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PSYCHIATRY
 DEPARTMENT

      Submitted by:
Dr. Poonamjot Kaur Sidhu
INTRODUCTION
                  • MENTAL HEALTH
A state of complete physical, mental and social well-being,
          and not merely the absence of disease.
                     • PSYCHIATRY
       Psychiatry is the medical specialty devoted to
the study and treatment of mental disorders. These mental
      disorders include various affective, behavioural,
          cognitive and perceptual abnormalities.
                    • PSYCHIATRIST
A psychiatrist is a physician who specializes in the diagnosis
            and treatment of mental disorders.
INTRODUCTION
               • DE-ADDICTION CENTRES
      A place where a Professional team comprising        of
 Psychiatrist, Medical Officer, Counsellor, Social Workers and
     Yoga Therapist involve in the treatment of addiction
        • LIFE STYLE MODIFICATION CENTRES
  It carries out program that include fitness training, nutrition
counselling, health screening, health education and behaviour
 modification. Such places incorporates all of these elements
                into a one comprehensive plan.
IMPORTANCE OF PSYCHIATRY
           DEPARTMENTS
  • The World Health Organization estimates that by 2020,
     mental depression will be the largest cause of disability
     worldwide. It also says that by 2025, mental illness will
   catch up with heart disease or may even overtake it as the
                   biggest global health concern.
• The National Institute of Mental Health and Neurosciences
    (NIMHANS) in Bangalore estimates that two crore Indians
   need help for serious mental disorders, while a further five
      crore suffer from mental illnesses not considered very
     serious. These figures do not include neurological age-
      related progressive disorders such as Alzheimer's and
                            Parkinson's.
• It also estimates that at least 35 lakh Indians need
    hospitalisation on account of mental illnesses. But the
 country has only 40 institutions that are equipped to treat
 patients suffering from mental disorders. The total number
   of beds is less than 26,000. Of these 40 institutions, only
   nine are equipped to treat children. Moreover, many of
them are medieval-era, asylum-style institutions with high
    boundary walls, artificial barriers and patients kept in
                      solitary confinement.
• "We need to get out of this 'mental hospital' structure.
   More importantly, we need to stop reinforcing negative
  stereotypes of the mentally ill," says Vandana Gopikumar,
member of the policy group appointed by the Union health
       ministry to frame a national mental health policy.
PSYCHIATRY HOSPITALS
 • Psychiatric hospitals, also known as mental hospitals,
 are hospitals specializing in the treatment of serious mental
                           disorders.
• Psychiatric hospitals vary widely in their size and grading.
   • Some hospitals may specialise only in short-term or
     outpatient therapy for low-risk patients. Others may
  specialise in the temporary or permanent care of residents
 who, as a result of a psychological disorder, require routine
     assistance, treatment, or a specialised and controlled
                          environment.
• Crisis stabilization
       • Open units
     • Medium-term
     • Juvenile wards
• Long-term care facilities
    • Halfway houses
 • Political imprisonment
      • Secure units
PSYCHIATRY WINGS
 • These form a part of a general or a multispecialty hospital
    • Usually located away from the general OPD or IPD
• Allot of government and private hospital prefer them to be
    on dead ends or in lesser traffic areas of the hospital as
           such patients may become violent at times
BASIC REQUIREMENTS
• Certain base line provisions should be present in case a
       psychiatric hospital or wing is being planned
  • These are given by the mental health act 1987 and
    completion of them is necessary to get a mandatory
                           licence.
 • These can be discussed under various aspects being:
PHYSICAL FEATURES
                          OPEN AND
                         CARPET AREA



         REHABLITATION                 DORMITORY




DIAGNOSTIC                                          DRAINAGE
 FACILITIES                                          SYSTEM




          EMERGENCY                      BASIC
           FACILITY                    AMMENITIES



                         COMPOUND
                           WALL
SERVICES
          Registration

     Outpatient Treatment

      Inpatient Treatment

      Emergency services

   Dispensing of medications
      (pharmacotherapy)

   Psychosocial interventions

       Laboratory services

Referral / Consultation / Linkages


      Record maintenance
STAFF REQUIREMENTS

               psychiatrist


 Medical                        Clinical
 officer                      psychologist


