Upload
iyalisaivijay
View
223
Download
0
Embed Size (px)
Citation preview
8/11/2019 Vijay Report
1/24
INTRODUCTION
Block Placement is considered as an integral part of social work education where
training helps the social workers to bring out the theory of profession into practical. As
we know that the principles and methods of social work cannot be taught in a vacuum its
study cannot be confined to only set of people. Like wise, intellectual and theoretical
knowledge developed in the class room has to be necessarily argument by a practical
programme of block placement. This would enable the social work trainees to visualize
the realistic approach to the many problems to be met with in the field.
Being a second year student of social work trainee placed in ational !nstitute of
"ental #ealth and euro $ciences %!"#A$&, Bangalore for block placement where
social work trainee was e'pected to become involved in the process of developing
programmes, and in the ongoing work of the agency. !n this placement, social work
trainee observed the various units with the help of P$( )onsultants, ".Phil $cholars *
Ph.d $cholars. $o, the trainee thought that it was right time to develop his
professionalism in doing the Block Placement training successfully.
+
8/11/2019 Vijay Report
2/24
AGENCY PROFILE
NATIONAL INSTITUTE OF MENTAL HEALTH & NEUROSCIENCES
The ational !nstitute of "ental #ealth and euro $ciences is a multidisciplinary
!nstitute for patient care and academic pursuit in the frontier area of "ental #ealth and
euro $ciences. The Lunatic Asylum which came into being in the latter part of the +th
)entury was renamed as "ental #ospital in +- by the erstwhile /overnment of
"ysore. This hospital and All !ndia !nstitute of "ental #ealth established in +0 by
/overnment of !ndia were amalgamated on -1th 2ecember +10, and thus was formed
the autonomous ational !nstitute of "ental #ealth and euro $ciences %!"#A$&.
The priority gradiant adopted at the !nstitute is service, manpower development
and research. "ultidisciplinary integrated approach is the mainstay of this institute,
paving the way to translate the results from the bench to the bedside. 3n ovember +0,
+0, !"#A$ has been declared a 2eemed 4niversity by the 4niversity /rants
)ommission, with academic autonomy. The !nstitute functions under the direction of
"inistry of #ealth and 5amily (elfare, /ovt. of !ndia and "inistry of #ealth and 5amily
(elfare, /overnment of 6arnataka. $everal ational and !nternational funding
organisations provide resources for research.
MISSION STATEMENT
7volve strategies to offer diagnostic and therapeutic facilities to all corners of
!ndia in the field of "ental #ealth and eurosciences utilizing the advances in
information technology and to be the nodal center.
7stablish training facilities and impart knowledge in the field of "ental health and
eurosciences to all the developing countries by !nstitutional and 2istance
Learning.
-
8/11/2019 Vijay Report
3/24
7stablish state8of8the8art diagnostic and therapeutic facilities in neurological
disorders with special reference to genetically transmitted disorders and
vaccinology of tropical infectious diseases and be the nodal center for the )ountry
in 9esearch and 2evelopment. 2evelop strategies for 2isaster "anagement and Psychological 9ehabilitation.
!ntegrate physical and metaphysical aspects of euroscience 9esearch.
Participate in euroscience and Behavioural 9esearch related to $pace, Atomic
energy and Transplantation.
Be part of world leadership in the field of euroscience and Behavioural science.
ADMINISTRATION CHART
NIMHANS Society
:
Director/ Vice-Ch!ce""or
:
: : : : : : :
9egistrar 2ean "edical
$uperintendent
2epartments )entral
5acilities
ational
5acilities
Board of
"anagement
9egistrar
:
: : : : :
Administrative
3fficer
5inance
3fficer
7'ecutive
7ngineer
$pecial 3fficer
7valuation
P93
;
8/11/2019 Vijay Report
4/24
:
AA3%A&
AA3%P&
AA3%)&
AA3%$&
AA3%#&
AA3%3P2&
AA3%2P * 9&
2ean
:
Board of $tudies
"edical $uperintendent
:
2eputy "edical $uperintendent
:
: : :
)hief ursing 3fficer9esident "edical 3fficer"edical 9ecords 3fficer
2epartments
:
Biophysics
Biostatistics
7pidemiology
#uman /enetics
"ental #ealth and $ocial psychology"ental #ealth 7ducation
euroanaesthesia
eurochemistry
euroimaging * !nterventional 9adiology
europathology
euromicrobiology
europhysiology
eurosurgery eurovirology
ursingPsychiatry
Psychiatric and eurological 9ehabilitation
Psychiatric $ocial (ork
Psychopharmacology
0
8/11/2019 Vijay Report
5/24
eurology $peech Pathology and Audiology
)entral 5acilities
:Ayurvedic 9esearch
Biomedical 7ngineering
)entral Animal 9esearch 5acility
)ental Photography and 2ocumentation
7ngineering
Publication
ational 5acilities:
Library and !nformation $ervices
Brain Bank
Board of "anagement
:
Planning and "onitoring Board
Academic )ouncil
5inance )ommittee
Building and )onstruction )ommittee
9habilitation )ommittee
#ospital management )ommittee
7thics )ommittee
/rievance 9edressal )ommittee
8/11/2019 Vijay Report
6/24
DEPARTMENT OF PSYCHIATRIC SOCIAL #OR$ PROFILE
The 2epartment started as a part of 2epartment of Psychiatry in the year +
8/11/2019 Vijay Report
7/24
Mi%%io! Sttee!t
To provide the best possible psychosocial services for the persons affected
with psychiatric, neurological and neuro surgical problems by involving the
inherent potentials in the clients, families and communities.
