institute of human behaviour and allied sciences
TRANSCRIPT
INSTITUTE OF HUMAN BEHAVIOUR AND
ALLIED SCIENCES
SUMMARY HIGHLIGHTS OF ANNUAL REPORT (2012-13)
Enhancing Healthcare: India Health Care Award
2012 for IHBAS Hospital: as the Best Single
Specialty Hospital in Mental Health
CONTENTS
From the Director Desk
About us
o Our Vision, Mission and Quality Policy
o Our Aims and Objectives
Our Journey to Today
o From custodial care setting to modern NABH accredited
Neuropsychiatric Institute
How we work: IHBAS Organization
Working Together: Team IHBAS
o Departments
o Our Faculty
Patient care at IHBAS
o Patient Care Services and Special Clinics
Initiatives for expansion and strengthening of Patient Care
Community Services
Connecting with Patients
Academics at IHBAS
Research
Awards
Our Commitment Towards Quality
Hospital Statistics at a Glance
Committees and Apex Bodies
EDITORIAL BOARD
Editor in chief : Dr Nimesh G. Desai
(Director IHBAS)
Compiled and Edited by: Dr Ishita Pant
Assistant Professor (Pathology)
(OIC Annual Report)
Editorial Board : Dr Sujata Chaturvedi
Professor and HOD (Pathology)
: Dr Rajeev Thakur
Professor and HOD (Microbiology)
: Dr Rachna Agarwal
Associate Professor (Neurochemistry)
: Dr Sarbjeet Khurana
Associate Professor (Epidemiology)
FROM THE DIRECTOR’S DESK
The Hospital for Mental Diseases, Shahdara was converted to ‘Institute of Human
Behaviour and Allied Sciences (IHBAS) by a Supreme Court order in response to a
public interest litigation in 1993. Since then IHBAS has come a long way in its
journey of transforming custodial care setting to modern neuropsychiatric institute
and today is one of the NABH accredited largest super specialities tertiary care
centres in Delhi dedicated exclusively to neuropsychiatric and behavioural illnesses.
The institute is progressing steadily to achieve its objectives, which are:
I. To provide high quality super specialty health care using state-of-art
technology in mental health, neurosciences, behavioural and allied sciences
II. To conduct research of high standard in the field of mental health,
neurosciences and behavioural sciences
III. To provide comprehensive training for MD, DM, M Phil and Ph D courses in field
of mental health, neurosciences and behavioural sciences and research
activities on current interest
Strengthening of different departments of the institute with a view to improve the
quality of services has been our constant endeavour and this was further
emphasized and strengthened with introduction of National Accreditation Board for
Hospital and Healthcare providers (NABH) in IHBAS. The NABH process for quality
assurance and the guidelines further helped the faculty and staff to improve their
understanding to match the quality standards for patient care.
This year it is a privilege for us as an institute to share that IHBAS as an institute
has received the prestigious India Health Care Award 2012 as the best single
specialty hospital in mental health. This is a significant milestone achieved by the
institutes a part of the larger picture of expansion and quality assurance of health
services in Delhi. Starting from a Hospital for Mental Diseases, IHBAS today is a
NABH accredited specialty hospital in the combined fields of mental health and
neurosciences with active outpatient services, emergency care and ICU services with
a fairly complex mosaic of services on the identified theme of “Brain-Mind Problems
and Their Solutions”. Other than this many faculty members were awarded with
several prestigious awards.
IHBAS as an apex neuropsychiatric institute has been continuously working to
expand the patient care services beyond the hospital based care to community. This
has been achieved through the community outreach services in various parts of
Delhi, the awareness campaigns, active liaison with the NGOs, user and carer
groups, RWAs and sensitization programme to facilitate involvement of the various
stakeholders. In addition community oriented programmes, programmes for school
children such as poster competition, workshops, symposia were organised to
increase the awareness about positive mental health for prevention of
neuropsychiatric illnesses and the facilities available at the institute.
IHBAS as an institute was fortunate enough to be provided a thorough appraisal by
National and International organizations and agencies that visited the institute
during 2012-13.
It is worth appreciating that the faculty of IHBAS besides contributing towards the
patient care, teaching and administrative duties, is also actively involved in the
research both in the basic and applied fields. The research programmes run at
IHBAS have been funded by reputed National as well as International funding
agencies. Various clinical trials are also going on in the Institute which would
contribute towards effective management of the diseases.
Various academic activities were undertaken in the institute during the current year.
The teaching and training for MD (Psychiatry), DM (Neurology), M.Phil. (Clinical
Psychology) and the undergraduate and post graduate student teaching in Clinical
Psychology, Psychiatric Social work and Psychiatric nursing continued. Apart from
this many academic courses are in the pipeline.
This report gives a description of the achievements made by the institute in different
fields during the year 2012-13.
Dr Nimesh G Desai
Director
ABOUT US
Vision
The vision of Institute of Human Behaviour and Allied Sciences is to be one of the
leaders in the country and in the world for promoting mental health, neurosciences,
behavioural and allied sciences through multidisciplinary patient care in partnership
with communities, developing future group of professionals and paraprofessional
leaders through formal and semiformal training programmes and expanding scientific
knowledge and its application through frontline research.
Mission
The mission of Institute of Human Behaviour and Allied Sciences is to advance the
mental and neurological health of populations by practicing evidence based
multidisciplinary scientific health care approaches that are novel, adaptive, and
ethical, conduct research of high standard and develop human resource in these
fields. The institute adheres to quality assurance, integrating into practice the
prevailing norms for human rights and diverse value systems of persons and
populations while accomplishing this mission.
Quality Policy Statement
IHBAS is committed to provide Health Care par excellence. This would be achieved
through:
Complying with National and International Quality standard
Working within the framework of Regulatory requirement
Up gradation of Technology and Facilities on regular basis
Training the manpower in the relevant discipline
Continuous Quality improvement, and
In the process, striving to enhance both staff and user satisfaction level
Aims and Objectives
To provide high quality super specialty health care using state-of-art
technology in mental health, Neurosciences, Behavioural and Allied sciences.
To conduct research of high standard in the field of mental health,
Neurosciences and Behavioural sciences.
To provide comprehensive training for MD, DM, M. Phil. & Ph.D courses in field
of mental health, Neurosciences and Behavioural sciences and research
activities on current interest.
