Meetings with CHWs
8 times
5
Visit to CHC for introduction of JMSP
Manikpur (03.09.14)
6
Meeting with ANMs
12 times at Naugawan
7
Visit to CHC and PHC
Naugawan for JMSP introduction(28.11.14)

      • Others :

            • Translations :-

                   • All JMSP Formats

                   • Manas Manual.

                   • COPSI Manual.

                   • Flip Book for CMD

            • CHWs’ monitoring and supervision.

            • Door to door survey by CHWs for patients’ detection

            • Dr. Sudipto’s visit at RKMHOS 09.09.14 and 10.09.14

            • Evaluations of CHWs 4 days (14 CHWs) by OSCI

            • Formative interviews :-

                   • 17 Families

                   • 11 patients

                   • 6 care givers Total= 34


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www.varanasirkm.org

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