WELCOMEWELCOMEKRIPARAJ K. BOBBYPhD Scholar Pondicherry University

MENTAL HEALTH CARE SERVICES MENTAL HEALTH CARE SERVICES FOR CHILDREN FOR CHILDREN

A DIMENSION OF DEVELOPMENT A DIMENSION OF DEVELOPMENT

A

IntroductIntroduction ion Psychiatric disorders among Psychiatric disorders among

children are emerging as a children are emerging as a global challenge. World global challenge. World health report 2001 health report 2001 estimates 450 million estimates 450 million people are affected and people are affected and majority are live in majority are live in developing countries. It is developing countries. It is need of the hour to assess need of the hour to assess the efficacy and the efficacy and equitability of mental equitability of mental health care services in health care services in India or whether is it in India or whether is it in the priority focus. the priority focus.

WHO Definition of Mental WHO Definition of Mental HealthHealth

A positive sense of well being A positive sense of well being encompassing the physical, mental, encompassing the physical, mental, social, basic economic, and spiritual social, basic economic, and spiritual aspects of life; not just the absence aspects of life; not just the absence of disease.of disease.

ScopeScope The scope of mental health is not only The scope of mental health is not only confined to the treatment of some confined to the treatment of some seriously ill persons admitted to seriously ill persons admitted to mental health centers, rather it is mental health centers, rather it is related to the whole range of health related to the whole range of health activitiesactivities

Children and Common Psychological Children and Common Psychological DisordersDisorders

Hyper Kinetic syndrome 33% (0-5 age group)Hyper Kinetic syndrome 33% (0-5 age group) Hysterical Neurosis, Hyper Kinetic syndrome Hysterical Neurosis, Hyper Kinetic syndrome and Conduct Disorders (6-11 age group) and Conduct Disorders (6-11 age group)

Psychoses, Hysterical Neurosis, Conduct Psychoses, Hysterical Neurosis, Conduct Disorders (12-16 age group)Disorders (12-16 age group)

Mild Mental Retardation 22% among (0-5 age Mild Mental Retardation 22% among (0-5 age group) 19% among (6-11 age group) and 6% group) 19% among (6-11 age group) and 6% ub children in 12-16 years age group ub children in 12-16 years age group

Depression in childhood hard to diagnose Depression in childhood hard to diagnose

Source : ICMR Research (2005)Source : ICMR Research (2005)

MENTAL HEALTH CARE SERVICE & MENTAL HEALTH CARE SERVICE & ITS UTILIZATIONITS UTILIZATION Crucial role of family on the Crucial role of family on the decision on treatment. decision on treatment. (Perception & Judgment)(Perception & Judgment)

Role of Health work Volunteers, Role of Health work Volunteers, Doctors and Nurses. (Education, Doctors and Nurses. (Education, Quality Care)Quality Care)

Role of Community as a whole Role of Community as a whole ( Removal of Social Stigma)( Removal of Social Stigma)

Provision of Individual care Provision of Individual care through community care and home through community care and home care services. care services.

Mental Health Care Services in Mental Health Care Services in IndiaIndia National Mental Health Programme 1982National Mental Health Programme 1982 District Mental Health Programme 1996-97District Mental Health Programme 1996-97 There is no available survey of the There is no available survey of the facilities offered in the Child Mental facilities offered in the Child Mental Health Services across the country . Health Services across the country . Presently services are poorly manned Presently services are poorly manned (Malavika Kapoor 2005)(Malavika Kapoor 2005)

Systems of MedicineSystems of Medicine Allopathy , Homeopathy, Sidda, Ayurveda, Allopathy , Homeopathy, Sidda, Ayurveda, Unnanny ,Naturopathy , Yoga etc.Unnanny ,Naturopathy , Yoga etc.

The Home Care team The Home Care team provides the patients and provides the patients and

the family…the family… Basic nursing care Wound careBasic nursing care Wound care Catheter (Urine tube) changingCatheter (Urine tube) changing Feeding tube care Feeding tube care Emotional and Social SupportEmotional and Social Support Assess the needs of the Assess the needs of the patients and familiespatients and families

Co-ordinate with other care Co-ordinate with other care servicesservices

Legal Services in Mental Legal Services in Mental Health and Developed Health and Developed

countriescountries Real wishes of Children regarding the Real wishes of Children regarding the hospitalizationhospitalization

Child is informed of the nature of Child is informed of the nature of treatment to be received and treatment to be received and restrictions during hospitalization.restrictions during hospitalization.

Child will be counseled regarding Child will be counseled regarding possible adverse consequences of possible adverse consequences of hospitalization (Include social hospitalization (Include social stigma)stigma)

Alternatives to hospitalization , Alternatives to hospitalization , Possible sources of financial supportPossible sources of financial support

W.H.O. RecommendationsW.H.O. Recommendations Stigma RemovalStigma Removal Psycho-Social SupportPsycho-Social Support Prevention of Harm from Alcohol and Prevention of Harm from Alcohol and Substance AbuseSubstance Abuse

Develop and Adapt Community Mental Develop and Adapt Community Mental Health ServicesHealth Services

To Conduct Seminars, Workshops (Inter-To Conduct Seminars, Workshops (Inter-National, National and Local Level)National, National and Local Level)

To Conduct Health Care Service ResearchTo Conduct Health Care Service Research

CONCLUSIONCONCLUSION Developing country like India ,need to Developing country like India ,need to be review the existing status of be review the existing status of children mental health care services . children mental health care services . The service should reach the needy with The service should reach the needy with out any discrimination like religion, out any discrimination like religion, cast, color, and status etc... To cast, color, and status etc... To enhance the capability of the health enhance the capability of the health care system a special focus should be care system a special focus should be given to the mental health given to the mental health services,especially to the children. If services,especially to the children. If this dimension is neglected in the this dimension is neglected in the agenda of developmental discussions , agenda of developmental discussions , the overall development of the country the overall development of the country could never be possible. could never be possible.

THANK YOUTHANK YOU