*5 January 2012*

*KOTTAYAM :* Kerala branch of the Indian Psychiatric Society has called
immediate governmental intervention to put an end to the anarchical
situation prevailing in the mental health dispensation system in the State.

Referring to the Thrissur incident where mental patients were allegedly ill
treated and exploited at an unauthorised rehabilitation centre, , Varghese
Punnoose, general secretary, said that the very fact that mental patients
had reached unauthorized centres and that they were subjected to gross
exploitation there, points to the anarchical situation prevailing in the
State. “This is happening at a time when it is universally accepted that
early detection and treatment would help mental health problems from going
into such deplorable situations,” he said

Dr Punnoose wanted the authorities to take immediate action to identify all
unauthorized centres. This can be done by empowering the respective
district medical officers, through an executive order, to identify such
centres. With a large network of primary health centres it was easy for the
DMOs to identify such centres, he said. However, many of these Centres who
function outside the authority have local criminal nexus and as such the
DMOs should be provided with police and Revenue department help, he pointed
out.

Dr Punnose also wanted the government to expedite the licensing process for
starting mental health care centre by non governmental organizations. Since
of such applicants are genuine. It is the criminal nexus who want to
function outside government authority,” he said.

However, taking a long term view of the issues involved, Dr Punnoose said
the exploitation of the patients could be addressed to an extent if
rehabilitation centres could be started under the auspices of the local
bodies at the panchayat level. “It is not proper for the government to hand
over the responsibilities to non governmental sector and withdraw from
responsibilities.”

We can bring mental health treatment to the grass roots level by effective
implementation of District Mental Health Programme (DMJP) already in place
in many of the districts, in Kerala, Dr Punnoose said.

“While we have formed a State Mental Health Authority in line with the
provisions of the National Mental Health Act (1987), it has so far not been
able to complete the licensing process for the rehabilitation centres,”.
That incidents like the one that had happened in Thrissur still occur in
Kerala points to the ineffectiveness of the Authority, he added.

According to him, one of the core causative factors in the recurring
incidence of such episodes was the ignorance on mental health issues among
the society “This has resulted in a situation where in spite of having
strong legal support for scientific treatment and human rights protection
of the mentally ill people, we have not been able to implement them
effectively,” Dr Punnoose said.

http://www.thehindu.com/news/states/kerala/article2777947.ece

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