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INTRODUCTION
MENTAL HEALTH AND DISORDER
Our societies have both constructive as well as destructive features. Destructive does not always
mean to be demolished or destroyed. In this context it can be referred to burdens on the societywhich may hamper the development of the society in whole. From them mental disorder or
impaired mental health is one of the burden that our society is facing. Even though medical
science has done fast progress in the last century in this sector with the coming of genetics and
biotechnology along with improvement in psychology still many interventions are not available
to the common man due to many barriers. So to get rid of this problem many organizations who
work in mental health sector were trying hard to come with such packages that it will help to
meet the needs of the client as well as the society.
STRUCTURE OF THE ESSAY
This essay will show how new packages and services given by the mental health service is
helpful in different way and how it can be applied to both the client and the society people. What
all are included in those service packages and for which age groups as well as what more can be
done in this sector so as to minimize the consequences.
NEED FOR MENTAL HEALTH SERVICE PACKAGE
Nothing happens in this world without a valid and logical reason behind it. Similarly we have to
see why there is a need of packages and services from the department of mental health when
many other disorders still haunts the common man.
MENTAL HEALTH PROBLEMS -EFFECT ON GLOBAL SCALE
The global sharing of the mental disorder stands at 12% in total disease section of the world,
which is expected to increase to 15% by the end of this decade that is 2020. It first makes people
disable later forcibly transfer them to illness category. Those people are discriminated all over
the world. In developing countries till today they are not able to give minimum assistance to
those who suffers from this problem.(Jacob et al, 2007)
SOCIAL AND ECONOMIC EXPENDITURE FOR MENTAL HEALTH DISORDERS
Problems need to be addressed when they have substantial effect on the society as well as theeconomy of a country. If we will take the case of USA the so called richest country in the world,
the indirect cost behind the treatment of mental health disorder is 148 billion dollars, which
outweighs direct investment behind other diseases by two to four times which will be very high
in other developing nations where the direct cost is very low for different type of diseases. The
social cost is also high as the burden of cost has to bear by the family members and sometimes
one family bear for the others too as nobody is there to take care of the person. The groups who
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were most vulnerable to this problem are the young adults who form the most productive
population of a country. So it adds different type of stress to the family as well as the patient who
is suffering from thus making this problem both social and economic.(World health report,
2001).
FUNDINGS AVAILABLE FOR THIS SECTOR.
If we will analyze the fundings as well as resources that these sectors gets from their respective
governments then there is a huge question mark on this that is why this area is so neglected even
though it takes a great toll on the cost? Statistics says the developed countries whose percentage
in whole world is 37% they spend less than 1% of their total health budget after the mental
health, while its still less in developing nations. If the fundings will be compared to the other
disease sector such as AIDS and cancers it seems to be a handful of water for sea. So this needs
to be addressed seriously.(WHO, 2007)
MENTAL HEALTH POLICY AND PROGRAMME
The first thing which is needed is the development of a mental health policy that will effectively
implement other plans and programmes which will be helpful in this regard and will mitigate the
problem of the mental health problems that society is currently facing. So we will see different
service packages which are made available to the people of society by the health department of
various governments as well as different public sectors in mental health service providers.
METAL HEALTH AND PRIMARY HEALTH INTEGRATION
The primary health care is an important sector in health care department doesnt matter if it is
provided by the government or private sector. As it provides curative, preventive and generalhealth treatments to the common man so integrating the mental health services to the primary
care will help in this regard as it will be available to the common man at ease as primary care is
available to all. So this helps in making the treatments available to the common man and other
patients as well as the clients too who can get insurance policies there also with ease.(WHO,
2005)
TRAINING FOR THE HEALTH PROFESSIONALS AS WELL AS THE NGOS
This module in the package includes training of those health professionals who were in the
mental health sector. The rationale behind this is most of the mentally challenged person hardly
get a chance to see the doctors as well as other health professionals. Even if they get a chance to
see the doctor but till the treatment received by them hardly is effective in nature because most
of the time the treatments that are made available to them is not to the point due the untrained
staffs in this sector. So the package comes with the training of the individual who were in the
health care sector that too in mental health treatment.
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Training module is also available for the common man as well as the different persons involved
in the different stages of the health care sector. For common man training is made available
especially to deal with the patients as well as how to do better effective communication. This
will be beneficial for both the societies and clients as it helps in the effective treatment of the
patients.
LOCAL HOSPITALS AND CLINICS
The mental health department comes with another package that is making the availability of
mental health treatment at local hospitals as well as the local clinics through well trained staffs
who can do screening and diagnosing of the disease properly as well as the monitoring the
medications which were mostly psychotropic. Those patients who cannot be treated with the
facilities available to them are referred to the next up level hospitals and transport facilities were
also available for the serious patients along with proper information why they are referred to the
other hospitals.
