Post on 19-Jul-2015
transcript
Course: RGA 6280
Instuctors : Bruce Grothan
Stacy Ann Christan
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Mental Health in India and South Africa
Epidemiology
Barriers
Resources
Developments
Conclusion
India Africa ConclusionOverview2
A state of complete physical, mental and
social well-being, and not merely the
absence of disease.
India Africa ConclusionOverview3
India Africa ConclusionOverview4
Population
Treatments and Preventions
Resources
Barriers
Socioeconomic
India Africa ConclusionOverview5
Africa ConclusionIndiaOverview6
Population and Epidemiology Facts
History of Mental Health
Treatments and Preventions
Resources, Barriers and Socioeconomic
Future Initiatives
Africa ConclusionIndiaOverview7
Psychiatric Beds per 10,000
population
world India
Total psychiatric beds 1.69 0.25
Psychiatric beds in mental
hospitals
1.16 0.2
Psychiatric beds in general
hospitals
0.33 0.03
Psychiatric beds in other
settings
0.20 0.01
Africa ConclusionIndiaOverview8
Africa ConclusionIndiaOverview
Professionals per 100,000
population
world India
Number of psychiatrists 1.20 0.08
Number of neurosurgeons 0.20 0.06
Number of psychiatric
nurses
2.0 0.05
Number of psychologists 0.60 0.03
Number of social workers 0.40 0.03
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First Mental Hospital,15 beds– Chola Period
Mandu Hospital- 14th Century First Mental
Asylum, Mahmood Khilji.
Indian Lunacy Act, Act 4 of 1912 modified
from Lunatic Asylum act, Act 36 of 1856.
17th Century- Devils/witches
Modern Era- Mad and insane
Africa ConclusionIndiaOverview10
Africa ConclusionIndiaOverview
Medicines
Brain Stimulation Therapies
Psychotherapy
Patient Counseling
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World Health Organization.
World federal of Mental Health
National Alliance on Mental Illness (NAMI)
NIMHANS
Action for Mental Illness (ACMI)
(Cont.)
Africa ConclusionIndiaOverview12
Snehi
Antara
Institute for Psychological Health
Schizophrenia Research Foundation(SCARF)
Centre for Advocacy in Mental Health
Africa ConclusionIndiaOverview13
Patient-Related Factors
Pharmacist-Related Factor
Health-System Related Factor
Social or Cultural Related Factor
Other Factors
Africa ConclusionIndiaOverview14
Africa ConclusionIndiaOverview
Social/Cultural related Factor- Stigma
Financial Factor
Poor Maternal Mental Health
Other Factors – HIV
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Africa ConclusionIndiaOverview
Ameliorate:
• Resources
• Treatment Utilization
• Hospital Staff and
Facilities
Truncate:
• Barriers
• Socioeconomic
• Social Myths
and Culture.
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Africa ConclusionIndiaOverview17
Population and Epidemiology Influencing
Facts
History of Mental Mealth
Treatments and Preventions
Resources, Barriers and Socioeconomic
Future Initiatives
Africa ConclusionIndiaOverview18
Africa ConclusionIndiaOverview
Stigma
Risk Behavior
HIV/AIDS
Alcohol Abuse
Resettlements Camps
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Africa ConclusionIndiaOverview
Psychiatric Beds per 10,000 population Africa
Total psychiatric beds 4.5
Psychiatric beds in mental hospitals 4.0
Psychiatric beds in general hospitals 0.38
Psychiatric beds in other settings 0.12
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Africa ConclusionIndiaOverview
Professionals per 100,000 population Africa
Number of psychiatrists 1.2
Number of neurosurgeons 2.3
Number of psychiatric nurses 7.5
Number of psychologists 4.0
Number of social workers 20.0
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Africa ConclusionIndiaOverview
Before 1994 Pre- Apartheid
Post – Apartheid
Primary Health Care (PHC)
Alma Ata Declaration
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Africa ConclusionIndiaOverview
Psychiatry
Faith based healing practices
Alma Ata Declaration Initiatives
Mental Health Recovery and Wellness
Recovery Action Planning (WRAP)
Collaboration WHO/CDC
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Africa ConclusionIndiaOverview
World Health Organization (WHO)
Alma Ata Declaration
African Mental Health Foundation (AMHF)
Kenya Medical Research Foundation
(KEMRI)
Groups of Transcultural Relations (GRT)
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Africa ConclusionIndiaOverview
Stigma
Faith Based Healing and Treatments
Lack of Community Healthcare
Infrastructure
Funding
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Africa ConclusionIndiaOverview
Poverty
Rural Territories
Lack of Employment
Resettlement Camps
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Africa ConclusionIndiaOverview
Alma Ata Foundation
AMHF
PHC System
Biomedical Treatment Model
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Africa ConclusionIndiaOverview28
Your Thoughts
??
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Thank You for Your
Attention
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