               Psychiatric
                hospital


Staff nurses                  attendants


                    In
               accordance
                 to need
QUALIFICATION OF STAFF

Psychiatrist

Medical Officer

Clinical Psychologist

Trained Psychologists

Psychiatric social worker

Staff Nurse
ADDITIONAL REQUIREMENTS
• DE-ADDICTION CENTRES:
NEUROPSYCHIATRY
DRUG DEADDICTION CUM REHABLITATION CENTRE
                Dr. Hardeep Singh
               MD Psychiatry (PGI)
           MIPS,MAPA,AIASP,MIACAM
           Sr. Consultant Psychiatrist
INTRODUCTION
• It is the first and only licensed private psychiatric hospital in
                               the region
                   • Was established in the year
      • At Neuropsychiatry Centre their goal is to provide
    comprehensive drug treatment and alcohol rehabilitation
          services to individuals whose lives have become
   unmanageable as a result of addiction and introduce them
               to a new lifestyle free of drugs/ alcohol.
 • Provided through a social-therapeutic model and includes
         education, counselling, new lifestyle training, and
              introduction to the recovery community.
MISSION




 It is to effectively treat individuals suffering from substance
 abuse and other psychological disorders. It emphasis on the
importance of treating clients with dignity while helping them
 reintegrate into society as productive, drug-free individuals.
STEPS TAKEN TO ACHIEVE MISSION

 • Providing high quality, cost effective treatment services
 • Ensuring that their drug rehabilitation centre has sober
   living environments and is safe, supportive and chemical-
                              free.
• Demonstrating significant reductions in substance abuse
        and corresponding quality of life improvements.
 • Achieving cooperative partnerships between treatment
                       staff and clients.
      • Continuing Education and Training of their staff.
HIERARCHY OF THE STAFF


                                      Dr. Hardeep
                                          Singh
                                               Psychiatrist


                          Mrs. Suman
                            Gupta
                                   Counselor


                    Security
Staff Nurses                         Receptionist             Attendants       Misc
                    Guards
               5               3                         1                 4          3-4
LAYOUT
                                 KITCHEN


                     RECORD       REST
                      ROOM       ROOM
                                             STAFF NURSE
                                               ROOMS
                     RECEPTION
IPD (15 BEDS )
                 C               COUNSELLER’S
                 H                  ROOM
                                                 PSYCHIATRIST’S
                 A                                   ROOM
  STORAGE        I               INNER WAITING
                 R                   ROOM
CONSULTATION PROVIDED FOR
          • Psychiatric problems
      • Drug and alcohol de addiction
         • Psychosexual disorders
     • Childhood behavioral disorders
          • Emotional problems
   • Marital and interpersonal problems
       • Counseling / psychotherapy
            • Behavior therapy
           • Relaxation therapy
          • Stress management
FACILITIES AVAILABLE


Electroconvulsive     Psychological
                                           Pharmacy
     therapy             testing



             Psychiatric
                              Indoor admission
             emergency
PROCESS FLOW OF THE DEPARTMENT
Appointment ( on phone, on line or
personally )

   Payment made in cash or by card


          Evaluated by an psychologist


            Dr. Hardeep consults the patient


               Diagnosis and treatment planning is done
INVENTORY
         • A stock register is maintained
 • Periodically the amount of goods are checked
• Orders are placed in accordance to requirements
PROBLEMS FACED
        • Maintenance problems
• Patients reporting late for appointments
    • Long waiting time for patients
SOLUTIONS TO THE PROBLEM
  • Reminders for appointments should be given
      • Patients encouraged to come on time
       • Time allocations to be made specific
• Delays should be patiently explained to the patient
LIFE STYLE MODIFICATION CENTRES
           • Also called as wellness centers or spa
        • These centers focus on healthy life practices
 • Usually the concerned individual is admitted for a certain
                         period of time
  • They usually practice drugless therapy which combines
   Indian Nature Cure with Yoga and other drugless regimens,
     namely, Diet Therapy, Physiotherapy, Acupuncture, and
                            exercise.
• Such Institutes accepts and provides diagnosis only through
      scientific methods with modern medical equipment.
DISEASES CONSIDERED
Abdominal disorders           Eosinophillia              Menstrual Disorders
Allergic Rhinitis             Gastritis                  Migraine
Amoebiasis                    Gout                       Myopia
Anaemia (Haemoglobin level
                              Hepatitis - A              Obesity
not less than 8 gm/ 100 ml)
Anxiety Neurosis              Hiatus Hernia              Osteo Arthritis
Arthritis                     High Blood Pressure        Refractive Errors