To offer advanced level of teaching and training in psychiatric social work.
To undertake socially relevant and culturally appropriate researches to help
understand, assess and develop cost effective psychosocial intervention
strategies.
To 7nrich the collaboration and cooperation with $chools of $ocial
(ork?Post /raduate 2epartment of $ocial (ork and other /overnmental and
on8governmental organisations related to health, education, welfare and
developmental !nstitutions.
To formulate appropriate policies involving psychiatric social work
ingredients for the promotion of mental health, prevention, treatment and
rehabilitation of mental health problems.
C"i!ic" Ser'ice%
The staff members, trainees and research scholars have been e'tending Psychosocial
services to the patients in 3ut8Patient and !n8Patient 4nits, )hild and Adolescent
"ental #ealth )entre, 5amily Psychiatric )entre, eurological and eurosurgery
services, Psychiatric and eurological 9ehabilitation, 2eaddiction and )ommunity
"ental #ealth 4nits.
Fo""o(i!) %er'ice% re *ro'i+e+ -
Psychosocial study of the patients and their families.
#ome visits for diagnostic and therapeutic services.
)ommunity agencies contacts for 9esource mobilization.
1
8/11/2019 Vijay Report
8/24
7ducating the patients?family members about the illnesses, treatment and
rehabilitation.
"arital counseling ? therapy ? intervention services.
5amily counseling ? therapy ? intervention services.
/roup interaction ? intervention services for patients ? family members.
Liaison services with families and community.
Training the para8professionals and non8professionals in mental health
services.
7'tension services 8 camps and outreach programmes.
These services are offered in various permutations and combinations depending on
the nature of the problems, felt needs of the patients, families and communities. !n
addition to the therapeutic or treatment services, certain promotive ? preventive
services are also undertaken by the members of the 2epartment in collaboration with
voluntary agencies, 5actories, educational institutions etc.
ORGANI,ATION AND ADMINISTRATION
The functioning of the !nstitute is under the direction of the !"#A$ society
with the 4nion "inister for #ealth * 5amily (elfare as the President. The Principal
organ of management is the Board of "anagement. The other statutory bodies are
5inance )ommittee, Academic )ommittee, 7thics )ommittee, Building and (orks
)ommittee and 9ehabilitation )ommittee.
The !nstitute is funded by the /overnment of !ndia. $everal national and internationalagencies like !)"9 %!ndian )ouncil of "edical 9esearch&, 2$T %2epartment of $cience
and Technology %!ndia&&, 4/), )$!9, (#3, 3'fam, Alcoholics Anonymous, 2esperate
4nited 4!)75are other charities resources.
=
http://en.wikipedia.org/wiki/Indian_Council_of_Medical_Researchhttp://en.wikipedia.org/wiki/University_Grants_Commission_(India)http://en.wikipedia.org/wiki/CSIR_Indiahttp://en.wikipedia.org/wiki/WHOhttp://en.wikipedia.org/wiki/UNICEFhttp://en.wikipedia.org/wiki/Indian_Council_of_Medical_Researchhttp://en.wikipedia.org/wiki/University_Grants_Commission_(India)http://en.wikipedia.org/wiki/CSIR_Indiahttp://en.wikipedia.org/wiki/WHOhttp://en.wikipedia.org/wiki/UNICEF8/11/2019 Vijay Report
9/24
TRAINING PROGRESS
UNITS OSERVED
Adult Psychiatry
)entre for Addicted "edicine
)hild Psychiatry
)ommunity Psychiatry
5amily Psychiatry
SEMINARS PARTICIPATED
)ouples Therapy
Article 9eview
utritional /uidelines for Person with A2$
$uicidal Behavior among )hildren * Adolescent
8/11/2019 Vijay Report
10/24
$pecial !ssues@ eurology
)hild $e'ual Abuse
Life $kill 7ducation
ACTIVITIES OF TRAINEE IN ADULT PSYCHITRY .UNIT I0
PS# Co!%1"t!t%22r.2."49AL!2#A9
"r. AA6! 9A"A
"s. 6!"7!#AT A!P#7!
