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C R Chandrashekar, eminent psychiatrist of India speaks about his life.

C R Chandrashekar, eminent psychiatrist of India speaks about his life.

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  • 1. MY FOOT PRINTS IN PSYCHIATRY Dr. C.R.Chandrashekar Senior Professor of Psychiatry
  • 2. 1. Seeds of interest in Psychiatry / sowed by Novels with Psychiatric themes 1955-1960 : by Smt.TRIVENI SHARAPANJARA: MUCHCHIDA BAGILU: DOORADA BETTA: SAMASYEYA MAGU: BEKKINA KANNU Case stores given to her by Mr. C.K.Vasudeva Rao Clinical Psychologist who worked in Mental Hospital, Bangalore with Dr. M.V. Govindaswamy
  • 3. 2. Dr. M. Shivaram(RASHI). Gen practitioner Founder member of Bangalore Medical College /friend and Tennis partner of Dr. M.V. Govindaswamy MANONANDANA – book on Psychosomatic medicine 1965 MANAMANTHANA book on psychiatry 1974 Kendra Sahitya Academy Award
  • 4. MENTAL HOSPITAL 3.Dr. H.S.Narayan VICTORIA HOSPITAL WEEKLY PSYCHIATRIC CLINIC 4 to 8pm 1973 – 1974 4. MENTAL HOSPITAL (PICTURE) Dr. G.N.Narayana Reddy (Picture) Medical Superintendent 09-09-1974 Hon. Senior House surgeon (Non-P.G. Non-paying)
  • 5. . AIIMH :HOD. Dr. A.S.Mahal Dr. Malik Dr. P.S.Gopinath One day. OPD: Thursday Mental Hospital: Assistant Surgeons Dr. S.M.Channabavanna – D.M.S Dr. Shankarappa Dr. H.S.Narayanan Dr. K.N.Srinivas Dr. V. Venkataramaiah Dr. Honnaiah Department of Neuro/Neurosurgery Dr.K.S.Mani Dr.R.M.Verma Neuro Centre: 1973
  • 6. State of Mental Hospital • Daily OPD(5 days) • 5 -10 new cases 40 to 50 follow ups • No Causality/No emergency services • Over- crowding in the wards • Each pavilion: 250 – 350 patients (60 beds) • MR clinic – by Dr. H.S.N • Family ward: 2 sheds with cloth partition • 10 -12 families in each
  • 7. AIIMH v/s MENTAL HOSPITAL Hostility & Distrust Thursday: OPD by Dr.A.S.Mahal & his team In patients: one word, AIIMH P.G. Students neglected the mental hospital Wednesday: Case conference : in Arts theatre Everybody could attend including Neuro/Neurosuregry STRIKE: To introduce Residency scheme: successful
  • 8. Joined DPM course on 01-01-1975 Almost daily did Pentothal/Either Abreactions 3 months: Neurology 36hrs duty 3 months: Neurosurgery Once/twice a week Dissertation: Level of Anxiety in UTPs of Central Jail, Bangalore Dr. D.L.N. Murthy Rao Award Dr. K.S.Mari asked me to join D.M Neurology course
  • 9. March 1977 Psychiatrist in ICMR project on collaborative study on General Mental Morbidity under Dr. RL Kapur Standardization of Katz Social Functioning scale in India.
