INTRODUCTION MENTAL HEALTH AND DISORDER Our societies have both constructive as well as destructive features.

Destructive does not always mean to be demolished or destroyed. In this context it can be referred to burdens on the society which may hamper the development of the society in whole. From them mental disorder or impaired mental health is one of the burden that our society is facing. Even though medical science has done fast progress in the last century in this sector with the coming of genetics and biotechnology along with improvement in psychology still many interventions are not available to the common man due to many barriers. So to get rid of this problem many organizations who work in mental health sector were trying hard to come with such packages that it will help to meet the needs of the client as well as the society. STRUCTURE OF THE ESSAY This essay will show how new packages and services given by the mental health service is helpful in different way and how it can be applied to both the client and the society people. What all are included in those service packages and for which age groups as well as what more can be done in this sector so as to minimize the consequences. NEED FOR MENTAL HEALTH SERVICE PACKAGE Nothing happens in this world without a valid and logical reason behind it. Similarly we have to see why there is a need of packages and services from the department of mental health when many other disorders still haunts the common man. MENTAL HEALTH PROBLEMS -EFFECT ON GLOBAL SCALE The global sharing of the mental disorder stands at 12% in total disease section of the world, which is expected to increase to 15% by the end of this decade that is 2020. It first makes people disable later forcibly transfer them to illness category. Those people are discriminated all over the world. In developing countries till today they are not able to give minimum assistance to those who suffers from this problem.(Jacob et al, 2007) SOCIAL AND ECONOMIC EXPENDITURE FOR MENTAL HEALTH DISORDERS Problems need to be addressed when they have substantial effect on the society as well as the economy of a country. If we will take the case of USA the so called richest country in the world, the indirect cost behind the treatment of mental health disorder is 148 billion dollars, which outweighs direct investment behind other diseases by two to four times which will be very high in other developing nations where the direct cost is very low for different type of diseases. The social cost is also high as the burden of cost has to bear by the family members and sometimes one family bear for the others too as nobody is there to take care of the person. The groups who

were most vulnerable to this problem are the young adults who form the most productive population of a country. So it adds different type of stress to the family as well as the patient who is suffering from thus making this problem both social and economic.(World health report, 2001). FUNDINGS AVAILABLE FOR THIS SECTOR. If we will analyze the fundings as well as resources that these sectors gets from their respective governments then there is a huge question mark on this that is why this area is so neglected even though it takes a great toll on the cost? Statistics says the developed countries whose percentage in whole world is 37% they spend less than 1% of their total health budget after the mental health, while its still less in developing nations. If the fundings will be compared to the other disease sector such as AIDS and cancers it seems to be a handful of water for sea. So this needs to be addressed seriously.(WHO, 2007) MENTAL HEALTH POLICY AND PROGRAMME The first thing which is needed is the development of a mental health policy that will effectively implement other plans and programmes which will be helpful in this regard and will mitigate the problem of the mental health problems that society is currently facing. So we will see different service packages which are made available to the people of society by the health department of various governments as well as different public sectors in mental health service providers. METAL HEALTH AND PRIMARY HEALTH INTEGRATION The primary health care is an important sector in health care department doesnt matter if it is provided by the government or private sector. As it provides curative, preventive and general health treatments to the common man so integrating the mental health services to the primary care will help in this regard as it will be available to the common man at ease as primary care is available to all. So this helps in making the treatments available to the common man and other patients as well as the clients too who can get insurance policies there also with ease.(WHO, 2005) TRAINING FOR THE HEALTH PROFESSIONALS AS WELL AS THE NGOS This module in the package includes training of those health professionals who were in the mental health sector. The rationale behind this is most of the mentally challenged person hardly get a chance to see the doctors as well as other health professionals. Even if they get a chance to see the doctor but till the treatment received by them hardly is effective in nature because most of the time the treatments that are made available to them is not to the point due the untrained staffs in this sector. So the package comes with the training of the individual who were in the health care sector that too in mental health treatment.

