OPERATIONAL GUIDELINE 2019-20 NATIONAL MENTAL HEALTH ... · NATIONAL MENTAL HEALTH PROGRAMME (NMHP)...

1

Operational Guideline for the FY 2019-20 of National Mental Health Programme

OPERATIONAL GUIDELINE

2019-20

NATIONAL MENTAL HEALTH PROGRAMME (NMHP)

National Health Mission, Assam

Saikia Commercial Complex, Christian Basti, Guwahati-05

2


INDEX

Sl.

No

.

FMR Code

Activity

RoP

Approval

s, 2019-20

State HQ Allocation Total Allocation

against Districts

Page

No.

Phy.

Target

Fresh

RoP

approv

als (Rs.

In

Lakhs)

Phy.

Target

Fresh

RoP

approvals

(Rs. In

Lakhs)

1 2.3.2.3

DMHP: Targeted

interventions at

community level

Activities &

interventions targeted at

schools, colleges,

workplaces, out of

schools, colleges,

workplaces, out of

school adolescents,

urban slums and suicide

prevention camps and

strengthening of Day

Care Centre

162.000

3 Day

Care

Centre

16.33 27

districts 145.66

5 - 9

5 6.2.16.1 Drugs and Supplies for

NMHP 81.00

27

districts 81.00 - -

10

6 7.7 Ambulatory Services 13.50 27

districts 10.8

27

districts 2.7

11-12

7 9.5.16.1

Training of PHC

Medical Officers,

Nurses, Paramedical

workers & Other Health

Staff working under

NMHP

40.50 - 1.53 27

districts 38.95

13- 15

8 9.5.16.2 Others (Training) 67.50 27

districts 67.50 - -

16

9 11.19.1

Translation of IEC

materials and

distribution

16.20 27

districts 5.40

27

districts 10.80

17- 18

10 11.19.2

Awareness generation activities in the

community, schools,

workplace with

community involvement

40.50 27

districts -

27

districts 40.50

19- 21

3


Sl.

No

.

FMR Code

Activity

RoP

Approval

s, 2019-20

State HQ Allocation Total Allocation

against Districts

Page

No.

Phy.

Target

Fresh

RoP

approv

als (Rs.

In

Lakhs)

Phy.

Target

Fresh

RoP

approvals

(Rs. In

Lakhs)

12 16.1 –

(16.1.4.2.6)

Operational expenses of the district centre:

rent, telephone expenses,

website etc.

2.70 - - 27

districts 2.70

22- 23

13 16.1-

(16.1.3.3.13)

Miscellaneous/Travel/

Contingency under

NMHP

75.60 27

districts 20.25

27

districts 55.35

24- 25a

14 16.3.5 Call Centre

(Capex/Opex) 22.56

27

districts 22.56

25

Total 522.06 225.37 296.69

4


District wise total fund breakup for the FY- 2019-20

Sl.No. District/ State HQ Allocated Fund including all

activity (Rs. In Lakhs)

1 Baksa 10.98

2 Barpeta 10.98

3 Bongaigaon 10.98

4 Cachar 10.98

5 Chirang 10.98

6 Darrang 10.98

7 Dhemaji 10.98

8 Dhubri 10.98

9 Dibrugarh 10.98

10 DimaHasao 10.98

11 Goalpara 10.98

12 Golaghat 10.98

13 Hailakandi 10.98

14 Kamrup (M) 10.98

15 Kamrup (R) 10.98

16 Karimganj 10.98

17 KarbiAnglong 10.98

18 Kokrajhar 10.98

19 Lakhimpur 10.98

20 Majuli (Jorhat) 10.98

21 Morigaon 10.98

22 Nalbari 10.98

23 Nagaon 10.98

24 Sivasagar 10.98

25 Sonitpur 10.98

26 Tinsukia 10.98

27 Udalguri 10.98

Total 296.46

5


Activity No. 1:

FMR Code: 2.3.2.3

FMR Owner & Responsible Person: At State HQ: State Programme Officer, NMHP

At Dist. Level: District Programme Officer

Name of the Activity: DMHP: Targeted interventions at community level Activities & interventions

targeted at schools, colleges, workplaces, out of school adolescents, urban slums and suicide

prevention camps and strengthening of Day Care Centre.

About the activity:

District level screening cum intervention camps in whole community including schools,

colleges, offices, slum areas, out of schools, jails, NGOs by a team of District Program

Officer, Clinical Psychologist, Psychiatric Social Worker, Psychiatric Nurse and Community

Nurse.

Stress management workshops at workplaces.

Camps on suicide prevention in the community/ Depression clinics on fixed days.

Strengthening of Day Care Centre

Aim: To sensitize the whole community by the trained community health workers about mental

health, features of mental disorders, screening of mental health disorders among whole population,

availability of their management in the PHCs/CHCs/District Hospitals and benefits of treatment.

Expenditure can be incurred on the following activity:

1. Targeted interventions about mental health, features of mental disorders, availability of their

management in the community.

2. Targeted intervention about mental health, features of mental disorders, availability of their

management in schools.


management in colleges.


management and stress management at work places.

5. Targeted interventions about Adolescents problems& targeted interventions at urban slums

about mental health, features of mental disorders, availability of their management.


management and stress management in the jail once in a month (about the same time in

every month.)


management and stress management at NGOs (Twice in a month to each NGO).

8. Camps in the community on suicide prevention/depression.

Timeline to complete the activity: This activity needs to be completed by the end of the February,

2020.

*NB: Those districts who do not have NGO for mentally ill/homeless mentally ill/de-

addiction centre/halfway homes will conduct these camps in the community, school &

colleges.

A detailed report shall have to be submitted to the State cell after the completion of the

activities along with the UC and SOE.

