Hi,

Sent the submission below. Also read Human Rights : 2 yrs after woman found
chained in Hyd home, Telangana govt yet to address larger issue
<https://www.thenewsminute.com/article/2-yrs-after-woman-found-chained-hyd-home-telangana-govt-yet-address-larger-issue-104573>
- The News Minute has reported about the improper set up of  State Mental
Health Authority and other inaction by Telangana government, based on the
NHRC documents.


27 June 2019

National Human Rights Commission

Manav Adhikar Bhawan Block-C, GPO Complex, INA,

New Delhi, DELHI - 110023

Dear Members,

Subject :  Your letter dated 21-5-2019
<https://drive.google.com/open?id=1rYZHMjz6B9PJ1kbketHpLMh06fvFBZpg>,
dispatched 12-6-2019 regarding case no 434/36/2/2017
<https://drive.google.com/open?id=1VEpCFJZeGzgREnSVuDp201DVS9AZl0m8>

The following documents were received by me on 17 June 2019 by speed post :


   1.

   Letter from NHRC (2 pages)
   
<https://drive.google.com/open?id=1rYZHMjz6B9PJ1kbketHpLMh06fvFBZpg&disco=AAAADM-qNjA>
   2.

   Telangana Health Secretary Report copy comprising
   1.

       2 Feb 2019 - Action Taken Report
      
<https://drive.google.com/open?id=1rYZHMjz6B9PJ1kbketHpLMh06fvFBZpg&disco=AAAADM-qN6g>
      from TS Health secretary (2 pages)
      2.

       1 Feb 2019 - State Mental Health Authority
      
<https://drive.google.com/open?id=1rYZHMjz6B9PJ1kbketHpLMh06fvFBZpg&disco=AAAADM-qN6o>
      - Notification by TS Health Dept  (2 pages)
      3.

        3 Jun 2017 - TS WCD Enquiry - report cover letter
      
<https://drive.google.com/open?id=1rYZHMjz6B9PJ1kbketHpLMh06fvFBZpg&disco=AAAADM-qN68>
      from RR DWO (1 page x 2 copies)
      4.

        2 Jun 2017 - TS WCD Enquiry - Inspection team report
      
<https://drive.google.com/file/d/1rYZHMjz6B9PJ1kbketHpLMh06fvFBZpg/edit?disco=AAAADM-qN8M>(3
      pages without Annexure II)
      3.

   10 Jul 2017 - RR DLSA to TSLSA
   
<https://drive.google.com/file/d/1rYZHMjz6B9PJ1kbketHpLMh06fvFBZpg/edit?disco=AAAADM-qN8s>post
   family handover report copy (4 pages) comprising annexures
   1.

       9 Jun 2017 : Letter to TLSA from Hajipur DLSA
      
<https://drive.google.com/open?id=1rYZHMjz6B9PJ1kbketHpLMh06fvFBZpg&disco=AAAADM-qN78>(1
      page, Hindi)
      2.

      14 Jun 2017 - RR DLSA to KGNMT
      
<https://drive.google.com/open?id=1rYZHMjz6B9PJ1kbketHpLMh06fvFBZpg&disco=AAAADM-qN9M>
      Swadhaar Home re resident handover (1 page x 2 copies)
      3.

      16 Jun 2017 - RR DLSA to Mallardevpally PS
      
<https://drive.google.com/open?id=1rYZHMjz6B9PJ1kbketHpLMh06fvFBZpg&disco=AAAADM-qN9I>
      discharge travel escort request  (1 page)
      4.

      17 Jun 2017 - RR DLSA to KGNMT Swadhaar Home re resident discharge  (1
      page x 2 copies)
      5.

      18 Jun 2017 - KGNMT Swadhaar Home
      
<https://drive.google.com/open?id=1rYZHMjz6B9PJ1kbketHpLMh06fvFBZpg&disco=AAAADM-qN80>
      resident discharge certificate (1 page)
      6.