Training module is also available for the common man as well as the different persons involved in the different stages of the health care sector. For common man training is made available especially to deal with the patients as well as how to do better effective communication. This will be beneficial for both the societies and clients as it helps in the effective treatment of the patients. LOCAL HOSPITALS AND CLINICS The mental health department comes with another package that is making the availability of mental health treatment at local hospitals as well as the local clinics through well trained staffs who can do screening and diagnosing of the disease properly as well as the monitoring the medications which were mostly psychotropic. Those patients who cannot be treated with the facilities available to them are referred to the next up level hospitals and transport facilities were also available for the serious patients along with proper information why they are referred to the other hospitals. Many types of facilities were also made available to the inpatient under this scheme such as 4-6 beds will be provided to the psychiatric patients in each ward in every hospital as well as providing enough space for the outpatient. Besides the ward consultants and doctors there will be nurses and social workers to assist the family whose person is suffering from mental disorder as well as patient. All types evaluation should be carried out so that if any false positive symptom can be rechecked. Discharge plans should be made available to the family assisting the patients along with the primary health care plan as it will help them to know in which way the treatment is proceeding and how effective it is? Help will be provided in different sectors such as health, food, work, security etc so that if anybody who is suffering and have no body doesnt go to road. The confidentiality will be maintained for the patients from outpatient and inpatient caretakers. EMERGENCY UNITS FOR SUBSTANCE ABUSE CASES The substance abuse cases are on rise in every sector and same with the mental health sector too. So the package has also arrangement for those who were also addicted to substances and emergency units are available to treat both withdrawl and starting symptoms of substance assume. Necessary counseling is also provided so that they will not return to that path as well as detoxification will be done for those who have passed the tertiary level in the substance abuse. CARE CORDINATOR The role of care coordinator is very crucial in any of the health services. So the mental health is also the same where the package includes the care coordinator for each group of patients especially one or two for each ward so that those patients who were coming for treatment doesnt get deprived off any facility that is available in the hospital. COMMENCEMENT OF THE COMMUNITY MENTAL HEALTH TEAM

Community mental health teams are those who can assist people suffering from mental disorders or any type of mental problems in their homes and can give effective solutions. The team must have psychiatrists, psychiatric nurses, mental medicine specialists, occupational therapists etc so that they can treat the patients effectively, along with this they are distributed in different sectors so that this facility could be availed by all the persons rather in a single special hospital or clinic. MAKING AVAILABILITY OF DIAGNOSTIC TOOL For any disease there exists an evaluator mechanism or tool, but at times as the health care professionals does not follow those guidelines they end up in misdiagnosis and wrong prescription of medicines. So now days the mental health department gives a structural evaluation framework for the right diagnosis of the disease which will be provided to all hospitals and clinics and that will be explained to the family members as well as the sufferers by trained personnel. The system has been developed in such a way that all the evaluation made was made to feed to the database where it is analyzed by the mental health department and then feedback is given to that hospital or clinic. Standardized protocol for the evaluation of all types of mental diseases is also provided to the different institutes for better and effective treatment.( Patel et al, 2007) MAKING MENTAL HEALTH STUDY IN SCHOOLS The children are very sensitive both in physical and mental sphere. They tend to be more prone to any of the mental disorder which may be congenital or else acquired after birth due to any traumatic experiences or any such accidents which has left them mentally challenged. So the mental health service package also try to incorporate the mental health study at school level so a child need can be known and can be analyzed during various case studies. Another rationale behind this approach is to remove the stigma behind the mental illness as in most cases the patients are discriminated in the society so making the younger generation aware of the true facts both scientifically as well as logically which will also help in developing a better thought process and they will be aware of the facts and reasons behind the mental illness.( Institute of Medicine, National Academy Press, 2001) FUNDING OF THE PATIENTS AS WELL AS MEDICAL COST Medical cost is one of the important factors which have always played a major role in any disease. In developing countries mostly people failed to meet the cost of the treatment as a result the mortality in most of cases rises even though it is not in the case of the mental health but still most of the families cannot meet the cost that has to be incurred during the treatment of mental health disorder. So the package includes financing the families as well as the patients through suitable insurances that will help them in bearing the cost of the treatment as well as help the insurance clients to get there business. The package also includes providing jobs according to their capability to the patients or any members of the family so that they will not feel that they have been discriminated in the society as they are mentally challenged.

So these are some of the services that are provided by the different government as well as private sector health departments or hospitals in mental health which is really beneficial to the client as well as the society. CONCLUSION Development of packages as well as services and its effective implementation is a complex process. There are many factors that have to be considered while developing a package and the share of the stakeholders or clients has to be kept in mind while developing. The package which the mental health department provides may vary from place to place or from country to country based on their economy. Even though the process is complex for a country, but it is recommended that the country must come with a suitable policy for mental health so that it will be easy for coordination while monitoring packages in different hospitals and whether it is breaching ethical guidelines or not. It is also recommended that the hospitals or the institutions who were providing those packages not only aim for providing effective treatments only but also providing them same environment that a common human being enjoys during his/her lifetime which will encourage them to think in a positive way that they also can do many things with these impairedness. The packages must be helpful in improving the functionality of the patient different areas such as in school, other educational institutions, family and social get together which will help in mitigating there mental illness and it is one of the effective way of treating other than the medications. So in overall the packages which were coming after the guidelines set by the WHO in 2001 about the mental health will help the medical institutions in developing their own packages and services. REFERENCES Agarwal SP, Goel DS, Ichhpujani RL, Salhan RN, Shrivastava S. Mental health: an Indian perspective 19462003. Delhi, India: Directorate General of Health Services, Ministry of Health and Family Welfare, 2004. Clifford P, Charman A, Webb Y, Craig TJ, Cowan D. Planning for community care: the Community Placement Questionnaire. Br J Clin Psychol 1991; 30: 193-211. CrossRef | PubMed

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