A monthly format capturing the number of cases screened and interventions given in each

such camp has to be recorded.

6


During the visit to the NGO, a survey needs to be done as per the Mental Healthcare Act

and Rules and report shall be submitted at the State cell on a monthly basis.

Average number of camps will be 7-9 per month. The clinical Psychologist shall take active

part in camps conducted in schools and colleges and shall visit the schools and colleges as

and when required.

A fixed day depression clinics or outreach sessions can be conducted for the vulnerable

group such as single elderly, widows, orphans etc. A simple questionnaire PHQ9 can be

used for this purpose by the clinical psychologist.

It is necessary to take support of Joint Director of Health ServicesandDC concernedto

organize the targeted intervention cum screening camps at workplaces

Total Budget and Numbers of Camps:

Unit

Cost

Targeted interventions at community Targeted interventions at schools

Rs. 5.52

lakhs/dis

trict

Total camps: 8 Total camps: 9

Budget: Rs.52,000/-

Rs. 6500/camp

Budget: Rs.58,500/-

Rs. 6500/camp

Ma

y

July Aug Se

p

Nov De

c

Jan Feb Ma

y

Jun

e

Jul

y

Au

g

Se

p

O

ct

N

ov

Ja

n

Fe

b

1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

Unit

Cost

Targeted interventions at colleges Stress management at workplaces

Rs. 5.52

lakhs/dis

trict

Total camps: 9 Total camps:8

Budget: Rs.58,500/-

Rs. 6,500/camp

Budget: Rs.52,000/-

Rs. 6,500/camp

Ma

y

Jun

e

Au

g

Se

p

Oct N

ov

De

c

Jan Fe

b

May Jun

e

Jul

y

Aug Sep No

v

Dec Fe

b

1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

7


Unit

Cost

Adolescent problems and targeted

interventions at urban slums

Suicide prevention/Depression campsat different

community

Rs. 5.52

lakhs/dis

trict

Total camps:6 Total camps:7

Budget: Rs.39,000/-

Rs. 6,500/camp

Budget: Rs.45500/-

Rs. 6,500/camp

May July Sep Nov Dec Feb June July Aug Oct Nov Dec Feb

1 1 1 1 1 1 1 1 1 1 1 1 1

Unit Cost Targeted interventions at Jail once in a month (about the same time of every

month)

Rs. 5.52

lakhs/district

Total camps:12

Budget: Rs. 78,000/-

Rs. 6,500/camp

Apr May June July Aug Sep Oct Nov Dec Jan Feb Mar

1 1 1 1 1 1 1 1 1 1 1 1

Unit Cost Targeted interventions at NGOs, Halfway Homes twice in a month (every

2nd

and 4th

Friday)

Rs. 5.52

lakhs/district

Total camps: 24

Budget: Rs. 1,56,000/-

Rs. 6,500/camp

Apr May June July Aug Sep Oct Nov Dec Jan Feb Mar

2 2 2 2 2 2 2 2 2 2 2 2

8


Budget Breakup for targeted intervention cum screening camps:-

FMR

Code

Sl.

No

Particulars Unit Cost Quantity Amount

2.3.2.3 1 IEC materials (Banner,

Poster etc.)

500/- 1 500/-

2 Tea & Refreshment 50/- 10 500/-

3 Lunch 250/- 10 2500/-

4 Vehicle 2000/- 1 2000/-

5 Miscellaneous 1000/- 1 1000/-

Total 6500/-

Note:

Above mentioned budget breakup is applicable for all kind of targeted intervention cum screening

camps under the FMR code:2.3.2.3

9


District wise fund breakup under FMR Code- 2.3.2.3

Sl.No. District/ State HQ Phy. Target Allocated Fund (Rs. In

Lakhs)

1 Baksa 83 camps 5.39

2 Barpeta 83 camps 5.39

3 Bongaigaon 83 camps 5.39

4 Cachar 83 camps 5.39

5 Chirang 83 camps 5.39

6 Darrang 83 camps 5.39

7 Dhemaji 83 camps 5.39

8 Dhubri 83 camps 5.39

9 Dibrugarh 83 camps 5.39

10 DimaHasao 83 camps 5.39

11 Goalpara 83 camps 5.39

12 Golaghat 83 camps 5.39

13 Hailakandi 83 camps 5.39

14 Kamrup (M) 83 camps 5.39

15 Kamrup (R) 83 camps 5.39

16 Karimganj 83 camps 5.39

17 KarbiAnglong 83 camps 5.39

18 Kokrajhar 83 camps 5.39

19 Lakhimpur 83 camps 5.39

20 Majuli (Jorhat) 83 camps 5.39

21 Morigaon 83 camps 5.39

22 Nalbari 83 camps 5.39

23 Nagaon 83 camps 5.39

24 Sivasagar 83 camps 5.39

25 Sonitpur 83 camps 5.39

26 Tinsukia 83 camps 5.39

27 Udalguri 83 camps 5.39

Total for 27 district 145.66

28 State HQ (For strengthening of

day care centre)

- 16.33

Total 162.00

10


Activity No. 2:

FMR Code: 6.2.16.1

At State HQ:

FMR Owner & Responsible Person: At State HQ: DSM (HQ)/State Programme Officer (NMHP)

Name of the Activity: Drugs and supplies under NMHP

Aim: For providing all needed psychotic drugs to the District Hospitals

Guideline: This activity will be started under the supervision of DSM (HQ)/State Programme Officer

for providing all needed psychotic drugs and consumables to the District and the procurement process

will be done at the State level.

Timeline to complete the activity: This activity needs to be completed at the earliest.

