*05 Jan 2012*
*
*
*THIRUVANANTHAPURAM* : With the completion of the inspection of over
hundred mental health centres i n the private sector in various parts of
the state, only four have been found to be adhering to guidelines framed by
the State Mental Health Authority (SMHA).

While the Health Department is still in the dark about the total number of
mental health care centres in the state, it is in the process of conducting
inspection of the facilities in the 160 centres that had applied for
registration, which is now mandatory.Of the 107 centres that were
inspected, only four were found to follow all the guidelines. The major
violations were in the matter of manpower shortage, where the centres
failed to employ adequate staff.“

As per the guidelines, there should be one psychiatrist per 100 patients,
one MBBS doctor for every 50 patients, one clinical psychologist or
psychiatric social worker for every 100 patients, one staff nurse for every
10 patients, one attender for every 5 patients and so on.“Most of the
mental healthcare centres failed to meet the manpower requirement,” said
State Mental Health Authority secretary Dr Raju.Many centres also failed to
meet the infrastructure requirements as well as proper facilities for the
patients. The inspection officers of the SMHA found that most of the
centres were overcrowded and with a bed strength that was far less than
adequate.

The inspection team also found that many mental health centres did not have
proper compound wall, sanitation facilities and provision for safe drinking
water.“We are not on a witch-hunt, but we want such centres to conform to
rules,” said Health Secretary Rajiv Sadanandan.It may be recalled that the
raid on the mental health care centre at Avanur near Thrissur on Monday had
revealed shocking details about the way inmates were treated. The raid was
carried out on the basis of the reports that in mental health care centres
in the private sector, inmates were often locked up in rooms, their
mobility restricted and often ill-treated.

“We have given a time period of three months for all the centres to rectify
defects, upgrade their facilities and recruit adequate manpower. They would
be given registration and licence only after that,” said Dr Raju. Of the
four that complied to guidelines, only two - Medical Trust Hospital,
Ernakulam and Lakshmi Hospital at Tripunithura-had paid the fee for
licence.

“While the licence to function would be issued immediately, the other two,
Gokulam Medical College and the Elite Hospital, would be given registration
and licence as soon as they pay the required fees,” said the State Mental
Health Authority officials.Of the 160 centres that had applied for
registration, moves are on to complete inspection in 143 that had first put
in the application. The inspection in the rest of the hospitals would also
be completed in a time-bound manner.

http://expressbuzz.com/states/kerala/Mental-health-care-centres-not-following-norms/350190.html

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