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| ::Departments : Clinical : Department of Psychiatry |
INTRODUCTION ABOUT PSYCHIATRY
Psychiatry is a field of Medicine which deals with the diagnosis, treatment and prevention of mental, emotional and behaviouraldisorder. It integrates biological, social and psychological aspects of mental health to provide holistic medical care for a wide range of symptoms. Psychiatry has rapidly grown to a major medical specialty. It has made rapid strides to become one of the most researched scientific branch of Medicine and have become available to a large number of people. The department has liaison with various clinical departments in the hospital including General Medicine, Neurology, Obstetrics and Gynecology, Surgery and Child Health.In future the field of mental health will be one of the most exciting area of great interest and rapid growth.
Psychiatric assessment typically starts with a mental status examination and the compilation of a case history. Psychological tests and physical examinations may be conducted, including on occasion the use of neuroimaging or other neurophysiological techniques. Mental disorders are diagnosed in accordance with criteria listed in diagnostic manuals such as the widely used Diagnostic and Statistical Manual of Mental Disorders (DSM), published by the American Psychiatric Association, and the International Classification of Diseases (ICD), edited and used by the World Health Organization. The fifth edition of the DSM (DSM-5) was published in 2013, and its development was expected to be of significant interest to many medical fields.
HISTORY OF THE DEPARTMENT
Separate Psychiatry OP is functioning in this college since 1975 even when it was a district headquarters hospital. With the advent of District Headquarters converted into medical college in 1991 separate Department of Psychiatry started functioning. Since then it has grown in phases and now the department is functioning in a separate building with two floors with an area of about 806.7 Sq.meter. The Department offers Outpatient and Inpatient services and special clinics. Department is equipped with basic facilities to treat all acute and chronic psychiatric patients, patients with suicidal tendencies, drug abuse and alcoholism, childhood and adolescent psychological problems. Treatment modalities available are medications, psychotherapy, counselling and electro-convulsive therapy and are used as and when required. The department co-ordinates with other departments and offer psychiatric assistance on call 24hours to the needy in-patients admitted in the whole hospital. The Department offers training to MBBS students, PHC Medical Officers under DMHP, Nursing students of various colleges ever since it’s inception. Post Graduate course in Psychiatry (MD) was started in 2016 and now the intake of PGs are 5 in number every year.
BRIEF PROFILE OF PSYCHIATRY DEPARTMENT
Department of psychiatry is currently functioning in a separate building
Ground Floor has got – OP space, class room, nursing station, and patient’s waiting hall, pharmacy, and 10 bedded ward
First floor has got – Faculty rooms, ECT room, ECT recovery room, and duty doctor room, nursing station, 10 bedded ward with adequate toilet facilities
Second floor has got – Library cum Seminar Hall, Nursing Station, 20 bedded ward and separate room to lodge legal case.
Faculty details AS ON 20/12/2018
| S.No |
nAME |
dESIGNATION |
| 1 |
dR.M.RAJESWARI md.,dpm |
H.O.D AND PROFESSOR |
| 2 |
DR.K.S.RAVISHANKAR md.,dpm |
PROFESSOR |
| 3 |
DR.N.BALASUBRAMANI md (PSY) |
ASSISTANT PROFESSOR |
| 4 |
DR.S.SHANKAR mD (PSY) |
ASSISTANT PROFESSOR |
| 5 |
DR.R.SEKAR MD (PSY) |
Senior resident |
BED STRENGTH AVAILABLE
Male ward -------------------- 25
Female ward ------------------- 15
PERIODIC ACADEMIC ACTIVITIES HELD IN THEDEPARTMENT
Department gives training to
- M.D {Psychiatry} post graduate :
| S.No |
Academic Programmes |
Timings |
| 1 |
Case conference |
Every Friday |
| 2 |
Seminar presentations |
Every Wednesday |
| 3 |
Journal club |
Thursday( 15 days once) |
| 4 |
Thesis discussion |
Month last Tuesday |
| 5 |
Didactic lecture |
Weekly once |
| 6 |
Guest lecture |
Monthly once |
Special postings for Post graduates
| 1 |
Medicine |
1 month |
GMKMCH, Salem |
| 2 |
Neurology |
2 months |
GMKMCH, Salem |
| 3 |
Child psychiatry |
1 month |
ICH, Chennai |
| 4 |
Legal psychiatry |
15 days |
IMH, Chennai |
2. Under Graduate students
15 days 0P posting &20 theory classes in prefinal year are handled by department faculties
20 CLASSES (Every year From March 3rd week –August 2nd week)
| 1 |
Introduction to psychiatry |
| 2 |
Sign and symptoms in psychiatry |
| 3 |
Organic psychiatry |
| 4 |
Schizophrenia |
| 5 |
Mood disorders |
| 6 |
Anxiety disorders |
| 7 |
Substance related disorders |
| 8 |
Trauma and stress related disorders |
| 9 |
Eating and Sleep disorders |
| 10 |
Sexual Disorders |
| 11 |
Psychosomatic medicine |
| 12 |
Psychopharmacology 1 |
| 13 |
Psychopharmacology 2 |
| 14 |
Psychotherapies |
| 15 |
Child psychiatry 1 |
| 16 |
Child psychiatry 2 |
| 17 |
Geriatric psychiatry |
| 18 |
Legal psychiatry |
| 19 |
Community Psychiatry |
| 20 |
Ethics in psychiatry |
3.C.R.R.I
All undergraduate students undergo psychiatric training during their internship in the department for 15 days.
