PRESENTATION BY

CMHP TEAM

DAVANAGERE

CMHP progress overview

Before APD mental health situation at Davanagere District

There was no PWMI master list at concern department.

There was no psychiatric services at taluk and PHCs

hospitals.

Many PWMI did not access psychiatric services.

Many care takers were not involving PWMI in

rehabilitation process and did not have access to any govt

benefits.

Poor mental health awareness in community level.

There was no voluntary organization working at mental

health field.

AIM of the program

Ensure quality psychiatric treatment andpromoting recovery for Persons withMental illness.

Working area

Davanagere District profile SlNo

Taluk Name

Population 2011 census

Villages

wards

PHCs

GPs

Anganawadi

DDWOOffice PWMI list

PWMI List

01 Davanagere 681979 229 41 25 40 339 138 401

02 Harpanahalli

302003 237 27 19 35 376 40 277

03 Harihara 254170 88 34 12 25 244 42 207

04 Honnahalli 233206 185 16 11 47 280 15 05

05 Jagaluru 171822 166 15 12 22 243 35 308

06 Channagiri 302317 196 19 25 61 383 21 09

Total 1945497 1101 152 104 230 1865 291 1207

Year wise target list

Year 2011-12 2012-13 2013-14 2014-15 2015-16 2016-17

Plan Ach Plan Ach Plan Ach Plan Ac

h

Plan Ach Plan

Reach 425 346 300 260 1000 940 800 780 950

Staff 1 1+1 1+1 3+2 3+3 3+3

Budget 1,82,200 103,000 2,10000 13,14,406 15,54,840 11,00,000

Capacity

Building615 300 270 750 1000

Davanagere Psychiatric doctors details.

Sl No Psychiatric doctor Name Hospital name Contact no

01 Dr.Nagaraaju. Chigateri District

hospital

9880710331

02 Dr. Anupama Chigateri District

hospital

03 Dr. Nagaraju Roa. Bapuji hospital

04 Dr. Sudharshan Bapuji hospital 9845571767

05 Dr.Mahesh Babu. Bapuji hospital

06 Dr. Sushil kumar SSIMS hospital 8884976550

07 Dr. Deepthy. SSIMS hospital 9448670982

08. Dr. Rajeev swamy SSIMS hospital 8050824704

Govt benefits access

Vocational training/Previous

job/Self employment/ Job

placement

Psycho social education

Follow treatment

Referring treatment

Community mental health

program

CMHP Service process chart

Mental health awareness

Treatment stated details

Sl No Hospital names 2013-2014 2014-2015 2015-2016 Doctors name Came date

01 Davanagere District

Hospital

Yes Yes Yes Dr.Nagaraju.

Chigateri hospital

Every day

02 Channagiri Taluk

Hospital

No 2014

(September)

Yes Dr.Nagaraju.

Chigateri hospital

1st Tuesday

03 Jagaluru Taluk

hospital

No 2015 (May) Yes Dr.Nagaraju. &

Dr.Sivakumar team

Chigateri & NIMHANS

hospital

1st,2nd & 3rd

Tuesday

04 Harpanahalli Taluk

Hospital

No 2014 (July) Yes Dr.Sushil kumar

SSIMS hospital

3rd Tuesday

05 Harihara Taluk

hospital

No 2015

(March)

Yes Dr.Rajeev swamy

SSIMS hospital

4th Tuesday

06 Honnahalli Taluk

hospital

No 2014

(September)

Yes Dr.Nagaraju.

Chigateri hospital

4th Tuesday

These Drugs availability at taluk levelSl No Drugs name Jagalur Harihara Harpanahal

li

Channagiri Honnahalli

01 Risperidone Yes Yes Yes Yes Yes

02 Trihexyphenydyl Yes Yes Yes Yes Yes

03 Promethazine Yes Yes Yes No No

04 Haloperidol Yes Yes Yes No No

05 Chlorpromazine Yes Yes Yes Yes Yes

06 Amitryptaline Yes Yes Yes Yes Yes

07 Fluoxetine Yes Yes Yes No No

08 Imipramine Yes Yes Yes No No

09 Carbamazepine Yes Yes Yes No No

10 Sodium Valproate Yes Yes Yes No No

11 Daizepam INj Yes Yes Yes No No

12 Olanzapine No No No No No

13 Lithium No No No No No

14 Fluphenazine INj No No No No No

15 Clonazepam No No No No No

16 Sertraline No No No No No

Before APD 2014-15 APD Intervention 2015-16

Phenobarbitone.

