---------- Forwarded message ----------
From: Ajay Mehndiratta <[email protected]>
Date: 21 April 2011 14:31
Subject: News Item On Draft Amendments for MHA




*Psychologists, nurses can admit mentally ill patients
Aditi Tandon
Tribune News Service

*

*THE DRAFT BILL SAYS*

A minor can be given admission to a mental health facility if two
psychiatrists or one psychiatrist and one mental health professional
(clinical psychologists, social workers or psychiatric nurses) have
independently examined the minor and both concluded that the admission is
needed.

*EXPERTS’ TAKE*

Quality should be the supreme and diagnosis and admission of patients should
be done only under the supervision of a trained professional - a medical
officer or a psychiatrist.

New Delhi, April 20
If the government’s new mental health draft Bill becomes a reality, medical
officers and psychiatrists would lose the exclusive authority to examine
patients in need of mental care. Any mental health professional, whether or
not he is a trained doctor, would be allowed to examine, diagnose and admit
such patients.

No wonder, the proposal has raised a storm, with medical practitioners
questioning the validity of permitting untrained people to examine and
diagnose patients in need of specialised medical treatment and care.

The draft Bill, proposes an altogether new category of mental health
professionals (absent from the old Act of 1987) and includes therein
psychiatrists, clinical psychologists, psychiatric social workers and
psychiatric nurses. Questions are being raised on bracketing psychiatrists
along side categories such as clinical psychologists and psychiatric social
workers.

Strangely, the draft Bill defines a clinical psychologist and a psychiatric
social worker as anyone with an MA degree in the courses from a UGC
recognised university. No M Phil or PhD is mandated in contrast to the past
practice when a recognised clinical psychologist would need to have an MA in
Psychology and a PhD or M Phil in clinical psychology, the specialised
branch.

According to acclaimed psychiatrist Dr Rajesh Sagar, “Quality should be the
supreme and diagnosis and admission of patients should be done only under
the supervision of a trained professional - a medical officer or a
psychiatrist.”

Section 45 of the draft Bill on the admission of minor mentally ill patients
says: “A minor can be given admission to a mental health facility if two
psychiatrists or one psychiatrist and one mental health professional
(clinical psychologists, social workers or psychiatric nurses) have
independently examined the minor and both concluded that the admission is
needed.”

Rules have also been relaxed for admission and treatment of persons with
mental illness with high support needs. The relevant section says, “Any
person wanting supported admission can be granted so if he has been examined
by one psychiatrist and a mental health professional and both concluded that
admission is necessary.”

“This is like allowing a paediatric nurse to examine children for acute
medical conditions. In the earlier Act, only medical officers were allowed
to examine, diagnose and admit mentally ill patients. That provision should
continue,” Dr Suman Sinha, consultant, Mental Health, Ministry of Health,
said.

The Act is being revised to make it compliant with the United Nations
Convention on the “Rights of Persons with Disability”.

[image: Top] <http://www.tribuneindia.com/2011/20110421/nation.htm#top>

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