U!it Co!%1"t!t2 2r. B.". /A/A2#A9
DATE/DAY UNIT ACTIVITIES
C-nd
"arch-C++
A24LT
P$D)#!AT9D E
4!T E !
/3T /4!27L!7$ AB34T
94L7$ * 97/4LAT!3$
39!7TAT!3 AB34T A24LT
P$D)#!AT9D %4!T E !&
(A92 9342$ ! 57"AL7
(A92$
C;rd"arch
-C++
)3$4LTAT 9342$
)A$7 3B$79AT!3
+C
8/11/2019 Vijay Report
11/24
ATT7272 $7"!A9 3
)34PL7 T#79APD
C0th"arch
-C++ )A$7 3B$79AT3 ! 3P2
Cth "arch
-C++
)A$7 3B$79AT3 ! 3P2
T3P!) 2!$)4$$!3
OSERVATION
The trainee observed in the female ward rounds in the psychiatry department.
There most of the patient having mental illness especially schizophrenia is highly found.
"s.kim asked patient details to the psychiatry nurses regards medication process and
physical condition.
!n the consultant rounds they are so many patients came, 2r. $hivram is deals with the
patient in front of multi8displinary team. After finishing the consultant round trainee has
been participating the department seminar topic on Fsocial work intervention in couples
with discordG. !n the 3P2 trainee had observing the BPA2 , !n that patient is looking
depressive mood and his mother was feeling very bad about him because oftenly he
tensed an scold his family with harmful words..
SELF LEARNING
- "edication is most important to the mentally ill patients, schizophrenia
should be managed with an antipsychotic medication or placebo.
- Then he learnt about few things in $chizophrenia and its management by
referring the books in library. !n that four various parts influences might be
affecting the patients they areo Biological factor
o $ocial environment
o $ocio economic status
o 5amily relationship
++
8/11/2019 Vijay Report
12/24
8/11/2019 Vijay Report
13/24
ACTIVITIES OF TRAINEE IN CENTRE FOR ADDICTED MEDICINE
PS# Co!%1"t!t%22r.9. 2#AA$76A9A PA2!A
"r. $3A AT3D
"r. LA6$#"AA /
"r. )#A29A$76A9
"s. "A9D
U!it Co!%1"t!t2 2r. P9AT#!"A "49T#D
DATE/DAY UNIT ACTIVITIES
C1th"arch
-C++
)7T97 539
A22!)T72
"72!)!7
39!7TAT!3 AB34T
27A22!)T!3 $7TT!/
)A$7 3B$79AT!3 ! 3P2
C=th"arch
-C++
ATT7T72 !P /934P
)A$7 )35797)7 !P 9342$
ATT7272 T#7 5A"!LD
/934P $7$$!3
Cth"arch
-C++
ATT7T72 !P /934P
)A$7 )35797)7
+;
8/11/2019 Vijay Report
14/24
!P 9342$
ATT7272 T#7 5A"!LD
/934P $7$$!3
+Cth"arch
-C++
)A$7 3B$79AT!3 ! 3P2 ATT7272 T#7 $7"!A9 3
A9T!)L7 97!7(
++th"arch
-C++
!P /934P $7$$!3
#3"7!$!T T3
BA79/#7TTA
ATT7272 $7"!A9 3
4T9!T!3AL /4!27L!7$
539 P79$3 (!T# A2$
$4B"!TT72 A$$!/"7T
OSERVATION
- Trainee observed the consultant handling the A2$ patient to collect their
case history.
- Trainee observed the individual group session has been taken by "r.
)handra sekar. #e told about the anger and sleep management "ean while
he giving some valuable points about anger and sleep management to the
patient as well as trainees.
- Trainee observed also family group session taken by ".phil scholars guided
by "r.chandra sekar. !n that session family members sharing their
problematic situation facing due to their consume of alcohol.
