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Planning to Improve Psychiatric/psychological Care in Developing (Poor) Countries:

Perhaps the best way to primary prevention, secondary prevention, controlling and curing the mental disorders at individual level as well as cumulative level is to educate and orientate different professionals (other than doctors) like teachers, nurses, informed and willing citizens to few of the most important conditions that produce the public health burden of mental disorders.

1.      Education/Orientation:

                                         Perhaps the best way to primary prevention, secondary prevention, controlling and curing the mental disorders at individual level as well as cumulative level is to educate and orientate different professionals (other than doctors) like teachers, nurses, informed and willing citizens to few of the most important conditions that produce the public health burden of mental disorders.

2.      Common Disorders in different Categories:

                                                         These include different categories of:-

a.      Manic Depressive Psychoses.

b.      Schizophrenia.

c.       Mental retardation.

d.      Epilepsy.

e.      Phobias.

f.        Generalized Anxiety Disorders.

·         Even acute psychotic conditions can be adequately managed by a judicious use of both Psychotropic Medications and Psychological interventions.

 

3.      Establishment of Well Equipped Psychiatric Units in General Hospitals:

 

Provision of psychiatric/psychological units is of utmost importance in General hospitals.

The district general hospital should be the first level at which specialized mental health services are available in the form of a small psychiatric inpatient unit, outpatient facilities and mental health professionals such as nurses, medical assistants, and social workers with practical training in psychiatry.

 

 

 

 

4.      Indoor Admissions:

 

                                   In other general hospitals in which provision for the admission is available, the treatment should be carried out in medical wards. At this level the psychiatrist and/or psychologist should be based or should be, at least, in the category of regular visitors.

Adequate supporting facilities like transportation should be made available.

5.      Specialized Units:

                                   This should be for recidivist patients with facilities for long term treatment, social work and occupational therapy.

6.      Training Programs:

                         Adequate and proper manpower training programs should be set up for:

a.      Psychiatrists.

b.      Physicians.

c.       Psychologists.

d.      Psychiatric Social Workers.

e.      Psychiatric nurses.

7.      General Awareness Programs:

                             These should be made general public—– as a part of Primary Prevention—-to make them realized the value of this issue.

Education should be concentrated on key people community leaders, politicians, teachers, and members of family of mentally ill patients. This can be carried out through direct contact between health workers and these key opinion leaders.

8.      Mental Health Legislation:

                               This would prevent the patient as well as the community, the doctor carrying on his profession and the mentally disturbed offender.

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