Annual Report - 2022

Annual Report 2022

National Institute of Mental Health

Ministry of Health - Sri Lanka

Editorial Team

Dr. B.A.O. Wijewickrama (Deputy Director)

Dr. Thanuja Gunasekara (MO-Planing)

Mr. Ashan Basnayake (Occupational Therapist-Media Unit)

Data Compilation Team (Media Unit)

Dr. Kavinda de Silva

Ms. K.D C.K. Migunthanna

Mr. Lakmal Jayabuddhi

Annual Report - 2022

©National Institute of Mental Health, Sri Lanka

NATIONAL INSTITUTE OF MENTAL HEALTH

MINISTRY OF HEALTH SRI LANKA

Mulleriyawa New Town

Telephone: 0112578234 to 7

Fax: 0112578238

Email: info@nimh.health.gov.lk

Web: http://nimh.health.gov.lk

Facebook: https://www.facebook.com/NIMH.Angoda

Instagram: https://www.instagram.com/?hl=en

Youtube: https://www.youtube.com/c/NationalInstituteofMentalHealthSriLanka

NATIONAL MENTAL HEALTH HELPLINE - 1926

Our Vision

To Lead the Nation in Mental Health Care

Our Mission

To provide comprehensive and evidence based mental health services appropriate to the local context through state-of-the-art approaches to client care, capacity building, advocacy, community engagement, multi-sector collaboration and research delivered by competent and reliable staff

Introduction

The National Institute of Mental Health (NIMH) was established in 1926 and it is one of the oldest hospitals in South Asia. At present, it is the largest tertiary care hospital in Sri Lanka caring for clients with mental illness. The former Mental Hospital was upgraded to a National Institute in 2008. The Halfway Home, Mulleriyawa (HWH) and the School of Nursing, Mulleriyawa are also under the administration of NIMH since 2008.

The NIMH has a total of around 1409 beds and annually around 7000 clients are admitted seeking treatment for all types of mental illness. NIMH provides acute care, intermediate care and long-term care as well as specialized services. There are about 1200 inward clients treated at NIMH on any given day.

The NIMH is the main training center in Sri Lanka for undergraduate and post-graduate trainees in Psychiatry from Medical and Allied fields and provide for basic and in-service training for health staff as well. All postgraduate trainees in MD Psychiatry undergo a compulsory training for a minimum period of six months at the NIMH.

The NIMH has a strength of 1198 full-time staff. The top administration of NIMH comprises of a Director and a Deputy Director who oversee the affairs of NIMH via the Planning & Development Unit, Administration Department, and Finance Department & Sectional Head Offices. As of 31st December, 2022, NIMH had 10 Consultant Psychiatrists, 2 Consultant Physicians, a Consultant Haematologist, 79 Grade Medical Officers and 3 Dental Surgeons. There are 5 Special Grade Nursing Officers, 6 Ward Sisters & 3 Ward Masters, 415 other Grade Nursing Officers, 10 Occupational Therapists, 7 Pharmacists, 6 MLTs, 9 Psychiatric Social Workers (For the full cadre details please refer Annexures I: Cadre Details of NIMH)

Director’s Message

I pen this note once more in retrospect of another successful year at NIMH. Breaking away from two long years battling the pandemic, we witnessed returning of NIMH to its old normal with a sense of relief.

I’m delighted that the year 2022 was a productive and a progressive year for NIMH.

Given the opportunity, NIMH branched out with a new Alcohol and Substance abuse Treatment Unit, a Neurotic Psychiatry Treatment unit, refurbishment of Physiotherapy unit at a new place, Male intermediate care home called “Sumithra Sewana” and “Giman Hala” as a resting area for the Patients and their relatives visiting our hospital.

In recognition ofourexcellence, wewere awardedthesilvermedal forour best practices at theWorld Patient Safety Day competition conducted by the Ministry of health.

We took time to acknowledge the efforts of the NIMH frontline staff who contributed to our mission against COVID 19, dubbed the “Suwawiru Pranama”.

Once more, I thank the dedicated staff of the NIMH for another successful year and who contributed to the annual report 2022, our Deputy Director Dr. Arosha Wijewickrama and the team.

Dr. Dhammika Wijesinghe Director (Actg), National Institute of Mental Health

Organizational Structure

Board of Consultants-NIMH 2022

Heads of Sections-NIMH 2022

NICs of Section A, B & C – NIMH 2022

Services Offered at NIMH

Preliminary Care

• 24 hr Emergency admissions via Psychiatric Intensive Care Unit (PICU)

• 24 hr outpatient department (OPD)

• 24 hr 1926 National Mental Health Helpline, SMS Chatline & Whatsapp Chatline

Out-patient services

•Day Treatment facility for minor mental illnesses at Navodaya Center

•Day ECT facility

•Day Rehabilitation facility

•Alcohol Relapse Prevention Therapy

•Gender Based Violence prevention and care

•Community Mental Health Care

•Continued care at NHSL and outreach clinics

•Adolescent Mental Health Clinics

•Gender Dysphoria Clinic

•Deegayu Elder's Day Center

In-patient care

•Treatment facilities for acutely ill clients

•Rehabilitation facilities -Occupational Therapy, Rehabiliation Center, Horticulture Therapy, Ward-based Activities

•Vocational Training & Job Oriented Skills Training

•Supported employments for rehabilitation clients

•Psychiatric social services related to issues of clients

•Physiotherapy, Laboratory, EEG, ECG, Radiography services & Nutrition

•Neurotic Diseases Treatment Unit

•Substance Misuse Treatment unit

•Isolation facility for infectious diseases

•Oral health care

•Medium stay Intermediate Care Homes

•Long Term Wards

Specialized Care

•Forensic Psychiatry Unit

•Geriatric Psychiatric Unit

•Adolescent Psychiatry Unit

•Perinatal Psychiatriy Unit

•Learning Disability Unit

•Mental Health Covid Treatment Units

•Specialized Medical Ward,Dermatology Clinic & Wound Clinic

Other Services

•Medical,Nursing, Occupational Therapy,Social Worker & Other services trainings in Psychiatry & Mental Health

•In-service training for the staff

•Promotion of ethical research in mental health

•Promotion of community mental-wellbeing and Mental Health Promotion via Health Promotion Unit and Media Unit

Outpatient Services

Outpatient Department & Psychiatric Intensive Care Unit

Date established: 1926

Main Objective:

The Outpatient Department & Psychiatric Intensive Care Unit acts as the central hub for all OPD and admission registrations including psychiatric emergencies.

Services Offered:

 Management of clients at outpatient Department via advice & referral who do not require admission.

 Admission of clients voluntarily.

 Admission of clients on a non-voluntary basis via relatives, non-relatives, Police, or Prison as well as court orders.

 Admission of clients who have no identifiable details on rotation basis.

 Management of psychiatric emergencies at admission.

 Administration of injections, dressings.

 Administration of Hepatitis B injection for staff.

 Providing tea for clients and relatives.

Out-Patient Clinics

Date established: 1939

Main Objective:

The main general psychiatry clinics are held at National Hospital of Sri Lanka. NIMH also conducted number of satellite and outreach clinics to serve the different vulnerable groups.

The main aims are to give specialized psychiatry care in a clinic setting and to make travel for clients easier.

