MENTAL HEALTH

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MENTAL HEALTH ROLE OF ROTARY NGOS IN
PROMOTION OF MENTAL HEALTH

• BY
• Rtn. Major Donor Dr. M. L. Agrawal
• Senior Specialist (Psychiatry)
• Ex Head ,Department of Psychiatry MBS Hospital
  Kota
• President, Association of Industrial Psychiatry
  of India

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WORLD FEDDERATION ON MENTAL HEALTHWHO

• GLOBAL MENTAL HEALTH DAY,
• 10TH OCT. 2007

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SOCIAL STIGMA

• Stigma can be reduced by openly talking about
  mental disorder in the Community like we do mere
  today. But we also need to constantly
  misconceptions surrounding mental disorder.
  N.G.O. Forces to Government to review their laws
  to ensure that legislation to reduce
  discrimination in the work place and access to
  Health and Social Community series in put in
  place.

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HEALTH

• Health is not mere absence of the disease but it
  is defined as Physical mental, social and moral
  wellbeing

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MENTAL HEALTH

• Mental Health is not mere absence of mental
  illness, Good Mental Health is the ability to
  respond to the many varied experiences of life
  with flexibility and a sense of purpose.

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WORLD FEDDERATION ON MENTAL HEALTHWHO

• GLOBAL MENTAL HEALTH DAY,
• 10TH OCT. 2004
• NO HEALTH WITHOUT MENTAL HEALTH
• (Physical Mental Disorders Co-occurring
  disorders)

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World Federation of Mental Health World
Mental Health Day-2005

• Physical Mental Health During Life Span
• There is no health without Mental Health

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Building awareness Reducing Risk Mental
illness and suicide

• Mental Health week
• 4th to 10th Oct. 2006

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WORLD FEDDERATION ON MENTAL HEALTH

• WFMH Day Theme -
• Mental Health in a Changing World
• The Impact of culture and diversity.

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WHO REPORT

• Information from 181 Countries.
• No Mental Health Policy 78 Countries (43).
• No Legislation on Mental Health 37 Countries
  (23).
• No Community care 69 Countries (38).
• No Treatment Facility in Primary Care System 73
  Countries (41).

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INEQUITIES IN CARE
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GLOBALIZATION

• Positive effects on mental health
• - Increase facilitate to education and training
• Improve working condition
• Negative impacts on mental health
• Greater decentralization
• Outsourcing and flexible work and environment
• Wide variations in the condition of work
• - Exposure to occupational hazards

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URBANIZATION AND MIGRATION

• International Labour Organization Report-
• - 120 million workers living outside their
• country of Origin.
• - Represent 3 Population.

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URBANIZATION AND MIGRATION

• Migration-
• Positive Effect
• Negative Effect

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NEGATIVE EFFECT

• Migration
• Stress
• - Risk of exposure to Poverty and
• Exploitation
• - Difficulties in integrating in new community
• - Less of family and social support network

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Information Technology

• Relationship between workers and work place and
  the work place are effected.
• Advance Information and Communication technology
  workers located geographically distant from the
  traditional workplace

Cotd.
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Contd.

• New Challenges for employees
• Some may be enjoy the Freedom associated with
  working at home
• For others isolation and loss of social support
  and working alone Stress Increases risk
  for mental health problems.

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Information Technology

• Contd.
• Boundaries between home and work place can become
  unclear.

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CAUSES OF MENTALILLNES

• BIOLOGICAL
• Neuroanatomical
• Neurophysiologic
• Neurochemical
• Level of organic development and maturation.
• Prenatal and Parental Factors.
• Endocrine
• Infections
• Toxic
• Metabolic
• Genetic
• Continued

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CAUSES OF MENTALILLNES

• SOCIOCULTURAL
• Socioeconomic Status
• Family Stability
• Child Rearing Patterns
• Housing - Urban Versus Rural
• Minority - Group Problem involving Prejudice
• Inadequate Facility for Health Education
  Welfare
• Racial and Religions Influence and Values.
• Continued

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CAUSES OF MENTALILLNES

• PSYCHOLOGICAL
• Mother Infant Interaction
• Normal basic trust and security versus
  abnormalities based on insufficiency distortion
  and discontinuity (Feeling of mistrust and
  doubt).
• Role of Father, Sibling Rivalry.
• Intelligence.
• Self Concept - Sense of identity verses role of
  diffusion.
• Skills and Creativity.
• Continued

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CAUSES OF MENTALILLNES

• ADOPTIONAL -
• Object Relationship with - Family, Workplace
  Community.
• Object Losses Results in Anxiety, Depression,
  Shame and Guilt.

