MENTAL HEALTH INTEGRATED PLAN FOR SEHORE

To establish a mental health program by addressing determinants to provide accessible, affordable, equitable mental health care and rehabilitation in Sehore district

To implement and evaluate a comprehensive health program through targeted interventions for the prevention and management of common mental disorders, severe mental disorders, alcohol abuse, child and adolescent mental health problems in communities of Sehore district

PrioritiesPopulation13, % Rural 4% Marginalised 1% Children 80.6% Poor Standard of Living 18.95% UrbanHealth System 1 District Civil Hospital 18 Primary Health Centres 8 CHC 150 Sub Centres

District Level Primary Health Centre Level Community Level

Screening Need Assessment Mental Health First Aid Family Psychoeduction Social Network Reactivating/Building Structured physical and creative activity Referral and follow-up Monitoring of anti-psychotic treatment CBR activities Training of Sanghi Sathi Collaboration of all stakeholders in the district Mental Health Literacy Protecting and Promoting Child Rights Prevention of Developmental Disorders School level intervention

ScreeningDiagnosisPsychopharmacological InterventionCase Management of acute problemsReferral and Follow-upEnsure the availability of Psychotic drugsDevelopmental ScreeningTraining of Supervisors

ScreeningDiagnosis Outpatient Care/Inpatient Care/Referral Cases Psychopharmacological Treatment Ensure regular availability of Psychotropic drugs Inclusion of mental health program in the District Health Plan Follow-up Referral to Specialist Care centres Child Guidance Centres Training of Co-ordinators

HUMAN POWER 300 Sanghi Sathi (Volunteers) At 150 Sub- centres 30 Supervisors, 30 Trained Medical Officers At 15 PHC 2 Coordinators, 1 Paediatrician at District Level DMHP Staff i.e. 1 Psychiatrist, 1 Psychologist

OTHER HUMAN POWER CBOsNGOs Health Workers PRIs Traditional Healers Teachers VHC Members Anganwadi Workers

CoordinatorsSupervisors Sanghi Sathi Other Human Resources CAPACITY BUILDING

PLWMD groups PLAN IMPLEMENT MONITOR ADVOCATE

Health (Article 25)Life (Article 10)Accessibility (Article 9)Equity and Non-Discrimination (Article 5)Education (Article 24)Work and Employment (Article 27)Access to Justice (Article 13)Liberty and Security (Article 14)Freedom from Torture or Cruel, Inhuman or Degrading Treatment (Article 15)Respect for Privacy (Article 22)Habilitation and Rehabilitation (Article 26)

ChallengesStrategies Lack of Medicines/ Specialists Cultural Beliefs/ Traditional Healers Lack of Government Support Stigma/ Discrimination

ChallengesStrategies Unclogging the Supply Chain Combined ForcesUnifying LeadershipAwareness program Lack of Medicines/ Specialists Cultural Beliefs/ Traditional Healers Lack of Government Support Stigma/ Discrimination

Objective 1: To build effective partnerships of government, non- governmental, public and private health institutions and CBOS for advocacy Activities Building a collaborative Network Social Network reactivating/building Indicators # of collaborators in a network # of meetings held # of networks functional Mental health services provided at the primary level

Objective 2: To include user perspectives and protection of human rights Activities Involvement of Users at all stages of the project Indicators # of users involved in program planning # of users involved in program implementation # of users involved in program monitoring # of users involved in program advocacy

Objective 3: To raise awareness and educate the community Activities Family Psycho-education Mental Health Literacy CBR activities Indicators # of persons accessing MHFA & treatment # of increased interdepartmental interactions # of cases being accepted by the society # of persons with developmental disabilities and severe mental disorders have been main streamed

Objective 4: To provide evidence-based psycho- pharmacotherapy ACTIVITIES Screening Mental health first aid Structured Physical and Creative Activity Ensure the availability of Psychotropic drugs Follow-up Referrals CBR Developmental Screening OPD/IPD care Child Guidance Centre School Mental Health Programs Training of Human Power at all levels INDICATORS # of persons screened for CMDs, SMDs, C/AMD & AUDs # of persons provided with MHFA # of networks built with PRIs, CBOs, NGOs, health workers and others Type and quantity of drugs procured # of patients and care-givers followed up # of referrals # of children in schools who have been screened # of children who received counselling # of trainings conducted # of participants

 MY INDIA  JACINTA  MARIA  URMILA  KAAREN  RAJENDRA  RAHUL  PRASHANT  RAJU  PROBHAT