+0
8/11/2019 Vijay Report
15/24
- !n the home visit ,"s.vathsala follow8up counselor to check whether the
patient taking the medication properly otherwise she insisting the patient to
taking medication continuosly.
- 3bserving the seminar on Futritional guidelines for the alcohol dependent
patientsG.
SELF LEARNING
- According to the !)28+C
o )raving
o Loss of control
o !ncrease tolerance
o $alients
o (ithdrawal symptoms
o 2espite of harmful control
- !n above three of the symptoms is having that person according to the !)28
+C suggested he is the alcohol dependent.
- Psychiatric social worker role in the de8addiction to assessment the A2$
patient.
- /iving the motivational enhance theraphy to individual as well as
group%patient * family&.
- )reating the environment to the supportive work like empathy, ventilation
etc.,
+
8/11/2019 Vijay Report
16/24
- 9elapse prevention techni>ue will be given i.e, lifetime modification,
psycho education %about the illness to the parents and patients&.
- #e attended the $eminar on article 9eview presented by Mr. Md. Shahid
Eqbal. #e understood about the ideal characteristics of "ental #ealth
practice. #e also came to know about the !deal features of "#
!ntervention such as@ (ell8definedH 9eflect )lient goalsH societal goalsIetc.
ACTIVITIES OF TRAINEE IN CHILD PSYCHIATRY
PS# Co!%1"t!t%22r. %"rs&. . !29A""A
"s. 2!DA 9A!29A
U!it Co!%1"t!t2 2r. $#3BA $9!AT#
DATE/DAY UNIT ACTIVITIES
+0th"arch
-C++
)#!L2
P$D)#!AT9D
39!7TAT!3 AB34T )#!L2
P$D)#!AT9D
5A"!LD /934P $7$!3
+th"arch
-C++
)A$7 3B$79AT!3 ! 3P2
A))7$$72 L!B9A9D
+
8/11/2019 Vijay Report
17/24
+th"arch,
-C++
$7"!A9 3 )#!L2 $7J4AL
AB4$7
"9 )A"PA!/ AT 3P2
$4B"!TT72 A$$!/"7T
OSERVATION
- Trainee observed the family group session was conducted by "s.2ivya
ravichandran. !n that session more than five parents are participating in the group.
Among the family members shared their problems faced by the "9 children.
- Trainee observed )erebral palsy, learning disorder, moderate "9 in 3P2 . This
cases was handled by "s. $udha Thomas. $he suggested the remedial treatment
would be given to the leaning disorder child.
- !n front of multi8disciplinary team the trainee observed the cases discussion. !n
that case trainee seen the A2#2,"9,"9 with )P and autism.
- Trainee attended a seminar on Fsuicidal behavior among children * adolescentG
presented by "r.vishal psychologist and another seminar also is observed the
trainee in the topic on Fspecial issues about nervous systemG itKs association with
mental illness.
- Trainee observed the "9 camp, the children those who are disabled as per the
P(2 act + their getting money from the government.
SELF LEARNING
+1
8/11/2019 Vijay Report
18/24
- Then the trainee got assignment topic from 2r. !ndramma and he started to
working on it. #e has learnt lot of information about "9 by referring few books
from !"#A$ Library.
- The Trainee went to )hild Psychiatry 3P2 and learnt few things about symptoms
of "9, A2#2 * Learning 2isability by observing the cases.
- Then he attended the !P 9ounds where multidisciplinary team professionals
discussed about the cases such as "9, Autism, A2#2 * Learning 2isability. #e
came to know how they are planning for treatment.
- The Trainee went to child psychiatry 3P2 an observed the cases. There he learnt
more about "9 * )hildren with Autistic features.
- Then he attended the $pecial issues Program conducted by "s. Priya, Ph.2
$cholar 8 2ept of euro $urgery. $he e'plained about what is Brain, "ind and its
internal parts.
- #e also attended the $eminar on )hild $e'ual Abuse presented by "s. $udha
Thomas, ".Phil $cholar. $he e'plained about what are the types of $e'ual Abuse
such as $e'ual assault, se'ual e'ploitation * $e'ual /rooming. The trainee came
to know about the Psychological * Physical harm because of this se'ual abuse.
+=
8/11/2019 Vijay Report
19/24
- #e went to "9 )ampaign where the psychologist will rank according to the type
of disability and the parents of the "9 )hild may get money, free medications and
all benefits as per P(2 Act, +.