Bronchial Asthma              High cholesterol           Rheumatoid Arthritis
Calcaneal Spur                High Uric acid             Sciatics
Chronic Constipation          Hyperacidity               Sinusitis
Colitis                       Hypotension                Sleep Apnoea
                                                         Spondylitis-Cervical and
Depression                    Hypothyroidism
                                                         Lumber
Diabetes Mellitus             Insomnia                   Stable Heart Cases
Dysentery                     Irritable bowel Syndrome               Ulcers
ACTIVITIES
                • Yoga
         • Laughing session
            • 15 km walk
         • Kriya before yoga
        • 40 minutes aerobics
             • Swimming
             • Meditation
     • Messages and body packs
          • Outdoor games
• One hour lecture on health every night
  • Two meals a day and 5 L of water
REFERENCES
Psychiatry department

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Psychiatry department

  • 1. PSYCHIATRY DEPARTMENT Submitted by: Dr. Poonamjot Kaur Sidhu
  • 2. INTRODUCTION • MENTAL HEALTH A state of complete physical, mental and social well-being, and not merely the absence of disease. • PSYCHIATRY Psychiatry is the medical specialty devoted to the study and treatment of mental disorders. These mental disorders include various affective, behavioural, cognitive and perceptual abnormalities. • PSYCHIATRIST A psychiatrist is a physician who specializes in the diagnosis and treatment of mental disorders.
  • 3. INTRODUCTION • DE-ADDICTION CENTRES A place where a Professional team comprising of Psychiatrist, Medical Officer, Counsellor, Social Workers and Yoga Therapist involve in the treatment of addiction • LIFE STYLE MODIFICATION CENTRES It carries out program that include fitness training, nutrition counselling, health screening, health education and behaviour modification. Such places incorporates all of these elements into a one comprehensive plan.
  • 4. IMPORTANCE OF PSYCHIATRY DEPARTMENTS • The World Health Organization estimates that by 2020, mental depression will be the largest cause of disability worldwide. It also says that by 2025, mental illness will catch up with heart disease or may even overtake it as the biggest global health concern. • The National Institute of Mental Health and Neurosciences (NIMHANS) in Bangalore estimates that two crore Indians need help for serious mental disorders, while a further five crore suffer from mental illnesses not considered very serious. These figures do not include neurological age- related progressive disorders such as Alzheimer's and Parkinson's.
  • 5. • It also estimates that at least 35 lakh Indians need hospitalisation on account of mental illnesses. But the country has only 40 institutions that are equipped to treat patients suffering from mental disorders. The total number of beds is less than 26,000. Of these 40 institutions, only nine are equipped to treat children. Moreover, many of them are medieval-era, asylum-style institutions with high boundary walls, artificial barriers and patients kept in solitary confinement. • "We need to get out of this 'mental hospital' structure. More importantly, we need to stop reinforcing negative stereotypes of the mentally ill," says Vandana Gopikumar, member of the policy group appointed by the Union health ministry to frame a national mental health policy.
  • 6. PSYCHIATRY HOSPITALS • Psychiatric hospitals, also known as mental hospitals, are hospitals specializing in the treatment of serious mental disorders. • Psychiatric hospitals vary widely in their size and grading. • Some hospitals may specialise only in short-term or outpatient therapy for low-risk patients. Others may specialise in the temporary or permanent care of residents who, as a result of a psychological disorder, require routine assistance, treatment, or a specialised and controlled environment.
  • 7. • Crisis stabilization • Open units • Medium-term • Juvenile wards • Long-term care facilities • Halfway houses • Political imprisonment • Secure units
  • 8. PSYCHIATRY WINGS • These form a part of a general or a multispecialty hospital • Usually located away from the general OPD or IPD • Allot of government and private hospital prefer them to be on dead ends or in lesser traffic areas of the hospital as such patients may become violent at times
  • 9. BASIC REQUIREMENTS • Certain base line provisions should be present in case a psychiatric hospital or wing is being planned • These are given by the mental health act 1987 and completion of them is necessary to get a mandatory licence. • These can be discussed under various aspects being:
