Critical Conditions Support For Children With Poor Mental Health In Coal Mining Areas Of Ramgarh, Jharkhand

Despite having two premier Institutions for mental health care – Central Institute of Psychiatry (CIP) and Ranchi Institute of Neuro-Psychiatry and Allied Sciences (RINPAS) for nearly a century now, the condition of mental health care in Jharkhand is deplorable.

Jharkhand is placed 5th in the country with 11.1% of the population suffering from severe mental illness as against the highest figure of 14.1 in Manipur and the lowest of 5.8 % in Assam. This is as per the first National mental health survey conducted by the MHFW, GOJ. Psychiatrists both at RINPAS and CIP have denied proper drug supply. Though some of the drugs are available for Patients at RINPAS but CIP never procured or provided medicines to the patients. The area falls in the Coal mines of Ramgarh, with presently 144 Target Children. In absence of the basic services even children with mild problems are developing secondary problems. The dearth of support systems along with poor child-rearing skills of parents develop a vicious circle of poverty. The need of the hour is to Provide Critical Conditions Support to Children with poor mental health in Ultra-poor families for their mental consultation, Medicines, Physiotherapy Inputs & CBR Support (if needed).

• Detailed Screening Of The Children For Early Identified of Cases.
• Parental Consultation Camps for Counselling.
• Expert Medical Consultation, MRI (If Suggested), Provision of Need Based Medicines For the Identified children, Critical Conditions Support ( if Needed)
• Rendering specialized services at the Resource Centre.
• 150 CWD provided need based rehabilitation services.
• Identified eligible CWDs will have Suitable Aids and Appliances.
• Linkages for corrective surgery and /Or Allied services for treatment.
• Village level sensitization drives.
•  Awareness Promotion and Community Education low cost locally available edibles with its nutrient values for Prevention against the cases of mental illness.

• Children With Poor Mental Health From Ultra Poor Families have access to Proper Medical Consultation, Diagnosis, Expert Advice, Physiotherapy Inputs and Hand Holding Support for the Process of Socialization.
• Children with special needs will have access to Critical Conditions Support to deal with emergency health needs.
• The identified CWD of the target villages will enhance their skill for independent living with ensuring full participation.
• CWD will have need-based Aid and Appliances and Disability Certificate.
• 20-60% Improvement in skill depending upon the severity level will be observed on the BASIC-MR scale
• People are more aware of common mental disorders such as depression and anxiety, and are more willing to talk to health professionals and seek treatment.
• Non availability of the information about low cost locally available edibles with its nutrient values for Prevention, Dearth of Early identification and intervention services and Counselling for the parents and Limited Skills to deal with the childhood Mental Health issues.