Services Offered:

 General Psychiatry Clinics

 Psycho-Geriatric Clinics

 Substance Abuse Clinics at Navodaya Center

 Forensic Clinics at Prison Hospital

 Adolescent Clinics at Navodaya Center

 Deegayu Elders’ Clinic

Navodaya (Day Treatment Centre)

Date established: 2012, Renamed to Navodaya in 2017

Main Objective:

The main aim of Navodaya is to apply psycho-therapeutic techniques for minor mental health problems and support other mental health disorders.

Services Offered:

 Treatment of minor mental health problems.

 Alcohol and Substance Abuse Clinic.

 Neurotic Clinic.

 Child and Adolescent Clinic.

 Conduct mental health awareness programmes and health camps in Navodaya and in public areas such as schools & banks

 Conduct in-service and external training in mental health.

 Clinics for Gender Dysphoria

Patients according to Consultant Psychiatrists

Deegayu Senior Citizens’ Day Rehabilitation and Care Centre

Date Established: 2021

Main Objective:

The main aim of Deegayu Senior Citizens’ Day Rehabilitation and Care Centre is to provide rehabilitation and psychotherapy for the elderly client particularly those suffering from dementia.

Services Offered:

 Rehabilitation and Occupational therapy

 Dementia Clinic

 Activities for inward clients

 Home visits

 Educate care givers

Highlights

 A workshop was conducted for caregivers on 22/03/2022

 The opening ceremony was held on 30/09/2022 in conjunction with the World Alzheimer's month. On the same day, a workshop for caregivers was held.







 Total count of the patients who engaged with OT activities

 Total count of the dispensed medication

Day ECT Centre

Date established: 2014

Main Objective:

The main aim of Day ECT Centre is to minimize unnecessary admissions for ECT and keep the client with their family to enrich their mental health.

Services Offered:

 The Day ECT service is offered from Monday to Saturday including public holidays

 The Day ECT service can be referred by Consultant Psychiatrist attached to NIMH or other Consultant Psychiatrists who can refer to a Consultant Psychiatrist at NIMH with a Pre-ECT assessment form.

Gender Based Violence Prevention Unit

Date established: 2012, Prevention of Child Maltreatment Unit was added in 2015

Main Objective:

The main aim of Gender Based Violence Prevention Unit (GBVPU) is to establish a friendly environment for survivors of gender-based violence & reduce incidence of gender-based violence. (GBV)

Services Offered:

 The GBVPU provides quality, culturally and age appropriate counseling, psychotherapy, medical, social, and legal support to victims of GBV.

 The GBVPU counsels’ perpetrators to reduce the incidence of GBV.

 The GBVPU arranges group counselling at family meetings.

 Coordination of "Committee regarding sexual harassments in the workplace" at NIMH

Total Sessions

National Mental Health Helpline – 1926

Date established: 15th of October, 2018

Main Objective:

The aim of National Mental Health Helpline is to help clients easily by connecting them with a mental health care provider to answer their queries and de-escalate emergency situations with clients.

Services Offered:

 Is a service which runs 24/7.

 Provides a portal for inquiries related to mental health.

 Provides a connection to care during times of distress

 Provides support in emergencies such as risk of suicide.

 Provides comprehensive and coordinated responses in short and long term

 Connects clients with an extensive psycho-social network around the country.

 Launched 1926 SMS chat line on 10/10/2020 and expanded our service in collaboration with Airtel Sri Lanka Pvt ltd.

 Provide service to adolescent and young people who are more comfortable in chatting via WhatsApp (0755551926)

Total Calls

Highlights

NIMH expanded the 1926 National Mental Health Helpline to WhatsApp (075 555 1926) service with the support of Airtel.

Community Psychiatric Treatment Unit

Date established: 2010

Main Objective:

The aim of Community Psychiatry Nursing Programme is to give psycho-social support to clients at the level of the community via psychotherapy & support

Services Offered:

 Conduct Community Outreach Clinics at Gangodawila, Pannipitiya, Grandpass, Rajagiriya, Rajamalwatta, & Delgahawatta & IM deport programme at Rajagiriya, Colombo 12, Athurugiriya, Nawagamuwa, Koswatta, Colombo 10, Modara, Wallampitiya, Gampaha, Delgoda.

 Conduct Prison Mental Health Service Clinics at Welikada Prison, Colombo Remand Prison, Magazine Prison, Female Prison, JMO Office, Prison Hospital, & NHSL

 Follow up patients under Community files.

 Assess patients in the community and develop client’s specific plans of care.

 Carry out community-based day to day nursing focused on Activities of Daily Living.

 Coordinate with mental health focal points in Provincial & Regional Health Service.

 Providetherapy/counselingforcarers &familymembers to deal with client mental healthproblem.

 Facilitating discharge and leave procedure.

 Maintains case records to trace defaulters, ensure follow up and detect new clients.

 Arranging the services from referral agencies to help patients send back to the community.

 Work as a member of multidisciplinary team in community mental health programmes

 Dispense medication at the client’s locality via depot programme across the Western Province

 Participate in clinical decision making in Ward Rounds of NIMH.

Inpatient Services

Inward Acute Care

Date established: 1926

Main Objective:

The aim of Inward Acute Care is the comprehensive management of acutely ill clients.

Services Offered:

 Comprehensive inward psychiatric care.

 Management of all psychiatric emergencies.

 Seclusion rooms for unstable clients.

 Coordination of referrals to other specialties.

 Coordination of care givers & stakeholder meetings.

 Transfer of clients to other hospitals for interventions and/or referrals.

 Provision of basic rehabilitation including indoor & outdoor games.

 Management of psycho-social factors via community centric programmes.

 Training of in-house staff, visiting medical, nursing, and allied health students on management of acutely ill clients.

Forensic Psychiatry Unit

Date established: 1940s

Main Objective:

The aim of Forensic Psychiatry Unit is to provide comprehensive forensic mental healthcare.

Services Offered:

 Review and attend to referrals from High Courts & Magistrate's Courts

 Comprehensive inward care via male (Ward 21) and female (Ward 25) units.

 Coordination via Forensic Psychiatry Resources Centre (FRC).

 Outpatient services via Forensic Outpatient Clinic, NHSL.

 Clinic services at Welikada Prison, Colombo Remand Prison, Magazine Prison (+ Women’s Section), Prison Hospital (Colombo 9), & Institute of Forensic Medicine (Colombo 10).

 Visitors’ board – established under the chapter 31 of penal code act no 15 of 1979. Held quarterly

 Forensic Psychiatry Rehabilitation Unit (FPRU) – Established on 19th July 2010. Aims to providing homely environment for the patients.

 Gymnasium services for clients and staff.

 Open school service conducted by National Institute of Education.

Psycho-Geriatric Unit

Date established: 1998

Main Objective:

The aim of Psycho-Geriatric Unit is to provide comprehensive mental healthcare for the elderly client particularly those suffering from dementia.

Services Offered:

 Comprehensive inward psycho-geriatric care.

 Management of all psychiatric emergencies

 Outpatient services via Psycho-Geriatric Clinic, NHSL.

 Community-based clinics in Modara.

 Comprehensive geriatric assessment per client in a multi-team approach.

 Coordination of referrals to other specialties.

 Transfer of clients to other hospitals for interventions and/or referrals.

 Rehabilitative activities such as occupational therapy and reminiscence therapy.

 Management of psycho-social factors via community centric programmes.

 Awareness programmes in public areas and via holistic care programme via Geriatric Association,

 Training of in-house staff, visiting medical, nursing, and allied health students in management of psycho-geriatric clients.