4.M.D (Gen.)PG students
M.D (Gen) students undergo 15 days training in the department
5. Nursing students.
Diploma &BSc nursing students attend psychiatry op for clinical posting
Theory classes are also taken by department faculties.
RESEARCH AND PUBLICATIONS
This centre is the participant centre in National Drug Abuse Monitoring System (DAMS) funded by National Drug Abuse Monitoring Centre AIIMS, New Delhi. Data regarding alcoholism and other drug abuse are being collected and compiled and sent to New Delhi periodically.
Published articles
| S.No |
Title |
Journal |
Authors |
| 1. |
A Study of Psychiatric Morbidity and Stressful Life Events in Psoriasis |
The International Journal of Indian Psychology, Volume 6, Issue 3, July-September, 2018 |
Dr.Balasubramani1, Dr.Gurumoorthy2. |
| 2. |
A Study on Personality Profile of Alcohol Relapse Patients |
The International Journal of Indian Psychology, Volume 6, April - June, 2018 |
Dr.Balasubramani2, Dr.Gurumoorthy1. |
| 3. |
Socio-Demographic Variables and Psychiatric Morbidity in Self Inflicted Burns Victims – Cross Sectional Observational Study |
The International Journal of Indian Psychology, Volume 6, Issue 3, July-September, 2018 |
Dr. S. Shankar1
Dr. S. Ananda Krishna Kumar2 |
| 4. |
Minor Physical Anomalies, Neurological Soft Signs, and Neurocognitive Dysfunction in Patients with Schizophrenia, Bipolar Disorder and Their Respective Normal Siblings– a CrossSectional Case Control Study |
The International Journal of Indian Psychology, Volume 6, Issue 3, July-September, 2018 |
Dr. S. Shankar1
Dr. S. Ananda Krishna Kumar2 |
| 5. |
Cognitive dysfunction in cerebellar disorder |
IP Indian journal of neurosciences, july to sep 2018;4(3):105-113 |
Dr. S. Shankar 1
Dr. K. Gunasekaran 2
Dr.K.Thiruvarutchelvan 3 |
POST GRADUATES
| S.No |
TOPIC |
NAME |
year |
| 1 |
A study of correlation between serum C-Reactive protein with cognitive deficit in schizophrenia cases |
DR.RAMESH BABU.A |
3rd |
| 2 |
STUDY OF NEUROLOGICAL SOFT SIGNS AND NEURO PSYCHOLOGICAL DYSFUNCTION IN SPECIFIC DEVELOPMENTAL DISORDERS OF SCHOLASTIC SKILLS |
DR.MUTHUKUMARAN.R |
2nd |
| 3 |
PSYCHIATRIC MORBIDITY, self esteem, and social adjustment in persons with gender identity disorder-transsexualism who have undergone sex reassignment surgery versus those who have not undergone sex reassignment surgery: A cross sectional comparative study |
DR.SANDHYA.K |
2nd |
| 4 |
A STUDY ON Correlation of vitamin D levels in first episode schizophrenia |
DR.SUDHA.P |
2nd |
| 5 |
A STUDY OF CORRELATION OF SEXUAL DYSFUNCTION WITH SERUM URIC ACID IN ALCOHOL DEPENDENT INDIVIDUALS |
DR.MARUDHAVANAN.A |
2nd |
| 6 |
a comparative study of lipid profile in depressive disorder with normal controls and its correlation with cardiovascular Morbidity |
DR.ENOCH.R.G |
2nd |
| 7 |
Assessment of risk factors for relapse among alcohol dependant individuals- a comparative study |
Dr. Dharani |
1st |
| 8 |
Emotional behavioural disturbances, self esteem and quality of life in vertically acquired HIV infected children- Cross sectional observational study |
Dr. Sangeetha |
1st |
| 9 |
Behavioural disturbance in children with intellectual disability- A cross sectional observation study |
