Background
Mrs. Archana Devtale, a 35-year-old resident of Satnur village, Sausar Block, District Chhindwara, Madhya Pradesh, leads a life intricately woven with familial responsibilities and community engagement. Married to Mr. Sanjay Deotale, who has been living with a locomotor disability since childhood, Archana’s journey took a transformative turn upon her marriage in 2005. As a homemaker in a bustling joint family of 12, she embraced the roles of a caring wife and a nurturing mother to her son and daughter.
Initial Health Concerns
Mr. Sanjay Deotale, who has a locomotor disability, is actively involved in disability advocacy through various organizations. He serves on the GASVS Executive Committee, the Village Level Disabled Person Group, and as the Associate Secretary of the Block Level Disability Person Organization. He also works at a nearby toll booth.
Mrs. Archana Deotale started experiencing severe and frequent stomach aches soon after her marriage, which necessitated weekly doctor visits. This persistent health issue hindered her ability to perform household chores and contributed to increasing stress and agitation. Her symptoms escalated over time to include anger, obsessive behaviors, prolonged dishwashing, unexplained laughter, sleep disturbances, poor diet, and neglect of her family responsibilities.
Intervention by the Community Mental Health Programme
In response to her deteriorating condition, Mr. Sanjay Deotale sought help from the Community Mental Health Programme (CMHP). He shared details about his wife’s mental health concerns during an organization’s program. The Project In-Charge responded promptly, dispatching a Field Worker to assess Mrs. Archana’s health. Subsequently, the Community Coordinator conducted a primary screening on December 7, 2017, identifying her need for mental health intervention.
Treatment and Rehabilitation Process
Mrs. Archana was enrolled in the CMHP, and a structured treatment and rehabilitation plan was put into place. The Community Coordinator conducted monthly follow-ups to ensure continuous progress. The treatment plan included regular visits to the mental health resource center located at Hanuman Mandir Jam Sawli, where psychiatric doctors are available every Tuesday to treat patients with mental illnesses.
Throughout the treatment process, Mr. Sanjay Deotale provided unwavering support. Field employees from CMHP offered regular guidance, ensuring adherence to the treatment regimen and proper care practices.
Progress and Current Status
Mrs. Archana Deotale has shown significant improvement since starting her treatment. While she occasionally experiences bouts of anger, her overall mental health has markedly improved. She has resumed her household responsibilities effectively and also works on a neighboring farm, earning 100 rupees per day. On February 24, 2020, with the assistance of the CMHP, Mrs. Archana obtained a disability certificate. This certification has enabled her to access various government schemes, including social security pensions, disability pensions, Niramaya health insurance, and bus pass concessions.
Impact and Gratitude
The support provided by the CMHP has been instrumental in Mrs. Archana’s recovery. Mr. Sanjay Deotale expressed his profound gratitude to the program, stating, “It was not possible for us to get appropriate information and treatment support in the rural area, but Project CMHP helped us in our difficult situation.”
Conclusion
The case of Mrs. Archana Deotale highlights the critical role of community-based mental health programs in rural areas. The CMHP’s timely intervention, continuous support, and comprehensive treatment approach have significantly improved Mrs. Archana’s mental health and quality of life. This case study underscores the importance of accessible mental health care and the positive impact it can have on individuals and their families.