1. Discuss multidisciplinary team or Mental health team .
Ans : Multidisciplinary approach refers to collaboration between members of
different disciplines who provide specific services to the patient .
The multidisciplinary team includes
• A Psychiatrist
• A Psychiatric Nurse
• A clinical psychologist
• A psychiatric social worker
• An occupational therapist or an activity therapist
• A Pharmacist and a Dietitian
• A counselor
A Psychiatrist is a medical doctor with special training in psychiatry.
He is accountable for the medical diagnosis and treatment of patient.
Functions are
• Admitting patient in to acute care setting
• Prescribing and monitoring psycho –pharmacologic agents.
• Administering electroconvulsive therapy
• Conducting individual and family therapy
• Participating in interdisciplinary team meetings .
• Owing to their legal power to prescribe and to write orders , psychiatrist often
function as leaders of the team .
A Psychiatrist nurse is a registered nurse with specialized training in the care and
treatment of psychiatric patients , she may have a Diploma , M.Sc , MPhil or PhD in
psychiatric nursing .
She is a accountable for the bio-psychosocial nursing care of patients and their
milieu.
Other functions are ;
• Administering and monitoring medications
• Assisting in numerous psychiatric and physical treatments.
• Participate in interdisciplinary team meetings .
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, • Teach patients and families
• Take responsibility for patients records
• Act as patient’s records .
• Interact with patients significant others .
A clinical psychologist should have a Master Degree in psychology or PhD in
clinical psychology with specialized training in mental health settings .
• He is accountable for psychological assessments, testing and treatments.
• He offers direct services such as individual, family or marital therapies.
A psychiatrist social worker
• He should have a Master Degree in social work or PhD degree with
specialized training in mental health settings.
• He is accountable for family case work and community placement of
patients.
• He conducts group therapy sessions.
• He emphasizes intervention with the patient in social environment in which
he will live .
An occupational therapist or an activity therapist
• He is accountable for recreational, occupational and activity programs.
• He assists the patients to gain skills that help them cope more effectively to
gain or retain employment, to use leisure time .
• A councellor provides basic supportive counseling and assists in psycho-
educational and recreational activities.
DIAGRAMATIC IMAGE DUE
2. Enlist the objectives of National Mental Health Programme .
Ans : Introduction
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,The Govt of India launch the National Mental Health Programme in 1982.
India is the first among the developing countries to formulate the National Mental Health
Program based on decentralization and de-professionalized mental health care .
Objectives
• To ensure availability and accessibility of minimum mental health care for all
in the foreseeable future , particularly to the most vulnerable and
underprivileged sections of population .
• To encourage application of mental health knowledge in general health care
and in social development .
• To promote community participation in the mental health service
development and to stimulate efforts towards self –help in the community .
• To select essential elements for mental health care .
• To distribute all the available resources of mental health services on equal
basis .
Three aims are specified in the NMHP
• Prevention and treatment of mental and neurological disorders and their associated
disabilities .
• Use of mental health technology to imorove general health services .
• Application of mental health principles in total national development to improve
quality of life .
Components of NMHP
• Training programme of all the workers in the mental health team at the identified
nodal institute in the state .
• Education of the public regarding the mental health to increase the awareness.
• For early detection and treatment out patient service and inpatient service are
provided .
Levels of NMHP
This program include 3 sub program
1.Treatment sub program
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, a. Village level
b. Primary health level
c. At district level
2. Rehabilitation sub program
3. Prevention sub program
Organization of NMHP
1. Tertiary care institution
2. Mental Hospital
3. Supportive organization
Nurses role in NMHP
• Understand the characteristics of mentally healthy person and differentiate
abnormal from normal behavior in the community .
• Identified refer follow up the mentally ill person in the community .
• Provide first aid during emergencies .
• Assist and co-ordinate the activities related to care of mentally ill in the community
health center.
• Conduct mental health education to patient and there family members .
• Providing training to health worker in mental health care .
• Supervision and monitor the activities of health worker related mental health care .
• Participate in various therapies used in treating psychiatric patient .
• Organize and co –ordinate the rehabilitation
3. Discuss the nature and scope of mental health nursing .
Ans : Introduction
Psychiatric nursing is a profession , possessing its unique history , ideology ,
knowledge and skills . It provides services to individuals whose primary health
needs are related to mental , emotional and developmental problems .
Definition
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