The activity will be implemented at State HQ, so there is no budget provision for

districts.

Fund breakup

FMR Code- 6.2.16.1

Sl.No. District/ State HQ Phy. Target Allocated Fund

(Rs. In Lakhs)

1 State HQ 1 81.00

Total 81.00

11


Activity No. 3:

FMR Code: 7.7


At Dist. Level: District Programme Officer, NMHP

Name of the Activity: Ambulatory Services

About the activity: Ambulatory services for the mobility of the patients

Aim: For providing mobility services for the mentally ill patients within the district and out of the

district also.

Free 102/108 Referral Transport Service will be utilized for referral of patients to the higher

facility.

Local transport facility will be utilized on hired basis as per norms, if 102/108 Referral

Transport Service is not available.

1. For mobility of the patients

Budget:

FMR

Code

Activity Sanctioned

Amount

Unit Cost Quantity Amount

7.7 Ambulatory

Services

Rs. 13.50

Lakh/District

Rs. 0.10 lakh 27 Rs. 2.70 Lakhs for all

27 districts

12


District wise fund breakup under FMR Code- 7.7

Sl.No. District/ State HQ Allocated Fund (Rs. In

Lakhs)

1 Baksa 0.10

2 Barpeta 0.10

3 Bongaigaon 0.10

4 Cachar 0.10

5 Chirang 0.10

6 Darrang 0.10

7 Dhemaji 0.10

8 Dhubri 0.10

9 Dibrugarh 0.10

10 DimaHasao 0.10

11 Goalpara 0.10

12 Golaghat 0.10

13 Hailakandi 0.10

14 Kamrup (M) 0.10

15 Kamrup (R) 0.10

16 Karimganj 0.10

17 KarbiAnglong 0.10

18 Kokrajhar 0.10

19 Lakhimpur 0.10

20 Majuli (Jorhat) 0.10

21 Morigaon 0.10

22 Nalbari 0.10

23 Nagaon 0.10

24 Sivasagar 0.10

25 Sonitpur 0.10

26 Tinsukia 0.10

27 Udalguri 0.10

Total 2.70

28 State HQ 10.80

Total 13.50

13


Activity No. 4:

FMR Code: 9.5.16.1



Name of the Activity: Training of PHC Medical Officers, Nurses, Paramedical Workers & Other

Health Staff working under NMHP

About the activity: Training of MOs, Staff Nurses, Paramedical workers, 108 & 102 drivers, police

personnels, Jail Doctor, Personal from Social Welfare Deptt., Govt. officials, Magistrates and NGO

workers for mentally ill patient.

Aim:1. For providing knowledge, basic information about the mental illnesses and their treatment to

the Medical Officers of BPHCs/PHCs/MMU/Tea Garden/Jail Doctors, so that later they can at

least provide mental health OPD services in PHC/CHC level and can identify the mentally ill patient

and refer to the District Hospitals.

2. For providing knowledge to the Staff Nurses on mental illnesses and their basic treatment at

PHC/CHC level, so that later they can help the MOs to treat the mentally ill patient and refer

to the District Hospital.

3. For providing the knowledge to the paramedical staff and other staff about the mentally ill

patient and the basic things for their treatment at PHC/CHC level.

4. For providing training to the 108 & 102 ambulance drivers and technicians, so that they

may help in the mobility of the patient from the respective places.

5. For providing training to the Police personnels, Magistrates,Govt. Officials and Personals

from Deptt. of Social Welfare, NGO workerswho are working for homeless mentally ill

patients /De- addiction Centers so that they can get the knowledge about their duty in terms

of homeless mentally ill patients, their rescue, their treatment etc.

6. For providing training to the Panchayat leaders, Community leaders and others in each

district.


1. Training of the Medical Officers of BPHCs/PHCs/MMU/Tea Garden/Jail Doctors (Batch

size- 30) (Total- 1 batch)

2. Training of the Staff Nurses (Batch size- 30) (Total- 1 batch)

3. Training of the paramedical staffs, 108 & 102 ambulance drivers and technicians and

other staffs (Batch size- 30) (Total- 1 batch)

4. Training of the Police personnels, Magistrates, Govt. Officials and Personals from Deptt.

of Social Welfare, NGO workers who are working for homeless mentally ill patients /De-

addiction Centres(Batch size- 30) (Total- 1 batch)

5. Training of the Panchayat leaders, Community leaders and others (Batch size- 30)

(Total- 1 batch)

Timeline to complete the activity: This activity needs to be completed by the end of the January,

2020.

14


District wise budget breakup:

Note:

Above mentioned budget breakup is applicable for all kind of training pro grammes under the FMR

code: 9.5.16.1

FMR

Code

Sl.

No

Particulars Unit Cost

(In Rs.)

Quantit

y

Amount (In

Rs.)

9.5.16.1 1 TA for the participants (on

actual)

200.00 30 6000.00

2 Breakfast, Lunch & Tea

for the trainees

350.00 40 14000.00

3 Honorarium for Resource

Person

1000.00 2 2000.00

4 Banner 350.00 1 350.00

5 Venue Hiring 3000.00 1 3000.00

6 Contingency (Teaching

materials, folder, pen etc.)

