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Department of Psychology
A Narrative Report in
Submitted by:
Cheska May A. Beltran
CAS-06-802E
Submitted to:
April 2018
DEPARTMENT OF HEALTH
NATIONAL CENTER FOR MENTAL HEALTH
NCMH was established through Public Works Act 3258. It was formally opened
on December 17, 1928. It was later called the National Mental Hospital, on November
12, 1986, it was renamed National Center for Mental Health (NCMH) through
Memorandum Circular No. 48 issued by the Office of the President. Formerly known as
the Insular Psychopathic Hospital, the Mandaluyong Mental Hospital, and the National
Mental Hospital, was established on 17 of December 1928. It was founded in order to
accommodate the increasing number of mental patients and other patients with related
nervous system conditions who, in 1925, were being taken cared of by two hospitals,
namely the San Lazaro Hospital (in its "Insane Department") and the City Sanitarium in
the Philippines.
The insane asylum hospital was built under Philippine Public Works Act No. 3258
at a 64 hectare location in Barrio Mauway, Mandaluyong, and Rizal near the City of
Manila. Patients from the San Lazaro Hospital were transferred to the National Center
for Mental Health in 1928. Patients from the City Sanitarium were transferred in 1935.
The National Center for Mental Health is currently under the ((Department of Health of
the Philippines. With the increasing number of patients being admitted, the center has
resorted to soliciting donations from private sectors.
Quality Policy: Globally accepted, the National Center for Mental Health is committed
to provide responsive and comprehensive mental health services that will promote a
healthy nation. We nurture a team of competent, compassionate, and empowered staff
through continuous education, training and provision of equal opportunity for
professional growth and development. We continuously provide safe environment and
state-of-the-art facilities and equipment that are acceptable, accessible, and affordable
to the clients we serve. We go beyond our clients’ expectations. We CARE, We
EMPOWER, We EXCEL.
Service Pledge: We, the officials and employees of the National Center for Mental
Health pledges and commit to deliver quality public services as promised in the NCMH
Citizen’s Charter. Specifically, we will...
Administration
Nurse V
OIC Nursing Service
PUBLIO B. PLOTEÑA III
Registered Nurse
Masters in Nursing
ORGANIZATIONAL CHART
Hospital Resources
Psychiatric Residency Training Program for Doctors -Four Year course leading to a
specialization in Psychiatry
Psychiatric Nursing Program -Two Year training program for nurses specializing in
Psychiatric care.
Affiliation Programs -For students in the fields of psychology, pharmacy, medical social
service, nursing and others.
NCMH was established in 1925 through Public Works Act 3258. It was formally
opened on December 17, 1928 and was originally called the INSULAR PSYCHOPATIC
HOSPITAL. It was later called the National Mental Hospital. On November 12, 1986, it
was renamed NATIONAL CENTER FOR MENTAL HEALTH (NCMH) through
Memorandum Circular No. 48 issued by the Office of the President.
NCMH was classified as Special Research Training Center and Hospital under
the Department of Health on January 30, 1987. It is licensed by the DOH and is
accredited by Phil health (tertiary training/teaching hospital). The leading mental health
care facility in the country, NCMH provides a comprehensive range of preventive,
curative and rehabilitative mental health services. It has an authorized bed capacity of
4,200 patients and a daily inpatient average of 3,000 patients. It serves an average of
56,000 outpatients per year.
Most of the NCMH’s patients are from Metro Manila and nearby in Region III and
IV. As a rational resource, NCMH also caters to patient from other regions of the
country, especially forensic cases referred by the courts of law. Treatment is about 87%
of inpatients belonging to classes C and D subsidized by NCMH.
Male Services
The male service is the counterpart of the female services. It follows the same as
in the Female service and adopts the same treatment principles and procedures.
However, the staffs for service in cooperation with the nursing personnel have
succeeded in establishing the first well-organized social therapy program in the hospital
based in the therapeutic community concept. This program was later adopted by the
other services.
Adolescent’s Services
Prior to the opening of the Adolescent Service in 1967, the adolescent’s patients
were force to live together with the adult patients, since 1969. The adolescent’s service
has expanded and is now composed of three units (pavilions). Only patients from age
21 and below presenting severe emotional, mental, and behavioral disorders are
accepted for treatment in the service.
Among the hospital patient population are these mentally ill who, in legal
terminology, are called “criminally insane”. There are the mentally ill who have
committed offense against society and have been legally committed by the courts of
justice throughout the country for examination, evaluation and treatment of confinement.