 State of the art lecture hall facilities and library relevant to psycho-geriatric care.

Adolescent Psychiatry Unit

Date established: 2015

Main Objective:

The main aim of Adolescent Psychiatry Unit is to provide comprehensive psychiatric care in a safe environment for clients between 12-18 years.

Services Offered:

 Outpatient management of adolescents via Child & Adolescent Psychiatry Clinic, NIMH

 Comprehensive inward psychiatric care for adolescent clients.

 Management of all adolescent related psychiatric emergencies.

 Coordination of referrals to other specialties.

 Transfer of clients to other hospitals for interventions and/or referrals.

 Rehabilitative activities.

 Management of psycho-social factors via community centric programmes.

 Training of in-house staff, visiting medical, nursing, and allied health students in management of adolescent ill clients.

Total Admissions

(Male) (Female)

Long Term Ward

Date established: 2007

Main Objective:

The aim of the Long-Term Ward 22 is to engage in long term rehabilitation in those clients who are unable to be rehabilitated in an intermediate setting and those who have been successfully rehabilitated in the intermediate setting but have not found social placement yet

Services Offered:

 Provide homely environment to long term clients

 Coordination of referrals to other specialties if necessary

 Rehabilitative activities via activities of daily living, spirituality & meditation training, vocational skills training, social skills training, communication skills training, housekeeping training, cookery training, art therapy, music therapy and money management training focusing on income generation.

 Horticulture therapy.

 Reintegration into society by placement of clients in job opportunities.

 Management of psycho-social factors via community centric programmes.

 Training of in-house staff, visiting medical, nursing and allied health students in psycho-social rehabilitation of clients.

Villa(s)

Date established: 1926

Main Objective:

The aim of the Villas is to engage in paid long-term rehabilitation in those clients who are unable to be rehabilitated in an intermediate setting and have not yet found social placement.

Services Offered:

 Provide homely environment to clients.

 Coordination of referrals to other specialties if necessary.

 Rehabilitative activities via activities of daily living, spirituality, communication skills training, occupational therapy, music therapy, & art therapy.

Perinatal Psychiatry Unit

Date established: 2007. The 1st ever in South-East Asia.

Main Objective:

The main aim of Perinatal Psychiatry Unit is to provide specialized care for women who develop psychiatric illness in and around the pregnancy or following childbirth.

Services Offered:

 Comprehensive inward psychiatric care for pregnant and post-partum clients.

 Management of all pregnancy and post-partum related psychiatric emergencies.

 Facilities for baby & bystander to stay with mother.

 Provision of rehabilitative activities.

 Management of psycho-social factors via community centric programmes.

 Training of in-house staff, visiting medical, nursing, and allied health students in management of pregnant and post-partum clients.

Total Admissions

Mother Baby

NeuroticDiseasesTreatmentUnit

Date established: 2022

Main Objective:

The main aim of Neurotic Diseases Treatment Unit is To identify specific substance related disorders admitted to acute wards and provide initial detoxification and necessary treatments.

Services Offered:

 Comprehensive inward psychiatric care for neurotic cases.

 Manage first episode psychosis

 Manage clients with high risk of suicide, violence, homicide and absconding ottring close observation

Total Admission

ECT Unit

Date established: 1940s

Main Objective:

The main aim of ECT Unit is to provide quality electroconvulsive therapy for all outpatient and inpatient clients at NIMH.

Services Offered:

 Comprehensive ECT care for clients from managing Pre-ECT assessment to Post-ECT recovery.

 Management of emergencies relating to ECT.

 Dedicated card-based system for equitable distribution of ECT for all clients.

Total ECT 2022

Mental Health Covid-19 Treatment Units

Date Established: 2020

Main Objective:

The main aim of Mental health Covid-19 Treatment Units are provide standard Covid19 management and psychiatric management for covid-19 positive psychiatric patients.

Service Offered:

 Provide medical treatment and psychiatric management

 Provide patients safety environment

 Close monitoring of patients

 Promote recreational activities for patients

 Provide health education

 Coordinate to promote facilities to get done ECG and other essential procedures

Total Admissions

Isolation Unit

Date established: 2011

Main Objective:

The main aim of Isolation Unit is to prevent the spread of communicable disease among clients by isolating diagnosed/suspected infected patients in a secure environment.

Services Offered:

 Comprehensive isolation care for infected clients.

 Protective isolation for severely immunocompromised patients.

 Source isolation to confine the infectious agent and prevent it’s spread.

 Training of in-house staff, visiting medical, nursing and allied health students in management of isolated clients.

Total Admission

Isolation Unit I Isolation Unit II

SubstanceMisuseTreatmentUnit

Date of established: 2022.05.04

Main Objective:

The main aim of Substance Misuse Treatment Unit is to identify specific substance related disorders admitted to acute wards and provide initial detoxification and necessary treatments.

Services Offered:

 To provide patient friendly environment, which helps to keep them inservice.

 To establishing internal guidelines to treat substance related disorders.

 To establishing long term treatment and follow up care plan for thepatients in the future.

 To create a flat form to carry out teaching programs regardingsubstance related disorders.

 To carry out researches and audits regarding substance relateddisorders.

 To receive accreditation for the substance treatment unit as a teachingcenter for addiction psychiatry.

Total Admissions

Medical Ward

Date established: 2005

Main Objective:

The main aim of Medical Ward is to provide specialized medical care to the inward psychiatric clients with co-morbidities.

Services Offered:

 Outpatient medical management of clients via Medical Clinic, NIMH

 Comprehensive medical care for admitted clients.

 Coordination of medical referrals of psychiatric units.

 Coordination of transfers of clients to Tertiary Care Hospitals for specialized management.

 Management of medical problems of clients admitted to High Dependency Unit in Ward 20.

Total Visits & Clinics

Total Admissions Total Clinic Sessions

RehabilitationServices

OccupationalTherapyUnit

Date established: 1950s

Main Objective:

The Aim of the Occupational therapy Unit is to provide an occupational therapy service to get maximum functional level of clients, for independent them in society

Services Offered:

 Provide relevant assessments regarding clients’ needs via:

o Functional Assessments

o Cognitive Assessments

o Skill Assessments

 Engaging clients in therapeutic activities

 Conduct Group therapy sessions:

o Social skills training

o Life skills training

o Anger management training

o Activities of daily living training

o Creative Writing

o Drama therapy

o Art therapy

o Music therapy

o Reminiscence therapy

 Treatments for physical impairments (making splints & adaptations)

 Job Oriented skill training

Highlights:

 Continued “Sewana Fair” at NIMH

 Reopened Communication & Sales Centre as a supported employment for clients

Rehabilitation Centre

Date established: 15th March 2017

Main Objective:

The aim of Rehabilitation Centre is to improve clients’ lost skills with special attention for vocational training targeting employment to produce a productive individual Services Offered:

 Rehabilitation process is carried out in 4 levels

o Level 1 – to improve basic activities of daily living

o Level 2 – to improve extended activities of daily living

o Level 3 – for vocational training (in addition; NAITA training center is functioning for Computer application assistant, Handcraft, Tailoring, Pastry and Baker)

o Level 4 - to facilitate social re integration and employment

Highlights

 A MOU signed between NAITA and NIMH regarding psychosocial rehabilitation of clients. Renewing the cooperation between the two state entities 22.10.2022

 Food exhibition of Collaborative 2022 organized by NIMH and NAITA

 Community rehabilitation programme at Rajasinghe Vidyalaya,Col.08 was done by rehab group in with objective of improving mental and social wellbeing of teenage students in community.

