By Dr M Makanyengo

‘ the state of complete ‘Physical

Mental and Social Well Being’ and not merely the

Absence of disease and infirmity’

A state of well –being in which the individual realizes his or her own abilities , can cope with the

normal stresses of life , can work productively and fruitfully ,

and is able to make a contribution to his or her

community

• The

• Mental illness now account for 13 % of the global burden of disease ,

• Up from 11 % in 1990 . • Expected to rise to 15 % by 2030 .• It is estimated that 450 million people

worldwide have a mental disorder and that at any given time 10 % of adults are experiencing a current mental disorder ;

• And that 25 % will develop one at some point during their lifetime .

Vision

◦ A Center of Excellence in the provision of innovative and specialized mental health care in

Kenya

Mission

◦ To provide specialized quality health services, facilitate mental health care training, research

and participate in the National

Cadre Area of specialisation Number

Psychiatrists Child and adolescent servicesAdult servicesYouth

231

Psychologists All round 2

Nurse counsellors general 9

HIV Pact Coe counselors

Psychological support/ adherence counselling

5

Medical officer None for GBV and alcohol rehab 0

Social worker/s All round 1

Secretary All round 1

Administrator Partial availability 1

Support staff general 2

Medical records Clerk 1

Site of Service provided in KNH Number seen

Adult Psychiatry Clinic 23 1241

Department of Mental Health 1976

Youth Center (MH/RH) 3191

Inpatient mental conditions 174

Total 2013 (Jan to Dec) 6582

Special Staff services Human Resource Department(Oct 2013 to Mar1014 (sessions given)

140 from 57 clients

Youth Ctr

Ad psych

DMH

inpatient

020406080

100120140160180200

1st Quater 2nd Quater 3rd Quater 4th Quater

Column1

Column2

Column3

Started Jun2013 1 full time psychologist engaged and

overwhelmed Services provided

◦ Individual Counselling Services◦ Organizational counselling Services

Ongoing since 2006 Over 8000 survivors seen since the start Awaiting renovation from MOH GDP Policy not yet approved although forwarded

to the Board Strategic plan available for over 1 year Ongoing research inplace between UON and

KNH staff

Proposal/policy paper forwarded to KNH Board for implementation

Still; awaiting feedback

Urgently needed for KNH to manage inpatient mentally ill with underlying medical conditions

High risk of suicide in KNH due to wards in tower block which are not secured or safe.

Meanwhile very violent staff are being taken to Nairobi West Hospital (though not yet formalized)

Center of excellence for national Training and mentoring in collaboration with UON

Research, consultancy and participation in national guidelines and policy formulation

Income generating potential◦ Drug and Alcohol rehab services◦ GBV services/MOH/GDP◦ Research grants

• Staffing uptake of new younger psychiatrists to take over

• Urgent need for psychologists (Currently severely understaffed.

• Staff establishment for Psychologists and mental Health services in general

• Policy approval for rehab and GBV• Policy approval for mental health unit–General and Private Wing

• No safe or secure wards for inpatients. • Patients commit suicide despite mental

health services – KNH staff with mental disorders (Spending 4

million per year in Avenue hospital)– High demand from inpatients who are civil

servants and do not want to go to Mathare Hospital

– High demand from the general public who cannot afford private hospitals and prefer KNH and are ready to pay

• WHO guidelines, world standards –Mental health is part and parcel of holistic care

• Cap 248 laws of kenya– Establishment of mental units in all hospital at

least 2 beds or more• Bill rights addresses the needs to establish

the highest attainable standard of health care

• Establishment of rehab centres at each county within 3 months recent decree by His Excellency the President

THANK YOU