Kirpekar Vivek, Faye Abhijeet, Bhave Sudhir, Gawande Sushil, Tadke Rahul
Department of Psychiatry, NKP Salve Institute of Medical Sciences and Lata Mangeshkar Hospital, Nagpur, Maharashtra, India.
Department of Psychiatry, DMIHER, Datta Meghe Medical College, Wanadongri, Nagpur, Maharashtra, India.
Indian J Psychiatry. 2024 Jul;66(7):603-613. doi: 10.4103/indianjpsychiatry.indianjpsychiatry_974_23. Epub 2024 Jul 17.
District Mental Health Program (DMHP) is part of the broader National Mental Health Program (NMHP) launched in 1982. In India, DMHP has evolved over the years, moving from a pilot project to an integrated component of the NMHP. Efforts have been made to expand services, protect the rights of individuals with mental illness, and integrate mental healthcare into the primary healthcare system. Recent updates and efforts taken by the Government of India and state governments (60% and 40% budget share respectively) have improved the quality of services provided under DMHP. With the increasing use of the internet and mobile technology, DMHP has spread its arena of services more deeply and widely in the last few years reaching up to 738 districts in the country. However, there is still work to be done to address many challenges associated with mental health in India though the recent developments seem promising as a substantial number of patients are now having access to the programme. This narrative review is the summary of information available to date on the evolution of implementation and expansion of DMHP over the years and provides a gist of the positive aspects as well as limitations of the DMHP witnessed in recent years.
地区精神卫生项目（DMHP）是1982年启动的更广泛的国家精神卫生项目（NMHP）的一部分。在印度，DMHP多年来不断发展，从一个试点项目转变为NMHP的一个综合组成部分。人们一直在努力扩大服务、保护精神疾病患者的权利，并将精神卫生保健纳入初级卫生保健系统。印度政府和邦政府（预算份额分别为60%和40%）最近的更新和努力提高了DMHP提供的服务质量。随着互联网和移动技术的日益普及，DMHP在过去几年里将其服务领域更深入、更广泛地扩展到全国738个地区。然而，尽管最近的发展似乎很有希望，因为现在有大量患者能够获得该项目，但在印度，应对与精神卫生相关的许多挑战仍有工作要做。这篇叙述性综述总结了迄今为止关于DMHP多年来实施和扩展情况的可用信息，并概述了近年来DMHP的积极方面以及局限性。