 Community visits were made to AGA office Kolonnawa, and community center Kolonnawa with the objective of improving mental well being of families living close by and to introduce carrier options.

 Rehabilitation team conducted a rehabilitation training programme for clinical groups from Rathnapura and Kalawana.

 The programme consists of a lecture on rehabilitation services and visits to different unit such as Nimhewana cafe,pathum piyasa,NAITA training class rooms,Navodaya DRC.

 Hilton and NIMH combined sales project was conducted this year

Day Rehabilitation Service

Date established: 2015

Main Objective:

The aim of Day Rehabilitation Service is to help outpatient clients who are recovering from mental health problems and need psycho-social support by promoting recovery and reducing the impact that may accompany with their illness.

Services Offered:

 Improvement of skills development

o Social skills training group

o Anger management training group

o Activities of daily living training group

o Stress management and relapse prevention training group

o Therapeutically engaging them in shopping, banking, public transportation, meal preparation, and similar skills which increase their independence.

 Inculcation business promotion habits via business promotion unit

o “Sith Mal Nimevum” sales outlet

o Lunch packets selling project

o Soft toy project (supported by Fashion Bug)

o Work opportunities in Sashini Fashion, Angoda

 Outreach support for clients

o Home visits via community centric programmes

o Family meetings via community centric programmes

o Production of craft and sewing products for sale at Ministry of Health

o Cement flowerpot making project

o Enhancement of vocational skills in computer training via NIMH-NAITA computer training center in Navodaya.

o Placement of clients in regular jobs in the private sector

 Coordinating community access via Consumer Forum of the National Institute of Mental Health

ForensicRehabilitationUnit

Date established: 2010

Main Objective:

The aim of Forensic Rehabilitation Unit is the assessment, care and treatment of mentally disordered offenders

Services Offered:

 Inward facilities for mentally disordered offenders

 Risk assessment, management, and the prevention of further victimization and reincarceration are core elements

 Assessments to determine Criminal responsibility , Soundness / Unsoundness, Relationship of mental illnesses for the offence, Fitness to plead and Different forms ofcapacities

 Assessments of victims

 Services related to substance and addiction related issues related with legal problems

 Multi-disciplinary team approach to re-integrate the offenders in community

 Child and Adolescence (with offending behaviors) guidance

Special events

- Celebrating New year festival with rituals in April

- Client product exhibition and religious programme to celebrate the 12th Anniversary of Forensic Psychiatry Rehabilitation Unit in July

- World Mental Health Day Celebration Awareness programmes for MOH offices in the area in October

- World Mental Health Day Celebration Fair in October

Forensic Psychiatry Rehabilitation Sessions by Month 2022

Forensic Clinic Visits by Month 2022

Male Female

Ward Based Rehabilitation

Intermediate Ward(s)

Date established: 2007

Main Objective:

The aim of the Intermediate Ward(s) is to rehabilitate clients who are recovering from mental health problems by giving psycho-social support & promoting independence.

Services Offered:

 Rehabilitative activities via activities of daily living, vocational skills training, social skills training, communication skills training, housekeeping training, cookery training, and money management training focusing on income generation for those who are not eligible to send out for other rehabilitation units

 Reintegration into society by placement of clients in jobs.

 Management of psycho-social factors via community centric programmes.

 Training of in-house staff and visiting medical, nursing, and allied health students in psychosocial rehabilitation of clients.

Highlights

 In intermediate wards rehabilitation activities restarted.

Horticulture Therapy Unit

Date established: 2003

Main Objective:

The aim of Horticulture Therapy Unit is to make a productive individual through rehabilitation by art and science of plants and nature.

Services Offered:

 Support of rehabilitation of clients referred via Horticulture Therapy, Therapeutic Horticulture, Social & Community Horticulture, & Vocational Horticulture.

 Rehabilitation of clients by recreational activities.

 Rehabilitation of clients by household activities.

 Support in social re-integration of clients through horticulture therapeutic measures, recreational activities, and activities of daily living.

 Support in improving social skills by money handling, shopping, going on picnics etc.

 Provide job-oriented skills training for clients referred. (Flowerpots, Plant nursery, Mushroom etc.)

IntermediateCareHomes

Date Established: Male (Sumithuru Sewana)-2006, Female (Pathum Piyasa)-2021

Main Objective:

The main objective of Female Intermediate Care Home is to help individuals with mental health problems in supporting and facilitating daily functioning and social interactions as therapeutic management has little impact on daily living, socialization and work opportunities. This will enable more individuals with mental health problems to live in their community rather than being confined in a mental health institution.

Services Offered:

 There are two separate houses for both men and women.

 Individual care plans for patients

 Provide supported employment

 Organizing trips with patients

 Group Therapy sessions

 Individual Counseling sessions

Highlights

 11th of January 2022 – Trip to Kalutara with Male and Female Intermediate Care Home clients

 7th of March – Fair well of first batch of Female Intermediate Care Home clients and former batch of Male Intermediate Care Home clients.

 8th of March – Setting in the new boarding house (Male Intermediate Care Home patients)

 31nd of September 2022 – Start roof reconstructions of Male Intermediate Care Home.

 02th of November 2022 – Start reconstructions of the building of Male Intermediate Care Home.

 12th of December 2022 – Reopening of Male Intermediate Care Home.

 There are 12 clients successfully released to the community from pathum piyasa. They worked as,

 Domestic Helpers

 Cleaning Service Workers

 Sales Girls etc.

There are 04 clients still stay in pathum piyasa they work in NIMHewana cafe. At pathum piyasa we give follow up care to the clients for a one year who are released to the community.

Pathum piyasa have available vacancies for another new 08 clients.

Psychiatric Social Work Unit

Date established: 1968

Main Objective:

The aim of Psychiatric Social Work Unit is to enable people to manage the social factors in their lives like relationships, housing, and employment that allow them to get well and stay well by therapy, support, and advocacy

Services Offered:

 Assess patients and develop client’s specific social plans of care.

 Provide therapy/counseling for carers & family members to deal with client’s mental health problem.

 Interviews with admitted patients, members of their families, agency staff and others, and through collateral investigations.

 Help clients to get services and financial assistance from institutions and agencies like Police, Pension Department, Legal Aids, and other NGO and/or government organizations.

 Reviews resident and family social situations as necessary and modify social plan of care

 Provides direct crisis intervention services when required.

 Maintain case records and prepare social reports.

 Arrange the services from referral agencies to help patients send back to the community.

 Work as a member of multidisciplinary team in community mental health programmes

 Helps clients and their families to obtain financial, legal and medical services.

 Provide placement of clients in jobs, rehabilitation homes, and halfway homes at low cost or free of charge.

Highlights

 Intervening in the economic empowerment of 80 mental health service users by providing financial aid in collaboration with the Asia Foundation.

 Guiding and Supervising the Social under graduates from the national Institute of Social Development and various other institutions in their field placement

 Starting the NIC preparing programme for long-stay service users of NIMH and halfway

 Finding job opportunities for rehabilitated users in the corporate sector

 Organizing mental health promotion and education programme

Section C - Halfway Home Mulleriyawa

Date established: 2008

Main Objective:

The aim of Halfway Home Mulleriyawa is to rehabilitate, empower and socially reintegrate female residents who have had long term institutionalized care due to mental illnesses complicated with poor family/relations support.