OUR JOURNEY TO TODAY
Journey of transforming custodial care setting to modern NABH accredited
Neuropsychiatric Institute
IHBAS was earlier known as Hospital for Mental Diseases (HMD) which was
established in 1966. This was a custodial care setting established under Indian
Lunacy Act (1912) with majority of patients being long stay. In view of the multiple
reports regarding gross human rights violation in 1983, PIL was filed in the Hon’ble
Supreme Court related to the prevalent conditions at HMD. Subsequently a three
member committee of eminent psychiatrists was formed who gave their
recommendations in 1989. In 1993, the erstwhile HMD was converted to the
Institute of Human Behavior & Allied
Sciences in compliance with the directives
of the Hon'ble Supreme Court in response
to public interest litigation in 1993. The
Institute is an autonomous body registered
under the Societies Act 1860, funded jointly
by Ministry of Health and Family Welfare,
Government of India and Government of NCT of Delhi. Minister for Health, Govt. of
NCT of Delhi is the President and Chief Secretary, Govt. of NCT Delhi is the Chairman
of the Executive Council of the institute.
The initial 7-8 years after the establishment in
1993, the Institute had to adjust with the major
transformations from HMD to tertiary care
neuropsychiatric institute with many of the systems
reviewed and re-organized.
In 2000, as part of transformation of IHBAS to
teaching and research institute, the post graduate
courses were streamlined with faculties joining in major clinical and supportive
departments. In next five years, institute’s major focus was on strengthening the
existing infrastructure and patient care services. Standard operating procedures
were defined and implemented to ensure the uniformity of care. This was further
emphasized and strengthened with introduction of NABH in 2008.
The NABH process for quality assurance and the guidelines further helped the IHBAS
faculty and staff to improve their understanding to define the policies and procedures
to match the quality standards for patient care. IHBAS playing a pivotal role in
reducing the treatment gap in neuropsychiatric care by the quantum of services it
provides while ensuring the quality which has been a daunting task.
In the relatively neglected area of neuropsychiatry, striving for quality assurance had
been a difficult and challenging task but with advancement of quality in health care,
the field of neuropsychiatry has been benefitted like all other medical fields. There
may still be lacunae as the field is evolving. Quality being a dynamic process is an
ongoing activity. This dynamic nature of quality assurance is much more applicable
in the field of neuropsychiatry.
NABH Accreditation was accorded to IHBAS becoming effective from
3.2.2012 for a period of three years. This is a significant milestone
achieved by IHBAS as a part of the larger picture of expansion and
quality assurance of health services in Delhi by the government of NCT of Delhi. To
our knowledge, IHBAS is the fourth Government hospital in the state to achieve the
milestone after CNBC, ILBS and MAIDS.
IHBAS is a specialty hospital in the combined fields of Mental health and
neurosciences with active Outpatient services, emergency care and ICU Services
with a fairly complex mosaic of services on the identified theme of brain- Mind
problems and their solutions. The Hard work of the faculty and the staff has
made IHBAS, still the first and only specialty neurosciences and mental
health hospital across Government or Private sectors in the country to get
NABH Accreditation.
HOW WE WORK
IHBAS Organization
WORKING TOGETHER: TEAM IHBAS
Departments of IHBAS
Psychiatry
Neurology
Neurosurgery
Neuroanaesthesia
Clinical Psychology
Psychiatric Social Work
Pathology
Microbiology
Neurochemistry
Neuropsychopharmacology
Neuroradiology
Medical Anthropology
Epidemiology
Biostatistics
Our Faculty
Director
Prof. Dr. Nimesh G. Desai (Psychiatry)
Emeritus Professor
Prof. S.D. Sharma (Psychiatry)
Prof. M. Gourie Devi (Neurology) Professors
Dr. N.G. Desai (Psychiatry)
Dr. Sujata Chaturvedi (Pathology)
Dr. Sangeeta Sharma (Neuropsychoparmacology)
Dr. Rajiv Thakur (Microbiology) Additional Professors
Dr. Kiran Bala (Neurology)
Dr. Uday Kumar Sinha (Clincial Psychology)
Associate Professors
Dr. Neelam Chhillar (Neuro Chemistry)
Dr. Anshu Gupta (Pathology)
Dr. P.K. Upadhyay (Neurosurgery)
Dr. Deepak Kumar (Psychiatry)
Dr. Suman Seryam Kushwaha (Neurology)
Dr. Rachna Agarwal (Neuro Chemistry)
Dr. Om Prakash (Psychiatry)
Dr. Vibha Sharma (Cllincial Pasychology)
Dr. Jahanara M Gajenderagad (Psychiatric Social Work)
Dr. Sarbjeet Khurana (Epidemiology)
Dr. Mukul Kumar Jain (Neuroaneshtesia)
Dr. C.B. Tripathi (Biostatistics)
Dr. Rajesh Kumar (Psychiatry)
Dr. Reema Kumari (Neuro radiology)
Dr. Vijender Singh (Psychiatry)
Dr. Ravinder Singh (Medical Anthropology)
Assistant Professors
Dr. Vinod Kumar Singh Gautam (Neurosurgery)
Dr. Deepak Kumar Jha (Neurosurgery)
Dr. Arvind Arya (Neuroanesthesia)
Dr. Renu Goyal (Microbiology)
Dr. Naveen Grover (Clincial Psychology)
Dr. Ishita Pant (Pathology)
Dr. Pankaj Kumar (Psychiatry)
Dr. Manoj Kumar (Psychiatry)
Dr. Aldrin Anthony Dung Dung (Neurology)
Dr. Amit Khanna (Psychiatry)
Dr. Paramjeet Singh (Psychiatry)
Dr. Amit Garg (Psychiatry)
Dr. Sumit Kumar Gupta (Psychiatry)
Dr. Bhavna Kaul (Neurology)
Dr. Shaily Singh (Neurology)
Dr. Siddharth Maheshwari
(Neurology)
PATIENT CARE AT IHBAS
Patient Care Services
OPD
In Patient
Emergency
ICUs
Diagnostic services
Blood Storage Unit
In house CT scan
Community outreach
services
Special Clinics
Child and Adolescent
Psychiatry clinic
Mental retardation clinic
Marital and psychosexual
Clinic
Tobacco Cessation clinic
Neuro-behaviour Clinic
Drug abuse treatment clinic
Epilepsy Clinic
Movement Disorder clinic
SOME OF OUR INITIATIVES FOR EXPANSION
AND STRENGTHENING OF PATIENT CARE
SERVICES
Our Institute continuously looks for ways to upgrade its facilities for the patients’ care
and comfort. In the last couple of years, the hospital underwent innovations in few key
locations and few new units were set up to provide specialized services for patients
In house round the clock CT scan facility
IHABS has its in house round the clock CT scan facility serving to the needs of the
patients round the clock.
