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Indian J Psychiatry. 2003 Jul-Sep; 45(3): 161–165.
PMCID: PMC2952162

Decentralisation of Mental Health Services under DMHP

Abstract

The Bellary model of district mental health programme(DMHP) has been adopted by the government of India under the national mental health programme with the primary aim of making mental health care accessible to all by setting up psychiatric services in peripheral areas, training primary health care personnel and involving the community in promotion of mental health care. The DMHP was set up in Chandigarh in a 50 bedded Civil Hospital in a suburb of Chandigarh.This study aims to present the sociodemographic and clinical data of all cases seen in the first six months and discusses the need of decentralisation of mental health services. A total of 527 patients were seen in the first six months. 52% of the males presented with substance use disorders while a majority of the females (40%) presented with mood disorders. In patients with illness of duration more than one year, upto 51.9% had no past psychiatric treatment and 27.6% were on irregular treatment. Reasons for this are discussed. In conclusion, it was seen that decentralisation was a felt need of the community and required not only in rural but urban areas as well.

Keywords: District mental health programme, decentralisation, psychiatric services, mental health care

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Dube KC. A study of prevalence and biosocial variables in mental illness in a rural and an urban community in Uttar Pradesh--India. Acta Psychiatr Scand. 1970;46(4):327–359. [PubMed]
  • Gada MT. A cross cultural study of symptomatology of depression--eastern versus western patients. Int J Soc Psychiatry. 1982 Autumn;28(3):195–202. [PubMed]
  • Giel R, Harding TW. Psychiatric priorities in developing countries. Br J Psychiatry. 1976 Jun;128:513–522. [PubMed]
  • Kapur RL. Mental health care in rural India: a study of existing patterns and their implications for future policy. Br J Psychiatry. 1975 Sep;127:286–293. [PubMed]
  • Porter AM. Depressive illness in a general practice. A demographic study and a controlled trial of imipramine. Br Med J. 1970 Mar 28;1(5699):773–778. [PMC free article] [PubMed]
  • Sireling LI, Paykel ES, Freeling P, Rao BM, Patel SP. Depression in general practice: case thresholds and diagnosis. Br J Psychiatry. 1985 Aug;147:113–119. [PubMed]
  • Sokhela NE, Uys LR. The integration of comprehensive psychiatric/mental health care into the primary health system: diagnosis and treatment. J Adv Nurs. 1999 Jul;30(1):229–237. [PubMed]
  • Verghese A, Beig A, Senseman LA, Rao SS, Benjamin V. A social and psychiatric study of a representative group of families in Vellore town. Indian J Med Res. 1973 Apr;61(4):608–620. [PubMed]

Articles from Indian Journal of Psychiatry are provided here courtesy of Medknow Publications