Services Offered:

 Improve quality of life and minimize their feeling of institutionalization by providing homely environment within the institution.

 Developing or redeveloping life-skills need for successful social reintegration via:

o Training and improving Activities of Daily Living (ADLs)

o Training and improving Instrumental Activities of Daily Living (IADLs).

o Increasing life experiencing of clients by gradual exposure to society & social events.

o Financially empowering the possible residents by incorporating them into income generating rehabilitation programmes (horticulture, handcraft, and sewing) or providing job opportunities to suitable residents (cleaner, domestic helper)

o Providing necessary support for suitable residents to live in the society independently via Community Home Project.

 Reclaiming the lost civil rights of residents (provide National Identity Cards, Voting Rights)

 Legal support to settle their legal issues such as marriage & properties

Ancillary Services

Planning & Development Unit

Planning Section

Date established: 2016

Main Objective:

The aim of Planning Section is to strengthen the Director in all the Hospital Planning and Development activities.

Services Offered:

 Focal Coordination for the Management, Development and Planning Unit of Ministry of Health.

 Support in-service improvement of the institution.

 Development of Annual Action Plan and other relevant plans.

 Preparation of Performance reports and Progress reports.

 Coordinate and Conduct Hospital Management Committee Meeting and other meetings related to Hospital Planning and Development

 Management of Institutional Human resources

 Preparation of Project Proposals for Hospital development.

Quality Management Section

Date established: 2011

Main Objective:

The aim of Quality Management Section is to be the focal point of National Institute of Mental Health coordinates all Quality and Safety activities in NIMH.

Services Offered:

 Focal point for Directorate of Healthcare Quality & Safety, Ministry of Health.

 Surveillance of clinical events and adverse events are monitored by the Quality Management Unit and send information periodically to Directorate of Healthcare Quality and Safety as per Ministry requirement.

 Establish and monitor the activities of 50 WITs (Work Improvement Team)

 Conduct key meetings in quality improvement

o Quality & Safety Steering Committee

o Quality Liaison Nurses Meeting

o Clinical Governance Meeting

 Conduct Clinical Audits regarding safety issues (absconding; restrains, falls) for process improvements.

Highlights

 Followed Annual Action Plan

 Quality Management Liaison Nurses Training Programs - Monthly

 Clinical Governance Meetings and Discussions - Monthly

 World Patient Safety Day Events Arranged.

 World Patient Safety Day – September 17 National Event at BMIH –Won Silver Award.

 Organized NIMH World Patient Safety Day Function and Covid – 19 “ Suwawiru Pranama ” Awarding Ceremony .

 Special Work Shop on National Injury Surveillance System.

 Special Training Program on Seven Pillars of Clinical Governance for Clinical and Non Clinical Professional Staff – NIMH, NIID & CEBH Hospital.

 National Productivity Awarding Ceremony - Commendation Award for Year 2020.

 Patients / Client Experience Survey for 2022 4th Quarter.

Public Health Inspector & Public Health Section

Date Established: 1926 & 2016

Main Objective:

The aim of the Public Health Section is to preventing disease, prolonging life, and promoting physical and mental health, sanitation, personal hygiene, control of infectious disease, and organization of health services.

Services Offered:

 Monitor health status to identify and solve health problems among patients and staff.

- Staff screening

- Outbreak investigation

 Engage in Covid 19 control measures diagnosis, referrals, quarantine, staff, and patients’ prevention measures.

- PCR and RAT investigation

- Referral of Positive patients

- PPE supplies and coordination

- Training staff on Donning and Doffing

- Quarantine of staff members and families

 Staff vaccination against Covid 19 and mass vaccination to the public.

- Staff total vaccination

- Public Total Vaccination

 Diagnose and investigate health problems and health hazards in the hospital community.

- Coordination and Supportive role in Activities by Infectious Control Nursing officer

- Dengue Prevention and control measures

- Hepatitis B vaccination of staff and patients

- Screening for Tuberculosis in long term in patients

- Bug elimination programs

- Cat and Dog sterilization and vaccination programmes

 Inform, educate, and empower staff about health issues.

- Assure competent health care workforce within the hospital by training the Infection Control Liaison Nurses, supportive staff and other staff.

- Development and Distribution of health promotion materials among hospital community

 Mobilize partnerships and action to identify and solve public health problems.

- Waste disposal and sewerage system

- Food safety

- Water safety

- Environmental improvement

- Energy saving measures for hospital

 Develop policies and plans that support individual and hospital community health efforts.

- Public Health recommendation on various activities conducted by public and hospital.

- Covid Cell on Covid management decisions.

 Evaluate effectiveness, accessibility, and quality of patient and staff health status.

 Propose new innovative solutions to health problems arises in hospital.

Highlights

 EPL & SWML License - Environmental protection license and Scheduled waste management license achieved. ( EPL license achieved for the 1st time , SWML license 1st time after 2018 )

 Public Health meeting previously 2 weekly done. As covid crisis period has passed, it is now being held monthly.

 Waste management

- Updated waste management policy of NIMH

- New storage stall built for the food waste collection.

 Pest control

- Several wards have been treated with chemicals to Bed bug eradication. Currently it is ongoing as required.

- Daily head lice observation charts maintained.

 Cats and Dogs control

- Cats and Dogs “Rabies vaccination” in all 3 sections and NTS done.

- Cats and dogs “sterilization programme” held in all 3 sections and NTS

 Vector control

- Weekly dengue meetings carried out.

- Frequent continuous visits to look for mosquito breeding sites, done by public health team.

- Measures to eradicate vector breeding sites done.

- Fogging done as required.

- Vector surveillance programme done by RDHS Entomology unit as requested by Public Health Unit for the 1st time in NIMH

- Entomology trap system screening done in all sections and NTS to look for infectious filarial vectors by RDHS Entomology unit.

 Filariasis

- Filariasis screening - 2 day (night blood sampling filarial screening) at Section C done by the district filariasis campaign. (All test reports were negative) following a filarial AB positive test reports in several patients.

 Cleaning service performances

- Inspected and reported by PHI.

- Overseer inspection areas were revised. Monthly cleaning Report collection started.

 Food and Water samples

- All food and water samples tested to be satisfactory by MRI labs.

- Food samples of the kitchens indicated probable failures of hygienic practices, although within required conditions, (significant aerobic plate count) which lead to take several measures in the subjects of kitchen and hygiene.

 Kitchen

- Kitchen Inspections done by MO PH and PHI. Kitchen and canteen water and food sample monitoring done.

- Annual Health Checkup of kitchen staff done for the year 2022.

- Several new measures taken following a concerning staff screening report and a later taken food sample report following a diarrhea outbreak within patient population.

- Several audits of kitchen and food distribution process done.

- Kitchen staff awareness programme done in all 3 sections.

- A significant improvement achieved in kitchen environment, staff, kitchen attire and hygienic practices.

- For kitchen staff, visit to an optimal kitchen is to be done.

 Waste water treatment plant

- Waste water treatment plant quarterly reports are normal.

- Waste water samples tested to be satisfactory by MRI labs & CEA Labs.

 Weekly Routing ward round done in all wards and units

Disaster Management Section

Date established: 2016

Main Objective:

The aim of Disaster Management Section is to coordinate disaster preparedness and response of the institution at institutional level and national level.

Services Offered:

 Identification of hazards within the institution and assess the risk and update annually.