Infirmary Services
Mentally ill patients are not immune to physical illness and those who succumb to
these while in the hospital are treated in the Hospital’s infirmary frequently referred to as
the “General Hospital of the National Mental Health”. The infirmary also has a
Dispensary, a Family Planning Clinic and an Employees Section with several rooms for
their use and for their immediate dependents.
Pay Services
While the National Mental Hospital was opened principally to serve the poor, and
underprivileged, a pay service was opened in 1952 to meet the needs of the middle-
income families. The bed capacity of the pay service is 200, 100 of which are for male
and female patients. Their accommodation consists mainly of wards for eight with the
few private rooms. The rates charged are very moderate compared to the general
hospitals and includes charges for professional services since it is a closed hospital.
RESOURCES:
Facilities: Personnel Complement: 35 Pavillions 46.7 hectare
and 52 Wards Property
NARRATIVE REPORT
Internship at National Center for Mental Health was the time I am waited for so
long and now it had finished. My thoughts before I gone to NCMH is that what if the
patient got mad and divert that anger towards me and how would I respond to it. How
would they respond to the tests and how should I talked to them but still hoping that
whatever may it takes, I know in myself that I will learn something and will have a
wonderful experience interacting to those people who needs attention and medication.
Last March 12, 2018 was my first day at NCMH and I just got excited. Before we
assigned to different Pavillions, we orient us held by Dr. Sabas, he orient us of what we
should do and what should not, he also gives us a little piece of advice as an intern.
After orientation, we grouped us held by Ms. Nanette and I was assigned at Pavilion 19
also as Male Cost Recovery Unit under Dr. Henedina Tayag, a chief psychologist. They
oriented us what are the rules and regulations of the NCMH that interns should obey,
the way we approached to patients we should act as if we are dominant to them to
avoid them to manipulate us. Even there is something funny, we should act like there is
nothing to laugh for. We should be in our poker face. We should tie our hair as always
since they are patients and no one knows what they wanted to do just to prevent
violence of the patients towards interns. . While heading our way to the pavilion 19, I
was a bit curious and excited because finally I am now a trainee inside the NCMH and
at the same time so that we can familarize those Pavillion. Some of us got nervous at
first, because all the patient inside the jail, all eyes on you. If you want to look the
surroundings, you can see that there's a patient dancing with no clothes on and that
totally shocked me to the point that I should hold back my emotions because I really
wanted to let it out and cover my eyes but I can't and I need to act as if I see nothing.
There were some who will shout "Ma'am! Ma'am! Hi Ma'am" and if you're too sensitive
with the stinky smell, you should learn how to adapt the environment inside because it's
not the place for you to act sossy and made them witness that you are disgusted. This
is the path that we choose so we should know that it would be inappropriate if we show
them that attitude of ours. Then on the following day, they thought us how should we
talk to the patients and how should be administered. After that, we should review all the
tests that we are going to administer to the patients since before having our patients. My
first ever having a patient was on March 16, 2018. At first I am nervous because this is
my first time to handle a patient. The patients at Pavilion 19 are way of getting better
and at very least, they are aware of their name, what had happen to them, and they can
recall something happened in their past that may contributed or factored on their current
state. While doing the tests, I was really shaking and my mind was really shattered at
that time. Like I know the instructions but since I am nervous, I can't function very well.
Imagine, you need to observe the patient – his mood, gestures, clothes he's wearing, if
he's focus, if he's cooperative, etc– while being aware of the time limit and preparing for
the next test that should be given. As I do the protocol of my first patient, despite of the
presence of my worriedness I still enjoy the feeling of doing an assessment with my
patient. I feel so overwhelmed, happy as well as sad. Overwhelmed because this is my
first time doing this things, though I’ve done something like this before but there’s still a
difference between the two. Overwhelm because I do not expect that I will be able to
handle my situation. Where, I can still be fierce and act what I supposed to act, because
it is not easy to limit or control your emotions especially if the stimulus is so strong. My
second patient is still at the Pavillion 19 which I understand very well and our
conversaton is continous and he answered fast those questions and the test as well. I
feel enjoyed to interact with him because he is outspoken. Lastly, still at the Pavillion 19
which I give longer patience because I don't understand what he says clearly and his
voice was weak at the same time his answer were irrelevant and you cannot do
anything with that.
We also conducted Group Dynamics, it was very enjoying and we have also
chance to communicate with co-interns, planning and organizing with the event.
Meeting with patients was unexplainable feelings, I witnessed different patients with
different disorders, and I feel like I am really doing the actual work of being a
psychologist and I was very happy and life-changing to communicate these people
battling with their disorder. Group dynamics is one of the activities that we had
conducted. It was a wonderful experience and seeing them happy is our pleasure. It
was not that easy since we have to think something different and still patients will learn
something from that. It was such an amazing experience and memory that will always
be treasured.