Strengthening of patient care services:
Blood Storage Unit
A big supportive service for the Neurosurgery services
In house round the clock CT Scan facility
To serve the needs of the patients
Mother and child care unit: a unique initiative
As one of the proactive steps aimed at taking care to those who
need it most, a unique ‘ Mother and Child Unit’ has been started
by IHBAS to cater to homeless, young,
mentally ill mother
Child and Adolescent Psychiatric Indoor Services
IHBAS has a specialized Child and Adolescent Psychiatry ward
which is 10 bedded,
shortly to be upgraded to 20 beds.
Intensive Care Units
Psychiatry ICU first of its kind in India with 1:1 staff
patient ratio for better observation, monitoring and care
of high risk patients.
Short observation facility:
A new modernised emergency block with 15 bedded short
observation facilities
.
In house Blood storage unit
Blood Storage Unit (BSU) came into existence on 9th October, 2012. It operates from
9.00am- 4.00pm on all working days. BSU has been licensed and approved by
Assistant Drugs Controller for storage of whole human blood and packed red blood
cells (PRBCs). Regional Blood Transfusion Centre, G.T.B. Hospital is the mother
blood bank from which blood bags are procured as per requirement.
BSU provides
high quality
services with
the objective of
providing safe
whole blood to
all needy
patients. At the
same time
strong
emphasis is on
maintaining
quality at each
step from blood
procurement to
blood issue while adhering to standards laid down in drug and cosmetics rules. BSU
is a strong supportive unit to the Neurosurgery services at IHBAS.
Mother and child care unit, a unique initiative: started by IHBAS to cater
to homeless, young, mentally ill mother
IHBAS as state Psychiatric hospital does not restrict itself to providing service only to those
reaching its doorstep. As one of the proactive steps aimed at taking care to those who need
it most, a unique ‘Mother and Child Unit’ has been started by IHBAS to cater to homeless,
young, mentally ill mother-one of the most vulnerable target groups. Of the mentally ill
homeless patients, a significant
proportion of them happen to be
women in the age group of 20-50
years. Some of these women at the
time of contact with the hospital are
found to be either in advanced
stages of pregnancy or carrying
young children with them. In such
instances the usual practice across
many of the psychiatric hospitals in
India is to send women with
advanced pregnancy to alternative settings which may or may not have the mental health
care facilities. In case of mentally ill mothers with young children the practice is usually to
separate the child from the mother. IHBAS also in the initial few years followed the same.
But over the years the successive clinical mental health teams at IHBAS realized this
practice to be violative of the basic principles of human rights. It was felt that no woman can
be denied help on the basis of pregnancy which is a normal physiological state or be
separated from her child on grounds of mental illness. At the same time there was no
alternative mental health service or care setting which would simultaneously provide help
and care to the mentally ill mother, along with her children or during advanced stages of
pregnancy. At IHBAS, the clinical mental health units thus considered it their responsibility
to provide mental health care and treatment to all these patients who presented at IHBAS in
either advanced stages of pregnancy or with young children. This need based initiative lead
to the formation of the Mother and Child care Unit (MCU) as an inpatient mental health
service at IHBAS.
The main objectives for MCU are to provide integrated mental health and medical services to
Court referred /homeless mentally ill women in advanced stages of pregnancy or with
responsibility of young children, to address immediate and urgent management issues in
women and their children
admitted at IHBAS, to ensure
safety and security of both
mother and child, to
streamline and
operationalize the care of
mother and child and to
provide facilitatory
environment to women with
psychiatric illness and assist
in child care during their
symptomatic phase.
The present MCU is a 5 bedded unit as part of the Clinical Mental Health Unit which is
specially meant for providing mental health care and assistance to women patients in
advanced stages of pregnancy or with young children (< 7 years) admitted through
reception orders (court referred) . As per Institute’s policy the mother and child are kept
together under same roof. Patients are provided with female ward attendants round the
clock at hospital cost, to help and assist them in taking care of themselves and their
children. The MCU is managed by the multidisciplinary clinical mental health unit. It also has
provision for consultation and liaison with Obstetric and Paediatric services in adjacent
Government hospitals (Guru Teg Bahadur and Swami Dayanand Hospital).
Child and Adolescent Psychiatric Indoor Services
IHBAS has a specialized Child and Adolescent Psychiatry ward which is 10 bedded, shortly to
be upgraded to 20 beds. A multidisciplinary team consisting of Psychiatrists, Clinical
Psychologists and Psychiatric Social Workers provide the clinical services. The neurologists
are always involved in the team as and when required. For general medical/ surgical
conditions advices are sought from the nearby Government hospitals (Guru Teg Bahadur and
Swami Dayanand Hospital).
Referrals for inpatient admission are from:
Family: When child is brought by family, problem being recognized by the child/
family or both. Admission is done under section 16 and 17 of Mental Health Act 1987.
Referrals from Child Welfare Committee (CWCs) and Juvenile Justice Boards.
Referrals from Asha Kiran: it’s a
government residential facility
for mentally retarded children
from time to time admissions are
done at IHBAS for emerging
needs under Section 19 of MHA
1987.
There is a provision for family
members to stay along with the
children during admission. We provide
an activity room having play items and for recreational activities. Children can also use them
for reading and drawing. Structured program is provided throughout the day. There is also a
provision for assessment and therapies by Clinical Psychologists and Psychiatric Social
Workers. All children are provided a multidisciplinary intervention to a degree required in
each case. Daily meeting are also conducted with the parents providing them with general
education and specific tips on parenting, behavioural modification etc. Provision for
sensitization programme for the staff (nurses and attendants) regarding the handling of
difficult children in the ward is also ensured. The recent association of IHBAS with the four
Child Welfare Committee’s (CWC) and Juvenile Justices Boards since the beginning of Child
ward in June 2009 has been very encouraging.
