News - Cover Story
*

By Sobiya Moghul and Jyoti Shelar*

*City’s foremost mental hospital uses banned therapies, detains patients
illegally*
*High-power investigating committee’s damning report calls for facility to
be shut down*

 *January 03, 2011*

The hospital has been asked to put its act together or face a shutdown.

A report filed by the five-member committee, appointed by DHS, states that
the hospital has been illegally detaining patients in its psychiatry ward
and forcefully administering psychotropic drugs to the detainees.

The head of the psychiatry ward, Dr Yusuf  Matcheswala, however is of the
opinion that these are only “minor drawbacks”, which do not warrant a
shutdown or similar punitive measures.

*Sebastian D’souza*

Masina Hospital at Byculla

The matter came to light after Kemp’s Corner resident Pushpa Tolani filed a
complaint with the Maharashtra Human Rights Commission (MHRC) claiming that
her friend Neela Shete was detained in the hospital illegally.

Tolani in her complaint pointed out that many other patients like Shete were
detained without a reception order from the district magistrate - a mandate
under the Mental Health Act.

Shete, 55, a resident of Altamount Road was admitted in July. She was
discharged two months later. “The doctors’ claim that she had schizophrenia
may or may not be true. However, they cannot detain any adult for such a
long time without a reception order,” said Tolani, adding that Shete has
been untraceable since her discharge. “They have similarly detained many
patients without their consent and in all possibility, they are
administering drugs which may be worsening their condition,” she alleged.

Dr Matcheswala however rubbished these claims saying, “Shete was my patient
for the last three years. Her admission for two months was also voluntary
and we had not detained her illegally.” He added that he has not heard from
Shete since September.

Meanwhile, the MHRC refused to take Tolani’s allegations lightly and
directed the DHS to file a detailed report after an investigation. “After
surveying the hospital and cross checking all the allegations we learnt that
about 20 more patients were detained illegally at the hospital.

They were administered treatment which has been banned, and their relatives
were overcharged. Often the patients are being drugged even when it was not
required,” said Dr Sanjay Kumavat, who is heading the DHS committee.

The committee including Kumavat, advocate Chaya Haldankar, clinical
psychologist Dr Vinayak Mahajan and psychiatrist Dr Geeta Joshi personally
met these patients.

While Dr Matcheswala said that he was aware of the enquiry, and vowed to
“rectify” the “shortcomings” once the report from DHS was made available to
him, Dr Kumawat and the investigating committee were in no mood to for any
leniency.



Psychiatrist Dr Yusuf Matcheswala
“If the hospital fails to straighten up in the stipulated time, their
licence will be revoked and the mental health facility will be shut down.
The matter is also under the purview of human rights commission. If they are
found guilty of violation of the act, as per IPC they can face imprisonment
up to five years and cancellation of licence,” said Kumavat.

“Ours is the only psychiatric ward in the city. We cannot close down because
of such minor drawbacks,” said a belligerent Dr Matcheswala.

* What’s ailing Masina hospital *

♦ Detaining patients without consent: “Ideally a patient can come
voluntarily or following a court order. However, patients here were brought
in a van at relatives’ request. There are cases of relatives sending
patients away due to vested interest,” said Kumavat, and consent taken
later.

♦ Unqualified staff, inadequate facilities: The report says the hospital has
few psychiatric nurses and other professionals. Despite a 40-bed licence,
some 100 patients are kept without permission.

♦ Forcing unnecessary therapies, including shock therapy: Patients are
administered treatment banned long ago. Shock treatment is often used
despite use of tranquillisers. One patient is given 35 sessions of Trans
Magnetic Stimulation, which is unnecessary. “As patients are unaware, the
hospital administers almost all non required treatment and makes money for
itself and pharma firms, by extending their stay,” said Dr Vinayak Mahajan,
committee member. “We have prescriptions of unwanted medicines,” he said.

♦ Patients seldom rehabilitated: Hardly any patients are being
rehabilitated. The hospital only concentrates on active psychiatric cases.
They are not maintaining patient records and case papers.

http://www.mumbaimirror.com/article/15/20110103201101030853502491dd077d5/Health-chiefs-raise-alarm-on-masina%E2%80%99s-house-of-horrors.html

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