*K.P.M. Basheer*

*17 Jan 2012*

*KOCHI* : The Indian Psychiatric Society has urged the State government to
divest the Mental Health Authority of its powers to issue licences to
mental health care centres and entrust the task to the Director of Health
Services.

The society's State unit functionaries recently met Health Minister Adoor
Prakash and Health Secretary Rajiv Sadanandan and asked them to improve the
“state of affairs in the mental health scenario in Kerala.” A memorandum
containing the IPS's suggestions was also submitted.

This was against the backdrop of the government authorities rescuing 41
persons with mental illness from an unauthorised rehabilitation centre at
Avanoor in Thrissur district recently. Another reason was the long delay in
issuing licences to mental health care facilities by the Kerala State
Mental Health Authority (KSMHA).

The IPS leaders pointed out that in many other States the responsibility of
issuing licence rested not with their respective State mental health
authorities, but with government agencies. For instance, they pointed out
to the Minister, in Tamil Nadu it was the Director of Health Services who
was charged with the task. This could be followed in Kerala too.

Dr. Verghese Punnoose, honorary general secretary of the Kerala branch of
the IPS, told *The Hindu* that they had suggested to the government that
KSMHA could function as a regulatory authority by monitoring the
functioning of the licensed centres. Designated psychiatrists in the
government health services could be made assistant licensing officers so
that they could carry out the licensing procedure at the district level.

He said that current system of licensing by KSMHA was inefficient as it was
ill-equipped for the task. KSMHA met only once or twice a year. Moreover,
KSMHA was not a government agency. Licensing of mental health care
institutions should be done by a government agency with executive powers
and the necessary machinery.

*Unauthorised centres*

In the memorandum, the IPS also urged the government to support authorised
mental health rehabilitation centres run in a ‘scientific and humane
manner' by NGOs and to close down all unauthorised centres. They pointed
out that there was an acute shortage of mental health rehabilitation
facilities as well as mental health professionals in Kerala. “It is the
lack of adequate rehabilitation facilities which forces family members to
dump these unfortunate citizens on centres where they do not receive proper
care or where their basic human rights are violated.”

It appreciated the efforts by philanthropic non-professionals running
rehabilitation centres. “They should not be harassed in the name of
impractical rules and licensing.” At the same time, the IPS noted, there
were unauthorised centres run by persons with dubious interests where
patients were ill-treated. Such centres should be closed and stern action
taken against those running them.

*In MBBS curriculum*

The IPS also urged the government to open at least one mental health
rehabilitation centre in each district. They wanted psychiatry to be made
part of the MBBS curriculum. “Lack of early identification and treatment of
mental illness is the main reason for these illnesses becoming chronic and
resulting in permanent disability. The practical solution is making
psychiatry a compulsory subject with examination in the MBBS course. This
will enable all doctors to identify, treat, or refer mental illnesses for
appropriate treatment. This single measure will drastically improve mental
health care in the long run.”

Dr. Verghese said the Minister had agreed to call a meeting of all
concerned next month to discuss the issues raised by the IPS.
------------------------------

*‘Let Director of Health Services be licensing authority'*

*In other States, government agencies issue licence*
------------------------------
http://www.thehindu.com/todays-paper/tp-national/article2807165.ece

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