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Moving with the Nation NATIONAL INSTITUTE OF MENTAL HEALTH AND NEURO SCIENCES An Institute of National Importance BANGALORE - 560 029 ANNUAL REPORT 2 0 1 4 - 2 0 1 5 NIMHANS An Institute of National Importance Prof. M.V. Govindaswamy Founder Director 1954 - 1961 he National Institute of Mental Health and Neuro Sciences (NIMHANS) is a multidisciplinary Institute for Tpatient care and academic pursuit in the field of mental health and neurosciences. NIMHANS is synonymous with providing high standards of clinical care, quality training and cutting-edge research in frontier areas of the brain and mind. The Institute, with its philosophical underpinning of an integrated and multidisciplinary approach and its cognizance of societal needs, has prioritised its objectives as providing comprehensive patient care, manpower development and research. At the institute, advances in genomics, computational neuroscience, mathematical modelling, neuroimaging, molecular biology and a host of new disciplines including public health are being translated to help society and also promote the growth of knowledge. Ever since its inception, a special feature of this Institute is combining research and training with promotive, preventive and curative aspects of clinical services in Mental Health and Neurosciences. This ethos continues to the present day. NIMHANS represents a unique model of a successful partnership between the Union and State Governments (Ministry of Health and Family Welfare, Government of India and the Government of Karnataka). The manpower development programmes at NIMHANS reflect the extent to which the Institute has succeeded in integrating and nurturing disciplines such as behavioural sciences, neurosciences, basic biological sciences and ancient health systems under one roof. The Institute frequently provides advice to the Central and State Governments in the matter of policies and strategies for mental health care, evolving the national programme for mental health and improving psychiatric facilities in the country. The Institute has also emerged as the nodal centre for evolving national policies in the field of mental health, neurosciences and injury. NIMHANS is today a centre for excellence in the country for mental health and neuroscience. The institute has produced more than 1,000 Psychiatrists, about 600 Clinical Psychologists and Psychiatric Nurses so far. Alumni from NIMHANS are spread across the country and the world. Recognising its eminent academic position, and the growth in size and stature, the central government declared NIMHANS a ‘Deemed University’ in 1994 and in 2012 NIMHANS has become an ‘Institute of National Importance’. VISION TO BE A WORLD LEADER IN THE AREA OF MENTAL HEALTH AND NEUROSCIENCES AND EVOLVE STATE-OF-THE-ART APPROACHES TO PATIENT CARE THROUGH TRANSLATIONAL RESEARCH MISSION Establish the highest standards of evidence-based all sections of society and ages including the vulnerable care for psychiatric and neurological disorders and population rehabilitation Evolve and monitor the strategies for disaster Develop expertise and set standards of care for diseases management and psycho-social rehabilitation in of public health relevance in the developing world different cultural and ethnic groups. Work with the government and provide consultancy Promote Mental Health literacy and eliminate the services for policy planning and monitoring strategies stigma attached to the Mental and Neurological in the field of Mental Health and Neurosciences and illnesses by taking the measures and the delivery system facilitate execution of national health programme. to the centres of primary health care honouring the human rights and dignity Human resource capacity building by training in diverse fields related to Mental Health and Neurosciences. Integrate allopathic and oriental medicine into health care delivery and promote evidence-based research Develop and strengthen inter-disciplinary, inter- institutional and international collaboration with Integrate physical and metaphysical aspects of universities and research institutes across the globe Neuroscience research to promote yoga and its to foster scientific research, training in advanced application to positive mental health. technology and exchange of ideas in the areas of Mental Health and Neurosciences. Participate in broad field of Neuroscience and Behavioral Research applicable to human ethics, organ Strive to enhance equitable accessibility of primary transplantation, stem cell research, space science, and care in Mental Health and Neurological Disorders to nuclear science. National Institute of Mental Health and Neuro Sciences Organogram DIRECTOR / VICE-CHANCELLOR Administration Academics Hospital Services