Dr.Preetha |
1st |
| 10 |
Short term outcome of Acute and Transient psychotic disorder and factors influencing the onset |
Dr. Gandhimathi |
1st |
| 11 |
A study of behavioural and psychological manifestations in patients with dementia |
Dr. Sargunam |
1st |
RESEARCH TOPICS / E-JOURNAL
3rd year |
Dr.Ramesh Babu |
Acquired Aphasia following Epilepsy –Landau Kleffner syndrome. |
2nd year |
Dr. Muthukumar |
Clinical and biochemical predictors of Delirium tremens in patients with alcohol dependent syndrome |
Dr. Sandhya |
Prevalence of Internet addiction and it’s correlation with general health and psychological status of undergraduate medical students: A cross sectional study |
| Dr. Sudha |
A cross sectional comparative study on psychiatric morbidity, socio demographic profile and suicidal intent between suicidal burns and suicide by oral poisoning |
| Dr. Marudhavanan |
Cognitive dysfunction in pre dialysis chronic kidney disease patients: A cross sectional study |
| Dr. Enoch |
A correlative study of depressive symptoms and quality of life in chronic schizophrenia |
POSTGRADUATE(PG) COURSE:
M.D Psychiatry postgraduatecourse, one (1) seat started in the academic year 2016-17. Post Graduate Seat is increased from 1 to 5 in the academic year 2017-18.
5 students have joined in the academic year 2017-18 and 2018-19
PRIZES ANDAWARDS CONSTITUTED BY THE DEPARTMENT
Every year Dr.A.VenkobaRao gold medal exam is in psychiatry is being conducted for final year under graduate students and a gold medal is presented to the winner.
Students trained in the department have consistently participated in the psychiatric quiz competition conducted by the Indian Psychiatric Society in thestate, regional and national level and have won prizes.
- 2010state and zonal winners& 2012state winners
Recent QUIZ Achievements
The department is the consistent winner of State/Zonal Quiz competition both in UG and PG
Undergraduate quiz winners:
| year |
conference |
Names |
place |
| 2015 |
TANPSYCON (State level ) |
Madhana gopal G
Supriya S ( 2012 Batch) |
1st |
| 2016 |
TANPSYCON (State level ) |
Kiruthika .V
Nikitha .A ( 2013 Batch) |
1st |
| 2016 |
IPSOCON( South Zone) |
Kiruthika .V
Nikitha .A ( 2013 Batch) |
1st |
| 2017 |
TANPSYCON (State level ) |
Riyaz Dheen.A
Murali. M(2014 Batch) |
1st |
| 2017 |
Chengalpattu Med col, state level Psy quiz |
Riyaz Dheen.A
Murali. M(2014 Batch) |
1st |
| 2017 |
IPSOCON ( South Zone) |
Riyaz Dheen.A
Murali. M(2014 Batch) |
3rd |
| 2018 |
Chengalpattu Med col, state level Psy quiz |
Riyaz Dheen.A
Murali. M(2014 Batch) |
2nd |
Postgradute quiz winners
| Year |
Conferences /CME |
Name |
Place |
| 2018 |
TANPSYCON 2018
(Kanyakumari) |
Dr.R.G.Enoch
2nd yr PG |
1st |
CME/WORKSHOP/CONFERENCES
TANPSYCON 2017 - YERCAUD
Our Department organized the state level psychiatry conference in yercaud on july 8th and 9th. Topic was BIOLOGICAL PSYCHIATRY - LIGHTING THE DARKEST PATH. Participated by psychiatrist and post graduates from various part of our state, it was a two day conference with various academic activities conducted like topic presentations from speakers, Quiz for UG and PG Students, posters, free papers and award papers.
