Mental Health Care Policy

Meghalaya Health Department Announces Draft Mental Health and Social Care Policy

Meghalaya Launches Mental Health Helpline for Accessible Care

The Meghalaya Mental Health Policy aims to promote overall mental health and well-being and facilitate appropriate access and care pathways for every member of society. It aims to reduce the extent of disability, morbidity, mortality, and social suffering. It seeks to do this by addressing the social determinants of mental ill-health and ensuring cultural security and collaborative engagement with communities in promoting equitable mental health and social care for all. Its values are those of social justice, life satisfaction, personal recovery and community inclusion and participation.

Meghalaya Health Department on Oct 10th announced the Draft ‘Meghalaya Mental Health and Social Care Policy’

ROLES AND RESPONSIBILITIES

Monitoring and Evaluation

  • Design key performance indicators (KPIs) that will measure not just the impact of each stakeholder, but the impact of cross-sectoral collaborations, and which can inform implementation, eg; by tracking the most effective forms of outreach, screening, awareness, and engagement, etc.
  • Identify the priority mental health issues based on updated data and design programmes or initiatives to address such issues.
  • Conduct multisectoral department convergence meetings to periodically review the progress, highlight implementation challenges, and develop necessary recommendations for improvements. 
  • Develop a data repository to ensure long-term and sustainable digital storage of critical data for any future references. 

Training Sessions

The (SMH-PIU) is required to coordinate training activities. 

  • Conduct needs assessment, in collaboration with other stakeholders to identify the gaps or critical areas which are hampering the effective delivery of mental health care services. 
  • Design a detailed training plan to bridge such gaps; including setting objectives, and developing an action plan and the training structure. 

Identification of vulnerable groups

  • Collaborate with education, health and social welfare departments to identify vulnerable groups particularly teenage mothers, orphans and persons with disabilities, most importantly in their critical situations including perinatal stage, accidents, life-threatening surgeries, etc. 
  • Devise programmes for early diagnosis of people living with largely ignored disorders such as anorexia, dyslexia and postpartum depression.
  • Strategies and refer to these vulnerable populations, appropriate mental health facilities for further prognosis and treatment. 
Meghalaya Cabinet passed its first-ever Mental Health and Social Care Policy on 29th November 2022

Facilitate Collaboration Across All Departments

  • Assist and facilitate cross-departmental collaborations on matters that aim to address mental health.  
  • Research and brainstorm on innovative programmes to tackle mental health in the state by fostering collaboration across different departments, other government institutions and external stakeholders.
  • Seek collaboration with concerned stakeholders for different interventions as envisioned by the Meghalaya Mental Health and Social Care Policy 2022. 
  • Maintain regular communication channels and provide assistance whenever needed, to the State Mental Health Authority and the District Mental Health Programme. 

Designing Care Pathways

  • Design a discharge plan in consultation with MIMHANS and the District Mental Health Programmes,  to continue mental health care and provide transitional support for patients recently discharged from mental health facilities. 
  • Develop guidelines and protocols as the next steps that shall be followed in the following cases;
  • patients who are left abandoned in mental healthcare facilities
  • when such abandoned patients are determined to be non-Indian nationals.
  • Design a livelihood assurance plan in collaboration with relevant departments and stakeholders for those eligible for discharge from shelter homes. 

Community Awareness 

  • Develop culturally-adapted IEC campaigns to destigmatize mental health as part of basic mental health literacy campaigns to increase awareness of the impacts of mental health on well-being and physical health, and to destigmatize mental health.
  • Engage with VHCs as platforms for information dissemination, sensitization and peer support systems. These platforms can also serve as a means for leveraging community practices and local traditions to develop culturally congruent public mental health systems.
  • To leverage the trust between traditional healers and communities, the SMH-PIU shall consult and conduct capacity-building programmes for traditional healers to develop and enhance their understanding of mental health. 
  • Initiate a referral system whereby in extenuating cases, the traditional healers can refer those in extreme distress to district mental health care providers. 

Mental Health and Social Care policy that aims to reduce stigma and build a robust system to address Mental Health, the State Mental Health Helpline-14410 was launched- an on-call mental health assistance designed to improve access to affordable and quality mental health services in the State.

The toll-free number will be functional from 10 AM to 5 PM from Monday to Friday where support can be availed in Khasi, Garo, Pnar, Hindi and English. Over 50 counsellors from various districts will be connected through the helpline. The helpline will be further expanded to a 24 X 7 mode in the next few months and integrated with the Central Tele-MANAS Network (Tele Mental Health Assistance and Networking Across States). Individuals will be connected to Mental Health specialists like Psychiatrists, Psychologists, Social workers, Nurses on a need basis.