Intensive Care Units: in all three clinical departments
The hospital provides state of art ICUs in the department of Psychiatry, Neurology and
Neurosurgery. The ICU Staff is fully trained for handling the psychiatric and neurological
emergencies.
In the Neurology Intensive Care
Unit, all types of critical
neurological patients are
managed according to the
internationally accepted
guidelines and protocols. The
state of art 10 bedded ICU is
equipped with multichannel bedside
monitoring system. Ventilator Support is
available for the respiratory compromised
patients. Plasmapheresis is routinely done for
the patients of GBS and for other indications
time to time.
In the Psychiatry ICU (first of its kind in
India), patients with high risk behaviour
(suicidal and homicidal patients), drug
toxicity, acute co-morbid medical conditions
are kept under close observation. The staff
and patient ratio is maintained in 1:1 ratio.
There is a provision for two padded rooms for
extremely violent patients to prevent them
from harming themselves and others.
A 2 bedded Neurosurgery ICU was set up in July 2010 equipped with all advance equipments
and plans are in pipeline to expand the bed strength.
Short observation facility
The Institute offers round the clock
(24x7) emergency services in both
Psychiatry and Neurology. A new
emergency block was
inaugurated by Dr Kiran Walia in May
2010, incorporating a 15 bedded Short
Observation Facility (SOF) with the
laboratory services. Patients admitted
in this SOF are kept for 24-72 hours for
the initial needs. They can be awaiting admission or after the initial treatment sent back
home. Commonly encountered clinical cases in SOF include patients suffering with catatonia,
suicidal risk, seizures, drug related adverse effects/toxicity etc. All types of neurological
emergencies e.g. Status Epilepticus, Meningoencephalitis, and Gullian Barre Syndrome are
well managed. Currently the Neurosurgery is not handling the acute head trauma cases.
COMMUNITY SERVICES
Active communitization
IHBAS as apex neuropsychiatry institute has, since its inception in 1993, strived to
expand the patient care services beyond the hospital based care to community. This
has been achieved through the community outreach services in various parts of
Delhi, the awareness campaigns, active liaison with the NGOs, user and carer
groups, RWAs, training programme to involve the general health practitioners,
paramedical workers as well as community contact and sensitization programme to
facilitate involvement of the various stakeholders. With its consistent focus on
community involvement and participation, IHBAS has by now well established
health outreach network in six districts of Delhi as well as large network of
stakeholders including Government agencies, NGOs, RWAs and the user and carer
groups. The Institute is presently also one of the resource centres for National
Mental Health Programme (NMHP) and
the coordinating centre for District
Mental Health Programme (DMHP)
Delhi, Resource Centre for Tobacco
control (RCTC) as well as coordinating
the State Mental Health Authority
(SMHA) work.
Community Outreach Services
under District Mental Health
Programme
Community outreach services are
being carried out as a part of District
Mental Health Programme (DMHP) in
different districts across Delhi State.
Currently community outreach
services are extended to five districts
across Delhi State i.e. Chattarpur
(South), Jahangirpuri (North-West),
Efforts at communitization
IHBAS as apex neuropsychiatry institute
has, since its inception in 1993, strived to
expand the patient care services beyond
the hospital based care to community.
Various kind of community based
initiative being under taken by IHBAS:
Community Outreach Services under
District Mental Health Programme:
Community Outreach Initiatives for
Homeless Population
Community Awareness Activities
Liaison with User and Carer Groups
Efforts at Communitization for in-
patient at IHBAS
Mobile Mental Health Unit(MMHU)
Dwarka (South-West), Timarpur (North), and Motinagar (West). The DMHP team
also visits two residential homes for destitutes once a month delivering meta-
outreach services(reaching beyond outreach clinics). The other activities include
information, education and communication (IEC) activities, Mental Health
Awareness and diagnostic camps on monthly basis, series of intensive training
programme for different categories of health personnel (including medical officers,
para-medical and non-medical personnel) located across the state, establishing
linkages with anganwadis, NGOs etc. From 2010 onwards DMHP has also integrated
the activities of Tobacco Cessation Services at DMHP outreach clinics. Based on
IHBAS experience with DMHP in Delhi and other inputs, “Urban Mental Health
module” has been submitted to the Ministry of Health and Family Welfare (MOH and
FW) for inclusion in the 11th Five Year Plan of National Mental Health Programme
(NMHP).
Community Outreach Initiatives for Homeless Population
Community Outreach Services for Homeless
IHBAS as an apex neuropsychiatric institute has been working to expand the
patient care services beyond the hospital base care to community. This has
been achieved through the community outreach services in various part of
Delhi, the awareness campaigns active liaison with the NGOs, user and carer
groups, RWAs, and sensitization programme to facilitate involvement of the
various stakeholders.
By Now, IHBAS has a well established mental health outreach network in five
districts of Delhi through District mental health programme (DHMP)under
national Mental Health Programme (NMHP). The institute is presently also one
of the resource centre for National Mental Health Programme and the
coordinating centre for district mental health programme for the state of
Delhi. It has an active community based programme for homeless. Mentally ill
person at jama masjid and two functional mobile mental health units.
The Health outreach services for homeless was initiated by IHBAS and Ashray Adhikar
Abhiyan (AAA) in 2000 and is continuing since last ten year s under the District Mental
Health Program (DMHP), Delhi as low cost community outreach service model for
providing health intervention for the homeless. In November, 2008 the new health
initiative for treatment of homeless persons with severe mental illness was launched
as a pilot experience with active support and participation by Delhi State Legal
Services Authority (DSLSA) at Jama Masjid. Under this service the mobile court
facility was made available at the clinic for legal facilitation of involuntary treatment
of patient with severe mental illness in need of treatment.