      20 Jun 2017 - RR DLSA Panel advocate to Vaishali DLSA
      
<https://drive.google.com/file/d/1rYZHMjz6B9PJ1kbketHpLMh06fvFBZpg/edit?disco=AAAADM-qN8c>
      re family handover (1 page, handwritten)
      7.

      Supporting documentation - photos
      
<https://drive.google.com/file/d/1rYZHMjz6B9PJ1kbketHpLMh06fvFBZpg/edit?disco=AAAADM-qN8Q>
      of handover (2 pages)
      8.

      Supporting documentation - media
      
<https://drive.google.com/file/d/1rYZHMjz6B9PJ1kbketHpLMh06fvFBZpg/edit?disco=AAAADM-qN8U>
      article (3 pages, Telugu)


This above report pertains to case number 434/36/2/2017 filed by me on 6
June 2017 with the following relief sought :

Relief details *Pray /Relief sought*

1.   Missing person FIR to be filed, if not already done and to reconnect
with family AFTER her informed consent.

2.   Rape evaluation
<https://www.youtube.com/watch?v=13HzVYaPfQs&feature=youtu.be&t=00m30s> to
be done after initial counselling.

3.   Under what act has she been detained
<https://drive.google.com/open?id=1iehs1r1ePVGyRgva46tOmgfNPvUW63mx&disco=AAAADMfpvV4>.
If mentally ill, the reception order to be obtained and protocols for
admission of homeless mentally ill under the Mental Health Act 1987 to be
followed.

4.  On what grounds was her admission in Aram Ghar done? If mental illness,
are Aram Ghar / KGNMT licensed as psychiatric nursing homes (or rehab
facilities if applicable) as required by law? Ditto in case of a beggary
act - protocols and licensing.

5.  Has police booked case for sexual assault IPC provisions in addition to
their booking under wrongful confinement
<https://drive.google.com/open?id=1iehs1r1ePVGyRgva46tOmgfNPvUW63mx&disco=AAAADMfpvV8>
provisions? Can the police even act against itself in addition to shelter
NGO, given that they were the admitting party in the first place?! Police
and NGO investigation report to be submitted.

6.  Telangana has not set up a State Mental Health Authority. The Mental
Healthcare Act is not likely to come into force until February 2018. It
cannot be put off till then. So Telangana State Mental Health Authority to
be set up with immediate effect. Also disability commissioner, child rights
commission, state human rights body etc. The Central Mental Health
Authority to explain why Telangana has been devoid of a coordinating
authority of such importance for 3 years. Meetings of the CMHA and SMHA to
be put up proactively in the public domain after anonymising. If care and
rescue are down to the community it is best that the community is made
aware of what's happening.

7.  Police and registered NGOs  to undergo training on legal aspects of
rescue, care quality standard dos and donts and protocol for helping
homeless mentally ill. Such a module to be also provided for magisterial
training.

8.   An audit to be done along with remaining residents of Aram Ghar
<https://drive.google.com/open?id=1iehs1r1ePVGyRgva46tOmgfNPvUW63mx&disco=AAAADMfpvWU>
in case others too are wrongly placed, detained, in need of a medical /
therapeutic intervention, being abused in any way by other residents or
staff. Their feedback, future plans and interviews to be documented and
addressed.

9.   State branches along with Indian Psychiatric Society to be required to
compile an updated code of ethics, outlining how deviations
<https://drive.google.com/open?id=1A_61w3wn0Q-9_3PGzwCt79toaoG4vjMu&disco=AAAADNBriVs>
will be addressed. This may be publicised especially given context of
Mental Healthcare Act Chapter 5, Clause 23.

10. Along with general public awareness of the new mental health
legislation, the Press Information Bureau along with media watchdog
organisations like The Hoot, to publicise an advisory on requirements of
privacy and confidentiality of people with mental illness as stated by the
Mental Healthcare Act 2017 Chapter 5, clause 24
<https://drive.google.com/open?id=1A_61w3wn0Q-9_3PGzwCt79toaoG4vjMu&disco=AAAADNBriWo>.
Events over the past week would be in contravention of the Act were it in
force.