  • 10. PHYSICAL FEATURES OPEN AND CARPET AREA REHABLITATION DORMITORY DIAGNOSTIC DRAINAGE FACILITIES SYSTEM EMERGENCY BASIC FACILITY AMMENITIES COMPOUND WALL
  • 11. SERVICES Registration Outpatient Treatment Inpatient Treatment Emergency services Dispensing of medications (pharmacotherapy) Psychosocial interventions Laboratory services Referral / Consultation / Linkages Record maintenance
  • 12. STAFF REQUIREMENTS psychiatrist Medical Clinical officer psychologist Psychiatric hospital Staff nurses attendants In accordance to need
  • 13. QUALIFICATION OF STAFF Psychiatrist Medical Officer Clinical Psychologist Trained Psychologists Psychiatric social worker Staff Nurse
  • 15. NEUROPSYCHIATRY DRUG DEADDICTION CUM REHABLITATION CENTRE Dr. Hardeep Singh MD Psychiatry (PGI) MIPS,MAPA,AIASP,MIACAM Sr. Consultant Psychiatrist
  • 16. INTRODUCTION • It is the first and only licensed private psychiatric hospital in the region • Was established in the year • At Neuropsychiatry Centre their goal is to provide comprehensive drug treatment and alcohol rehabilitation services to individuals whose lives have become unmanageable as a result of addiction and introduce them to a new lifestyle free of drugs/ alcohol. • Provided through a social-therapeutic model and includes education, counselling, new lifestyle training, and introduction to the recovery community.
  • 17. MISSION It is to effectively treat individuals suffering from substance abuse and other psychological disorders. It emphasis on the importance of treating clients with dignity while helping them reintegrate into society as productive, drug-free individuals.
  • 18. STEPS TAKEN TO ACHIEVE MISSION • Providing high quality, cost effective treatment services • Ensuring that their drug rehabilitation centre has sober living environments and is safe, supportive and chemical- free. • Demonstrating significant reductions in substance abuse and corresponding quality of life improvements. • Achieving cooperative partnerships between treatment staff and clients. • Continuing Education and Training of their staff.
  • 19. HIERARCHY OF THE STAFF Dr. Hardeep Singh Psychiatrist Mrs. Suman Gupta Counselor Security Staff Nurses Receptionist Attendants Misc Guards 5 3 1 4 3-4
  • 20. LAYOUT KITCHEN RECORD REST ROOM ROOM STAFF NURSE ROOMS RECEPTION IPD (15 BEDS ) C COUNSELLER’S H ROOM PSYCHIATRIST’S A ROOM STORAGE I INNER WAITING R ROOM
  • 21. CONSULTATION PROVIDED FOR • Psychiatric problems • Drug and alcohol de addiction • Psychosexual disorders • Childhood behavioral disorders • Emotional problems • Marital and interpersonal problems • Counseling / psychotherapy • Behavior therapy • Relaxation therapy • Stress management
  • 22. FACILITIES AVAILABLE Electroconvulsive Psychological Pharmacy therapy testing Psychiatric Indoor admission emergency
  • 23. PROCESS FLOW OF THE DEPARTMENT Appointment ( on phone, on line or personally ) Payment made in cash or by card Evaluated by an psychologist Dr. Hardeep consults the patient Diagnosis and treatment planning is done
  • 24. INVENTORY • A stock register is maintained • Periodically the amount of goods are checked • Orders are placed in accordance to requirements
  • 25. PROBLEMS FACED • Maintenance problems • Patients reporting late for appointments • Long waiting time for patients
  • 26. SOLUTIONS TO THE PROBLEM • Reminders for appointments should be given • Patients encouraged to come on time • Time allocations to be made specific • Delays should be patiently explained to the patient
  • 27. LIFE STYLE MODIFICATION CENTRES • Also called as wellness centers or spa • These centers focus on healthy life practices • Usually the concerned individual is admitted for a certain period of time • They usually practice drugless therapy which combines Indian Nature Cure with Yoga and other drugless regimens, namely, Diet Therapy, Physiotherapy, Acupuncture, and exercise. • Such Institutes accepts and provides diagnosis only through scientific methods with modern medical equipment.
  • 28. DISEASES CONSIDERED Abdominal disorders Eosinophillia Menstrual Disorders Allergic Rhinitis Gastritis Migraine Amoebiasis Gout Myopia Anaemia (Haemoglobin level Hepatitis - A Obesity not less than 8 gm/ 100 ml) Anxiety Neurosis Hiatus Hernia Osteo Arthritis Arthritis High Blood Pressure Refractive Errors Bronchial Asthma High cholesterol Rheumatoid Arthritis Calcaneal Spur High Uric acid Sciatics Chronic Constipation Hyperacidity Sinusitis Colitis Hypotension Sleep Apnoea Spondylitis-Cervical and Depression Hypothyroidism Lumber Diabetes Mellitus Insomnia Stable Heart Cases Dysentery Irritable bowel Syndrome Ulcers
  • 29. ACTIVITIES • Yoga • Laughing session • 15 km walk • Kriya before yoga • 40 minutes aerobics • Swimming • Meditation • Messages and body packs • Outdoor games • One hour lecture on health every night • Two meals a day and 5 L of water