Dear all, The following conversation is going on amongst few and I hope
wider audience involved in Mental health will do a lot good to understand the
issues involved and why the iPS (Indian Psychiatric society) is opposing the
New mental health care bill."Greatness lies not in never falling but in rising
everytime we fall"Captain Johann samuhanand, BANGALORE INDIA91 80 42023252
www.captainjohann.blogspot.com
On Wednesday, 25 March 2015 10:09 AM, captainjohann samuhanand
<[email protected]> wrote:
---------- Forwarded message ----------
From: Roy Kallivayalil <[email protected]>
Date: Sat, Mar 14, 2015 at 6:12 PM
Subject: Re: Include mental health in UN millennium goals: 'The Hindu' - India-
Report
To: Facem India <[email protected]>
Cc: Akila Charagi <[email protected]>, Anil Vartak <[email protected]>,
ARDSI Office <[email protected]>, BALM <[email protected]>,
Bhargavi Davar <[email protected]>, Capt Johann Samuhanand
<[email protected]>, Dementia Care <[email protected]>, Ishita
Sanyal <[email protected]>, Jacob Vattackatt Fr <[email protected]>,
Mallari kulkarni <[email protected]>, Mariasadanam Palai
<[email protected]>, Navajeevan Ktm <[email protected]>, Nirmala
Srinivasan <[email protected]>, Panackel Joy <[email protected]>, Prativa
Sengupta/ Sevac <[email protected]>, Rajeshwari Iyer
<[email protected]>, Ratna Chibber <[email protected]>, Ratna
Chibber <[email protected]>, Tanya Dutt <[email protected]>, Vandana Gopikumar
<[email protected]>, Vandana Gopikumar <[email protected]>,
Bhanu Pratap Sharma <[email protected]>, Anshu Prakash
<[email protected]>, [email protected], NN Raju
<[email protected]>, Narayan CL <[email protected]>, Chavan BS Prof
<[email protected]>
Dear Nirmala,
Thank you for the kind and appreciative words. As you know, I have great
respect for your views and for the excellent work you are doing. You will
remember, you were our special guest at ANCIPS Bangalore, when I was IPS
President. That I know you personally makes tasks easier.
About the Mental Health Care Bill, many professional bodies have expressed
serious reservations to me. Actually Indian Psychiatric Society and the NGOs
should sit together and discuss this further.
On July 13, 2014 I had written to you about the need for excluding General
Hospitals from the purview of the Bill. Let me say that again.
"General HospitalPsychiatry performs very different tasks. They treat mostly
people withdepression, anxiety, phobias, sexual dysfunctions, adjustment
disorders andstress disorders and similar conditions. In short, General
Hospitals treatpeople before any disability sets in. Hence CRPD is not an issue
here. If weare trying to put these everyday life events into legal frame work,
people willnot seek treatment. And some of them, may commit suicide. This is
thebiggest disaster I can foresee with MHC Bill in the present form. General
HospitalPsychiatry is usually 20-30 beds attached to teaching hospitals,
generalhospitals, taluk hospitals and some larger private hospitals. They work
in theopen settings. They are no closed wards and no "cells". They haveproduced
the biggest revolution in Psychiatry in the last 50 years byde-stigmatising
Psychiatry. And mental health has been brought out from theconfines of the
mental hospitals to the door steps of common man". As you know, I have been
working in General Hospital Psychiatry Units for the 39th year now, from 1978.
So this is first hand experience.
Besides can we ever subscribe to such alien concepts like 'Nominated
Representative' and 'Advance Directive'? These are western concepts, assigning
no role for the families. It is ruinous to our culture and family ethos.
I am copying this to three eminent colleagues, who have been working on this
for long- Prof NN Raju (Gen Secretary, IPS), Prof BS Chavan (Gen Secretary-
IASP) and Dr CL Narayan (Gaya, Bihar). As you know IPS and IASP are the only
two Member Societies from India in the WPA.
Only people like you can understand this and take up the issue further. This is
not a matter of psychiatrists at all- but a serious concern for every friend
and well wisher of mental health movement.
We will keep in touch.Warm regardsRoy
Prof Roy Abraham KallivayalilSecretary General, World Psychiatric Association
On Fri, Mar 13, 2015 at 12:40 PM, Facem India <[email protected]> wrote:
Dear Dr.Kallivayalil,
Heartiest congrats for taking mental health to the lofty peaks of the UN
Sustainable Developmental Goals. I truly appreciate your stand on Policy
advocacy for inclusion under SDGs. However, as you realise unless
accountability of the State is pinned down in terms of implementation, UN's
efforts will prove futile. This is the tragedy we are currently facing in
India.
The rights based MHC bill 2013 is held up in the Ministry of Health , GOI due
to objections raised from mental health professionals especially
psychiatrists. The urgency in passing this Bill is to make the State
accountable for the delivery of MH services in the country. It is so because
this Bill has made mental health a fundamental right; it has also made
accessibility to MH services as a right. This is the only hope for family care
givers because it ensures a package of emergency and crisis services ,
continued and long term care etc.etc. Above all, by bringing Mental health
under NCDs, the GOI has broad based the services from specialist driven to
system's driven service so that the shortage of qualified professionals can be
tackled somewhat besides de stigmatising mental health.
I therefore request your support for legal advocacy in addition to policy
advocacy to establish true partnership with families ( that obviously includes
user patients). Your present office as Sec.General of WPA is most ideally
equipped for carrying the mission of legal advocacy with the Govt of India /
MoHFW. The Budget session is scheduled to end by 23rd and hence plesae hasten
your initiative.
As usual, I am sure you will send me a prompt response on the action taken. war
wishesns
--
Greatness lies NOT in never falling but in Rising every time we fall.
http://www.captainjohann.blogspot.com
Captain Johann Samuhanand,Bangalore.
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