After going through the above these are my observations :


   1.

   The delay and lack of responsibility of the designated authority is
   unconscionable.

   The WCD inspection report was completed in 24 hours from when the
   inspection team was deputed and submitted on 3 June 2017.  Despite this
   promising speedy start, subsequently there seems to have been no action by
   either the WCD, Health, Disability commissioner, Social Welfare departments
   till the NHRC summons was filed against the health secretary GoTS.


Instead the Telangana State Legal Services Authority had already acted suo
motu and singlehandedly reintegrated Ms. R back to her family in Bihar by
20 June 2017 after bearing the travel expenses and following all due
processes - right from designating a panel advocate and paralegal
volunteer, to on site interviews, shifting to an empanelled Swadhaar centre
for evaluation and treatment, tracing her family in Bihar after her request
to rejoin them, verifying brother’s identity when he came to Hyderabad,
coordinating discharge and travelling with deputed SLSA and police
representative till ‘handover’ to Vaishali District, Bihar and the
documentation required to complete the process lawfully.

In fact, by the time NHRC met first on this case on 17 July 2017 resolution
of this complaint could have well been on target for closure thanks largely
to the proactive efforts of the TSLSA in resolving Item 1 of relief sought
<https://docs.google.com/document/d/1aRxxILqA3vfI-lp8dr6XrX_agQu_qRnwNtz15WNH54Q/edit#bookmark=id.9zdya8rqeif7>
-
( Missing person FIR to be filed, if not already done and to reconnect with
family AFTER her informed consent.)


   1.

   The State Mental Health Authority has been set up in contravention of Mental
   HealthCare Act 2017
   
<https://disabilityrightsallianceindia.wordpress.com/about/resources/law-policy/the-mental-healthcare-act-2017/>
(Chapter
   VIII, 46 Composition of State Authority)


Its very legality is questionable and requires urgent action. How can one
half-set up a monitoring authority with ex-officio members in a government
notification stating that ‘other members will be added in due course
<https://drive.google.com/open?id=1rYZHMjz6B9PJ1kbketHpLMh06fvFBZpg&disco=AAAADM-qOAg>.’
The following members in the MHCA extract
<https://www.scribd.com/document/393925793/Mental-HealthCare-Acts-Rules-Compendium-India-as-on-20181112#page=21>
below have not been included.


(g) one eminent psychiatrist from the State not in Government service to be
nominated by the State  Government — member;

(h) one mental health professional as defined in item (iii) of clause (q)
of sub-section (1) of section 2 having at least fifteen years experience in
the field, to be nominated by the State Government—member;

(i) one psychiatric social worker having at least fifteen years experience
in the field, to be nominated by the State Government—member;

(j) one clinical psychologist having at least fifteen years experience in
the field, to be nominated by the State Government—member;

(k) one mental health nurse having at least fifteen years experience in the
field of mental health, to be nominated by the State Government—member;

(l) two persons representing persons who have or have had mental illness,
to be nominated by the State Government—member;

(m) two persons representing care-givers of persons with mental illness or
organisations representing care-givers, to be nominated by the State
Government—members;

(n) two persons representing non-governmental organisations which provide
services to persons with mental illness, to be nominated by the State
Government—members.

(Refer Relief sought #6
<https://docs.google.com/document/d/1aRxxILqA3vfI-lp8dr6XrX_agQu_qRnwNtz15WNH54Q/edit#bookmark=id.d42wsptpyl54>
Telangana has not set up a State Mental Health Authority etc) is thus
incomplete. No information on other statutory authorities as requested has
been provided.


   1.

