CME titled “Strengthening Home-based Care for Severe Mental Disorders in General Hospital Settings” was organized by Department of Psychiatry and NDDTC, AIIMS, New Delhi and Indian Association for Social Psychiatry on 27th April 2019 at Conference Hall, AIIMS.

Mental health resources are limited in low and middle income countries. Patients with severe mental disorders following acute care in a hospital set up are living with their families. Following the control of active symptoms, the patients need continuous support and care to return to the mainstream. Such care is often lacking in LAMI countries as community mental health services are not adequately developed. Absence of community programs, deficit symptoms and adherence issues often interfere in maintaining improvement and interfere in recovery.
Locally relevant, affordable and sustainable solutions catering for local needs and working within the local constraints are needed. The family caregivers face considerable burden and stress because of the care giving role, and often feel ill equipped to meet the caring needs of their wards. This CME was aimed at deliberations on home based care for severe mental disorders for continuity of care from hospital to home, coordinated between families, patients and mental health professionals.

The objective of the CME was to sensitize the trainee mental health professionals about home-based care for severe mental disorders and was targeted at young mental health professionals: psychiatrists, clinical psychologists, social workers and nurses.

The CME was attended by more than120 delegates from all over the country. The programme was inaugurated with the welcome address by Prof RK Chadda, (Organizing Chairperson), followed by address by President IASP, Prof Indira Sharma. The keynote address was delivered by the chief guest for the occasion Prof Roy Abraham Kallivayalil, while the patron for the event, Prof. Randeep Guleria, Director, AIIMS, delivered the final address.

The CME hosted invited lectures by stalwarts of psychiatry including Prof SP Singh, Warwick University UK; Dr S Chakarborty, PGIMER, Chandigarh and Dr Padmavati R, SCARF, Chennai.

Two workshops on home-based management saw enthusiastic participation from young students who were fortunate to have Dr Kallivayalil, Prof SP Singh, Dr Padmavati R, and Dr RK Chadda  as group preceptors. The first workshop on “Assessment of a Patient with Severe Mental Disorder for Home-based Care in Low-resource Settings” was conducted by Prof Nitin Gupta and Dr Anirudh Basu, under the chairmanship of Dr Vinay Kumar, Prof Nand Kumar. The second workshop on “Management of a Patient with Severe Mental Disorder for Home-based Care in Low-resource Settings” was conducted by Prof Mamta Sood, Dr Raman Deep, Dr Rohit Verma, and Dr Bichitra N Patra with Prof Nitin Gupta, and Prof Atul Ambekar serving as the chair of the session.

  • This year the CME started a new activity- “Young innovator session”. The interested candidates had to compete by submitting an essay of 1000 words describing their ideas for novel home-based care interventions for patients with severe mental disorders. A model case vignette was given. The essays were evaluated basing on their innovative content and practical applicability and the top 5 essays were selected for the final presentation round. All Psychiatry Residents and Psychiatrists (DPM/MD/DNB in Psychiatry), Clinical psychologists (MPhil/PhD, Clinical Psychology), Psychiatric Social Workers (MA/MPhil/PhD in Psychiatric Social Work) and Psychiatric Nursing (MSc in Psychiatric Nursing/DPN) professionals were eligible with age < 35 years or less (as on 27thApril, 2019). Prof Sharan, Prof Dhawan formed the board for primary selection and the chair of the session.

The CME ended with valedictory function and a vote of thanks by the organizing secretary, Prof Mamta Sood, Secretary General IASP.