::Departments : Clinical : Department of Psychiatry
 
DEPARTMENT OF PSYCHIATRY

INTRODUCTION ABOUT PSYCHIATRY
Psychiatry is a field of Medicine which deals with the diagnosis, treatment and prevention of mental, emotional and behavioraldisorder. 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 the 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 historyPsychological 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
                Department of Psychiatry is functioning as a separate department in this college since 1975 even when it was a district headquarters hospital .Now the department is functioning in separate building with ground and first floor,and partly in Medicine block, where Outpatient and Inpatient services are offered. 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.  


                                                      PSYCHIATRY BLOCK, GMKMCH
BRIEF PROFILE OF PSYCHIATRY DEPARTMENT                    
                  Department of psychiatry is currently functioning in a separate building
       Ground Floor – OP space, class room, nursing station, faculty rooms, and patient’s waiting hall, pharmacy, and de-addiction ward                     
    First floor has got -- ECT room, ECT recovery room, and duty doctor room, nursing station, male   wards with adequate toilet facilities
Medicine Block II Floor – Female ward.
 
 
BED STRENGTH AVAILABLE
Male ward                --------------------                         15
Female ward             -------------------                          20
DE addiction ward ------------------------                      5
PERIODIC ACADEMIC ACTIVITIES HELD IN THEDEPARTMENT
Department gives training to
  1. M.D {Psychiatry} post graduate :
                     Alternate week seminar and case conference
                     Routine OP and ward work
      2. under graduate students
                 15 days 0P posting &20 theory classes in prefinal year are handled by department faculties
       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.
       6. Clinical case conference, seminar & journal club are conducted periodically on regular basis’
 
 
RESEARCH AND PUBLICATIONS 
This centre is the participant centre in National Drug Abuse Monitoring System (DAMS) floated 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

STARTING OF M.D, PSYCHIATRY POSTGRADUATE COURSE:
 M.D Psychiatry postgraduate course, one (1) seat started this  academic year 2016-17 .

 PRIZES AND AWARDS CONSTITUTED BY THE DEPARTMENT                  
Every year Dr.A.Venkoba Rao 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 the state, regional and national level and have won prizes.
  •  2010 state and zonal  winners
  •  2012state winners
2015  TANPSYCON UG Psychiatry quiz - State winners
CME/WORKSHOP/CONFERENCES
This centre is nodal centre for training medical /paramedical staffs from neighboring districts  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
​CME/WORKSHOP/CONFERENCES
This centre is nodal centre for training medical /paramedical staffs from neighboring districts  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


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                             - 25-30/day
Apart from the routine Outpatient and Inpatient management the following therapies are given to the patients periodically
 
1. Electroconvulsive therapy

Modified ECT Treatment Room
6-10 sittings of Modified ECT given /week
 
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 differentially 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
  1. World Mental health day/week (October – 10)
  2. World Schizophrenia day/week (May – 24)
  3. World Alzheimer day (September – 21)
  4.  International  day against drug abuse and illicit trafficking (June – 26)
 
SPECIAL CLINICS CONDUCTED BY THE DEPARTMENT
The following special clinics are run for offering special services
Days Special clinics
Monday Geriatric psychiatry  clinic
Tuesday Disability certification
Wednesday Child guidance clinic/ Central Jail visit
Thursday De addictionclinic
Friday Suicide prevention clinic



 
CMHIS beneficiary details
Our department is not included under CMHIS beneficiary scheme
Statistics: Last two year Out Patients statistics:
 
                                                                     CENSUS CHART 2013
 
 
  OLD CASE NEW CASE
MONTH MALE FEMALE CHILD TOTAL MALE FEMALE CHILD TOTAL
JANUARY 1565 1188 13 2766 171 124 18 313
FEBRUARY 1505 1214 14 2733 184 143 29 356
MARCH 1648 1329 16 2993 228 185 21 434
APRIL 1625 1358 7 3990 204 117 18 339
MAY 1565 1273 21 2859 168 135 11 314
JUNE 1414 1303 4 2720 171 113 18 302
JULY 1663 1515 4 3182 196 147 20 363
AUGUST 1516 1290 5 2811 207 135 31 373
SEPTEMBER 1731 1276 10 3017 203 139 19 361
OCTOBER 1984 1559 23 3566 170 140 18 328
NOVEMBER 1734 1025 22 2731 177 136 9 322
DECEMBER 1867 1495 16 3378 179 124 15 318
TOTAL 21877 15824 155 37856 2258 1748 227 4233
 
