19-Aug-2015
Ritu Sharma
AHMEDABAD : As the Gujarat government makes mental health a part of its School 
Health Programme, among the questions it is asking are on a child’s gender 
identity.

A detailed seven-page questionnaire prepared for parents and teachers deals 
with 16 mental diseases. It also includes questions such as “whether a boy 
behaves like a girl” and “a girl like a boy”, “whether a girl expresses her 
wish to be a boy and a boy expresses his wish to be a girl”, and “whether a 
child gets consumed in thoughts of his/her gender most of the times”. The 
respondents can choose answers ranging from “not true” to “always true”.
The “Mental School Health Programme” is being touted as the first such 
initiative for schoolgoing children between the ages of 4 and 16 years. The 
module running into 32 pages is to be launched by the Gujarat health department 
in close coordination with the education department.
The questions for the mental health programme were framed by experts, said 
Commissioner, Health, J P Gupta. “They have a far better understanding of a 
child’s mental health condition. I am sure these must have been added with some 
valid reason.”
The “mental diseases” identified by the government and covered by the module 
include dyslexia, autism, mental retardation, Down’s syndrome, obsessive 
compulsive disorder, anxiety, psychogenic pain, depression and enuresis 
(bedwetting). It also covers slow learning, cognitive delay, speech and 
language delay, attention deficit disorder, and oppositional defiant disorder 
(ODD). Once the data is received, the idea is to train teachers to identify 
these disorders early.

Parents are also required to specify the community they belong to, and the 
nature of work the father and mother do.
Defending the nature of questions, Dr Hemang Shah, associate professor at 
department of psychiatry, GMERS Medical College, Ahmedabad, who is associated 
with the project, said, “Many a time a person feels he or she is trapped in the 
wrong body, and often goes in for sex change at a later stage in life. Thus, it 
is better if we identify such cases at an early age and offer them medical and 
psychiatric support. Other mental traits like depression and anxiety can also 
be related to such a gender identity disorder.”
While admitting that community and mental disorders do not have a direct 
connection, he added, “genetic mapping surely has relevance in assessing a 
child’s mental health”.
The mental health module for schools, in fact, is based on a screening tool 
Shah prepared for another Gujarat government project, meant to sensitise 
teachers on child psychiatric illnesses. The module gives a brief introduction 
of the “mental diseases”, including their types, indicators, reasons and 
treatment, before going into the questions.
Explaining why they included mental health in the school programme, Education 
Minister Bhupendrasinh Chudasama said: “Adding mental health adds another 
dimension to the programme, making it a comprehensive health project. Through 
this, early detection and cure of mental illnesses that usually either go 
undetected or uncured will be possible. If detection happens at an early stage, 
not only will he be able to concentrate on studies, but society will also get a 
good citizen.”
Commissioner Gupta said, “While the school health programme covers physical 
ailments of all types, and recently added heart, kidney and bone marrow 
transplant, there was not much on a child’s mental health.”
Launched nearly two decades ago, the School Health Programme covered 1.57 crore 
children state wide between November 2014 and January 2015, across anganwadi 
centres, government and private schools. The mental health aspect was confined 
to just assessing ‘mental stress’ of students.
Medical Superintendent of Ahmedabad Mental Hospital Dr Ajay Chauhan, who is the 
programme officer as assistant health officer, Mental Health, also played a key 
role in preparing the new module. Hospital authorities said that as part of 
implementation of the project, he was on a visit to Canada.

http://indianexpress.com/article/india/india-others/son-behaves-like-girl-girl-wants-to-be-boy-gujarat-asks-schoolparents/


Tags School Health Programme, Gujarat government, mental health, mental health 
education, Gujarat School Health Programme, dyslexia, autism, mental 
retardation, Down’s syndrome, obsessive compulsive disorder, anxiety, 
psychogenic pain, depression, oppositional defiant disorder, 

                                          

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