Mobile Mental Health Unit (MMHU)
In view of the growing concern and need for bridging
the treatment gap for the marginalized populations, the
Mobile Mental Health Unit (MMHU) project has been
initiated on pilot basis by Delhi State Health Mission
(DSHM) under National Rural Health Mission (NRHM),
GOI. MMHU is functioning since December 2010 under
the administrative and technical control of IHBAS. The
major activities carried out are: Rescue / Engagement
into Treatment (Assist the police personal) for destitute
wandering homeless mentally ill person as well as Mentally ill person living in
families / hostels, Police sensitization, Community sensitization and Active
identification of homeless mentally ill persons in the community. Under this
programme two multi disciplinary team along with a mobile van is providing above
mentioned services in the community. There is also a round the clock mental health
helpline number which is being run under this programme and apart from providing
call based response in the community, is also providing telephonic guidance to the
people.
Community Awareness Activities
Mental health week (8th-16th October, 2012):
Mental health Week was organized from October 8 to 16, 2012. The week
commenced with Public Seminar on ‘User and Carers Perspective on Mental
Health” at India International Centre (IIC). In the following days Mass
Awareness Campaigns launched to make people aware about mental health
issues and availability of mental
health-care services in the
community. Mental Health
Awareness Camps, Street Plays,
Painting Competitions and Mass
Public Rally in several parts of
Delhi constitute the awareness
campaign.
Brain Awareness Week
(12th March -19th March 2013)
Brain Awareness Week (BAW) was
organized from
12 th March to 19th March 201 3,
on the theme of “Brain-Mind
Problems & Their Solutions”. It is
geared towards promoting and
enhancing awareness about brain-mind problems and their solutions among the
general population. The activities included public awareness and sensitization
through awareness health camps, street plays, poster exhibition, distribution of
IEC material, public lectures, interactive sessions with Resident Welfare
Associations (RWA’s) and schools and colleges, interactive workshop with media
persons and awareness rally etc
CON NECTING
WITH PATIENTS
Creativity at its best
The Institute is involved in
organising various recreational
activities for patient and their
family members. It has also
Activities at IHBAS
Brain awareness week
Mental health Week
World no tobacco Day
Programme
Epilepsy Week
Stroke Awareness week
Dementia Day
garnered the community’s support in implementing the programmes through
participatory model. These programmes were mainly aimed towards the
rehabilitation and reintegration of long stay patients of the institute. The following
activities are exemplary as they have been first started at IHBAS. The long stay
patients are actively involved in the recreational activities like painting, writing and
various other activities with the support of medical and nursing staff.
A Poem written by a Patient
Outdoor picnics
The Institute has been organising outdoor picnic for long stay patients, 3-4 times in
a year. The outdoor picnics are organised with the aim to reintegrate the long stay
patients with the community as well as to provide them adequate stimuli to improve
their social skills. The participation of community has been encouraging in the past.
These picnics have been one of the most favourite events for patients of IHBAS. In
this year the outdoor picnics were organised at Lodi Garden, Japanese Garden and
Old fort.
Eating out programme
The Institute has also started “Eating Out” programme, which is meant for having
lunch/ dinner outside the wards but within the Institute premises. The purpose of
organising this programme is to avoid the monotonous routine/pattern of eating
and to feel change in daily living activity.
Celebration of festivals and
cultural programmes
The Institute has been traditionally celebrating
all the National festivals with lots of enthusiasm
and Great Spirit. All the celebrations are
planned around the patients to provide them a
home away from home. The cheer on patients’
face and their high spirits during such activities
are motivation enough for the institute to
organize such events. The special efforts by the
Nursing staff and Hospital Kitchen make the
patients and employees look forward to the
festivities.
The Institute Generally celebrates all the festivals with the patients and specifically
the patients who do not have their families available and the long stay patients. On
these occasions we invite the public functionaries and dignitaries involved in the
activities of IHBAS. Their presence on these occasions boost the morale of the
patients as they do not feel separated from their families and all officers and staff of
the institute participate in such functions as such events provide an opportunity to
meet the patients and interact with each other across staff groups and with our
clients.
Academic Programme
at IHBAS
MD(Psychiatry)
DM(Neurology)
M.Phil(Clinical
Psychology)
ACADEMICS AT IHBAS
IHBAS as an Institute offers training programs for super-specialties related
to Neurosciences through the Post graduate and Post-Doctoral 3 year
courses: DM (Neurology), MD (Psychiatry) and M Phil (Clinical Psychology).
These courses were started after receiving MCI and Delhi University
approval.
Institute follows an academic calendar which is prepared by taking inputs
from faculty and is prepared taking into consideration the issues related
RESEARCH
ACTIVITIES
It is worth appreciating that the faculty
of IHBAS besides contributing towards
the patient care, teaching and
administrative duties, is also actively
involved in the research both in the
basic and applied fields. Faculty of the
Institute undertook several prestigious
research projects funded by various
national and international agencies.
Advanced research is being undertaken
in various frontline areas of mental
health and neurosciences including
several clinical trials.
Continuous research work for the last
few years viz. disaster management,
suicide behaviour, post traumatic
stress disorder, burden faced by the care givers of patients suffering from severe
mental disorders, rational use of drugs, to control or stop the usage of tobacco etc.
has greatly strengthened the advocacy efforts of IHBAS.
AWARDS AND HONOURS
This year was a momentous year for IHBAS as besides strengthening the
existing patient care services, the Institute received recognition for high
standards in quality health care by receiving the Award of the Year: India
Health Care Award 2012 for IHBAS Hospital: as the best single
specialty hospital in mental health. CNBC-TV 18 and ICICI Lombard
conferred the award after detailed and rigorous methodology by IMRB
IMPACT OF IHBAS RESEARCH ON PROGRAMMES AND POLICY
Urban Mental Health service delivery
Health care programme/service
development for Homeless
Mental Health services for disaster
affected population
Tobacco cessation services
HIV/AIDS prevention and control
activities
NCD Prevention and Health
promotion
Campaign against drinking and
driving-Key role in a public health
problem
Suicide Prevention Programme
through 3 phases involving,
patients, doctors and
eminent jury. IHBAS was
selected from a final list of
many national and state level
mental health institutions.
Awards
Prof. Dr. Nimesh G Desai
was Honoured with
Vishisht Chikitsa Ratan
Award by Delhi Medical
Association on the
occasion of Doctors Day
Award Ceremony held on
1.7.2012
Prof. Dr. NG Desai was
honoured with IMA Dr.