DR.MGR University given 5 credit points for this conference
conferencePhotos
TRAININGS OFFERED
DMHP(District Mental Health Programme)
This centre is nodal centre for training medical /paramedical staffs fromneighbouringdistricts Namakkal and Dharmapuri under District Mental HealthProgram. Training program and workshops were organized on behalf of the department.
- 2009- Medical officers fromDharmpuri and Nammakkal were trained
- 2010- Medical officers and paramedical from Nammakkal were trained
- 2017 – Fund allotted for DMHP in Salem District.
SERVICES OFFERED
No. of units in the Department - 1
O.P Days and timing - All days including Govt.Holidays except Sundays- 8AM-12 Noon
IP Unit and admission day - 1 unit: All days are admission days except Sunday
Bed strength - 40beds
Average O.P - 250 -300/day
Average I.P - 30 - 32/day
Apart from the routine Outpatient and Inpatient management the following therapies are given to the patients periodically
1. Electroconvulsive therapy
15-20 sittings of Modified ECT given /week
ECT statistics (last 3 years).
| year |
NO of ECT given |
| 2014 |
206 |
| 2015 |
396 |
| 2016 |
390 |
2. Bio feedback and Aversion Therapy.
3. Psychotherapy sessions.
4. Psychometric assessments.
CONSULTATION LIAISON PSYCHIATRY
Psychiatry dept in GMKMCH is having liaison with many other specialties which includes general medicine, general surgery, O&G, pediatrics, emergency medicine,&orthopedics.
Other supportive investigatory facilities relevant to psychiatry like CT, MRI, EEG and other lab facilities for necessary biochemical investigations are available in this center.
LEGAL PSYCHIATRY:
Periodic central jail visit, Salem fortnightly
Mentally ill patients referred through judicial magistrate were admitted in psychiatry ward or strong room in GmkmcH .Usually patients are observed for maximum of 10 days as per MHA 1987 and the observation report is sent to judicial magistrate
DISABILITY CERTIFICATION:
OnTuesdays – Every week
We attend periodic camps organized by the dept of differently abled for mentally ill and for mentally retarded in various parts of the district.
HEALTH EDUCATION PROGRAMMES:
Patients were educated on mental health on routine basis by the college of nursing students
Health education activities are done on important days like
- World Mental health day/week (October – 10)
- World Schizophrenia day/week (May – 24)
- World Alzheimer day (September – 21)
- International day against drug abuse and illicit trafficking (June – 26)
Mental health day Celebration:
Every year October 10th is world mental health day . Our department of Psychiatry celebrates mental health day every October 10th .
| year |
WHO theme |
celebrations |
| 2014 |
Living with Schizophrenia |
skit( depicting the theme), speech and essay writing competition |
| 2015 |
Dignity in mental health |
skit( depicting the theme), speech and essay writing competition |
| 2016 |
Dignity in Mental Health – Psychological and Mental Health first aid for all |
skit( depicting the theme), speech and essay writing competition |
| 2017 |
Mental Health in the work place |
Our dept Released Book on Occupational Mental Health – For GMKMCH employess |
| 2018 |