There is always an excitement since patients are all different some are easily to
deal and cooperative and some are not. You just have a lot of patience dealing and
interacting with them but as long as you love what you are doing, it doesn’t bother
anyway. Although, scoring and interpreting projective and psychological tests are time
consuming that is after I have conducted the patient, right away I am doing their
psychological reports to avoid cramming.
Parents that support their family or relative at NCMH is the most essential part for
the patient to get better. They feeling the love they’ve deserve since they need so much
more of that because of their condition. Different causes, different stories, different lives
but they belong to one hospital and all they need are attention, medication or treatment,
and love from the people they been expecting to be there. And I have realized that I am
just blessed that I can still handle my stresses and problems in life since I have family, I
have friends, and I have God who gave everything for me.
PREPARED BY:
NOTED BY:
Program Flow
I. Prayer 1:00- 1:05pm
II. Opening Remarks 1:05-1:10pm
III. Intermission Number 1:10- 1:15pm
IV. Energizer 1 (Stop Dance) 1:15- 1:25pm
V. Fruits and Vegetables( Activity 1) 1:25- 1:40pm
VI. Spell the Picture (Activity 2) 1:40- 2:00pm
VII. Energizer 2 ( The Boat is Sinking) 2:00- 2:10pm
VIII. Bring me the Color 2:10-2:30pm
IX. Reflection 2:30- 2:35pm
X. Closing Remarks 2:35- 2:40pm
XI. Snakcs and Awarding 2:40- 3:00pm
“EQUIPPING THE MIND TOWARDS THE NORM THROUGH SOCIALIZATION
was the theme for group dynamics which was conducted last April 10, 2018 at 1:00 in
the afternoon. We have a total of fifteen participants. They were our patients and to
express our gratitude for them, they were also served as the participants for the group
dynamics that we have prepared.
They became cooperative to the activities given as expected, since, when our
day 1 of administering psychological test, they kept on asking if it was testing or GD.
And when the group dynamics day came, they became competitive yet they have
learned that sportsmanship is very essential to the games and activities conducted. If
they won, they were happy since they exert effort to it, and when they lose, they still
enjoy and the game and try their luck next time. Overall, it’s so heartwarming to hear
that they know how the world sees them but they still keep their hopes up for their goals
to be treated and get back to their families. Additionally, they all prayed and wished us
good luck for our study, they all wanted us to meet one day but not inside the center
anymore
That was such an amazing experience to get along with the patients. Knew their
story while administering the psychological tests and understand why they came up to
that kind of situation. At the same time, made them feel that they were allow and
capable to be loved. Since some of them, like my patient, she doesn’t saw her family for
almost a year. Through group dynamics they have learned things like cooperation, unity,
sportsmanship, and just simply enjoy the day given to them. That for a moment, they
can set aside their longings and just be happy for a while.
I have learned that our self is our number one enemy. The way we think, the way
absorb the things that we our encountering to and so forth. We became anxious on
different things; the problem is on how we handle it. and I have realized that we our able
to make someone happy through simple things and we are totally blessed, that we have
our family to support our needs, friends who are always there, and God who gave
everything right in place. Everything happens for a reason, and maybe they must have
learned and realized some things that they may use and apply for them to become a
better person on the following years.
PREPARED BY:
NOTED BY:
This photo was taken during the activities gone. In 1st picture the activity named as
Fruits and Vegetables where they should categorize those pictures if it is fruits or
vegetables. The 2nd photo the activity named as a Spelling Bee which we see
pictures and spell it what is the picture is it. Lastly, the 3rd photo the activity named
as Bring Me, which we will say what color amd how manh they will pick up and give
to facilitator assigned.They are enjoyed very well.
Psychological Reports
with
Attached Tests
Psychological Reports
with
Attached Tests
Program Flow
XII. Prayer 1:00- 1:05pm
XIII. Opening Remarks 1:05-1:10pm
XIV. Intermission Number 1:10- 1:15pm
XV. Energizer 1 (Stop Dance) 1:15- 1:25pm
XVI. Fruits and Vegetables( Activity 1) 1:25- 1:40pm
XVII. Spell the Picture (Activity 2) 1:40- 2:00pm
XVIII. Energizer 2 ( The Boat is Sinking) 2:00- 2:10pm
XIX. Bring me the Color 2:10-2:30pm
XX. Reflection 2:30- 2:35pm
XXI. Closing Remarks 2:35- 2:40pm
XXII. Snakcs and Awarding 2:40- 3:00pm