 
 
 
 
 
 
 
                                                                    CENSUS CHART 2014
 
 
  OLD CASE NEW CASE
MONTH MALE FEMALE CHILD TOTAL MALE FEMALE CHILD TOTAL
JANUARY 1780 1419 14 3213 196 113 21 330
FEBRUARY 1613 1305 16 2934 209 144 33 386
MARCH 1725 1402 29 3156 231 161 22 414
APRIL 2268 2070 31 4369 218 157 13 388
MAY 2633 2193 41 4867 209 158 29 396
JUNE 2448 1841 46 4335 262 177 34 473
JULY 2152 1866 29 4047 291 180 31 502
AUGUST 1722 1407 36 3165 297 151 24 472
SEPTEMBER 1873 1549 35 3457 269 201 24 494
OCTOBER 1929 1537 37 3503 201 143 15 359
NOVEMBER 1735 1499 37 3271 215 187 21 423
DECEMBER 1878 1608 25 3511 254 168 22 444
TOTAL 23756 19696 376 43828 2852 1940 289 5081
 
 
 
 
 
 
 
 
 
 
           
 
 
 
 
 
 






Census (Last 3 years)
 
 
Year 2012 2013 2014 2015
Month OP IP (IP  REFFERALS) OP IP (IP REF) IP (IP REF) 0P OP IP (IP REF)
JANUARY 3088 16   (92) 3179 33 (93) 18  (81) 3543 4081 35 (175)
FEBRUARY 3194 13  (57) 3287 31 (110) 21  (84) 3320 4343 38 (157)
MARCH 3179 10  (54) 3427 32 (124) 19  (119) 3570 4659 28 (163)
APRIL 3219 14  (87) 3329 24(107) 22  (105} 4369 4504 23(121)
MAY 3251 11  (41) 3373 15(106) 22  (103) 4867 4700 34(133)
JUNE 3251 16  (60) 3273 20(142) 18  (85) 4335 4624 31(123)
JULY 3290 9  (60) 3545 19(158) 20  (106) 4047 4928 39(120)
AUGUST 3215 11  (95) 3384 19(139) 15  (106) 3165 4560 40(118)
SEPTEMBER 3390 13  (120) 3017 20(157) 19 (127) 3457 4656 30(140)
OCTOBER 3383 16  (150) 3894 20(130) 27  (89) 3503 4692 35(125)
NOVEMBER 3298 16  (98) 3103 22(110) 31 (121) 3271 4345 29(82)
DECEMBER 3289 13  (101) 3696 29(128) 30  (70) 3955 4547 24(121)
 
2016 census
Month OP IP( IP Ref)
Jan 4437 26(216)
Feb 6143 39(170)
Mar 5262 30(230)
Apr 4507 31(189)
May    
June    
 
 
 
 
 
 
 
 
 
 
SPECIALITY CLINICS
CENSUS
MONTH CHILD GUIDANCE CLINIC – TUESDAY DEADDICTION
THURSDAY
SUICIDE PREVENTION CLINIC – FRIDAY GERIATRIC PSYCHIATRY - SATURDAY
MAR 14 25 95 56 42
APR 14 16 78 51 43
MAY 14 34 84 48 35
JUNE 14 50 80 64 22
JULY 14 41 95 74 36
AUG 14 25 98 85 32
SEP 14 26 112 71 28
OCT 14 9 95 54 43
NOV 14 30 75 57 37
DEC 14 42 96 50 41
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
         
         
 

2016 census


 
Month OP IP( IP Ref)
Jan 4437 26(216)
Feb 6143 39(170)
Mar 5262 30(230)
Apr 4507 31(189)
May    
June    

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