 Preparation of Hospital Disaster Preparedness and Response Plan for the institution according to the risk assessment and update accordingly and/or annually.

 Advocate and coordinate the necessities to reduce the risk for recognized hazards.

 Coordinate for the necessary steps needed for the disaster preparedness in the institution.

 Practically testing of the Hospital Disaster Preparedness and Response Plan and identify the gaps and lapses.

 Facilitate the disaster resilient environment within the institution.

 Coordinate the training for staff relevant to institutional disaster management.

 Coordinate and facilitate Hospital Disaster Management Committee.

 Support in National Disasters for relief activities mainly focusing the psychological first aid and mental health issues.

 Liaise with Disaster Preparedness and Response Division of Ministry of Health.

Health Informatics Section

Date established: 2016

Main Objective:

The aim of Health Informatics Section is to be the focal point for all data needs of NIMH

Services Offered:

 Assist in preparation of Annual Action Plan, Annual Performance Report, Director’s Meeting, & various requests for data from Ministry of Health and other Ministries.

 Coordinate with Consumables Division for all the hospital data forms.

 Maintain digital datasets of Midnight Summary & Incident Summary

 Planning & Maintenance of Hospital Information System.

 Coordinate data needs of health data systems such as eIMMR System, Admission Record Information System, Gender Based Violence Information System, HRMIS (Human Resource Management for Medical Officers), HRIS (Human Resource Information System for All Staff), MHMIS (Mental Health Management Information System)

 Coordinate data needs of Clinical Governance meeting.

 Assist Director to make information available for citizens as per Right to Information Act.

InfectionControlUnit

Date established: 2011

Main Objective:

The aim of the Infection Control Unit is to ensure good sanitation to minimize the infections in the institution.

Services Offered:

 Carry out daily ward rounds by Infection Control Nursing Officer (ICNO) according the Infection Control Unit checklist.

 Supervise the general hygiene, hand washing practice, and waste management

 Screen the emergence of infectious disease outbreaks other diseases like Dengue.

 Conduct Wound Care Clinic with Consultant Microbiologist.

 Carry out Hepatitis B Vaccination Programme which includes

o Vaccinate all staff and test for HBsAb

o Vaccinate all long-term clients and other clients as much as possible.

o Test HBsAb in clients whenever possible.

 Carry out training programmes for Infection Control Liaison Nurses, Nursing Staff, Health Support Staff, * Cleaning Staff.

 Hold monthly Infection Control Liaison Nurses meetings.

 Coordinate and conduct Annual Infection Control Meeting.

 Supervise sterility maintenance of equipment and sterile packs.

Highlights

 Infection Control Committee Meetings were held quarterly

 Monthly infection control liaison nurses meeting was held with participating all liaison nurses in hospital.

 Waste management -Updated waste management policy of NIMH

 Cleaning service performances -being inspected and report collection from IC-LNOs done.

 Hepatitis B vaccination programme is ongoing for NIMH staff and patients. Quarterly reports were sent to epidemiology unit.

 Covid 2nd booster vaccination - All chronic patients have been fully vaccinated for covid with all four doses. Further vaccination is being done as per requests.

 A physical assessment chart -has been started for all long-term patients and it can be checked once in 03 months and referred to medical for necessary problems.

 Through the Infection Control Assessment Activity chart – a monthly check is done on whether all the wards are being maintained in accordance with the infection control rules.

 By conducting a hand hygiene audit in the hospital once every quarter, it has been possible to create interest and good knowledge among the hospital staff about hand washing.

 Routing ward round done in all wards and units according to the Infection Control guideline.

HealthPromotionUnit

Date established: 2019

Main objective: The aim is to coordinate all the health promotion activities at NIMH.

Services Offered:

 Focal point for the health promotion activities of NIMH and visitors and clients.

 Coordinating health promotion programmes, commemorating internationally and nationally important days. Ex: Cancer prevention day, Breast feeding day etc.

 Cording health talks improving awareness on health hot topics daily via Public Address System.

 Assisting public health section, disaster management section, quality management section and infection control unit in their areas under health promotion preview.

World Suicidal Prevention Day 2022 Programme at NIMH

ICTMaintenanceUnit

Date established: 25th March 2019

Main Objective:

The aim of Computer Maintenance Unit is to coordinate all the computer maintenance activities NIMH.

Services Offered:

 The Computer Maintenance Unit is an official unit established by funds received from Director Health Information, Ministry of Health directive in 2016-2018

 It was piloted from 25.03.2019

 A fully operational ICTMU with full time staff was initiated in 28.10.19

 It was renamed as Information Communication Technology Maintenance Unit on 29.06.2020

 On-site inspection of all computer related issues.

 Servicing of computers at the unit.

 Repair of computers at the unit.

 Maintenance of anti-virus software of all computers.

Media Unit

Date established: 2018

Main Objective:

The aim of the Media Unit is to coordinate all media needs of NIMH and create videos, posts that are related to mental health thereby reducing stigma by promotion of mental health events

Services Offered:

 Manage all media needs of institutional events.

 Coordinate with external media agencies

 Perform media surveillance function and address news which can affect mental health.

 Maintain social media presence (Facebook, Instagram, YouTube)

 Coordinate website media work.

 Be the focal point for digital media work.

 Compilation of Annual Report of NIMH

Highlights

 Streamed Live the WMHD22 programme via NIMH FB page

 Conducted mobile photography competition for NIMH Staff

 Published NIMH Media Bulletin V.01

https://issuu.com/nimh.angoda/docs/nimh_media_bulletin

Training Unit & Research Unit

Date established: 2006 (Training Unit), 2008 (Research Unit)

Main Objective:

The aim of Training Unit & Research Unit is to coordinate training and research activities in mental health for NIMH and National Level

Services Offered:

 Conduct monthly Ethical Review Committee (ERC) meetings.

 Coordinate all project proposals for training with Ministry of Health.

 Coordinate all logistical requirements for training that goes through the Training Unit.

 Conduct monthly Continuous Professional Development (CPD) programmes for Medical Officers.

 Conduct Journal Club for Postgraduate Trainees.

 Assist researchers in research submissions for ERC.

 Coordinate elective placements for trainees in mental health.

 Conduct orientation programmes on NIMH for visiting students and delegates.

 Facilitate & Coordinate In-Service Training Programmes

Highlights

 1990 Suwaseriya training programme.

 CPN( CommunityPsychiatric Nurses) training program.

 MO-MH( Medical officer-Mental Health) programs held in January, Juneand December.

 1926 training program for nurses

 CPR training program FOR medical officers

 Internship for MPhil trainees

 Observe-ship for Psychology and counseling BSc/diploma trainees

Nutrition Unit

Date established: 2016

Main Objective:

The aim of Nutrition Unit is to optimize the nutritional status of patients of NIMH.

Services Offered:

 Provides nutritional care for both in-patient and out-patient of the institute.

 Help to improve knowledge on nutrition among the hospital staff.

 Coordinate the Food Committee of NIMH.

 Supervise the food hygiene in kitchen and canteen.

Kitchen

Date established: 1926

Main Objective:

The aim of the kitchen is to provide healthy meals for all in-ward clients and supportive staff members.

Services Offered:

 Prepare and distribute meals for all in-ward clients.

 Prepare and distribute meals for health assistants on duty.

 Provide space for donor food preparation.

 Provide special requirements of food for institutional activities as needed.

