*Nozia Sayyed

Friday, January 14, 2011*


A proposal by Yerawada-based Regional Mental Hospital to the state
government to create a separate ward for treating mentally ill children is
gathering dust. The proposal was submitted to the state government way back
in 2008.

Establishing such wards, insisted the hospital authorities, is imperative
since mentally ill children are vulnerable and need special attention and
care.

“Moreover, some children tend to be more violent and hence they must be kept
separate from other patients,” the hospital authorities added.

Medical superintendent of the hospital, Dr Manohar Yadav, told *DNA *that so
far the state government has not responded to the proposal.

“It has been noticed that children with mental illnesses are more vulnerable
than adult patients and need more attention. They cannot be accommodated
with the adult population of mentally ill in the same ward as patients with
mental illnesses are bound to get violent. In such situations, chances of
harming or hitting oneself or others are high due to which segregation is

important,” Yadav explained.

At present there are just two children below the age of 12 admitted in the
hospital among 1,800 patients.

According to hospital authorities, over the years there has been a steady
rise in cases of mental illnesses in children.

Senior psychiatrist of the hospital, Dr Vilas Bhailume, said that two to
three cases were reported at the outpatient department (OPD) about five
years ago. But now the number has gone up to almost 10 to 12 cases per
month. These children are below 12 years of age and most of them come with
mental retardation and psychosis, he said. The hospital had proposed to
create a separate ward with all facilities and a small garden for such
children.

The deputy director and senior psychiatrist of Maharashtra Institute for
Mental Health (MIMH), Dr Krishna Kadam, said that paediatric cases need
special attention and to handle these cases psychologists, counsellors and
social workers are needed along with doctors and trained staff.

“Most of the paediatric mental illness cases go unnoticed because parents do
not seek psychiatric help. They avoid reporting it because they assume it to
be a temporary problem and think it will be cured once the child reaches
adolescence. Even parents need psychiatric awareness so that the child can
be provided with early counselling and treatment,” Kadam said.

Dr Archana Patil, joint director, state health services, said that the
proposal is yet to be discussed with the state health director.

“But for the time being the hospital officials can accommodate the
paediatric cases in a makeshift ward on the hospital premises,” Patil said.
Most patients suffer from schizophrenia

In India almost 2% of the population suffers from mental illnesses out of
which 0.5-1% belong to the paediatric age group.

A majority of these patients suffer from schizophrenia, said medical
superintendent of the hospital, Dr Manohar Yadav.
http://www.dnaindia.com/mumbai/report_ward-for-mentally-ill-kids-far-from-reality-in-pune_1494343-all

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