A STUDY ON MENTAL HEALTH STATUS OF INSTITUTIONALIZED CHILDREN RESIDING IN GUNTUR DISTRICT OF ANDHRA PRADESH

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Date
2018
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Acharya N.G. Ranga Agricultural University
Abstract
Institutional care is considered as an appropriate measure for providing care to orphan and destitute children in India. Numerous Government and Nongovernment organizations, trusts, and private individuals across the country provide institutional care to those children whose family is either unable to provide them with adequate care due to poverty, illness etc., or there are no immediate family members to take care of them as they are orphans. Mental health is important for individuals, especially children. The consequences of poor mental health in childhood extend into adulthood, increasing the likelihood of low educational achievement, criminality and violence, adult mental disorder, unhealthy lifestyles and the risk of ill health. There appears to be only few research studies conducted on mental health status of institutionalized children in India and particularly in Andhra Pradesh. Further there are no research studies done comparing the mental health status of children residing in institutions run by Government and Non-government bodies. To plan any policies or interventions to improve mental health status of the institutionalized children residing in Government and Non-government institutions, more empirical research is required. Hence the present study is taken up. The present study was carried out in Guntur district of Andhra Pradesh to study the mental health status of institutionalized children. An Ex-post facto research design was adopted for conducting the study. Systematic random sampling procedure was used to select 60 girls between the age group of 10-15 years. After screening the children based on the criteria that they should have stayed in the institution for at least 2 years by purposive sampling. Out of which 30 from Government and 30 from Non-government institution were selected. The independent variables for the study were age (years), age at the time of institutionalization, class, Duration/years of stay in Institution, Quality of xvi institutional environment. The mental health status of children is considered as the dependent variable. The personal information of the child was collected through an interview schedule developed for the study and the general information of the institution was collected using the schedule prepared. The data related to quality of institutional environment was collected using OVC (Orphans and Vulnerable Children wellbeing Tool) developed by Shannon et al. (2009), which comprised of 10 dimensions, namely Food and Nutrition, Shelter, Protection, Family, Health, Spirituality, Mental Health, Education, Economic Opportunities and Community Cohesion. The mental health status of the children was assessed using Mental Health Battery (MHB) developed by Singh and Sen Gupta (2005).The 6 dimensions of Mental Health Battery are Emotional stability, Over-all adjustment, Autonomy, Security-Insecurity, Self-Concept and Intelligence. The data on general profile of institutionalized children revealed that majority of the children were in the age of thirteen and fourteen years. Most of the institutionalized children were found to be as paternal orphans. Children who were staying since 8 years were more in number in both Government and Nongovernment institutions. It was observed that majority of the children were admitted in the institutions by their own mothers. The academic performance was good in children residing in Non-government institution compared to those residing in Government institution. Significant difference was found in perceptions related to quality of institutional environment between the Government and Non-government institutions. It was found that children residing in Non-government institution had better perceptions about their institutional environment than children of Government institution. The present study focused on understanding the differences in mental health status of Government and Non-government institutionalized children. The results of the present study showed that there was a significant difference between Government and Non-government institutionalized children on mental health. Children from Non-government institution had better score on Emotional stability and Intelligence dimensions whereas children from Government institution scored high on self-concept dimension. It was found that there was no significant difference between Government and Non-government institutionalized children in terms of Over-all adjustment, Autonomy and Security-Insecurity. Finally it was concluded that there was a significant difference between Government institution and Non- Government institution children in terms of over -all mental health status favoring Non- government Institutionalized children. Hence measures should be taken to improve the institutional environment to enhance the mental health status of institutionalized children in general and Government institutions in particular.
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D5755
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