The Government of India decided to launch the National Mental
Health Programme (NMHP) during the Seventh Plan period to ensure availability
and accessibility of minimum mental health care for all in the foreseeable
future, particularly to the most vulnerable and underprivileged sections of
population; to encourage application of mental health knowledge in general
health care and in social development; to promote community participation in
the mental health service development; and,] to stimulate efforts towards
self-help in the community.
Mental illness has been included as one of the disabilities
under f the “Persons with Disabilities (Equal Opportunities, Protection of
Rights and Full Participation)” Act of 1995, which came into force on February
7, 1996.
A district mental health programme with a community-based
approach was launched under the NMHP in 1996-97 on a pilot basis in four
districts, one each in the states of Andhra Pradesh, Assam, Rajasthan, and
Tamil Nadu. The programme has been extended to some other districts/states in
the country.
The approach to the treatment of mental disorders is based upon
the following strategy:
i. Integrating mental health with primary health care through
the NMHP.
ii. Provision of tertiary care institutions for treatment of
mental disorders.
iii. Eradicating stigmatisation of mentally ill patients and
protecting their rights through regulatory institutions, such as the Central
mental health authority (CMHA) and state mental health authority (SHMA).
The tertiary care institutions, which are well known in the
public sector, are-National Institute of Mental Health and Neuro Science,
Bangalore, Central Institute of Psychiatry, Ranchi and Institute of Human
Behaviour and Allied Sciences, Delhi.
The Government of India has constituted CMHA to oversee the
implementation of the Mental Health Act 1987. The Act provides safeguards for
protecting patients suffering from mental illness from stigmatisation and
discrimination. It provides for creation of State Mental Health Authority also
to carry out the said functions.
The National Human Rights Commission (NHRC), along with the
Government of India, also monitors the conditions in the mental health
hospitals. States are currently acting on the recommendations of the joint
studies conducted to ensure quality in delivery of mental care.
During the Tenth Five Year Plan (2002-07), NMHP was
restrategised from a single pronged programme to a multi-pronged programme for
effective reach and impact on mental illness. The strategies included the
following:
i. Expansion of District Mental Health Programme (DMHP) to 100
districts all over the country;
ii. Modernisation of mental hospitals;
iii. Upgradation of psychiatry wings of Government Medical
Colleges and general hospitals; and
iv. Research and training in mental health for improving
service.
At the end of the Tenth Plan, the DMHP was under implementation
in 123 districts throughout India. Grants were also released for upgradation of
psychiatric wings of 75 government medical colleges and general hospitals and
for the modernisation of 26 mental hospitals.
For the Eleventh Five Year Plan period (2008-2013), the
government has proposed to decentralise the programme and synchronise with
National Rural Health Mission for optimising the results.
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