  • 10. July 1977 – June 1979:MD Dr.H.S.N joined MD course along with me Dr. Shiv Gautam Dr. P.R.Geetha Dr. M.S.Keshavan Dr. Anand Pandurangi Dr. Karthikeyan Dr. Sampath Thesis: Mental morbidity among PG students of IISc Bangalore: Census survey of 1200 students
  • 11. 11. Study of Possession syndrome in children of Sringeri(1977), Bhagamandala of Karnataka and Pondicherry
  • 12. 12. Presented 2 scientific papers in Trans cultural psychiatric meet of 8th world congress of SOCIAL PSYCHIATRY at MACAU (Portugese colony) attached to China
  • 13. STUDY OF BHANAMATHI SYNDROME (WITCH CRAFT) in Gulbarga. Bidar Districts of Karantaka 1980 – 81 Medak district of AP Dr. H.Narasimhaiah Mr. Naseer sab(Minister) Mr. Mallikarjuanaih Deputy speaker Lokasabha Dr. H.S.Narayanan and others
  • 14. 14. GDMO . 26-07-1979 Lecturer 16-05-1981 Community Mental Health Unit Rural Cente: Sakalavara Urban Centre: K.C.General Hospital, Malleshwaram Dr. R.L.Kapur Dr. Kalyan Sundaram Dr.C.Shamsundar, Dr. Mohan K Issac Dr. Usha Sundaram Dr. P.R.Geetha Dr.Malavika Kapur Mr.Kshama, Mr. Naradev(PSW) Mr.Nagarajaiah, Mrs.Prema(Nursing)
  • 15. 15. Feasibility study of identifying and managing severly mentally ill in Rural community 150 villages of Anekal and Bangalore south taluk Unique experiences Warm/Cold/Hostile responses in the villages. Poverty-ignorence-blind beliefs. Work with faith healers, village leaders. PHC/PHU doctors, HW, Anganawadi Teachers
  • 16. 16. MENTAL HEALTH DELIVERY through PHC personnel I. Training program at MALUR PHC 1978-79 II. Training program at ANEKAL PHC 1980-81 Manual on mental health care
  • 17. 17. Mental Health camps • Kollegal,Nagavalli(near Tumkur) monthly • Anekal, Jignani, Marsur(weekly) • Murnad, Kodagu(Yearly once) • NIMHANS extention clinics Maddur Madhugiri, Kanakapura, Gunjur • Bellary in 4 Taluka Centres • Gouribidanur
  • 18. 18. TRAINING PGOGRAMMES FOR DOCTORS and Health workers of Bidar, Gulbarga, Raichur, Bellary at Sakalwara centre, April 1982 Later Mandya, Mysore Kodagu D.K and CHIKKAMAGALUR Up to 1990 > 2000 Health personnel were trained Manuals, Assessments, Follow up evaluation ICMR Mental morbidity services at Solur, Nelamangala tq (multicenterd study)
  • 19. 19. BELLARY DISTRICT MENTAL HEALTH PROGRAMME 4 camps 1983 Decentralised DMHP 1984 – 1990 │ Training to all health staff and health administrators. Panchayat, Zilla Parishat members 1.5 million population 8 taluks >15,000 patients were treated
  • 20. ICMR CENTER FOR ADVANCED RESEARCH OF COMMUNITY MENTAL HEALTH Located in Sakalwara centre Several workshops on CMH for health professionals, Administrators – Mental health professionals in NIMHANS or in respective states
  • 21. TRAINING LAY – PEOPLE IN COUNSELLING HSP – Mr. Ajith Kumar PRASANNA COUNSELLING CENTRE 1980-> More than 1500persons have undergone 5 to 6 months training weekly 2 sessions. (total 40 to 50 sessions) 40 batches (average number 40 to 50) Every Wednesday: I give free consultation to 40 to 50 persons More than 10,000 persons have taken help between 1981-2012
  • 22. 22. TRAINING OF COLLEGE TEACHERS IN STUDENTS COUNSELLING 1995 - > 2008 >1000 TEACEHRS 2 WEEKS - 1WEEK VERY USEFUL PROGRAMME Benefitted both the teachers and students
  • 23. 23. NHRC Project Review of status and functioning of mental hospitals psychaitric hospitals of North North west and North East states Pathetic ground realities of patients care Insensitiveness of Mental Health professionals and administrators:
  • 24. 24. Deputy Medical Superintendent Forensic Psychiatry Prison word – MLC Expert witness in the unit Strange and Memorable experiences
  • 25. 25. Visits abroad INTERNATIONAL CONFERENCE ON Social & Trans cultural PSYCHIATRY Held at MACAU – CHINA Sept - 1981