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WOMEN AND MENTAL HEALTH

• WHO (1993-1995) - When womens health issues have
  been addressed in under served population
  activities have tended to focus on issues
  associated with reproduction - such as family
  planning and child bearing - while womens mental
  health have been relatively neglected.
• Women play multiple role as Daughter, Sister,
  Mother and Wifes and bear the burden of
  responsibility.
• Continued

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MENTAL DISORDER

• Prevalence rates of Depression, Anxiety disorder
  as well as psychological distresses are higher
  for women than for men.

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DATA FROM WORLD BANK

• DEPRESSION
• MEN WOMEN
• 12.61 30 of total
• Neuropsychiatry disorders

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PROMOTING WOMEN MENTAL HEALTH

• First Hand Accounting of Experience of
• Poverty
• Inequality
• Violence
• Sexual Abuse
• Education
• Identification and modification of social
  factors that influence womens mental health
  holds out the possibility of primary prevention
  of certain mental disorder

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W.H.O.

• YEAR 2001 - 2002 MENTAL HEALTH
• Stop Isolation, Dare to Care

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CHILDREN MENTAL HEALTH

• 44 of total Indian Population is Children (Below
  16 Year)
• 74 is Rural Population.
• 1996 - 333 Million Children (Below 16 Years)
• Life expectancy in India 62 years-15 Children
  dies before the aged 14 year.
• 16 of the STD in children below 14 years
  (Majority below 7 years).
• 34.4 Million children are sexually abused before
  the age of 16 year.

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CHILDREN MENTAL HEALTH

• 44 of total Indian Population is Children (Below
  16 Year)
• 74 is Rural Population.
• 1996 - 333 Million Children (Below 16 Years)
• Life expectancy in India 62 years-15 Children
  dies before the aged 14 year.
• 16 of the STD in children below 14 years
  (Majority below 7 years).
• 34.4 Million children are sexually abused before
  the age of 16 year.

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ENVIOURMENTAL FACTOR EFFECT CHILDERN MENTAL HEALTH

• Malnutrition
• Education
• Sexual Abuse
• Physical Abuse
• Broken Homes
• Child Labour

• Unemployment
• Industrialization
• Migration from Rural to Urban
• Rural Urban
• 1981 160 Million (23)
• 1991 230 Million (40)

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CHILDREN ON SALE How may 192 rescued in Andhra
Pradesh alone (April 2001) For sale at
Adoptions centers at Rangareddy, Mehboobnagar,
Medak and Nalgoda districts Category Lambda
tribes How much they are sold for Between Rs.
1,000 and Rs. 2,000 How much they are bought for
Up to Rs. 25,000 by Indians, up to Rs. 50,000
by foreigners What the law says The Hindu
Adoption and Maintenance Act, 1956, stipulates
that accepting or giving a child for adoption has
to be done with the courts permissions and such
adopted children are eligible for all rights of
natural(biological) child. Christians and Parsis
are governed by the Guardians and Ward Act, 1890,
under which those who adopt remain just
guardians of the child. Both Acts ban
selling/relinquishing children, and make them
non-billable offences.
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ENVIRMENTAL FACTOR EFFECT CHILDERN MENTAL HEALTH

• Malnutrition
• Education
• Sexual Abuse
• Physical Abuse
• Broken Homes
• Child Labour

• Unemployment
• Industrialization
• Migration from Rural to Urban
• Rural Urban
• 1981 160 Million (23)
• 1991 230 Million (40)