Young People and Mental health in a changing world |
Conducted 1 day CME for 1st year MBBS students and BSc Nursing students |
SPECIAL CLINICS CONDUCTED BY THE DEPARTMENT
The following special clinics are run for offering special services
| Days |
Special clinics |
| Tuesday |
Disability certification / Child Guidance Clinic |
| Wednesday |
Central Jail visit |
| Thursday |
De addiction clinic |
| Friday |
Suicide prevention clinic |
| Saturday |
Geriatric clinic / Occupational Mental health Clinic |
Statistics:
CENSUS
OP and IP Census (Last four years)
| Year |
2015 |
2016 |
2017 |
2018 |
| Month |
OP |
IP |
OP |
IP |
OP |
IP |
OP |
IP |
| JANUARY |
4081 |
56 |
4437 |
67 |
4509 |
72 |
4046 |
74 |
| FEBRUARY |
4343 |
58 |
6143 |
69 |
4168 |
74 |
4597 |
70 |
| MARCH |
4659 |
52 |
5262 |
65 |
4605 |
78 |
4366 |
69 |
| APRIL |
4504 |
60 |
4507 |
68 |
4377 |
80 |
3776 |
70 |
| MAY |
4700 |
62 |
5011 |
63 |
4219 |
77 |
3747 |
107 |
| JUNE |
4624 |
54 |
5300 |
60 |
4736 |
82 |
3595 |
91 |
| JULY |
4928 |
59 |
4845 |
68 |
4005 |
79 |
3769 |
102 |
| AUGUST |
4560 |
64 |
5170 |
72 |
4392 |
82 |
3790 |
90 |
| SEPTEMBER |
4656 |
60 |
4716 |
65 |
4123 |
81 |
3632 |
95 |
| OCTOBER |
4692 |
59 |
4903 |
70 |
4468 |
85 |
3526 |
73 |
| NOVEMBER |
4345 |
66 |
5043 |
68 |
4365 |
62 |
|
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| DECEMBER |
4547 |
56 |
4534 |
72 |
3950 |
68 |
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SPECIALITY CLINICS(last 4 years)
CENSUS
| MONTH |
CHILD GUIDANCE CLINIC – TUESDAY |
DEADDICTION
THURSDAY |
SUICIDE PREVENTION CLINIC – FRIDAY |
GERIATRIC PSYCHIATRY - SATURDAY |
| JAN 15 |
17 |
101 |
87 |
38 |
| FEB 15 |
31 |
91 |
77 |
35 |
| MAR 15 |
35 |
95 |
76 |
42 |
| APR 15 |
20 |
86 |
65 |
41 |
| MAY 15 |
36 |
82 |
72 |
37 |
| JUNE 15 |
20 |
76 |
45 |
45 |
| JULY 15 |
18 |
108 |
58 |
48 |
| Aug 15 |
35 |
99 |
55 |
50 |
| Sep 15 |
21 |
100 |
58 |
45 |
| Oct 15 |
26 |
85 |
56 |
33 |
| Nov 15 |
21 |
89 |
60 |
39 |
| Dec 15 |
27 |
95 |
77 |
43 |
| Jan 16 |
11 |
99 |
80 |
42 |
| Feb 16 |
20 |
88 |
65 |
50 |
| Mar 16 |
26 |
102 |
69 |
36 |
| Apr 16 |
16 |
96 |
71 |
37 |
| may 16 |
30 |
100 |
80 |
45 |
| june16 |
36 |
105 |
86 |
47 |
| july 16 |
33 |
98 |
90 |
43 |
| aug 16 |
40 |
96 |
82 |
50 |
| sep 16 |
40 |
99 |
82 |
41 |
| oct 16 |
42 |
92 |
84 |
45 |
| nov 16 |
44 |
104 |
85 |
43 |
| dec 16 |
45 |
101 |
83 |
49 |
| jan 17 |
46 |
107 |
86 |
51 |
| feb 17 |
47 |
98 |
87 |
53 |
| mar 17 |
40 |
95 |
79 |
39 |
| apr 17 |
43 |
99 |
81 |
45 |
| may 17 |
45 |
105 |
78 |
47 |
| june 17 |
47 |
104 |
75 |
48 |
| july 17 |
39 |
101 |
86 |
42 |
| aug 17 |
41 |
106 |
81 |
44 |
| sep 17 |
38 |
99 |
80 |
51 |
| oct 17 |
47 |
99 |
82 |
50 |
| nov 17 |
63 |
134 |
66 |
72 |
| deC 17 |
51 |
179 |
76 |
94 |
| jan 18 |
78 |
171 |
103 |
98 |
| feb 18 |
101 |
172 |
68 |
68 |
| mar 18 |
103 |
112 |
56 |
84 |
| apr 18 |
63 |
148 |
60 |
86 |
| may 18 |
63 |
117 |
71 |
99 |
| june 18 |
75 |
159 |
65 |
82 |
| july 18 |
98 |
158 |
69 |
132 |
| aug 18 |
133 |
173 |
55 |
94 |
| sep 18 |
103 |
159 |
66 |
98 |
| oct 18 |
63 |
177 |
76 |
68 |
| nov 18 |
|
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| deC 18 |
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Institution History