100.00 35 3500.00

Total 28850.00

15


District wise fund breakup under FMR Code- 9.5.16.1

Sl.No. District/ State HQ Phy. Target Allocated Fund (Rs. In

Lakhs)

1 Baksa Training (total 5 batches) 1.44

2 Barpeta Training (total 5 batches) 1.44

3 Bongaigaon Training (total 5 batches) 1.44

4 Cachar Training (total 5 batches) 1.44

5 Chirang Training (total 5 batches) 1.44

6 Darrang Training (total 5 batches) 1.44

7 Dhemaji Training (total 5 batches) 1.44

8 Dhubri Training (total 5 batches) 1.44

9 Dibrugarh Training (total 5 batches) 1.44

10 DimaHasao Training (total 5 batches) 1.44

11 Goalpara Training (total 5 batches) 1.44

12 Golaghat Training (total 5 batches) 1.44

13 Hailakandi Training (total 5 batches) 1.44

14 Kamrup (M) Training (total 5 batches) 1.44

15 Kamrup (R) Training (total 5 batches) 1.44

16 Karimganj Training (total 5 batches) 1.44

17 KarbiAnglong Training (total 5 batches) 1.44

18 Kokrajhar Training (total 5 batches) 1.44

19 Lakhimpur Training (total 5 batches) 1.44

20 Majuli (Jorhat) Training (total 5 batches) 1.44

21 Morigaon Training (total 5 batches) 1.44

22 Nalbari Training (total 5 batches) 1.44

23 Nagaon Training (total 5 batches) 1.44

24 Sivasagar Training (total 5 batches) 1.44

25 Sonitpur Training (total 5 batches) 1.44

26 Tinsukia Training (total 5 batches) 1.44

27 Udalguri Training (total 5 batches) 1.44


16


28 State HQ Training cum review meeting(one) 1.55

Total 40.50

Activity No. 5:

FMR Code: 9,5.16.2


Name of the Activity: Training under NMHP

Aim: For providing training to the

1. Non- Psychiatric Medical Officers

2. Clinical Psychologist and

3. Psychiatric Social Worker at Lokpriya Gopinath Bordoloi Regional Institute of Mental Health

(LGBRIMH), Tezpur under National Mental Health Programme (NMHP).

Guideline: For the training of Non- Psychiatric Medical Officers along with Clinical Psychologist

and Psychiatric Social Worker at Lokpriya Gopinath Bordoloi Regional Institute of Mental Health

(LGBRIMH), Tezpur under National Mental Health Programme (NMHP),the communication with

LGBRIMH, Tezpur and the whole training process will be done from the state level.

Timeline to complete the activity: This activity needs to be completed by the end of the March,

2020.


districts.

Fund breakup

FMR Code- 9,5.16.2


(Rs. In Lakhs)

1 State HQ Total 14 batches 67.50

Total 67.50

17


Activity No. 6:

FMR Code: 11.19.1



Name of the Activity: Translation of IEC materials and distribution

Aim: For providing the IEC materials and training modules to the districts

Guideline: Developing IEC materials and printing of hoarding at district level and printing and

distribution of the training modules at state level under NMHP

Timeline to complete the activity: This activity needs to be completed by the end of the January,

2020.


FMR

Code


(In Rs.)

Quantity Amount (In

Rs.)

11.19.1 Hoarding under NMHP 10000.00 4 40000.00

18


District wise fund breakup under FMR Code- 11.19.1


(Rs. In Lakhs)

1 Baksa 4 hoardings 0.40

2 Barpeta 4 hoardings 0.40

3 Bongaigaon 4 hoardings 0.40

4 Cachar 4 hoardings 0.40

5 Chirang 4 hoardings 0.40

6 Darrang 4 hoardings 0.40

7 Dhemaji 4 hoardings 0.40

8 Dhubri 4 hoardings 0.40

9 Dibrugarh 4 hoardings 0.40

10 DimaHasao 4 hoardings 0.40

11 Goalpara 4 hoardings 0.40

12 Golaghat 4 hoardings 0.40

13 Hailakandi 4 hoardings 0.40

14 Kamrup (M) 4 hoardings 0.40

15 Kamrup (R) 4 hoardings 0.40

16 Karimganj 4 hoardings 0.40

17 KarbiAnglong 4 hoardings 0.40

18 Kokrajhar 4 hoardings 0.40

19 Lakhimpur 4 hoardings 0.40

20 Majuli (Jorhat) 4 hoardings 0.40

21 Morigaon 4 hoardings 0.40

22 Nalbari 4 hoardings 0.40

23 Nagaon 4 hoardings 0.40

24 Sivasagar 4 hoardings 0.40

25 Sonitpur 4 hoardings 0.40

26 Tinsukia 4 hoardings 0.40

27 Udalguri 4 hoardings 0.40

19



28 State HQ - 5.40

Total 16.20

Activity No. 7:

FMR Code:11.19.2



Name of the Activity: Awareness generation activities in the community, schools, workplaces with

community involvement

About the activity: Activities like advertisement on mental health in local newspapers, magazines,

news channels etc., leaflets, charts, bus panels, exhibitions, wall painting, street plays, puppets’

shows, dance & song shows, community meeting with general people, meetings with the family

members of the patients, interactive sessions on mental health in Haats, other specific activities etc. in

different community, schools, colleges, workplaces for awareness generation on mental illness, their

treatment along with the training of school teachers for early detection of children with mental illness

and training of college teachers for helping the college students to be cured from depression, anxiety,

somatoform disorder, adjustment disorder, personality disorder, stress problem, alcohol and drug

abuse problem and sensitization of ASHA workers at district level etc.

Aim: For creating awareness generation amongst the people on mental health stigma, features of

mental disorder, treatment availability and their management in the PHCs/ CHCs/District hospitals,

benefits of treatment to the ill persons and the family and training of school and college teachers on

mental health.


1. Sensitization/Training of College teachers (1 batch)

2. Sensitization/Training of School teachers(1 batch)

3. Sensitization of ASHA workers (2 batches)

4. Outdoor Media

5. Folk Media

6. Interpersonal Communication (IPC)


2020.