Phenytoin .

Risperidone 2mg.

THP 2mg.

Risperidone 2mg.

Haloperidol 5mg.

Chlorpromazine 100mg.

Amitriptyline 25mg.

Imipramine 25mg.

Fluoxetine 20mg.

Diazepam Inj 5mg.

THP 2mg.

Sodium Valproate 500mg.

Carbamazepine 300mg.

Promethazine Inj.

Mental health drugs stock at Taluk hospital

Major achievements

3 taluk level treatment established.

Psychiatric service availability at PHCs hospital.

104 PHCs mental health wall writing displayed.

104 PWMI accessed social security schemes.

34 PWMI attended dairy forming training.

23 PWMI applied to swavalambana schemes.

3 taluk level parents meeting running successfully.

PWMI animal husbandary trainikng & ID card list

(Autosaved).xls

Successful case study

Name :- Shiva sharanayya.

Age-41.

Education :- B,com.

Duration of illness:- 10 years.

Diagnosis :- Schizophrenia.

Village:- Kalledevarapura.He was brought to the camp by the villagers and relatives. He was wearing shabby andtorn cloths, unkempt and had not taken bath for many months. While interacting withthe relatives and villagers it was found that he used to roam around the villages talking tohimself, writing something in the walls and used to sleep in the temple despite having ahome to go to. While interacting with the patient it was found that he had done hisgraduation and has been roaming around like this for many years, he had agreed to takeinjections once in two weeks and family members were asked to encourage him to takecare of his personal hygiene. During the next visit it was hard to recognize the patient ashe had a haircut, shave and wore clean clothes. However some of his symptoms stillpersist but he has started taking care of his personal hygiene, has food on time and staysat home.

Changes seen

Reduction in financial burden as drugs are providedfree of cost at the nearest possible place.

PWMI resuming their roles and responsibilities(work/parenting)

Taking part in community activities

Empowering persons with mental disability to getmaintainers pension/ livelihood training etc.

Challenging Case study

Name :- Sharadamma.

Age-29

Education :- uneducated

Duration of illness:- 8 years

Diagnosis :- Schizophrenia

Reference: survey .

Village:- Kechenahalli.

A single female haling from poor socio economic status was found to be housebound for the past few years. On further enquiry it was found that she has beenfighting with neighbors and doesn’t let any new persons enter the house.Family members had taken her to religious places for few months but never feltthe need for any medical help.

She had refused to interact with any staff and refused the need for anytreatment. Family members were not ready for hospitalizing her or providinginjectable medication but had agreed to give her medicine without herknowledge.

Enabling the System

PWMI treatment camp at 3 taluk level.

Mental health training for stakeholders.

MH awareness wall writing written at taluk andPHCs hospitals.

Ensuring availability of mental health drugs.

Ensuring Disability ID card for PWMI.

Getting media support.

Harpanahalli Taluk Camp order letter

Wall writing order copy and Drugs request letter

CMHP program photos

Mental Health awareness wall writing at 104 PHCs

Jagalur project inaugurated by MLA & CRC Dr. CRC interaction with Anganawadi teachers

Harihara taluk Anganawadi teachers training Harpanahalli taluk Anganawadi teachers training

PHCs doctors workshop

VRWs & ANMs doctors workshop

CMHP program camp photos

PHCs doctors workshop paper cutting Harihara treatment camp paper cutting

Challenges

Requirement of continuous long term medication.

Co-operation of different stakeholders(family/community workers/ government/patients)

Involving some PWMI for any livelihood activity isdifficult.

Travel difficulties due to lack of connectivity in ruralareas

Scope of the program

According to WHO 2001 report 3 to 5 members severPWMI and 10 to 15 members are suffering for commonPWMI.

According to this estimate many persons have not acquiredany mental health treatment in our cover area so far. Thisincreases the treatment gap which in turn increases thechance of a person being disabled.

Continuous availability of all mental health drugs athospital level.

Earlier Identifying PWMI will lead to early treatment whichin turn will lead to decreasing disability.

Scope of the program

Community based rehabilitation instead ofhospital/ institution based rehabilitation whichcan be a replicable model anywhere else in thecountry

Empowering PWMI and family members to getservices that they should be provided like any otherdisability.