Ramachandra N.Murthy Award in Psychiatry by Indian Medical
Association
Dr Om Prakash, Associate Professor of Psychiatry was awarded the
Indian Council of Medical Research (ICMR) Professor Surindar Mohan
Marwah Award (2010) for significant contribution in the field of
Geriatrics (Declared in 2013)
OUR COMMITMENT TO QUALITY
Quality Indicators
Regarding quality and training IHBAS as an institute is concerned with
maintaining high standards of quality in the delivery of services,
establishing and monitoring performance through measurement of quality
indicators, development and implementation of SOPs, hospital wide
policies and protocols and maintaining standardized formats of
documentation across the organization.
The Institute was declared as accredited by NABH in February 2012.
There are 64 quality indicators which are collected and analysed in the
Institute. Out of which 11 indicators are classified mandatory by the
NABH which are monitored, compiled and sent to NABH in compliance
every quarter. Other than these other quality activities are also carried
out in various hospital areas including the Quality Assurance programs
implemented in different departments.
The institute was declared as accredited by NABH in February 2012. There
are 65 core indicators which are collected and analyzed in the Institute.
Out of these 11 indicators are classified mandatory by the NABH which
are monitored, compiled and sent to NABH in compliance every quarter.
In ,
Some important indicators
Indicators related with patient care
Indicators related to Hospital Infection Control measures
Indicators related to Diagnostic laboratories
Medical record related indicators
Indicators related to human resource management
Indicators related to facility management
Hospital Statistics at a glance
Outpatient statistics
Department of Psychiatry
Psychiatry 2011 2012 %(increase/decrease)
Total 218522 232583 6
Old case 190448 201308 6
New case 28074 31275 11
Department of Neurology
Neurology
2011 2012 %(increase/decrease)
Total 149616 166553 11
Old case 122513 136451 11
New case 27103 30102 11
Department of Neurosurgery
Neurosurgery
2011 2012 %(increase/decrease)
Total 3347 4123 23
Old case 1852 2384 28
New case 1495 1739 16
In patient statistics
Department of Psychiatry
Psychiatry 2011 2012 %(increase/decrease)
Admission 1970 1862 -5
Discharge 1973 1855 -6
Bed Occupancy rate
(%)
96 95 1%
Department of Neurology
Neurology 2011 2012 I %(increase/decrease)
Admission 1093 1237 13
Discharge 1167 1259 8
Bed Occupancy rate (%) 81 79 2
Department of Neurosurgery
Neurosurgery
2011 2012 ( % (increase/decrease)
Admission 280 296 6
Discharge 306 305 -
Bed Occupancy rate
(%)
37 38 1%
Emergency Services
Emergency Services
2011 2012 %(increase/decrease)
Total 20338 21908 8
Psychiatry 13643 14263 5
Neurology 6695 7645 14
Speciality Clinics Services
Speciality Clinics
Services
2011 2012 %(increase/decrease)
Mental Retardation
Clinic
10159 11367 12
Child Adolescence
Psychiatric Clinic
7990 8363 5
Neurobehaviour Clinic 896 842 -6
Movement Disorder
Clinic
763 805 6
Marital & Psychosexual
Clinic
1120 1217 9
Tobacco Cessation Clinic 1036 643 -38
Epilepsy Clinic 2632 2509 -5
Drug Abuse Treatment &
Rehabilitation Centre
7951 7747 -3
Clinical Psychology Services
Clinical Psychology
Services
2011 2012 %(increase/decrease)
Total Sessions
Conducted
10518 -43
IQ Assessment 1866 -50
Other Services
Other Services
2011 2012
%(increase/decrease)
Physiotherapy Services 9436 10350 10
Occupational Therapy
Services
2224 2771 25
Psychiatric Social Work
Services
6766 6652 11
Community Outreach Clinics
Community Outreach Clinics 2011 2012 %(increase/decrease)
Jahangirpuri 9831 9607 -2
Chhattarpur 5859 5945 1
Jama Masjid 5729 4007 -30
Laboratory Services
Laboratory Services
2011 2012 %(increase/decrease)
Pathology 20491 20668 1
Neurochemistry 25346 27737 9
Microbiology 5918 5257 -11
Neuropsychopharmacology 5537 7320 32
Radiology Services
Radiology Services
2011 2012
%(increase/decrease)
X-Ray 6573 6469 - 2
Ultra Sound 2826 2761 -2
371485
56672
314813
403259
63116
340143
0
50000
100000
150000
200000
250000
300000
350000
400000
450000
Total visits First contact visit (15%) Follow-up visit(85%)
Hospital Statistics (Out Patient Services)
Jan. to Dec.-2011
Jan. to Dec.-2012
218522
28074
190448
232583
31275
201308
0
50000
100000
150000
200000
250000
Total visits First contact visit (13%) Follow-up visit(87%)
Hospital Statistics(Department of Psychiatry)
Jan. to Dec.-2011
Jan. to Dec.-2012
149616
27103
122513
166553
30102
136451
0
50000
100000
150000
200000
Total visits First contact visit (18%) Follow-up visit(82%)
Hospital Statistics(Department of Neurology)
Jan. to Dec.-2011
Jan. to Dec.-2012
3347
1495
1852
4123
1739
2384
0
1500
3000
4500
Total visits First contact visit (43%) Follow-up visit(57%)
Hospital Statistics(Department Of Neurosurgery)
Jan. to Dec.-2011
Jan. to Dec.-2012
1970
73
18971862
34
1828
0
500
1000
1500
2000
Total Admission Adm. From OPD (3%) Adm. From Emergency( 97%)
In-Patient Services(Department Of Psychiatry)
Jan. to Dec.-2011
Jan. to Dec.-2012
1093
552 541
1237
540
697
0
500
1000
1500
Total Admission Adm. From OPD (47%) Adm. From Emergency( 53%)
In-Patient Services(Department Of Neurology)
Jan. to Dec.-2011