20


District wise budget breakup for Sensitization/Training:

Note:

Above mentioned budget breakup is applicable for all kind of training programmes under the FMR

code: 11.19.2

Budget:

Unit cost Awareness generation

through outdoor media

Awareness generation

through folk media

Awareness generation

through interpersonal

communication (IPC)

Street plays Community meetings with

general people

Meetings with family

members of the patients

(Home Visit)&Interactive

sessions on mental health in

Markets, Haats etc.

Total:3 Total: 6 Total: As much can

FMR

Code

Sl.

No


(In Rs.)

Quantit

y

Amount (In

Rs.)

9.5.16.1 1 TA for the participants (on

actual)

200.00 30 6000.00

2 Breakfast, Lunch & Tea

for the trainees

300.00 35 10500.00

3 Honorarium for Resource

Person

1000.00 2 2000.00

4 Banner 300.00 1 300.00

5 Venue Hiring 2000.00 1 2000.00

6 Contingency (Teaching

materials, folder, pen,

certificates for the

participants and others)

100.00 35 3500.00

Total 24300.00

21


conduct

Rs. 0.52

lakh/

district

Budget: Rs. 5000/ play

Total: Rs. 5000/- x 3=

15000/-

Budget: Rs. 4000/meeting

Total: Rs. 4000/- x 6=

24000/-

Total Budget: 13800/-

District wise fund breakup under FMR Code- 11.19.2

Sl.No. District/ State

HQ

Phy. Target Allocated

Fund (Rs.

In Lakhs)

1 Baksa Sensitization/ training and awareness generation activities 1.50

2 Barpeta Sensitization/ training and awareness generation activities 1.50

3 Bongaigaon Sensitization/ training and awareness generation activities 1.50

4 Cachar Sensitization/ training and awareness generation activities 1.50

5 Chirang Sensitization/ training and awareness generation activities 1.50

6 Darrang Sensitization/ training and awareness generation activities 1.50

7 Dhemaji Sensitization/ training and awareness generation activities 1.50

8 Dhubri Sensitization/ training and awareness generation activities 1.50

9 Dibrugarh Sensitization/ training and awareness generation activities 1.50

10 DimaHasao Sensitization/ training and awareness generation activities 1.50

11 Goalpara Sensitization/ training and awareness generation activities 1.50

12 Golaghat Sensitization/ training and awareness generation activities 1.50

13 Hailakandi Sensitization/ training and awareness generation activities 1.50

14 Kamrup (M) Sensitization/ training and awareness generation activities 1.50

15 Kamrup (R) Sensitization/ training and awareness generation activities 1.50

16 Karimganj Sensitization/ training and awareness generation activities 1.50

17 KarbiAnglong Sensitization/ training and awareness generation activities 1.50

18 Kokrajhar Sensitization/ training and awareness generation activities 1.50

19 Lakhimpur Sensitization/ training and awareness generation activities 1.50

20 Majuli (Jorhat) Sensitization/ training and awareness generation activities 1.50

21 Morigaon Sensitization/ training and awareness generation activities 1.50

22 Nalbari Sensitization/ training and awareness generation activities 1.50

23 Nagaon Sensitization/ training and awareness generation activities 1.50

24 Sivasagar Sensitization/ training and awareness generation activities 1.50

22


25 Sonitpur Sensitization/ training and awareness generation activities 1.50

26 Tinsukia Sensitization/ training and awareness generation activities 1.50

27 Udalguri Sensitization/ training and awareness generation activities 1.50


Activity No. 8:

FMR Code:16.1.4.2.6



Name of the Activity: Operational expenses of the district centre: rent, telephone expenses, website

etc.

About the activity: Operational expenses of the district centre: rent, telephone expenses, website etc.


1. Rent

2. Telephone bill

3. Internet bill

Total Budget:

Activity Unit cost Quantity Total

Operational expenses of the district

centre: rent, telephone expenses,

website etc.

Rs. 0.10 lakh/ district 27 Rs. 2.70 lakhs

23


District wise fund breakup under FMR Code- 16.1.4.2.6


(Rs. In Lakhs)

1 Baksa Rent/Telephone bill/website 0.10

2 Barpeta Rent/Telephone bill/website 0.10

3 Bongaigaon Rent/Telephone bill/website 0.10

4 Cachar Rent/Telephone bill/website 0.10

5 Chirang Rent/Telephone bill/website 0.10

6 Darrang Rent/Telephone bill/website 0.10

7 Dhemaji Rent/Telephone bill/website 0.10

8 Dhubri Rent/Telephone bill/website 0.10

9 Dibrugarh Rent/Telephone bill/website 0.10

10 DimaHasao Rent/Telephone bill/website 0.10

11 Goalpara Rent/Telephone bill/website 0.10

12 Golaghat Rent/Telephone bill/website 0.10

13 Hailakandi Rent/Telephone bill/website 0.10

14 Kamrup (M) Rent/Telephone bill/website 0.10

15 Kamrup (R) Rent/Telephone bill/website 0.10

16 Karimganj Rent/Telephone bill/website 0.10

17 KarbiAnglong Rent/Telephone bill/website 0.10

18 Kokrajhar Rent/Telephone bill/website 0.10

19 Lakhimpur Rent/Telephone bill/website 0.10

20 Majuli (Jorhat) Rent/Telephone bill/website 0.10

21 Morigaon Rent/Telephone bill/website 0.10

22 Nalbari Rent/Telephone bill/website 0.10

23 Nagaon Rent/Telephone bill/website 0.10

24 Sivasagar Rent/Telephone bill/website 0.10

25 Sonitpur Rent/Telephone bill/website 0.10

24


26 Tinsukia Rent/Telephone bill/website 0.10

27 Udalguri Rent/Telephone bill/website 0.10


Activity No. 9:

FMR Code: 16.1.3.3.13



Name of the Activity: Miscellaneous/Travel

About the activity: Miscellaneous/Travel/Contingency costs under NMHP


1. Miscellaneous costs can include overhead expenditures.

2. Travel costs will include the mobility costs as per NHM norms for monitoring and

supervision purposes and for camps if required.