   ABSENT - Action taken on Ms R’s reporting of sexual molestation
   The police investigation report is missing, as is Annexure II of the WCD
   report
   
<https://drive.google.com/open?id=1rYZHMjz6B9PJ1kbketHpLMh06fvFBZpg&disco=AAAADM-qN9Y>
   of Inspection Team’s interview with Ms R. Her ‘voice’ is otherwise only
   referenced indirectly in WCD and SLSA reports provided. (Refer relief
   sought #2
   
<https://docs.google.com/document/d/1aRxxILqA3vfI-lp8dr6XrX_agQu_qRnwNtz15WNH54Q/edit#bookmark=id.706iou9angou>,
   #5
   
<https://docs.google.com/document/d/1aRxxILqA3vfI-lp8dr6XrX_agQu_qRnwNtz15WNH54Q/edit#bookmark=id.ubctmlmfj827>
   )

   2.

   ABSENT - Report on IPC-342 wrongful confinement case filed by Cyberabad
   Police Station
   Details of this are absent. (Refer relief sought #3
   
<https://docs.google.com/document/d/1aRxxILqA3vfI-lp8dr6XrX_agQu_qRnwNtz15WNH54Q/edit#bookmark=id.hsmd0d8gjed9>,
   #4
   
<https://docs.google.com/document/d/1aRxxILqA3vfI-lp8dr6XrX_agQu_qRnwNtz15WNH54Q/edit#bookmark=id.ezdn5nv63bub>,
   #8
   
<https://docs.google.com/document/d/1aRxxILqA3vfI-lp8dr6XrX_agQu_qRnwNtz15WNH54Q/edit#bookmark=id.burkx3725u19>
   )

   3.

   ABSENT - Measures taken to prevent recurring human right violations as
   faced by Ms R.
   (Refer relief sought #7
   
<https://docs.google.com/document/d/1aRxxILqA3vfI-lp8dr6XrX_agQu_qRnwNtz15WNH54Q/edit#bookmark=id.10rvhfata1ur>,
   #9
   
<https://docs.google.com/document/d/1aRxxILqA3vfI-lp8dr6XrX_agQu_qRnwNtz15WNH54Q/edit#bookmark=id.u6ipzmtgvlj6>,
   #10
   
<https://docs.google.com/document/d/1aRxxILqA3vfI-lp8dr6XrX_agQu_qRnwNtz15WNH54Q/edit#bookmark=id.ms6vb91pri8b>
   )


In conclusion, as the relief sought is largely pending (only #1
<https://docs.google.com/document/d/1aRxxILqA3vfI-lp8dr6XrX_agQu_qRnwNtz15WNH54Q/edit#bookmark=id.9zdya8rqeif7>
out of 10 completed) It is my opinion that it would be premature to close
this case.

Additionally I am not reassured by the Telangana Health Secretary’s
statement
<https://drive.google.com/open?id=1rYZHMjz6B9PJ1kbketHpLMh06fvFBZpg&disco=AAAADM-qN98>
that ‘the Telangana Government is committed to provide mental healthcare
services for persons with mental illness and to protect and fulfil the
rights of such persons so that the much deserved human rights, especially
to live with dignity and social inclusion are ensured.’

While they are fine sentiments, I am unable to concur with the statement  -
and not merely due to the inaction in this particular case - the Telangana
government even post February 2019
<https://twitter.com/AdvGauravKumar/status/1126810824830382080?s=19> is not
in compliance
<https://drive.google.com/open?id=19WfurEI_hV1qAbl53VIdZRBllyeuQGMQ&disco=AAAADM4zg8k>
with data and reports ordered by Supreme Court in WP(C) 412/2016
<https://indiankanoon.org/doc/46614748/> re ‘Roadmap for rehabilitation of
12000-15000 persons (fit and fine) living in 43 government run mental
hospitals of India.’

