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Psychiatric And Mental Health Services Operational Policy
3. SCOPE OF SERVICES
Scope of services should include: a Primary care
• Promotion of mental health
• Early detection and prompt treatment
• Follow-up of stable cases and defaulter tracing
• Psychosocial rehabilitation PSR
b Hospital with no resident psychiatrist • Promotion of mental health
• Early detection and prompt treatment • Follow-up of psychiatric patients and defaulter tracing
• Inpatient care Optional
c Hospital with resident psychiatrist • Promotion of mental health
• Early detection and prompt treatment • Specialist outpatient care
• Inpatient care • Hospital-based community psychiatry
• Psychosocial interventions • Liaison consultation services
•
Subspecialised services e.g. child and adolescent psychiatry, geriatric psychiatry, etc. optional
• Research • Training
d Mental institution • Promotion of mental health
• Early detection and prompt treatment • Specialist outpatient care
• Inpatient care • Hospital-based community psychiatry
• Psychosocial interventions • Forensic psychiatry
• Residential care for hard to place patients and long stay patients • Research
• Training
The level and intensity of services provided will be dependent on facilities and resources available.
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Psychiatric And Mental Health Services Operational Policy
3.1 OUT PATIENT SERVICE
There are various sources that the patient can get access to psychiatry and mental health services. The sources are from the following:
• Primary care
• Private practitioner
• Other specialist
• Teacher
• Counselor
• Psychologist Clinical Psychologist
• Other mental health workers NGO’s self referral
The psychiatry and mental health services provide include out-patient and in- patient services. The out-patient services are available at all level of health care
facilities. These may be available in both public and private health facilities at Primary Health Care, non specialist hospital, specialist hospital and psychiatric
hospital.
The services provided include the following: a
Promotion of Mental Health •
Promote mental health literacy. •
Promote an acceptance and valuing cultural diversity. b
Prevention •
Prevention of speciic illness, speciic risk groups. •
Early intervention of disease. o Identify population at risk.
o Screening population at risk.
c Assessment
d Diagnosis
• Uncertain diagnosis from Primary Health care and non
specialist hospital should be referred to Psychiatrist Specialist or Psychiatric hospital.
e Treatment
• Pharmacological treatment.
• Psychosocial treatment.
• Patients who are being stated on treatment at Primary Health
care and non specialist hospital which are not responding to
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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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