Special Grade Nursing Officer’s (SGNO) Office

Date established: 1926

Main Objective:

The aim of Special Grade Nursing Officer’s (SGNO) Office is to be the focal point for all administrative and clinical requirements for nurses in NIMH.

Services Offered:

 Allocate the human resources of nurses in NIMH as per situational need.

 Coordinate in-service training programme for nurses.

 Coordinate resource persons for external training programmes NTS (Mulleriyawa), NTS of Private Hospitals, & Universities of Ruhuna, Peradeniya, Eastern, and Kotelawala Defense University.

 Clinical supervision of nursing at students, graduates & post-basic level.

 Mentor nursing activities such as in Productivity, Quality, Infection Control, & Health Education.

 Support in decision making on nursing matters.

 Coordination the Midnight Summary of the institution.

 Conduct weekly Nurse’s Journal Club.

School of Nursing Mulleriyawa

Date established: 1961

Main Objective:

The aim of School of Nursing Mulleriyawa is to provide the knowledge and practice on mental health and psychiatric nursing for the nursing students nursing officers of Sri Lanka.

Services Offered:

 Provide training requirements of all-island student nurses for psychiatry component.

 Provide training requirements for Nursing Leaders for psychiatry component.

 Provide 6 month psychiatry nursing training programme

 Conduct school awareness programmes as part of training.

 Conduct community awareness programmes as part of training.

 Conduct community recreational programmes as part of training.

Highlights

 Continued academic staff meetings as planned to discuss matters on training, staff development and continue education.

 Developed check lists for student performance evaluation.

 Academic staff attended the workshops on Gender Based Violence, seven pillars of clinical governance/Excellence.

 Followed up of staff lesson planning, content development and its presentation.

 Renovate of roof with tiles, ceiling of old hostel college of Nursing Mulleriyawa by government funds.

 Complete three phase electrical system and complete with all bulbs, lampshades and fans at old hostel with government funds.

 Indoor painting completed (all rooms, corridors, corridor doors and windows) at old hostel by staff/student donations within one month time period in month of December 2022.

 A satisfactory level of environment arrangement at the premises of old hostel.

Medical Record Room

Date establised: 1926

Main Objective:

The aim of Medical Record Room is to preserve and manage all medical and non-medical records of NIMH.

Services Offered:

 Store all medical records including BHTs, investigations, forensic case reports, and clinical ledgers.

 Store all non-medical records including admission records, administrative, & financial records.

 Retrieve records for clinical purposes.

 Retrieve medical records for legal purposes.

Diagnostic Services

Laboratory Department

Date established: 1949. Modern laboratory was established in 2007.

Main Objective:

The aim of Laboratory is to provide medical laboratory testing services in accordance with the applicable standards to satisfy the expectation of clinical staff and the administration.

Services Offered:

 Biochemistry related testing

- UFR - SFR

- Urine Ketone Bodies - Serum Electrolytes

- Serum Glucose - Serum Urea

- Serum AST (SGOT) - Serum ALT (SGPT)

- Bilirubin (Total, Direct) - S. Protein (Total, Albumin)

- CRP - CSF – Protein

- Troponin I - Stool Occult Blood

- Sterile Fluid (Report, Glucose, Protein)



Hematology related testing.

- FBC - ESR

- PT/INR - APTT

- Iron Stain

 Microbiology related testing.

- Urine Culture - Stool Culture

- Pus Culture - Sterile Fluid Report & Culture

- Rapid HIV Ag/Ab - RAT for Covid19

- AFB (Sputum, Urine, Sterile Fluids)

 Coordinating specimens sent to MRI, RIA, & NHSL

- Dengue NS1 Antigen

- Serum Lithium

- Serum Creatinine

- Serum ALP

- CK-NAC

- Cholesterol (Total, HLD, TG)

- Urine hCG

- INR

- Bone Marrow Films

- CSF Report & Culture

- MRSA Screening

- PCR & Blood Culture

Electroencephalography (EEG) Unit

Date established: 1994

Main Objective:

The aim of EEG Unit is to be the cluster center for all EEG needs of NIMH and neighboring hospitals.

Services Offered:

 Routine EEG.

 Video EEG.

 EEG to confirm brain death of patients at ICU of National Institute of Infections Diseases (NIID), and Colombo East Base Hospital, Mulleriyawa. (CEBH)

 Pediatric EEG at NIID & Colombo East Base Hospital.

Total Tests

Total EEG (Routine)

Total EEG (Urgent)

Electrocardiography (ECG) Unit

Date established: 2000s

Main Objective:

The aim of Electrocardiography (ECG) Unit is to provide all ECG needs of NIMH.

Services Offered:

 Routine ECGs at the unit & for non-ambulatory clients are done at the client ward/unit.

 Urgent ECGs are done at the client ward/unit.

X-Ray Department

Date established: 1971

Main Objective:

The aim of X-Ray Department is to provide a diligent & quality radiographic service to the hospital.

Services Offered:

 Routine and urgent X-Rays.

 Provide radiographic service to not only NIMH but also perform a cover-up function for NIID and CEBH Mulleriyawa.

Total X-Ray (Routine)

Total X-Ray (Urgent)

Physiotherapy Unit

Date established: 2000s

Main Objective:

The aim of Physiotherapy Unit is to assist the clinical team in promoting the mobility and independence of clients at NIMH.

Services Offered:

 Routine physiotherapy

 Routine physiotherapy at ward for non-ambulatory clients.

 Performing chest physiotherapy to obtain sputum samples for investigations.

 Infrared treatment.

 Ultrasound treatment.

 Short wave diathermy treatment

 Muscle stimulation treatment

Highlights

 An awareness programme was held for out patients in Deegayu Rehabilitation centre about Importance of Exercises in Geriatrics

 Therapeutic Interventions and Preventive measures for back pain among help line staff were introduced

 Conducted awareness programme “Physiotherapy in Diabatic Foot Care” to hospital staff for Diabetics

Pharmacy Department

Date established: 1926

Main Objective:

The aim of Pharmacy Department is to maintain an effective supply chain of Pharmaceuticals, Surgical Consumables, Surgical Dressings, Surgical Non-Consumables, & Oxygen for the benefit of the client

Services Offered:

 Preparation of estimates for pharmaceutical, surgical consumable & surgical non-consumable items.

 Prepare procurement for non-surgical consumable equipment.

 Monitor quality of all pharmaceuticals.

 Coordinate the repairing of surgical equipment and instruments.

 Outpatient dispending of drugs for OPD clients, ward discharge, Community Clinics, Gender Based Violence Prevention Unit, Psychogeriatric Clinic Ward, Navodaya Clinic, Substance Abuse Clinic & staff.

 Drug information is given to all clients at the point of dispensing.

 Indoor Pharmacy at NIMH & Halfway Home for all clients in wards and units at NIMH.

 Consumable Store supplies consumable surgical items and dressings for all clients at wards and units at NIMH and Halfway Home

 Non-Consumable Surgical Section supplies & repairs non-consumable items to all wards and units.

 Extemporaneous Preparation Section supplies external preparation for all clients at wards and units.

 The Local Purchase Section supplies medicines to in-ward clients on a name patient basis.

 Dispense drugs in the community at outreach clinics at Pannipitiya, Kotahena, Modara, & Raiagiriya.

 Coordinate Drug Therapeutic Committee meeting with Medical Supplies Division, Ministry of Health.

 Registration of drugs, surgical items & medical gases via Chief Pharmacist.