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ROLE OF ROTARY CLUBS

• FOR CHILDREN
• Education Projects.
• Vocational Training for Mentally Retarded
  Children.
• Identification and Treatment of ADH and School
  Phobia.
• Projects for Victims of Sexual Physical Abuse.
• Projects for Child Labour.
• Continued

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MENTALLY DISABLE How many 7 million with
severe psychiatric disability, 25 million need
psychiatric care No. of mental health centers 36
government run, a handful private ones Mental
Health Professionals Available 3,500 Mental
Health Professionals Needed 400,000 What the Law
says The mental Health Act, 1987, stipulates
that the government will care for the mentally
ill, lays down procedures for care by mental
institutions, forbids chaining
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ROLE OF ROTARY CLUBS

• FOR CHILDREN
• Education Projects.
• Vocational Training for Mentally Retarded
  Children.
• Identification and Treatment of ADHD and School
  Phobia.
• Projects for Victims of Sexual Physical Abuse.
• Projects for Child Labour.
• Continued

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CHILD GUIDANCE CLINICS

• CARRIER GUIDANCE
• FACILITY FOR APPTITUDE TEST
• COUNSELING FOR
• DRUG ABUSE
• SEXUAL PROBLEMS

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SUBSTANCE ABUSE

• PRIMARY PREVENTION
• FIND OUT THE MEGNITUDE OF PROBLEM
• PUBLIC EDUCATION
• ENFORCEMENT OF LAW
• FINANCIAL ASSISTANCE

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SECONDARY PREVENTIONS

• TREATMENT
• DETOXIFICATION CAMPS
• DEADICATION CENTERS

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TERTIARY PREVENTION

• REHABLITATION
• MENTAL
• VOCATIONAL
• SOCIAL

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CRISIS INTERVENTION CENTER FOR THE PREVENTION OF
SUCIDE

• COUNSELING CENTRE

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ROLE OF ROTARY CLUBS

• FOR OLD AGE (SENIOR CITIZEN)
• Old Age Homes
• Day Care Centers
• Continued

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THE OLD
How many of them 77 million, projected at 140
million by 2025 No. of NGOs working for the old
547 How many institutions for the old 495 What
the law says Article 41 says the state should
provide for the elderly without ways and means of
sustaining themselves, there are also provisions
for the same under the Directive Principles of
State Policy and also under the Hindu Adoption
and Maintenance Act, 1956. The states of Himachal
Pradesh and Maharashtra have enacted legislation
to ensure the elderly are taken care of by their
children. The National Policy for Aged persons,
2000, stipulates that the State should encourage
the building of Day Care Centers, formation of a
second career, and improve pension and health
Care facilities for the aged.
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ROLE OF ROTARY CLUBS

• FOR PSYCHIATRY PATIENTS
• Education Program
• Intercities and Interdistrict Meets
• Camps
• Permanent Treatment Center
• Deaddiction Camps Permanent Centers

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HIV-AIDS PATIENTS How many 3.7 million, Women
(15-49 yrs.)1.3 million, children(0-15 yrs)
1,60,000 General hospital bed availability 0.08
per 1,000 population. According to an expert
view, at the current rate of progression, India
would need six times the number of hospital beds
it has today to accommodate just cases of
AIDS. What the law says Bombay High Court ruling
in 1997, MX vs ZY case says people with HIV/AIDS
cannot be refused a job unless they pose a
significant risk. A Supreme Court ruling in
1998 in the Mr X vs Hospital Z case, while
dealing with the issue of doctor-patient breach
of confidentiality, said that an HIV positive
person does not have the right to marry till
she/he is cured. It was deemed that under section
269 and 279 of the IPC, the marriage of a HIV
person amount to negligently of malignantly
transmitting a contagious disease. This is being
re-examined by the apex court.
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• RESOURCES
• 3 H GRANTS
• MATCHING GRANTS
• REGISTER IN WCS
• SEARCH FOR INTERNATIONAL PARTNER
• SOCIAL WELFARE DEPARTMENT
• STATE GOVERNMENT
• CENTER GOVERNMENT
• MAHILA BALVIKAS DEPARTMENT
• JAN KALYAN SHIKSHN SANSHTHAN

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/kUokn ---
Thanks ...