Thanking you,

Sincerely,

Vaishnavi  Jayakumar



On Wed, 26 Jun 2019 at 15:39, Vaishnavi Jayakumar <
[email protected]> wrote:

> Hi everyone,
>
> Do you remember the Aram Ghar
> <https://thedispatchondisability.wordpress.com/2017/06/02/2-june-update-aram-ghar-case-women-and-child-welfare-officials-to-look-into-state-of-rehab-centre/>
> case? Finally received a response from NHRC on 18th June 2019, more than 2
> years after a proactive advocate located her family in Bihar - she was
> reintegrated with them in June 2017. Read this article (and don't cuss me
> out for reporting violations beyond my control) : Chained, naked,
> mentally disabled Hyderabad woman to go home after 10 yrs
> <https://www.deccanchronicle.com/nation/crime/150617/chained-and-naked-mentally-disabled-woman-to-return-home-after-10-yrs.html>
>
>
> Will be responding to the complaint update in the next couple of hours
> (21:00 IST 26 June 2019) so as to meet their deadline. Sharing this in case
> you have anything to input.
>
> Sorry for the short turn-around time and the inaccessible faint NHRC
> papers linked here : *NHRC Aram Ghar Update*
> <https://drive.google.com/open?id=1rYZHMjz6B9PJ1kbketHpLMh06fvFBZpg>
>
> The earlier mail trail is appended.
>
> Regards,
>
> Vaishnavi
>
> ---------- Forwarded message ---------
> From: Vaishnavi Jayakumar
> Date: Tue, 6 Jun 2017 at 18:54
> Subject: Fwd: Complaint regarding young, mentally ill woman found chained
> without clothes at a destitute home in Hyderabad To: GG MHA News  GG MHA
> Reform , YG NAMI , WE the PwD Egroup , disability-studies-india  DRA EGROUP
> , YG TN Dis Rights , invites , xgy PUCL
>
> Form redacted and attachments stripped. 10 questions we should be asking
> ourselves http://bit.ly/3-years-in-limbo
>
> Will activists from womens' movement, (also disability, human rights)
> please follow up as well and at least make a noise please? For 3 years lost
> in limbo she sure is getting an apathetic response :-(
>
>
> ---------- Forwarded message ----------
> From: Vaishnavi Jayakumar
> Date: Tue, Jun 6, 2017 at 6:34 PM
> Subject: Complaint regarding young, mentally ill woman found chained
> without clothes at a destitute home in Hyderabad
> To: [email protected]
>
> NHRC Online Complaint Registration Form.
> Your details
>
> Name                                    Vaishnavi Jayakumar
>
> Sex                                       FEMALE
>
> Address                                xxxxxxxxxxxxxxxxxxxxxxxxxx
>
> State                                     TAMIL NADU
>
> PIN                                        600031
>
> District                                   CHENNAI CITY
>
> E­Mail                                     xxxxxxxxxxxxxxxxxxxxxx
>
> Mobile                                   xxxxxxxxxxx
> Victim's details
>
> Name                                    xxxxxxxxxx alias xxxxxx
>
> Address
>
>         Originally from Bihar
>
>         Currently c/o The Govt of Telangana
>
>         Aram Ghar / KGNMT Hyder Shah Kote
>
>
>
> State                                     TELANGANA
>
> District                                  HYDERABAD
>
> PIN                                       500008
>
> Sex                                       FEMALE
>
> Religion                                Unknown
>
> Disability                               YES, (suspected psychosocial
> disability)
>
> Caste                                    Unknown
>
> Age                                       28
> Incident's details
>
>
>
> Place                                      ARAM GHAR c/o ICSW
> <http://cswhyd.org/icsw.html>
>
> State                                      TELANGANA
>
> District                                    HYDERABAD
>
> Incident Date                          29-May-2017 (discovery in chained,
> naked condition)
>
> Incident Category                   HEALTH
>
> Sub Category                          Exploitation of mentally disabled
> person
>
> Filed in court/SHRC                NO
> Complaint
>
> Lady found alone on the streets late night was admitted by police into the
> privately run, renowned Aram Ghar in 2014. 3 years later she is discovered
> by media - chained, naked, lying in her excreta, reporting sexual
> molestation by unknown parties in the night.
>
>
> The home claims she was chained because of erratic violent behaviour,
> perhaps due to mental illness. She claims she was restrained after lashing
> out at someone during a molestation attempt in the dark.
>
>
>
> After the news broke, she has subsequently been transferred to Kasturba
