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Psychiatric And Mental Health Services Operational Policy
treatment should be referred to psychiatrist. f
Rehabilitation •
Patient required special rehabilitation services need to be referred to Rehabilitation services at Specialist or Psychiatric
hospital.
g Training
• Training of allied health staffs.
• Training of health professionals.
h Research
3.2 IN PATIENT SERVICE
The in-patient services are available at various categories of hospital. These include non specialist hospital, specialist hospital and psychiatric hospital. The
services are as follows:
a Promotion Advocacy
b Prevention
c Assessment
d Diagnosis
e Treatment
• Inpatient stay is short encouraging early discharge.
• Optimize treatment.
f Day care center Rehabilitation
• Ensuring continuity of care.
• Psychosocial rehabilitation.
• Manage by a multidisciplinary team with collaboration from
members of the community. g
Care of Forensic patient Only in Psychiatric Hospital h
Training •
Training comprise of CMEs and Post Graduate psychiatry training.
i Research
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Psychiatric And Mental Health Services Operational Policy
4. COMPONENT OF SERVICES
The range of services to be provided by the Psychiatry units in the Ministry of Health should include:
4.1 Outpatient services 4.2 Inpatient services
4.3 Child and adolescent psychiatry 4.4 Hospital-based community psychiatry
4.5 Addiction psychiatry 4.6 Geriatric psychiatry
4.7 Forensic psychiatry 4.8 Neuropsychiatry
4.9 Psychiatric hospitals 4.10 Psychiatric nursing homes
4.11 Community mental health centres 4.12 Clinical psychology
4.13 Rehabilitation and recovery-oriented services 4.14 Training and research
4.15 Promotion of mental health
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Psychiatric And Mental Health Services Operational Policy
5. ORGANIZATION
1.1 The Head of Psychiatric services as the national advisor to the
MOH on all matters pertaining to the service.
1.2 The department shall be headed by a psychiatrist who is
appointed under the Mental Health Act 2001. •
is responsible for the management of all the components of the service.
• collaborates with the National Advisor of Psychiatric Services
in formulating strategic plans of service development, policies and procedures.
• works closely with the relevant stakeholders such as the
hospital director, nursing managers and heads of other clinical services in areas pertaining to development,
operation and other technical matters.
• builds a team of dedicated multidisciplinary staff comprising
psychiatrists, trainees, medical offi cers, staff nurses and assistant medical offi cers, psychologists counselors,
occupational therapists, physiotherapists, medical social workers, pharmacist, etc.
5.3 ORGANIZATION CHART
5.3.1 Psychiatry Department Unit Organizational Chart At Specialist Hospital
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Psychiatric And Mental Health Services Operational Policy
5.3.2 Psychiatry Services At State Level
The senior psychiatrist in the state will be the technical advisor for the state and involved in coordinating the
psychiatric services in the state. He will liaise and assist the National Technical Advisor for stream lining psychiatric
services.
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Psychiatric And Mental Health Services Operational Policy
5.3.3 Psychia tr
y Ser vices a
t Na tional Le
v el
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Psychiatric And Mental Health Services Operational Policy
6. OPERATIONAL POLICIES
All specialist hospitals shall have a psychiatric department unit with resident psychiatrists. These units shall provide general psychiatric services e.g. outpatient
clinics, inpatient beds and hospital-based community psychiatric services.
The psychiatric unit department shall undertake the training for doctors and allied health staff in the ield of psychiatry and mental health. The department
unit also plays an advisory role to the director and the Medical Advisory Board of the hospital in all matters relating to the psychiatric service.
6.1 OUTPATIENT SERVICES
All psychiatric hospitals these include psychiatric departments in general hospital and the 4 psychiatric institutions must have outpatient services.
Requirements for outpatients’ services
6.1.1 Location
In specialist hospital settings, should be located within facilities that provide other specialist clinics. Stand alone outpatient
psychiatry services is not encouraged.
6.1.2 Operations
• Outpatient services should be operated during ofice
hours. •
Outpatient services should be made available daily on normal working days.
• Patients can either be referred from doctors, allied
health. professionals or others. Even self referral should be accepted.
All patients who present with a referral should be irst assessed by a triage personnel using agreed and accepted procedures. Triage should determine the
urgency of outpatient evaluation either immediately, early or given appointment within six weeks.