ACTIVITIES OF TRAINEE IN COMMUNITY PSYCHIATRY
PS# Co!%1"t!t%22r. 6.$76#A9
"r. 7. A9A!2 9A
U!it Co!%1"t!t2 2r. 6.. 6!$#397
DATE/DAY UNIT ACTIVITIES
-+st "arch
-C++
)3""4!TD
P$D)#!AT9D
$A6ALA(A9A E 53LL3(84P
L!57 $6!LL 724)AT!3
--nd "arch
-C++
AA!6AL E 53LL3(84P
L7)T497 )LA$$ BD "r.
A9A!2
-;rd "arch
-C++
L7)T497 )LA$$ BD 2r.
6!$#397
2!$AB!L!TD $P7)!AL $)#33L-0th "arch
-C++ "A2#4/!9! E 53LL3(84P
-th "arch
-C++
$A6ALA(A9A@ !T79A)T!3
(!T# "# P9357$$!3AL$ 35
$9!LA6A
+
8/11/2019 Vijay Report
20/24
B3D$ #3"7
OSERVATION
-The trainee went to $akalawara 2istrict "ental #ealth )entre to observe
5ollow8up cases. There he observed few cases of A2$, 2ysthemia *
$eizure 2isorder. Then he attended the $eminar on Life $kills 7ducation
conducted by "r. Aravind E unior )onsultant of )ommunity Psychiatry at
2epartment of Psychiatric $ocial (ork. #e also came to know how to
apply +C Life $kills n day to day life.
- The Trainee went to Anaikal with multidisciplinary team of )ommunity
psychiatry and handled some follow8up cases. There "r. Aravind took
)lasses on 7pilepsy E its misconception, management * Prevention,
2ifference between eurological 5its * hysterical fits, $omatoform
2isorder s. Psychosomatic disorders etc.
- Then The Trainee went to attend the 2r. 6ishore Lecture on 2istrict "ental
#ealth Programme. Through this Lecture he came to know that first 2istrict
"# Programme was started in +=. Then he learnt about the roles to be
carried out in 2"#P. #e also gathered the manuals such as mental health
care * human rights, 9ole of #ealth worker in )ommunity * "anuals for
Psychiatric $ocial workers.
- Then the trainee went to A") E Association of "entally )hallenged E
2isability $pecial $chool and he observed how 2r. 6ishore is handling the
restless and hyperactive child. #e observed the follow8up process of"entally )hallenaged )hildren and also observed the ocational training
carried out in that school.
- The trainee travelled with the multidisciplinary team professionals to the
place called "adhugiri where the team done a follow8up for epileptic cases.
-C
8/11/2019 Vijay Report
21/24
Also he observed few psychosis cases were also handled by the team of
people.
- The Trainee went to $akalawara there "# Professionals from $rilanka
came for the 3bservation of 2istrict "ental #ealth )entre. 2r. 6ishore
gave orientation about the unit. The trainee came to know that in !ndia, "#
)are was started in +
8/11/2019 Vijay Report
22/24
- The trainee understood that 2istrict "ental #ealth Programme is e'tremely
dynamic in Promotive, Preventive * curative services.
ACTIVITIES OF TRAINEE FAMILY PSYCHIATRY
PS# Co!%1"t!t%22r. 9. PA9T#A$A9AT#D
"s. $#3B!T#A $#AT#A64"A9!
U!it Co!%1"t!t2 2r. "AT#7( 79/#7$7
DATE/DAY UNIT ACTIVITIES
-
8/11/2019 Vijay Report
23/24
SELF-LEARNING
- #e learnt that most of the common family problem related to inter8personal
conflict, adustmental problem, family discord etc. and also some family
members having the problem of "ental !llness * alcoholism.
- #e also came to know about intake process i.e gathering information about
family background, relationship dynamics, parental issues and problems.
- #e also came to know about the !ntervention techni>ues to be used in family
therapy.
-;
8/11/2019 Vijay Report
24/24
CONCLUSION
The social work trainee of Bharathidasan 4niversity is placed in!"#A$ for his block placement training for a period of one month %C+.C;.-C++ E
;+.C;.-C++&. The trainee was placed in various units to gain knowledge about the units
and the role of social workers in each unit.
2uring the training period of one month the trainee has observed the role of social
workers in each unit and has gained knowledge about various psychiatric terms. This
training has cast light on the importance of social workers in multi disciplinary team. The
trainee used this opportunity to shape himself as a professional social worker. The trainee
is highly thankful to the staff members and ".Phil scholars of 2epartment of Psychiatric
$ocial work who has shared their knowledge with the trainee.
-0