*10 January 2012*

*K.P.M. BASHEER*

In Kerala, rehabilitation centres provide care free

*KOCHI* : Kerala has over the years emerged as a destination for persons
with mental illness (PMI) from other States—they land up here not on their
own, but often are put on Kerala-bound trains or long-distance trucks by
their own relatives or villagers.

A random check with functionaries of mental health care homes in different
districts and discussions with health-care professionals show that a
substantial number of the inmates of these homes are from outside Kerala.
They come from States as diverse as UP, Bihar, Orissa, West Bengal, Andhra
Pradesh, Tamil Nadu, and Karnataka.

They arrive at the charity care homes after days or weeks of wandering and
living on the street. They often arrive without the ability to recall their
names, languages, States or home addresses. They are taken to these homes
by social workers, police, panchayat council members or people who take
pity on the PMI.

Elizabeth Sebastian of Malayattoor, who is in charge of a care home for
mentally ill, said 24 out of the 34 inmates were non-Malayalis. Hari Kumar
of Divya Karunyalayam, said about a half the number of inmates were people
from UP, Orissa, Karnataka and West Bengal. Mathappan Chettan, who founded
Love Home in Ernakulam district, recalled that recently he had handed over
25 non-Malayali inmates to `Udavum Karangal' an NGO in Tamil Nadu, to be
sent back to their respective homes. He once had a woman inmate from Sikkim.

*Arrive by trains*

Scores of PMIs arrive in Kerala every week, mostly by train. Kochi and
Thiruvananthapuram, where many inter-State trains terminate, are the main
arrival cities. Kanyakumari in Tamil Nadu is also a major arrival point,
from where hundreds arrive in Kerala. Santhosh Joseph, who runs
Mariasadanam at Pala, points out that care homes that are close to railway
stations often have more number of non-Malayali inmates than Malayalis.

In many States, where mental illness is considered a curse, families tend
to get rid of the mentally ill. They simply pack these people off. The
easiest way to do so is putting them on a long-distance train. Again,
villagers and townspeople do the same to wandering PMIs in their midst.
“It's like the practice in Kerala villages of putting unwanted kitten or
puppies in a gunny bag, taking them across the river and letting them free
on the other side of the river,” one functionary of a care home, who did
not want to be named, told The Hindu .

Occasionally, PMIs are packed off on long-distance trucks by bribing the
drivers. At the Walayar check-post, the drivers just let the PMIs get off.
Then it is a long walk of days or weeks — until someone takes them to a
charity care home.

Fr. George Thomas, who runs St. Joseph Mental Bhavan in Thrissur district,
recalled that once while he was in an Andhra Pradesh village, people had
told him that they always packed off their mentally ill to Kerala. Why
Kerala? A major reason is the large number of care homes for the mentally
ill which are run by charitable societies and trusts in Kerala. The huge
majority of them are managed by church organisations, church-related
entities or Christian philanthropic people. They find it easier to raise
funds to support the institutions and also find committed nuns and priests
to take physical care of the PMIs.

*Another Kerala Model?*

Most other States do not have the concept of care and rehabilitation homes
for the mentally ill where food, housing, clothing and medicines are
provided free. In fact, there is a kind of `Kerala model' of care homes for
mentally ill. Now, charity agencies in some States are trying to adopt this
Kerala model. In many States, caring for the mentally ill is not on the
agenda of society, as mental illness is stigmatised. Relatives of the PMIs
arriving in Kerala know very well that once in Kerala, their kin would
somehow be taken care of until death, one Christian nun pointed out.

http://www.thehindu.com/todays-paper/tp-national/tp-andhrapradesh/article2789022.ece

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