PIMH participation in HEALTH PROMOTION INDABA-2 on December 04 & 05, 2008

1. PIMH participation inHEALTH PROMOTION INDABA-2 on December 04 & 05, 2008 Organized by Punjab Health Department & CIDA (SOHIP) at Holiday Inn, Lahore. Following paper presented in that meeting by Executive Director, PIMH, Lahore following doctors from Health Promotion Committee: - • Dr. Nusrat Habib Rana, Executive Director. • Dr. Tahira Yasmeen, DMS • Dr. Nazish Naseem, SWMO • Dr. Aneela Jabeen, WMO Convener (Dr. Shamsa Shafi) Health Promotion Committee, PIMH, Lahore was away to perform Hajj wish her good luck.

3. FOCUSING ON ATTITUDES REGARDING MENTAL HEALTH PIMH, LAHORE

4. Needs Awareness amongst the general public Promote mental health in a general population, schools & work places. Gap of Health providers at local level Increase access to health care services Early detection of disease. Seek treatment from spiritual healers Belief in evil spirits. Lack of family support in follow up. Reduce Stigma and discrimination surrounding mental illness Reintegration of psychiatric patients at workplaces. Non-cooperation from the public and private sector. Protecthuman right in dignity of mentally ill. Policy towards psychiatric patients needs to be prioritized.

5. RATIONALE - No health without mental health. i.Mental and physical health are strongly interlinked. ii. Action to enhance the mental well being and resilience of individuals, families, organizations & committees. - Good mental health is an important resource for individuals families communities and nation.

6. Targets -- To minimize the disease burden on family and state. -- Prevent people from getting mentally sick. -- Capacity building, development of human resources and training of mental health personnel. -- Bring about a transformation through health promotion.

7. Process -- One to One meeting with Health Care Providers (Skilled Birth Attendants, LHVs, Doctors). Local Government (EDO Health, Town Nazims, Union Councilors, Religious Teacher, NGOs, Media). Family members, School Teachers, Employers & Managers of work places. -- Creating working groups -- Training, Motivation (understanding of issues) -- EDO Health and DHMT to be included in larger working groups -- To re-integrate mental health in General Health Policy.

8. Steps -- Health Management Information System (HMIS). i. Help identifying Common mental health condition in the area. ii. Psycho-education to families. -- One day workshop to target groups. -- Detail situation analysis with respect to health needs within HP, Gender & Equity framework. -- Intercultural and Interfaith mediation required to avoid occurrence of misperceived breach of faith values. -- Re-evaluation of laws related to mental patients, property and family laws. -- Planning a logical framework of HP alongwith costing. -- To develop liaison with i. Community health worker. ii. Tele-psychiatry. iii. Referral to PIMH.

9. Rehabilitation

10. Agro Therapy

11. Occupational Therapy

12. Spiritual Therapy

13. THANK YOU