absence of a data entry operator a staff nurse was entering demographic data
relating to name, age, sex, income, occupation, address, gist of the illness etc.
as well as case history, personal history and family history of the patients in the
computer. GMHC Thrissur had a spacious well arranged pharmacy and pharmacist
on an average had been taking 5 to 10 minutes for dispensing drugs. The drugs
were supplied for one to two months. If any drug was to be used continuously
and beyond this period the same was prescribed by the MO after an assessment
of the status of health of the patient. The drug compliance was 100 per cent.
The investigations carried out free of cost for all categories of OPD and in
patients included complete haemogram; blood sugar, blood urea, serum creatinine,
serum protein, serum billirubin, SGOT, SGPT, ALP, S.cholesterol, serum lithium,
serum sodium, serum potassium; Urine (routine examination). Intelligence tests,
psychopathology tests, and personality tests were conducted in the psychological
laboratory and on an average 14 such tests were conducted on Wednesday and
Thursday. The problems faced in carrying out these test were a very small sized
room of the clinical psychologist and non availability of computer and latest
software.
Thrissur was one of the 125 districts covered under the District Mental Health
Programme since 2000. The programme was conducted in outreach clinics at
various Govt. hospitals, PHCs, CHCs, Taluk hospitals and also 3 clinics run by
NGOs. Under DMHP Programme 27 Centres were covered on monthly basis.
The team visiting these centres comprised of psychiatrist, clinical psychologist,
psychiatric social worker, staff nurse, driver and attender. Drugs were dispensed
free of cost at each centre and pathological/biochemical investigations were
conducted in the laboratory of the Centre or in the laboratory of the hospital.
There were around 12000 registered users of the DMHP facilities in the district.
Suggestions
·
Keeping in view the increase in the out turn of 200 to 300 patients in OPD,
needs to expand the waiting hall for patients . The CPWD may be requested
to provide the entrance of the new OPD block with a proper enclosure to
be used as a waiting space for patients and the attenders accompanying
them.
·
A full fledged Psychological Laboratory needs to be in place. Hospital needs
to provide a much larger space to clinical psychologist to carry out
psychological tests.
Government Mental Health Centre (GMHC), Kozhikode (12th to 15th April,
2009)
The duty doctor (Psychiatrist/Medical Officer) was available round the clock in
the casualty to attend emergency cases. Most of the seriously ill patients were
sent to open wards along with their bystander/relative; patients admitted through
46
National Human Rights Commission