> Gandhi National Memorial Trust - A Swadhaar home. Since then according to
> the media, she has been started on treatment from a private psychiatrist
> with the intervention of Telangana State Legal Services Authority.
>
>
>
> Till date she has neither had a rape evaluation, nor has any protocol
> under any law been followed. In effect 3 years of the lady's life has been
> wasted in custodial limbo with no attempts at psychosocial intervention or
> rehabilitation.
>
>
>
> *Further information to be accessed at *
>
>
>
>    1. https://www.youtube.com/watch?v=cGHI0Fdj3Qg
>    2.
>    
> http://www.thenewsminute.com/article/tied-stripped-forced-sit-her-own-excreta-inhuman-treatment-woman-hyd-home-62844
>    3.
>    
> https://thedispatchonmentalhealth.wordpress.com/2017/06/01/case-of-chained-woman-in-hyderabad-home-for-disabled-exposes-state-of-mental-health-care/
>
> Relief details *Pray /Relief sought*
>
> 1.     Missing person FIR to be filed, if not already done and to
> reconnect with family AFTER her informed consent.
>
> 2.     Rape evaluation to be done after initial counselling.
>
> 3.     Under what act has she been detained. If mentally ill, the
> reception order to be obtained and protocols for admission of homeless
> mentally ill under the Mental Health Act 1987 to be followed.
>
> 4.     On what grounds was her admission in Aram Ghar done? If mental
> illness, are Aram Ghar / KGNMT licensed as psychiatric nursing homes (or
> rehab facilities if applicable) as required by law? Ditto in case of a
> beggary act - protocols and licensing.
>
> 5.     Has police booked case for sexual assault IPC provisions in
> addition to their booking under wrongful confinement provisions? Can the
> police even act against itself in addition to shelter NGO, give that they
> were the admitting party in the first place?! Police and NGO investigation
> report to be submitted.
>
> 6.     Telangana has not set up a State Mental Health Authority. The
> Mental Healthcare Act is not likely to come into force until February 2018.
> It cannot be put off till then. So Telangana State Mental Health Authority
> to be set up with immediate effect. Also disability commissioner, child
> rights commission, state human rights body etc. The Central Mental Health
> Authority to explain why Telangana has been devoid of a coordinating
> authority of such importance for 3 years. Meetings of the CMHA and SMHA to
> be put up proactively in the public domain after anonymising. If care and
> rescue are down to the community it is best that the community is made
> aware of what's happening.
>
> 7.     Police and registered NGOs  to undergo training on legal aspects
> of rescue, care quality standard dos and donts and protocol for helping
> homeless mentally ill. Such a module to be also provided for magisterial
> training.
>
> 8.     An audit to be done along with remaining residents of Aram Ghar in
> case others too are wrongly placed, detained, in need of a medical /
> therapeutic intervention, being abused in any way by other residents or
> staff. Their feedback, future plans and interviews to be documented and
> addressed.
>
> 9.     State branches along with Indian Psychiatric Society to be
> required to compile an updated code of ethics, outlining how deviations
> will be addressed. This may be publicised especially given context of
> Mental Healthcare Act Chapter 5, Clause 23.
>
> 10.                        Along with general public awareness of the new
> mental health legislation, the Press Information Bureau along with media
> watchdog organisations like The Hoot, to publicise an advisory on
> requirements of privacy and confidentiality of people with mental illness
> as stated by the Mental Healthcare Act 2017 Chapter 5, clause 24. Events
> over the past week would be in contravention of the Act were it in force.
> *Name, Designation and Address of the public servant*
>
> ·        Union Health Secretary as Head, Central Mental Health Authority
>
> ·        Telangana State Health Secretary
>
> ·        DG Police, Telangana
>
> ·        Chair, ICSW (head NGO of Aram Ghar project)
>
> ·        Central Disability Commissioner
>
> ·        Secretary Social Welfare., Telangana
>
>
> END OF FORM
>
>
> Document submitted by email on 6 June 2017 at 6:15 pm as online form date
> field is preventing submission.  Attachment of the same is provided with
> the two additional documents of media resources referenced in the main
> complaint form and film.
>

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