3. Contingency costs will include expenditure for office contingency like maintenance of the

office, internet data card, Office furniture (if not purchase earlier and after proper approval of

Jt. DHS), small handy camera (6000- 7000/-) etc., and review meeting at district level.


2020.


Unit

Cost

Office

Continge

ncy/statio

nary/othe

rs

Monitori

ng/super

vision/Tr

avelling

Review

meeting

at

district

level

Small

handy

Camera

for

report

writing

Office

furniture

(If not

purchased

earlier and

after

approval

from Jt.

DHS)

Observati

on of

special

days

(World

Mental

Health

Day &

World

Schizophr

enia Day

etc.)

Cultural

Rally at

district

level

overhea

d

expenses

Rs.2

0.05/

Distri

ct

30000 50000 4000 10000 50000 30000 10000 20000

25


District wise fund breakup under FMR Code- 16.1.3.3.13

Sl.No. District/ State

HQ

Phy. Target Allocated Fund (Rs.

In Lakhs)

1 Baksa Miscellaneous/Travel/Contingency 2.05

2 Barpeta Miscellaneous/Travel/Contingency 2.05

3 Bongaigaon Miscellaneous/Travel/Contingency 2.05

4 Cachar Miscellaneous/Travel/Contingency 2.05

5 Chirang Miscellaneous/Travel/Contingency 2.05

6 Darrang Miscellaneous/Travel/Contingency 2.05

7 Dhemaji Miscellaneous/Travel/Contingency 2.05

8 Dhubri Miscellaneous/Travel/Contingency 2.05

9 Dibrugarh Miscellaneous/Travel/Contingency 2.05

10 DimaHasao Miscellaneous/Travel/Contingency 2.05

11 Goalpara Miscellaneous/Travel/Contingency 2.05

12 Golaghat Miscellaneous/Travel/Contingency 2.05

13 Hailakandi Miscellaneous/Travel/Contingency 2.05

14 Kamrup (M) Miscellaneous/Travel/Contingency 2.05

15 Kamrup (R) Miscellaneous/Travel/Contingency 2.05

16 Karimganj Miscellaneous/Travel/Contingency 2.05

17 KarbiAnglong Miscellaneous/Travel/Contingency 2.05

18 Kokrajhar Miscellaneous/Travel/Contingency 2.05

19 Lakhimpur Miscellaneous/Travel/Contingency 2.05

20 Majuli (Jorhat) Miscellaneous/Travel/Contingency 2.05

21 Morigaon Miscellaneous/Travel/Contingency 2.05

22 Nalbari Miscellaneous/Travel/Contingency 2.05

23 Nagaon Miscellaneous/Travel/Contingency 2.05

24 Sivasagar Miscellaneous/Travel/Contingency 2.05

26


25 Sonitpur Miscellaneous/Travel/Contingency 2.05

26 Tinsukia Miscellaneous/Travel/Contingency 2.05

27 Udalguri Miscellaneous/Travel/Contingency 2.05


28 State HQ Miscellaneous/Travel/Contingency 20.25

Total 75.60

Activity No. 10:

FMR Code: 16.3.5

FMR Owner & Responsible Person: At State HQ: State Programme Officer, NMHP/ State

Programme Manager 2, NHM/ MIS Manager, NHM

Name of the Activity: Call Centre, NMHP

Aim: To provide the “Toll-Free Mental Health Helpline” to avail the medical services regarding the

mental health through telephone from any corner of the state, obviating the need to travel. This

helpline is able to reach anyone in the state who has access to a telephone.

Service Delivered:

1. Information on mental health facilities/ de-addiction centres/District Hospitals/Supporting

schemes and programmes etc.

2. Advice for mental disorders

3. General Counseling on Schizophrenia

4. Psychotic Episodes

5. Bipolar Disorders

6. Suicidal/Homicidal thoughts and tendencies

7. Anxiety and other Psychological Issues

8. Advice for psychosexual problems

9. A grievance will be registered on non- availability of doctors/service providers/any health

facilities etyc.

10. Counseling on Addiction

11. Self-harm Behaviour

12. Sexual Harrasment etc.

Timeline to complete the activity: This activity needs to be completed by the end of the March,

2020.


districts.

Fund breakup

FMR Code- 16.3.5


(Rs. In Lakhs)

27


1 State HQ 27 districts 22.56

Total 22.56

Revised Terms of Reference (TORs) for staff to be appointed at District Hospital under

NMHP, Assam

a) Job Title: Consultant Psychiatrist

Qualification: Essential:

MD in Psychiatry or equivalent degree from institution recognized by Medical

Council of India.

Desirable: 2 years experience of working as a specialist in a hospital.

Job requirements/responsibilities:

a) To examine and manage health care needs of the mentally ill patients

b) To provide in-patient care to the mentally ill patients.

c) To do periodic follow up of the mentally ill patients

d) To do the outreached activity/plan/camps in NGOs for homeless

mentally ill patients, Halfway homes, Shelter homes, Jails along with

the other members of DMHP team in fixed days

e) To refer complicated cases to tertiary level hospitals

f) To impart training to the health professional of community Health

Centre and primary Health Centre as per guidelines issued by

National Mental Health Cell of the State.

b) Job Title: Clinical Psychologist

Qualification: Post Graduate Degree in Psychology or Applied Psychology and a

Master of Philosophy in Medical and Social Psychology or Masters of Philosophy

in Mental Health and Social Psychology obtained after completion of a full time

course of two years which includes supervised clinical training, approved and

recognized by the Rehabilitation Council of India.


