Transcript Site of Service provided in KNH Number seen

By Dr M Makanyengo
‘ the state of complete
‘Physical
Mental and Social Well Being’
and not merely the
Absence of disease and
infirmity’
A
state of well –being in which the
individual realizes his or her own
abilities , can cope with the
normal stresses of life , can work
productively and fruitfully , and is
able to make a contribution to his
or her community
•
•
•
•
•
•
The
Mental illness now account for 13 % of the
global burden of disease ,
Up from 11 % in 1990 .
Expected to rise to 15 % by 2030 .
It is estimated that 450 million people
worldwide have a mental disorder and that
at any given time 10 % of adults are
experiencing a current mental disorder ;
And that 25 % will develop one at some
point during their lifetime .

Vision
◦ A Center of Excellence in the provision of innovative
and specialized mental health care in Kenya

Mission
◦ To provide specialized quality health services,
facilitate mental health care training, research and
participate in the National
Cadre
Area of specialisation
Number
Psychiatrists
Child and adolescent services
Adult services
Youth
2
3
1
Psychologists
All round
2
Nurse counsellors
general
9
HIV Pact Coe
counselors
Psychological support/ adherence
counselling
5
Medical officer
None for GBV and alcohol rehab
0
Social worker/s
All round
1
Secretary
All round
1
Administrator
Partial availability
1
Support staff
general
2
Medical records
Clerk
1
Site of Service provided in KNH
Number seen
Adult Psychiatry Clinic 23
1241
Department of Mental Health
1976
Youth Center (MH/RH)
3191
Inpatient mental conditions
174
Total 2013 (Jan to Dec)
6582
Special Staff services Human Resource Department
(Oct 2013 to Mar1014 (sessions given)
140 from 57
clients
Youth Ctr
Ad psych
DMH
inpatient
200
180
160
140
120
Column1
100
Column2
80
Column3
60
40
20
0
1st Quater 2nd Quater 3rd Quater 4th Quater



Started Jun2013
1 full time psychologist engaged and
overwhelmed
Services provided
◦ Individual Counselling Services
◦ Organizational counselling Services






Ongoing since 2006
Over 8000 survivors seen since the start
Awaiting renovation from MOH GDP
Policy not yet approved although forwarded
to the Board
Strategic plan available for over 1 year
Ongoing research inplace between UON and
KNH staff


Proposal/policy paper forwarded to KNH
Board for implementation
Still; awaiting feedback



Urgently needed for KNH to manage inpatient
mentally ill with underlying medical
conditions
High risk of suicide in KNH due to wards in
tower block which are not secured or safe.
Meanwhile very violent staff are being taken
to Nairobi West Hospital (though not yet
formalized)



Center of excellence for national Training and
mentoring in collaboration with UON
Research, consultancy and participation in
national guidelines and policy formulation
Income generating potential
◦ Drug and Alcohol rehab services
◦ GBV services/MOH/GDP
◦ Research grants
•
•
•
•
•
Staffing uptake of new younger psychiatrists
to take over
Urgent need for psychologists (Currently
severely understaffed.
Staff establishment for Psychologists and
mental Health services in general
Policy approval for rehab and GBV
Policy approval for mental health unit
– General and Private Wing
•
•
No safe or secure wards for inpatients.
Patients commit suicide despite mental health
services
– KNH staff with mental disorders (Spending 4 million
per year in Avenue hospital)
– High demand from inpatients who are civil servants
and do not want to go to Mathare Hospital
– High demand from the general public who cannot
afford private hospitals and prefer KNH and are
ready to pay
•
WHO guidelines, world standards
– Mental health is part and parcel of holistic care
•
Cap 248 laws of kenya
– Establishment of mental units in all hospital at least
2 beds or more
•
•
Bill rights addresses the needs to establish
the highest attainable standard of health care
Establishment of rehab centres at each
county within 3 months recent decree by His
Excellency the President
THANK
YOU