Jan. to Dec.-2012
280296
0
100
200
300
Total Admission
In-Patient Services(Department Of Neuro-Surgery)
Jan. to Dec.-2011
Jan. to Dec.-2012
7951
2012
5939
7747
2361
5386
0
1000
2000
3000
4000
5000
6000
7000
8000
9000
Total visits First contact visit(28%) Follow-up visit(72%)
Hospital StatisticsSpeciality Clinic - DATRC
Jan. to Dec.-2011
Jan. to Dec.-2012
1036
704
332
643
346297
0
300
600
900
1200
Total visits First contact visit(63%) Follow-up visit(37%)
Hospital StatisticsTobacco Cessation Clinic
Jan. to Dec.-2011
Jan. to Dec.-2012
79 79 79
100
21
68 68 68
100
24
0
25
50
75
100
Generic EDL Dispensed Key Drugs Trade Name
Core Drugs Indicators(In%)
Jan. to Dec.-2011
Jan. to Dec.-2012
15829
5860
368 202
2826
6573
21835
6124
473 269
2761
6469
585
5154
0
5000
10000
15000
20000
25000
Total Investigation
MRI Col.Dop. Echocardio. Ultrasound X-Ray Portable X-Ray
CT -scan
Hospital statisticsDepartment of Neuro -Radiology Jan. to Dec.-2011
Jan. to Dec.-2012
61866
20491
25346
5918 5537 4574
65585
20668
27737
52577320
4603
0
10000
20000
30000
40000
50000
60000
70000
Total samples Received
Pathology(32%) N.chem.(42%) Microbio.(9%) NPPH(10%) Emergency(7%)
Hospital Statistics of Lab Department (Total samples Received) Jan. to Dec.-2011
Jan. to Dec.-2012
317397
44529
238980
8799 7371 17718
359186
46313
273165
9187 8647 21874
0
50000
100000
150000
200000
250000
300000
350000
400000
Total investigation
Pathology(13%) N.chem.(76%) Microbio.(3%) NPPH(2%) Emergency(6%)
Hospital Statistics of Lab Department(Total investigation)
Jan. to Dec.-2011
Jan. to Dec.-2012
20338
13643
6695
313
21908
14263
7645
2870
5000
10000
15000
20000
25000
Total patient visit Psychiatry(66%) Neurology(34%) Emg.Call attended by Neurosurgen
Hospital Statistics (Emergency Services)
Jan. to Dec.-2011
Jan. to Dec.-2012
Committees and apex bodies of IHBAS
General Body
Executive Council
Standing Finance and Budget Committee
Building and Works Committee
Rehabilitation Committee
Academic Committee
Establishment Committee
Scientific Advisory Committee
Ethics Committee
Board of Visitors
General body
Hon'ble Minister of Health, Government of NCT of Delhi and President
of IHBAS
Chief Secretary, Government of NCT of Delhi and Vice-President of
General Body of IHBAS
Vice Chancellor, Delhi University and Vice-President of General Body of
IHBAS
Additional Secretary, Ministry of Health & Family Welfare, Government
of India and Vice-President of General Body of IHBAS
Principal Secretary (Finance), Government of NCT of Delhi
Principal Secretary (H&FW), Government of NCT of Delhi
Principal, University College of Medical Sciences (UCMS), Delhi
Medical Superintendent, GTB Hospital, Delhi
Advisor (Health), Planning Commission, Yojana Bhawan
Joint Secretary (T), Department of Education, Ministry of Human
Resource Development, Government of India
DDG (DD), Ministry of Social Justice and Empowerment, Govt. of India
Advisor/Scientist ‘G’, Department of Bio-Technology, 7-8 Floor, Block-
2, CGO Complex, Lodhi Road, New Delhi.
Advisor (TT), Department of Science & Technology, Technology
Bhawan, New Mehrauli Road, New Delhi.
Dr.Bela Shah, Chief Sr. Deputy Director, NCD, ICMR, Ansari Nagar,
New Delhi-110029.
Prof. Ranjit Roy Chaudhury, Emeritus Scientist, National Institute of
Immunology, New Delhi
Prof. P.N. Tandon, Professor Emeritus, Department of Neurosurgery,
AIIMS, New Delhi-110029.
Dr. S.K. Khandelwal, Professor of Psychiatry, AIIMS, New Delhi.
Prof. N.G. Desai, Professor, Head, Deptt. of Psychiatry, IHBAS.
Dr. T.B. Singh, Professor of Clinical Psychology, IHBAS.
Director, IHBAS: Member Secretary
Executive council
Chief Secretary, Government of NCT of Delhi-cum-Chairman of IHBAS,
Delhi Sachivalaya, IP Estate, New Delhi.
Additional Secretary & Financial Adviser, Ministry of Health & Family
Welfare, Government of India, Nirman Bhawan, New Delhi.
Joint Secretary, Ministry of Health & Family Welfare, Government of
India, Nirman Bhawan, New Delhi.
Principal Secretary (Finance), Government of NCT of Delhi, Delhi
Sachivalaya, IP Estate, New Delhi.
Principal Secretary (H&FW), Government of NCT of Delhi, Delhi
Sachivalaya, IP Estate, New Delhi.
Principal, UCMS, Delhi.
Medical Superintendent, G.T.B. Hospital, Delhi.
Dr. Manju Mehta, Professor and HOD (Clinical Psychology) AIIMS, New
Delhi.
Professor A.K. Singh, Director (Neurosurgery Dept.), FORTIS Hospital,
NOIDA
Professor M. Gourie-Devi, Advisor (Neurology), IHBAS
Professor & HOD (Clinical Psychology), IHBAS, Delhi
Professor & HOD (Neuropsychopharmacology)., IHBAS
Joint Director (Administration), IHBAS
Senior Accounts Officer, IHBAS
Prof. Dr N G Desai, Director, IHBAS: Member secretary
Standing finance and budget committee
Chairman
Principal Secretary (Finance) Government of NCT of Delhi
Members
Principal Secretary (Health & Family Welfare) Government of NCT of
Delhi
AS &FA, Ministry of Health & Family Welfare, Government of India
Director, IHBAS, Delhi
Joint Director (Administration)
FA & CAO, IHBAS. Delhi
Building and Works Committee
Chairman
Principal Secretary (H&FW), GNCTD
Members
Dr. Nimesh G. Desai, Director, IHBAS & Member, B&WC
Shri P.B. Vijay, Retd. DG(W), CPWD & Member, B&WC - A-39/B,
Munirka, New Delhi-110006
Shri Mukesh Bajpai, Architect, CDB, DGHS on behalf of Dr.