Many types of facilities were also made available to the inpatient under this scheme such as 4-6
beds will be provided to the psychiatric patients in each ward in every hospital as well as
providing enough space for the outpatient. Besides the ward consultants and doctors there will be
nurses and social workers to assist the family whose person is suffering from mental disorder as
well as patient. All types evaluation should be carried out so that if any false positive symptom
can be rechecked. Discharge plans should be made available to the family assisting the patients
along with the primary health care plan as it will help them to know in which way the treatment
is proceeding and how effective it is? Help will be provided in different sectors such as health,
food, work, security etc so that if anybody who is suffering and have no body doesnt go to road.
The confidentiality will be maintained for the patients from outpatient and inpatient caretakers.
EMERGENCY UNITS FOR SUBSTANCE ABUSE CASES
The substance abuse cases are on rise in every sector and same with the mental health sector too.
So the package has also arrangement for those who were also addicted to substances and
emergency units are available to treat both withdrawl and starting symptoms of substance
assume. Necessary counseling is also provided so that they will not return to that path as well as
detoxification will be done for those who have passed the tertiary level in the substance abuse.
CARE CORDINATOR
The role of care coordinator is very crucial in any of the health services. So the mental health is
also the same where the package includes the care coordinator for each group of patients
especially one or two for each ward so that those patients who were coming for treatment doesnt
get deprived off any facility that is available in the hospital.
COMMENCEMENT OF THE COMMUNITY MENTAL HEALTH TEAM
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Community mental health teams are those who can assist people suffering from mental disorders
or any type of mental problems in their homes and can give effective solutions. The team must
have psychiatrists, psychiatric nurses, mental medicine specialists, occupational therapists etc so
that they can treat the patients effectively, along with this they are distributed in different sectors
so that this facility could be availed by all the persons rather in a single special hospital or clinic.
MAKING AVAILABILITY OF DIAGNOSTIC TOOL
For any disease there exists an evaluator mechanism or tool, but at times as the health care
professionals does not follow those guidelines they end up in misdiagnosis and wrong
prescription of medicines. So now days the mental health department gives a structural
evaluation framework for the right diagnosis of the disease which will be provided to all
hospitals and clinics and that will be explained to the family members as well as the sufferers by
trained personnel. The system has been developed in such a way that all the evaluation made was
made to feed to the database where it is analyzed by the mental health department and then
feedback is given to that hospital or clinic. Standardized protocol for the evaluation of all typesof mental diseases is also provided to the different institutes for better and effective treatment.(
Patel et al, 2007)
MAKING MENTAL HEALTH STUDY IN SCHOOLS
The children are very sensitive both in physical and mental sphere. They tend to be more prone
to any of the mental disorder which may be congenital or else acquired after birth due to any
traumatic experiences or any such accidents which has left them mentally challenged. So the
mental health service package also try to incorporate the mental health study at school level so a
child need can be known and can be analyzed during various case studies. Another rationale behind this approach is to remove the stigma behind the mental illness as in most cases the
patients are discriminated in the society so making the younger generation aware of the true facts
both scientifically as well as logically which will also help in developing a better thought process
and they will be aware of the facts and reasons behind the mental illness.( Institute of Medicine,
National Academy Press, 2001)
FUNDING OF THE PATIENTS AS WELL AS MEDICAL COST
Medical cost is one of the important factors which have always played a major role in any
disease. In developing countries mostly people failed to meet the cost of the treatment as a result
the mortality in most of cases rises even though it is not in the case of the mental health but still
most of the families cannot meet the cost that has to be incurred during the treatment of mental
health disorder. So the package includes financing the families as well as the patients through
suitable insurances that will help them in bearing the cost of the treatment as well as help the
insurance clients to get there business. The package also includes providing jobs according to
their capability to the patients or any members of the family so that they will not feel that they
have been discriminated in the society as they are mentally challenged.
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So these are some of the services that are provided by the different government as well as private
sector health departments or hospitals in mental health which is really beneficial to the client as
well as the society.
CONCLUSION
Development of packages as well as services and its effective implementation is a complex
process. There are many factors that have to be considered while developing a package and the
share of the stakeholders or clients has to be kept in mind while developing. The package which
the mental health department provides may vary from place to place or from country to country
based on their economy. Even though the process is complex for a country, but it is
recommended that the country must come with a suitable policy for mental health so that it will
be easy for coordination while monitoring packages in different hospitals and whether it is
breaching ethical guidelines or not. It is also recommended that the hospitals or the institutions
who were providing those packages not only aim for providing effective treatments only but also
providing them same environment that a common human being enjoys during his/her lifetimewhich will encourage them to think in a positive way that they also can do many things with
these impairedness. The packages must be helpful in improving the functionality of the patient
different areas such as in school, other educational institutions, family and social get together
which will help in mitigating there mental illness and it is one of the effective way of treating
other than the medications.
So in overall the packages which were coming after the guidelines set by the WHO in 2001
about the mental health will help the medical institutions in developing their own packages and
services.
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