Brief of the community mental health services in Muscat Governorate

1. Community Mental Health
Services Project Proposal
Presenter:
Musa Abu Sbeih
Nurse Consultant

2. Agenda for Discussion
 Discuss the current situation of mental health
services in Oman
 Explore the challenges and opportunities
 Discuss the improvement plan proposal

3. Current Situation

4.  37% of population under the age of 15 years
(MOH 2006)
 28% of the population is rural (UN Development
Report 2006)

5.  There are currently a total of 26 Outpatient
Mental health Facilities are available in the
Country (WHO-AIMS report 2008)
 These facilities treated 9,901 386 user per
100,000 general population (WHO-AIMS report
2008)
 MOH is the main healthcare provider in the
Sultanate (WHO-AIMS report 2008)

6.  Only one Mental health hospital in Oman (Ibn
Sina Hospital) with capacity 90 beds
(bed occupancy rate 92%)
 2.88 beds per 100,000 population
 The number of beds has increased 38% in the
last five years.
World Health Organization 2010

7.  Unit cost for inpatient at Ibn Sina Hospital
(≈134 RO) and for Outpatient (≈ 45 RO)
 The density of psychiatric beds in or around
Muscat is 3.57 times greater than the density of
beds in the entire country, so it’s prevent the
access. (Increased traditional and religious healers)
World Health Organization 2010

8. Mental health is an Important
Consideration for the Public Health Agenda
in Oman
Findings of two studies
1. Ministry of Education and Ministry of Health.
Global school-based student health survey, 2005
 It’s indicated that 14% of school adolescent having at
least one category of mental disorder (≈ 129,000)
 The same study indicated that 42.4% had ever been
treated for mental disorder (≈54,000)

9. 2. Ministry of Health. The healthy life style study,
assessment of life style risk factor among Sur
city population, 2006
 It’s indicated that 16% people aged 60 years and
above are self-reported mild to severe depressive
symptoms

10. (WHO-AIMS report 2008)
((WHO-AIMS report 2008)

11. (Ibn Sina Statistical Report 2010)

12. The ratio between contact and days spent in all
inpatient facilities is an indicator of extent of
community care: in Oman the ratio is 2:1
(WHO-AIMS report 2008)

13. ((WHO-AIMS report 2008)

14. ((WHO-AIMS report 2008)

15. ((WHO-AIMS report 2008)

16. Summary of Recommendations of WHO
Consultants from 1992-2008
1. Provide treatment in primary care
2. Make psychotropic medicines available
3. Provide care in the community
4. Educate the public
5. Involve communities, families and consumer
6. Establish National Policies, Legislation
7. Develop human resources
8. Link with other sectors
9. Monitor community mental health
10. Support more research

17. Challenges
&
Opportunities

18. Looking Ahead - Challenges
 Very uneven distribution of resources across
regions.
 Low human resources for mental health care
 Poor training in subspecialty in psychiatry
 Public ignorance and stigma
 Lack of growth of private sector

19.  No outpatient facility provides follow up care in
the community
 No mental health mobile team
 No day treatment facility available in the country
 No community residential facilities for patient
with mental disorders.
World Health Organization 2010

20. Opportunities
 Build on community resources
 Community tolerance
 Family commitment
 Limited barriers for professional work
 Partnerships with wide variety of community
resources
 Integration of services
 Studies suggest that up to 40% of acutely mentally ill
persons presenting for admission to a hospital can be
managed in community care settings.

21. Improvement Plan

22. How Could Initiated Activities?
 Primary healthcare center
 General practitioner based in polyclinics
 School mental health program
 Home based follow ups of psychiatric patients
 Community based rehabilitation of minor mentally
ill persons.

23. Expected Roles of Community
Mental Health Services Provider
 MICRO LEVEL
 MACRO LEVEL

24. Micro Level
Individual
 Brief Psychosocial Assessment
 Brief therapies
 Placement services

25. Micro Level
Group
Group Psychotherapy
Group Psycho education
Group work with Children
Family
 Family psycho-education
 Family counseling and Family therapy

26. Macro Level
 Trainer
 Consultant
 Case Manager
 Advocate
 Resource Mobilizer
 Organizer
 Administrator
 Collaborator
 Activist
 Researcher

27. Proposal Mental Health –Agenda in Community
 Services
 Human resource development
 Support to families
 Suicide prevention
 Services for children and adolescents
 Support to NGOs
 Integration with other sectors
 Research/Monitoring and evaluation
 Administrative structures

28. We have at our disposal the
knowledge and power
to significantly reduce the
burden of mental disorders

29. THANKS