Chandrashekhar R, Chief Architect, DGHS & Member, B&WC - Room
No. 405, Nirman Bhawan, New Delhi-110011
Shri Birbal Singh, Acting Joint Director (Administration), IHBAS &
Member, B&WC
Shri Alok Varma, Superintending Engineer, IHBAS & Member, B&WC
Shri Dharam Pal, Acting FA&CAO, IHBAS & Member, B&WC
Rehabilitation Committee
Chairman
Prof (Dr.) Nimesh G. Desai, Director, IHBAS, Delhi
Members
Mr. Pankay Joshi, Jt. Secretary, CDD, Ministry of Social Justice
and Empowerment, Govenrment of India, New Delhi
Dr. S.K. Chaturvedi, Professor of Psychiatry and head,
Department of Rehabilitation, NIMHANS, Bangalore.
Mr. P.K. Sharma, Deputy Director, Social Welfare, GNCTof Delhi
Mrs. Sreerupa Mitra Choudhary, Cjhairperson, Sudinalaya, Delhi
Mrs. Paramjeet Kaur, Director, Ashray Adhikar Abhiyan, Delhi
Mrs. Rangashree Kishore, Richmond Fellowship, Delhi
Dr. Rupali P. Shivalkar, Associate Professor of Psychiatry, IHBAS,
Delhi
Dr. Jahanara MG, Associate Professor of Psychiatric Social Work,
IHBAS, Delhi
Dr. Vibha Sharma, Associate Professor of Clinical psychology,
IHBAS, Delhi
Dr. Pankay Kumar, Asstt. Professor of Psychiatry, IHBAS, Delhi
Dr. Vijender Singh, Associate Professor of Psychiatry, IHBAS, Delhi:
Member secretary
Academic Committee
Chairman
Prof (Dr.) Nimesh G. Desai, Director, IHBAS, Delhi
Members
Dr. Amol Ranjan Singh, Director, RINPAS, Ranchi
Dr. V. Ravi, Registrar, NIMHANS, Bangalore
Dr.S.V. Madhu, Head, Department of Medicine, UCMS, Delhi
Dr.N.K. Chadha, Head, Department of Psychology, University of Delhi
Dr.M.M.Mehndiratta, Professor of Neurology, GB Pant Hospital, New
Delhi
Dr. Sushma Batra, Head, Department of Social Work, University of
Delhi
Dr. H.S. Kohli, Professor, Department of Social Work, Jamia Milia
Islamia, New Delhi
Dr. Uday K. Sinha, Additional Professor of Clinical Psychology, IHBAS,
Delhi
Dr. Om Prakash, Associate Professor of Psychiatry, IHBAS, Delhi
Dr. Neelam Chhillar, Associate Professor of Neuro-Chemistry, IHBAS:
Member secretary
Establishment committee
Chairperson
Director, IHBAS
Members
Joint Secretary/Dy. Secretary (Finance)
Joint Secretary/Dy. Secretary (Services)
Joint Secretary/Dy Secretary (Medical)
Joint Director (Administration)
Scientific Advisory Committee
Professor Ranjit Roy Chaudhary, Emeritus Scientist, National
Institute of Immunology, Aruna Asif Ali Marg, New Delhi
Professor P N Tandon, 1 Jagriti Enclave, Delhi
Professor J S Neki, 52, Hem Kunt Colony, New Delhi
Professor S D Sharma, Emeritus Professor, IHBAS, Delhi
Professor M Gourie Devi, Former Director, NIMHANS, Bangalore
Professor R R Singh, director, Tata Institute of Social Sciences, Sion
Trombay road, Deonar, Mumbai
Professor N N Wig, H.No. 279, Sector 6, Panchkula, Haryana
Professor A K Agarwal, Upasana, B-104/2, Nirala Nagar, Lucknow
Dr Manju Mehta, Additional Professor, Department of Psychiatry,
De-addiction centre, AIIMS, Ansari Nagar, New Delhi
Ethics Committee
Chairperson
Prof. LM Nath, Former Director, AIIMS
Members
Prof. M. Gourie Devi, Former Director, NIMHANS, Bangalore
Drug Controller of Delhi, Government of NCT of Delhi, F.17,
Karkardooma, 4th Floor, Shahdara, Delhi
Smt. Geeta Luthra, Legal Expert
Prof. KM Prabhu, Head, Biochemistry Dept.
Prof. SD Seth, Consultant ICMR
Prof. Kusum Saigal, Former Principal LHMC
Prof. Arvind Pandey, Director, NIMS
Prof. SK Gupta, Ex-HOD, Pharmacology, AIIMS
Prof. Vinay Srivastava, Principal Hindu College
Dr. JP Kapoor, Addl. Director Health Services, SHS, Govt. of NCT of
Delhi
Dr. K. Anand, Additional professor, Department of Community Medicine
All India Institute of Medical Sciences (AIIMS), New Delhi
Sh. KR Bhati, Rtd. IAS
Prof. TB Singh, HOD, Clinical Psychology, IHBAS
Dr. Rachna Agrawal, Associate Professor, Neurochemistry, IHBAS
Dr. Vijender Singh, Associate Professor, Psychiatry, IHBAS
Dr. Uday K. Sinha, Additional Professor, Clinical Psychology, IHBAS:
Member Secretary
Board of Visitors
Ms. Asha Menon, Member Secretary, Delhi Legal Services
Authority (DLSA), Patiala House, New Delhi.
Prof. R.C. Jiloha, Head Department of Psychiatry, G.B.Pant
Hospital, New Delhi.
Prof. Anjali Gandhi, Professor of Social Work, Jamia Millia
University, New Delhi.
Prof. Manju Mehta, Professor of Clin. Psychology, Department
of Psychiatry, AIIMS, New Delhi.
HOD (Neurology), GB Pant Hospital, New Delhi-110002.
Medical Superintendent, GTB Hospital, Shahdara, Delhi.
Prof. Aruna Bhardwaj, Professor of Social Work, H-45, Bali
Nagar, New Delhi-110 015.
District Social Welfare Officer, North West– I, NPS Complex,
Sector-4, Rohini, Delhi.
Director, Directorate of Health Services (DHS), Govt. of NCT
of Delhi or his/ her nominee, preferably a Psychiatrist.
POSTERS DISPLAYED FOR THE PATIENTS
AND FAMILIES ON EPILEPSY DAY