Estimates Committee of the Assembly warns of serious consequences
The Estimates Committee of the Assembly has warned of serious consequences if
the three mental health centres in the State were not equipped with adequate
staff and infrastructure facilities.
In its report tabled in the Assembly on Wednesday, the committee recommended a
slew of measures to improve infrastructure, provide rehabilitation and
counselling for patients and relatives and extend mental health care to
district-level hospitals.
Later, addressing the media, chairman of the committee V.D. Satheesan and
members M.A. Baby, K. Muraleedharan and Dominic Presentation said the three
mental health centres in Thiruvananthpuram, Thrissur, and Kozhikode were found
to be lacking the staff strength to handle the number of patients.
Inadequate staff
They said the centres did not have enough psychiatrists, clinical
psychologists, social workers, and security personnel.
This, they feared, would lead to the recurrence of incidents like the two
deaths reported at the Thiruvananthapuram centre recently. Mr. Satheesan said
all the three centres had enough space on their premises, yet were marked by
old, dirty buildings and poor facilities.
“The isolation cells are akin to a prison and more than one patient is housed
in one cell posing a risk. Patients with criminal tendencies are also housed
together in forensic wards, creating conditions conducive for the outbreak of
violence. The lack of adequate security personnel adds to the danger”.
The committee has recommended counselling and awareness programmes for patients
and relatives and rehabilitation centres for destitute patients.
It has stressed the need to monitor private mental health rehabilitation
centres and recognise genuine NGOs.
‘In reach’ service
The report has called for ‘in reach’ mental health service to provide treatment
facilities in prisons.
It proposes behavioural intensive care units and de-addiction centres at MHCs
and the constitution of an auditing group for incident monitoring, random case
review and feedback analysis.
It has also called for digitising medical records of mental health patients.
Master plan
Mr. Satheesan said the three MHCs required a master plan for infrastructure
development with budgetary allocation.
The report calls for strengthening the district-level mental health programme
to remove the social stigma of mental health problems. It recommends the
extension of mental health care to district/ general hospitals and special
wards in medical colleges to treat mental health patients requiring
hospitalisation for other diseases.
Other proposals mooted by the Assembly committee include the launch of an
ambulance service for mental health centres, creation of more seats in
psychiatry for postgraduate medical courses and a task force to identify
destitute mental health patients and bring them to MHCs for treatment.
Counselling for patients and relatives mooted Intensive mental health
programme proposed
http://www.thehindu.com/todays-paper/tp-national/tp-kerala/state-mental-health-centres-lack-facilities/article4220193.ece
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