Browsing by Author "Manjunatha, Narayana"

Now showing 1 - 3 of 3
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    Mental Health Programme in India: Has the tide really turned?
    (Wolters Kluwer – Medknow, 2023-05) Gangadhar, B.N.; Kumar, Channaveerachari, Naveen; Sadh, Kamaldeep; Manjunatha, Narayana; Math, Suresh Bada; Kalaivanan, Rakesh Chander; Rao, Girish N.; Parthasarathy, Rajani; Chand, Prabhat K.; Chandra, Prabha S.; Thirthalli, Jagadisha; Murthy, Pratima; Varghese, Mathew; Mathur, Alok; Bairy, Bhavya K.; Kishore, Chethana; Gowda, Guru S.; Basvaraju, Vinay; Harihara, Shashidhara Nagabhushana; Isaac, Mohan K.; Chaturvedi, S.K.
    Mental disorders in India form a major public health concern and the efforts to tackle these dates back to four decades, by way of the National Mental Health Programme (NMHP) and its operational arm, the District Mental Health Programme (DMHP). Although the progress of NMHP (and DMHP) was relatively slower till recently, the last 4-5 years have seen rapid strides with several initiatives, including (i) expansion of DMHPs to 90 per cent of the total districts of the country, (ii) the National Mental Health Policy and (iii) strengthening the Mental Health Legislation by way of providing explicit provisions for rights of persons with mental illnesses. Among others, factors responsible for this accelerated growth include the easily accessible digital technology as well as judicial activism. Federal and State cooperation is another notable feature of this expansion. In this review, the authors summarize the available information on the evolution of implementation and research aspects related to India’s NMHP over the years and provide a case for the positive turn of events witnessed in the recent years. However, the authors caution that these are still baby steps and much more remains to be done.
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    Recurrent opisthotonus in catatonia: An atypical presentation.
    (2009-11) Manjunatha, Narayana; Mehta, Urvakhsh Meherwan; John, P
    Opisthotonus is known to occur in tetanus, rabies, cerebral malaria, neurosyphilis, acute cerebral injury and other medical conditions. Opisthotonus, so far, has not been reported in any major psychiatric disorder. Authors report a case of recurrent opisthotonus presenting concurrently with other catatonic signs which showed dramatic response to combination of lorazepam and electroconvulsive therapy (ECT). Clinicians should consider the possibility of catatonia in the differential diagnosis of opisthotonus since catatonia can be treated easily with benzodiazepines and ECT.