  • 26. 26. SHORT TERM CONSULTANT of WHO (one month) in 1981 To North and South YEMEN. (Queen Sheeba’s country) Study the status of Mental Hospitals and Mental Health services and Recommend methods of improvement Named me as HINDI – KABEER (expert from India) (Visited ALEXANDRIA – CAIRO of Egypt Aden, Sana, Hodeida & over places in Yemen (Disturbed country with Internal civil war)
  • 27. 27. Athens – Greece (Land of Ancient culture) To get trained in FOCUS GROUP INTERVIEWS 3-5, Oct 1992 and in 1994 (related to Epidemiological manual on Substances Abuse)
  • 28. 28. GENEVA SWITZERLAND : 1992-1994 3 times To attend Research project meetings To prepare CATALOGUE OF WHO PSYCHIATRIC ASSESSMENT INSTRUMENTS
  • 29. MANCHESTER – U.K. 1992 Dr. David P Goldberg To take part in making Video – films on ‘Psychotherapy for common mental Disorders for G.P.S
  • 30. Visit to SARQDINIA ISLAND – ITALY 1994 To take part in Research group meeting of WHO (ITALY) MILAN 1 and 2, Dec 2004 To take part in Survey of Mental health system(WHO)
  • 31. 31. Visit to PRIEN – MUNICH GERMANY International Symposium on SOMATOFORM DISORDERS 21 – 23, Feb 1997 Presented a paper on S.D in India and Asia
  • 32. COLOMBO – SRILANKA Workshop on improving Community Mental Health Care in Sri Lanka 25,26 June 2004
  • 33. CO-INVESTIGATOR IN INTER-NATIONAL MULTI-CENTRED, WHO STUDIES 1. Cross-cultural Application study of use 1991-94 and abuse of alcohol and drugs in different cultures 2. ICD – 10 PHC version: Field studies in 1994 3. Study on Somatoform disorders 1993- 95 4. Standardization of CIDI – SCAN instruments 5. Pathways to care: 1990 6. WHO/PSA Manual on substance Abuse Epidemiology 1997 7. Monitoring Mental Health systems and services 2003 - 2004
  • 34. WRITING HEALTH LITERATURE: Hobby started in 1973 First article on Breast cancer (Prajamatha weekly) First book on child mental health (Magu Manassu Arogya) I 1980 Total number of books >170 On children/Adolescents problems 4 book Brain, Mind, mental disorders and mental health 97 General Health 17 Sexuality 9 Novels 6 Translation (English -> Kannada) 8 Editing books on Health >100 books in English – on Mental health 20
  • 35. My books translated to other languages 4 books to Telugu 3 books to Urdu 2 books to Hindi 1 book to Gujarathi
  • 36. • Co – author of 8 manuals • Chapter in text books : 8 • Scientific articles in Scientific professional natural and international Journals: > 70 • Scientific articles in News papers, magazines and periodicals: >100
  • 37. Public Education: free consultation • Talks, lectures, training, workshops • > 100 per year all over Karnataka • Postal consultation and counseling • more than 200 letters a month • Free consultation: ↓  Prasanna counseling centre weekly once 40 to 50 people  Samadhana counseling centre every day average 10  Ramanagar District Hospital every 3rd Sunday 100 to 200 people
  • 38. Office bearer: Secretary -> President 1. Indian Psychiatric Society: Karnataka Branch 2. Kannada Vaidya Sahitya Parishat 3. BMR –SPS charitable Trust ® Bangalore Fellow of IPS centre and South zone Member of International Sex education and parenthood Society Karnataka Rajya Vijnana Parishath Member: Editional Board of > 6 Magazines
  • 39. More than 50 awards 1. National Award by D.S.T Government of India (1 Lakh) 2002 2. U.G.C Award 2001 3. Rajyotsava Award by Government of Karnataka 2010 4. Karnataka Sahitya Academy Award 1980-2003 5. Kempegowda Award by BBMP
  • 40. 6. Dr BC Roy Award by IMA Bangalore Branch 1993 7. Dr K Shivarama Karanth Award 2002 8. Eminent Psychiatrist Award 2006 by IPS - KB 9. Nudisiri Award 2009 10. Dr. Anupama Niranjana Award by Government of Karnataka 2012