(a) To examine and manage health care needs of the mentally ill patients

(b) To do periodic follow up of the mentally ill patients

(c) To refer complicated cases to tertiary level hospitals

(d) To impart training to the health professional of community Health Centre

and primary Health Centre as per guidelines issued by National Mental

Health Cell of the State

(e) To impart training to the school teachers and college teachers

28


(f) To do the outreached activity/plan/camps in NGOs for homeless mentally

ill patients, Halfway homes, Shelter homes, Jail etc. along with the

Programme Officer in fixed days.

(g) To train/orient the Psychologist/Counselors of other related programmes

like RBSK/RKSK.

a) Job Title: Psychiatric Nurse

Qualification: BSc. in Nursing or equivalent degree from institution recognized

by Nursing council of India and at least 2 years experience of working in

psychiatry/mental health Institution/Hospital.

Desirable: PG Diploma in Psychiatric Nursing from Institution recognized by

nursing council of India.



b) To provide in-patient care to the mentally ill patients

c) To do the outreach activity/plan and manage psychiatry clinics in

PHCs/CHCs and other sites periodically

d) To impart training to the health personnel of Community Health

Centre and Primary Health Centre as per guidelines issued by

National Mental Health Cell

b) Job Title: Psychiatric Social Worker

Qualification- Essential: Post Graduate Degree awarded after completion of

course of study of minimum two years in mental health or psychiatric social work.


a) To help patients gain access to support groups, day care facilities,

higher education, vocational skills and employment facilities,

certification, reservations and other benefits

b) To make domiciliary visits for persons with Severe Mental

Disorder(SMD) so that the home environment is examined, monitored

and made conducive to the extent possible and to provide a range of

community based rehabilitation interventions

c) To facilitate Access to education for children in the family, old age

pension for elders in the family etc. to reduce the overall burden of

care and improve quality of the life for patients and their families

29


d) To be a part of the team under the Psychiatrist for screening and

awareness camps in different community along with the Clinical

Psychologist.

e) Any other job assigned by the concerned officials.

c) Job Title: Community Nurse

Qualification- Essential: BSc. Nursing from Institution recognized by nursing

council of India.

Desirable: 2 years experience of working in a hospital



b) To keep track of follow-up patients availing treatment at CHC and

PHC

c) To do the outreach activity/plan and manage psychiatry clinics in

PHCs/CHCs and other sites periodically

d) To impart training to the health personals of Community Health

Centre and Primary Health Centre as per guidelines issued ny

National Mental Health Cell in the State.

e) To assist the Psychiatric Social Worker to make domiciliary visits for

persons with Severe Mental Disorder(SMD) so that the home

environment is examined, monitored and made conducive to the

extent possible and to provide a range of community based

rehabilitation interventions

d) Job Title: Record Keeper/ Monitoring and Evaluation Officer

Qualification- Essential: Graduation in any subject from a recognized university

Knowledge of Windows-based packages/applications

Desirable: 2 years experience of working in a health care institution


a) To provide coordination among CMO/CDMO, District Psychiatrist

and other officials of District health department for implementation of

various activities under DMHP

b) To fill the GoI format on monthly basis & submit to the State NMHP

Cell on or before 7th

of each month

c) To facilitate the dissemination of Programme information./Data from

District to the State Programme Cell/Officer

30


d) Monitoring and Evaluation of different programmes activities at

district level under DMHP

e) To prepare the Statements of Accounts and Facilitate the preparation

of utilization certificate and its submission to the State Programme

Officer on monthly basis (On the 7th

of each month).

f) Ensure regular entry of all relevant data in the computer pertaining to

various aspects of DMHP in a systematic manner to facilitate its

analysis

g) To prepare the reports of each camps/activity conducted in the district

under DMHP and submit the same to the State Programme Officer.

h) Analyze Data and Compile report

i) Any other job assigned as per programme need

e) Job Title: Case Registry Assistant

Qualification- Essential: Higher Secondary and knowledge of Windows-based

packages/applications



a) To ensure regular entry of all relevant data in the computer pertaining

to patients in a systematic manner to facilitate their tracking and

follow-up

b) Analyze the data and compile reports at District level

c) Any other job assigned as per programme need

f) Job Title: Ward Assistant/Orderly

Qualification- Essential: Higher Secondary from a recognized Education Board

or equivalent



a) To provide support to the nurses in provision of in-patient care to

the mentally ill Patients in Psychiatry ward of District Hospital

b) Helping the Patients in carrying out their daily chores during their

stay in the hospital

31


Monthly Monitoring Proforma for District Mental Health Programme

1. Reporting month & year: ________(Year)

2. Name of the District: State/UT:

3. Contact details of the authorities concerned with implementation of NMHP in the state

District Nodal Officer

Name &Address*

Telephone*

Mobile*

Fax*

Email id*

Date of joining

1. Status of availability of Mental Health Professionals under DMHP

Designation/Positions

Existing

Recruited under DMHP

Psychiatrist

Yes/No & Number Yes/No

Clinical Psychologist/Psychologist Yes/No & Number Yes/No

Psychiatric Social Worker/ Social Worker Yes/No & Number Yes/No

32


Psychiatric Nurse/

Trained Nurse

Yes/No & Number Yes/No

Community Nurse Yes/No & Number Yes/No

Monitoring & Evaluation Officer Yes/No & Number Yes/No

Case Registry Assistant Yes/No & Number Yes/No

Ward Assistant/ Orderly Yes/No & Number Yes/No

2. Status of trainings and capacity building of the health professionals in the DMHP district

S. No. Health Professionals Total no. in

the district

Total no. of professionals trained

No. yet to be

trained In the reporting

month

Cumulative

A. MOs from BPHC/PHC/MMU

doctors/Tea Garden doctors/Jail

Doctors

A1. Staff Nurse

A2. Para medical staff/Health

workers/108 & 102 drivers &

technicians

A3. Police personals, Magistrates,

Govt. Officials and Personals

from Deptt. of Social Welfare,

NGO workers who are working

for homeless mentally ill

patients /De- addiction Centres

A4. Panchayat leaders, Community

leaders and others

B.