Dental Unit

Date established: 1972

Main Objective:

The Dental Unit aims to improve oral health of the inward clients and outpatients and alleviate stigma in society towards NIMH.

Services Offered:

 Provide treatments for oral diseases for inward clients and outpatients

 Promotion of oral health for inward clients and outpatients.

Highlights of 2022:

 Conducted Oral cancer awareness programme for the hospital staff

 Got 1000 Toothbrush donation

 Conducted Health Education lecture about Origin of dental caries & how to prevent Causes for Periodental diseases & how to prevent Oral cancer & other dental diseases

Administration Department

Date established: 1926

Main Objective:

The aim of Administration Department is to assist the top management in human resources management, project management, and resource planning.

Services Offered:

 Assist Director in general administration.

 Administration of Overseer’s Office & Supportive Staff

 Preparation of administrative returns for Ministry of Health.

 Manage documentation and coordinate projects as per approved Annual Action Plan.

 Manage documentation of utility payments for NIMH.

 Manage documentation of all staff needs (appointment, promotions, disciplinary, pension).

 Manage documentation of all dietary needs of clients warded in NIMH.

 Issue Internal Circulars

 Manage Public Address System.

 Coordinate medical board.

 Coordinate court matters.

 Coordinate all transport needs of NIMH.

Inquiries & Transport Unit

The Inquiries & Transport Unit plays the main administrative role for all legal and transport matters of NIMH. The office directly supports clients by managing their personal belongings when warded. In addition, the office manages telegrams received, handles police inquiries, and maintains the Admission Ledger of NIMH.

Overseer’s Office

The overseer office plays the main coordinating role for all the supportive staff in the hospital managing the Health Assistant needs for wards, units, offices, mortuary, transport & maintenance units. The office plays a key role in the logistical arrangements of clients who have passed away.

Diet Branch

The diet branch plays a facilitator’s role in organizing the diet orders from all the ward via receiving the diet, marking documents of patients. It also receives rail warrants of patients.

Accounts Department

Date established: 1926

Main Objective:

The aim of Accounts Department is to assist the top management in financial & inventory management

Services Offered:

 Assist Director in general financial matters of NIMH.

 Assist Director in preparing budgetary allocations for NIMH.

 Preparation of financial returns for Ministry of Health.

 Financial management of all projects of NIMH.

 Financial management of all utility payments of NIMH.

 Financial management of staff salaries.

 Coordination of Technical Evaluation Committees.

 Coordination of Tender Boards.

 Coordination of Condemning Boards. Shroff

The Shroff plays the main role in physical cash management in NIMH. The Shroff is responsible for managing payment of vouchers prepared by Accounts Department, giving salaries to staff, accepting payments for paid services in NIMH, and allowing temporary deposits of monies relevant to NIMH.

Other

Telephone Exchange

The telephone exchange is tasked with running the communication needs of the entire hospital. The exchange handles client inquiries, links clients with health staff and vice versa, and surveils the integrity of the internal telephone network.

Drivers

The driver’s team form a vital cog of the NIMH wheel looking after every aspect of transport. They are responsible for shuttling the team for the NHSL and Community Clinics. They are also responsible for mobile client care and emergency transfers.

Maintenance Team

The maintenance team looks after the day to day running repairs of NIMH under the purview of the Quality Management Unit. The team looks after general maintenance, masonry work, carpentry work, plumbing work, welding work, & electrical repair

Constructions Works Completed – 2022

Special Activities 2022

Beginning the Year 2022

Celebrating World Women’s Day

Farewell ceremony for Intermediate Care Homes Clients Sinhala & Tamil New Year Celebration

New Year Fair

Sinhala & Tamil New Year Celebration at Section C

Entertainment Programme for Clients of Section C

Wesak Bakthi Geetha Recital

Awareness Programme for World Suicidal Prevention Day

Primary health care staff awareness & school mental health promotion programmes

Celebration Anniversary of FRU

Opening the New Physiotherapy Unit

Mental Health Promotion Cycle Parade

World Mental Health Day Ceremonial Event

Public Day & Exhibition

Opening of Masjid Ul Shareef

In Service Training Programme on Clinical Governance in the Provision of Mental Health Services

"Food Exhibition of Collaborative" Organized by NIMH and NAITA

Opening of “Sumithuru Sewana” Male Intermediate Care Home

Battle of the Three Health Heroes" Annual friendly Cricket Encounter between NIMH, NIID & CEBH

Courts Summary 2022

Admission and Release of Patients under District Court

Annexures I: Cadre Details of NIMH 2022

Annexures II: Research Submitted to Ethical Review Committee, 2022

190/02/2022

191/02/2022

192/03/2022

Institutional Audit on covid 19 vaccination status, severityof covid 19 infections and covid PCR ct Values.

Self-medication practices among clients attending gender dysphoria clinics at NIMH

Prevalence of Substance Use Among Young Males Admitted to National Institute of Mental Health (NIMH), Sri Lanka During the Year 2021

193/03/2022 “Relationship between Emotional intelligence of Nurses and patient satisfaction in government Hospitals”

194/04/2022

195/04/2022

196/05/2022

Depression, Anxiety, Stress and Coping Strategies among nurses of Southern province in Sri Lanka

Research interest and barriers to research in early career psychiatrists: Perspectives from Sri Lanka

Perceived misbelieves of Covid-19 Vaccination among Health Care Workers in National Institute of Mental Health Sri Lanka.

Annexures III: Annual Financial Report of NIMH. 2022

AnnexureV-StaffWhoRetiredin2022

Name Designation

Mr. H.A. Chandrarathne Health Service Aid

Ms. E.G.C. Damayanthi Attendant

Mr. J.A. Danapala Overseer

Ms. H.A. Dayani Renuka Seamstress

Ms. Gres Mallika Ward Clerk

Mr. G.S.P. Gunarathne Nursing Tutor

Mr. L.G. Gunasoma Perera Attendant

Mr. S.A.K. Hemachandra Attendant

Ms. R. Hettige Special Grade Nursing Officer

Dr. H.G.G. Jayananda Consultant Psychiatrist

K.M.R. Jayanthi Special Grade Nursing Officer

Dr. J.A.R.C. Jayasinghe Consultant Psychiatrist

Ms. W.D.K.K. Jayawardane Special Grade Nursing Officer (Education)

Ms. A.A.C.B.P. Jayawardane Attendant

Mr. M.D.C. Kalun Health Service Aid

Mr. H.G.K.A. Kumara Health Driver

Ms. R.A.C.N. Kumari Occupational Therapist

Mr. M.L.A. Kurera Attendant

Ms. H.P.N. Malika Nursing Officer

Mr. A.A. Milton Attendant

Dr. R.S. Mudalige Medical Officer

Mr. M.K. Nimalsiri Attendant

Ms. M.G. Pathama Malani Nursing Officer

Mr. H.G.R. Pathmalal Plumber

Mr. S.R. Peramunage Nursing Tutor

Mr. D.H.P. Perera Attendant

Ms. R.M. Ramani Attendant

Ms. R.M.S.M. Ranathunga Supra Grade Nursing Officer

Mr. W.P. Ranjith Attendant

Mr. D.M.A. Rathnayaka Health Service Aid

Ms. R.A. Rosi Ranasinghe Attendant

Ms. M.D.N. Sihalani Supra Grade Nursing Officer

Ms. R.W.P. Wickramarathne Nursing Officer

Mr. P.H. Wimal Cook

Dr. V.L.M. Yusuf Medical Officer