Finance & Internal Accounts Audit Registrar Medical DFA & CAO Deans Superintendent AO AO (A&E) Resident AO Accounts Medical Officer (Hospital) Officers Behavioural Basic Sciences Neuro Sciences Sciences Special AAO AAO AAO AAO AAO AAO AAO Casualty AAO AAO Officer (Stores) (Personnel) (Coordination) (Claims) (Hospital) (DP&NR) (OPD) Medical (Accounts) (Projects) Officer Biophysics Biostatistics Human Genetics Neurochemistry Clinical Neurosciences Epidemiology Neuroanaesthesia Neuro Imaging & Interventional Radiology Neurology Neuropathology Neuromicrobiology Neurophysiology Neurovirology Psychopharmacology Neurosurgery Speech Pathology & Audiology Transfusion Medicine & Haematology Health Education Clinical Psychology Nursing Neurological Rehabilitation Psychiatric Social Work Psychiatry Child & Adolescent Psychiatry Psychiatric Rehabilitation Services Special Centres (Academic & Research) • Centre for Addiction Medicine • Neurobiology Research Centre • NIMHANS Centre for Well Being • Centre for Public Health • Free Legal Aid Clinic • Sakalawara Community Mental Health Centre Sincere and Respectful Homage Dr. R Marthanda Varma, the founding Director of NIMHANS was an internationally acclaimed Neurosurgeon. A practical visionary, he visualized and oversaw the amalgamation of the Mental Health Hospital and the All India Institute of Mental Health into National Institute of Mental Health and Neuro Sciences. Never known to have lost his temper, he was known for being a self- effacing and genuinely caring person in all walks of life and for all persons who came to his contact. He will always be remembered as a legendary and gifted surgeon, relentless researcher and a teacher par excellence. Dr. RM Varma joined the AIIMH as faculty of Neurosurgery and was instrumental in transforming Neurosurgery into a core discipline at the AIIMH. Like his predecessor Dr. Govindaswamy, he sought to integrate the disciplines of the brain and mind. He was the Director of the AIIMH from 1969 till its reorganization as NIMHANS in 1974. Under his stewardship, NIMHANS became an autonomous institute with bi-governmental and university participation and Dr. Varma was its founding Director from 1974 to 1979. During 1977-78, for a brief period, he was appointed as Deputy Director General of Health Services, Government of India. Dr. R Marthanda Varma (7th September 1922 – 10th March 2015) He had served as Honorary Surgeon to the President of India, and as Advisor in mental health and Neurosurgery to the Government of India. Dr. Varma received many prestigious awards including the Rajyotsava Award (1969) and Sir Visvesvaraya Award (1998) from the Government of Karnataka and the most coveted Padma Shri in 1972 from Government of India. Dr. SK Ramachandra Rao with Dr. RM Varma, Dept. of Neurosurgery Hon. Union Minister Dr. Karan Singh and Hon. Chief Minister and the AIIMH team at the lawns of the Hospital, early 1960s Mr. Devaraj Urs at the Inauguration of NIMHANS, 14th February, 1975 Front line L to R: Health Minister Mr. Siddaveerappa, Dr. RM Varma showing the film on chemothalamotomy to Mr. BV Dr. RM Varma, and Hon. President Mr. VV Giri. Baliga, Speaker of the Mysore Assembly. Chemothalamotomy was a procedure innovated by Dr. Varma to help patients with Parkinsonism From the Director’s Desk ......................................................................................................... 9 Awards, Honours and Key Assignments ........................................................................... 37 Visitors to NIMHANS .............................................................................................................. 49 Patient Care Activities .............................................................................................................. 57 Human Resource Development .............................................................................................80 Conference /Symposia/Workshops I. Scientific Programs Organised at NIMHANS ...............................................................91 A. International...........................................................................................................91 B. National ................................................................................................................ 92 II. Scientific Programs Organised Outside NIMHANS ................................................... 100 A. International........................................................................................................ 100 B. National .............................................................................................................. 100 III. Specific Training Underwent by Faculty / Staff .......................................................... 104 Central Facilities