B1. School teachers

B2. College teachers

B3. ASHA workers

33


3. Status of targeted intervention cum screening caps in the DMHP district

S. No. Targeted intervention cum

screening caps

Target given

in the

reporting

month

No. of camps

conducted No. of patient

screened

No. of patient

referred

A. Targeted interventions at

community

B. Targeted interventions at

Schools

C. Targeted interventions at

colleges

D. Stress management at

workplaces

E. Adolescent problems and

targeted interventions at urban

slums

F. Suicide

prevention/Depression camps

at different community

G. Targeted interventions at Jail

once in a month (about the

same time of every month)

H. Targeted interventions at

NGOs, Halfway Homes

twice in a month (every 2nd

and 4th

Friday)

34


4. Status of Mental Health Services available in DMHP district

A. Mental Health Services – Out Patient Department (OPD) and referral services at District

Health Care Level

A 1. Total no. of new patients seen in the OPD in the reported month

A 2. Total no. of follow – up cases seen in the OPD in the reported month

A 3. Total no. of cases referred to tertiary care hospital in the reported month

B. Mental Health Services – In Patient Department (IPD) at District Health Care Level

B 1. Availability of In-patient services (Yes/No)

B 2. No. of beds available

B 3. Total No of patients admitted in IPD

B 4. Average duration of stay (in days)

B 5. are there any linkages between DMHP and other institutions to provide

discharged patients with continuing community care

C.

Mental Health Services- Number of OPD/IPD Patients

Types of Psychiatric Patients

Total

num

bers

of

patie

nts

Mal

e

Fem

ale

New

cases

Follo

w up

cases

Ind

oor

Schiz

ophre

nia

BPA

D

Alcoh

olic &

Subst

ance

abuse

OC

D

MR Depr

ession

Oth

ers

Rem

arks

D.

Mental Health Services – after treatment continuing care services at District Level

D 1. No. of Day care Centers available/set up in the district

D 2. No. of Residential Continuing Care Centre(stay upto 6 mths) in the

district

35


D 3. No. of Long Term Residential Continuing Care Centre (long stay) in

the district

Month Cumulative

D 4 Total No. of Patients availed services at Day care Centers

D 5 Total No. of Patients availed services at Residential Continuing Care

Centre

D 6 Total No. of Patients availed services at Long Term Residential

Continuing Care Centre (

E. Mental Health Services – Availability and Dispensing of Essential Psychotropic Drugs

Classification of Drugs

District Level PHC Level

Hint to fill the responses: (A=regularly available, B=irregularly

available and NA=not available)

E1. Antidepressant

E2. Antipsychotic

E3. Anticonvulsant

E4. Anxiolytic/hypnotic

F. Source of Essential Drugs

F1. Source of essential drugs State govt. /DMHP fund

(mark whichever is applicable)

5. Status of Awareness generation activities (Information, Education & Communication

activities) in the district. {Please attach photographs in support of the activities conducted}

Media Type of Media used

(activities)

No. of IEC activities

undertaken

Level

(District/PHC)

Ma

ss M

edia

Broadcasting of video clips on local TV

channels

Dissemination of messages through

community radio

Showing films on mental health

Advertisement on mental health in local

newspapers, magazines, etc.

Ou

tdo

or

med

ia

Hoardings

Bus panels

Exhibitions

Wall paintings

Street plays

F ol k

m e di a Puppets shows

36


Dance and song shows

Community meetings with general

people

Inte

rper

son

al

com

mu

nic

ati

on

(IP

C)

Meetings with the family members of

the patients

Interactive sessions on mental health in

Haats

Specify activities

Oth

ers

if a

ny

;

6. Financial status – as on …………………………..

S. No. FMR Code Activity Budget

Received

Expenditu

re

incurred

Balance Remar

ks

1. 2.3.2.3 Targeted intervention cum screening

caps

2 5.3.15 District DMHP Centre, counseling

centre

3. 7.7 Ambulatory Services

4. 9.5.16.1 Training at district level

5. 11.19.1 Translation of IEC materials

6. 11.19.2 Awareness generation activities and

teachers training

7. 16.1.4.2.6 Operational expenses

8. 16.1.3.3.13 Miscellaneous/Travel/Contingency

Total

37


Is there any difficulty in using the funds allocated to your district? If Yes, please explain.

7. Communitisation of DMHP

7.1 No. of NGOs engaged for mental health activities……………………………………….

7.2 No. of Panchayati Raj Institutions engaged for mental health activities

ofDMHP………………………………………………………………………………………….

7.3 No. of User Groups/Family Associations in the district ………......................................

8. Any other relevant information ____________________________________________________________________________________________

____________________________________________________________________________________________

____________________________________________________________________________________________

________________________

Signature of nodal officer of DMHP/ DMHP-Psychiatrist Dated……………………

(Please send the filled inproforma to State Programme Officer, National Mental Health Programme, Assam,

on 7th

day of every successive month. Simultaneously, a soft copy of the same may be sent on the

[email protected])

Date post:	08-Jul-2020
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