1. DR INNOCENT R MWOMBEKI MD,MMED PSY 1 MIREMBE MENTAL HEALTH HOSPITAL

2. True or False 2 A PERSON WHO HAS BEEN DIAGNOSED WITH MENTAL ILLNESS SHOULD BE ADMITTED IN THE WARD IMMEDIATELY

3. True or False 3 WHITCHCRAFT IS NOT AMONG THE CAUSES OF MENTAL ILLNESS

4. True or False 4 PATIENTS WITH MENTAL ILLNESS ALWAYS HAVE AN INTERNAL DRIVE FOR VIOLENCE

5. True or False 5 A PERSON WITH MENTAL ILLNESS CAN MAINTAIN A FORMAL EMPLOYMENT

6. True or False 6 IF A PATIENT APPEARS TO BE DANGEROUS THE PSYCHIATRIST CAN AGREE WITH THE CARETAKERS TO RETAIN THE PATIENT IN THE WARD WITHOUT INVOLVING ANY OTHER PARTY

7. Mirembe hospital background 7 Estimated area of 150 acres Located in Dodoma region- a capital city of the United Republic of Tanzania About 2 Km from Dodoma town center In 1925 the British colonial government began the construction of Mirembe The hospital was opened in the year 1926 having 50 mental patients from Lutindi Hospital

8. Mirembe hospital background 8 In 1950 a hospital for criminal mental patients was opened in Dodoma and named Broad moor – after a forensic psychiatric hospital in Britain with the same function The Broad moor first started off with 60 patients under the Ministry of Home Affairs In 1960, a Parliamentary Act transferred Broad moor hospital to the Ministry of Health and renamed it Isanga Institution under the leadership of Mirembe Medical Superintendent

9. Mirembe hospital background 9 In the 1980’s mental health services were integrated into Primary Health Care 2010, the reformation of health system services, renamed the hospital as Mirembe Mental Health Hospital and Isanga Correction Center

10. Mirembe hospital background The Mirembe complex comprises of  Mirembe Civil Mental Hospital  Isanga Correction Centre  Mirembe Annex  Itega Drug Dependence Treatment Centre  Hombolo Rehabilitation Village  Mirembe School of Nursing 10

11. Mirembe hospital background 11 Currently, Mirembe Hospital offers services for clients with mental health and disorders, substance misuse and physical illnesses to about 650 inpatients and 250 outpatients daily

12. Vision 12 Sustainable mental health services at Mirembe are provided by qualified staff in every aspect without any form of discrimination

13. Mission 13 Ensure that every hospital employee performs his or her responsibility geared to sustainable services to psychiatric patient according to rules and regulations concerned in order to reduce/eradicate death, accident, disabilities and property damage caused by people with mental disorders in the community

14. Services 14 Inpatient care(medical, psychosocial,OT) Outpatient care Training (Medical, Nursing, TMVA) Substance misuse treatment Forensic psychiatry services CTC clinic General medical care

15. Challenges 15 Shortage of staff Infrastructure Expectations hospital vs caretakers Lack of awareness about mental illness Myths and misconceptions

16. Challenges cont 16 Motivation for staff Long distance patients Congestion of patients Stigma

17. Way forward 17 Research and publications Collaborations with primary health care Community awareness projects Community peer groups Staff trainings Encouraging students to join

18. Mirembe hospital 18

19. Occupational therapy 19

20. Ward 6 20

21. Itega 21

22. Itega 22

23. Mental health education 23

24. False 24 A PERSON WHO HAS BEEN DIAGNOSED WITH MENTAL ILLNESS SHOULD BE ADMITTED IN THE WARD IMMEDIATELY

25. True 25 WHITCHCRAFT IS NOT AMONG THE CAUSES OF MENTAL ILLNESS

26. False 26 PATIENTS WITH PSYCHOTIC SYMPTOMS ALWAYS HAVE AN INTERNAL DRIVE FOR VIOLENCE

27. True 27 A PERSON WITH MENTAL ILLNESS CAN MAINTAIN A FORMAL EMPLOYMENT

28. False 28 IF A PATIENT APPEARS TO BE DANGEROUS THE PSYCHIATRIST CAN AGREE WITH THE CARETAKERS TO RETAIN THE PATIENT IN THE WARD WITHOUT INVOLVING ANY OTHER PARTY

29. 29 THANK YOU FOR YOUR PARTICIPATION