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DEFINITION
 Forensic Psychiatry is a subspecialty of Psychiatry,
which in turn, is a medical specialty. It is
commonly defined as "the branch of psychiatry
that deals with issues arising in the interface
between psychiatry and the law" (Gutheil, 2004).
 Forensic Psychiatry is the branch of psychiatry
that deals with issues arising in the interface
between psychiatry and the law, and with the flow
of mentally disordered offenders along a
continuum of health and social
systems."Arboleda-Flórez (2006)
Forensic Psychiatry has benefited from four
key important moments in legal-psychiatric
thinking:
1. Increased knowledge of the relationship
between mental illness and criminality.
2. Evolution of forensic legal operations in
criminal and in civil law.
3. Developments in systems interactions.
4. A deeper understanding and concern
about issues in biomedical ethics.
LEGISLATION - LEGISLATIVE
HISTORY
MENTAL HEALTH ACT 1987
 1987, the mental health care in India is governed by
the mental health Act. There are a lot of positive
changes in mental health care in this act compared to
the Indian lunacy act of 1912.
 Some of them are as follows:
 More humane approach to the problems of the
mentally ill, changing the old terminologies such as
lunatics and criminal lunatics as mentally ill persona
and mentally ill prisoners
 There is also emphasis on the better management for
the property of the mentally ill persons and protection
of the human rights
 Creation of central and state mental health
authorities was a welcome step
Contd.,..
 The admission and discharge procedures have been
simplified and liberalized
 Even minor with mental health problems can be
admitted by the consent of the guardian as per this act
 Even if a mentally ill person not willing to give consent
for admission, he can be admitted using the category
of “admissions under special circumstances” where
their relatives or even friend or employer can give
consent.
VARIOUS INDIAN ACTS RELATED
TO MENTAL HEALTH CARE
Mental health care legislations:
 Mental Health Act 1987
 Mental Health Care Bill 2013
 Persons with Disability Act 1996 with
amendment act 1988
 Juvenile Justice Act (care and protection of
children) Act 2000, amendment Act 2006
 Others like Consumer Protection Act (CPA)
1986.
MENTAL HEALTH ACT 1987
 1987, the mental health care in India is governed by
the mental health Act. There are a lot of positive
changes in mental health care in this act compared to
the Indian lunacy act of 1912.
 Some of them are as follows:
 More humane approach to the problems of the
mentally ill, changing the old terminologies such as
lunatics and criminal lunatics as mentally ill persona
and mentally ill prisoners
 There is also emphasis on the better management for
the property of the mentally ill persons and protection
of the human rights
 Creation of central and state mental health
authorities was a welcome step
Contd.,..
 The admission and discharge procedures have been
simplified and liberalized
 Even minor with mental health problems can be
admitted by the consent of the guardian as per this act
 Even if a mentally ill person not willing to give consent
for admission, he can be admitted using the category
of “admissions under special circumstances” where
their relatives or even friend or employer can give
consent.
CRITICAL ASPECTS OF MHA 1987
 The act does not reflect the government policy on
mental health framed in 1987 as well as the Mental
Health Programme, 1987
 No attention to the WHO guidelines
 Legal considerations have been given more
weightage in comparison to medical ones
 Failed to remove the criminal flavor by keeping the
power of criminal court to exert its control over
admissions and discharge of noncriminal mentally ill
persons
 No importance to family and community psychiatry
Contd.,..
There are no provisions for punishing the relatives and
officers requesting unnecessary detention of a person
to such hospitals
Once a person is admitted to mental hospital, he is
termed as insane or mad by the society. There should
be provisions in the act to educate the society against
these misconceptions
Much stress is laid on hospital admission and
treatment. This again increases the cost of health care.
No provisions are made for home treatment.
The act has no provision for transportation of an
unwilling patient except by police.
Disability Act 1995 – Equal opportunities,
protection of rights, and full participation and later
there was an amendment for this Act known as The
National Trust for Welfare of persons with Autism,
Cerebral Palsy, Mental Retardation and Multiple
Disabilities Act 1999. Through this Act, lot of
opportunities and concessions are available for the
mentally disabled along with other physically
disabled persons.
Juvenile Justice Act 2000 (child care and
protection Act) which protects the rights of the
mentally ill, disabled or deviant children
CPA has gained much importance and at times
looked upon by the mentally ill persons and their
care givers and providing means to get quick
justice.
Protection of Women from Sexual Offenses
and Domestic Violence Act has gained a greater
momentum in the past. There are stringent laws for
sexual offences such as rape, unnatural sexual
offences, and obscene acts. If rape is committed
against a mentally ill person even with his/own
consent, it is considered to be a crime and
punishable. The protection of women from
domestic violence Act 2005 provides far more
effective protection of the rights of woman.
Indian legislations, a person with unsoundness
of mind who is incapable of knowing what he is
doing is right or wrong cannot write a valid will,
cannot enter into a contract, cannot stand or vote
in the election, cannot adopt or giving adoption
of a child, and cannot give his organ for
transplantation to others. Hence, the law
protects these civil rights of the mentally ill.
Marriage and mental health legislations.
Various laws related to marriage and
divorce existing in India and family court
Act 1984
The evidence Act 1925, section 118
Law of contract section 6, 11, and 12
Right to vote and stand for election Act
326,102 of the constitution of India
Testament capacity - Indian Succession Act
1925, section 59.
CIVIL LAWS RELATED TO PERSONS
WITH MENTAL ILLNESS
Hindu Marriage Act, Parsi marriage Act, and
Christian marriage Act, respondent has been
incurably of sound mind or has been suffering
continuous or intermittently from mental disorder of
such a kind and to such an extent that the petitioner
cannot reasonably expected to live with him.
As per the Muslim marriage Act, Muslim women can
seek divorce on the ground that her husband has been
insane for a period of 2 years. Indian divorce act (for
Christians) – unsoundness of mind is a ground for
divorce on two conditions:
It must be incurable
It must be at least for 2 years immediately before
filing the petition.
CRIMINAL LAWS OF MENTALLY ILL
OFFENDERS
 Mentally ill persons who commit a crime are dealt in
sections 328-329, CrPc 1973;Criminal responsibility –
Section 84, IPC 1860(Based on McNaughton Act)
 Attempt to commit suicide – section 309 IPC
 Right to private defense against an insane person-
section 98 IPC
 Misconduct in public under intoxication. Example
alcohol intoxication section 510 IPC
The Indian penal code section 84, nothing
is an offence done by a person who is of
unsoundness of mind at the time of the
crime, not knowing the nature of the act,
not knowing what he is doing is right or
wrong, not knowing the act is contrary to
law, and not knowing the consequences of
the act.
Indian Legislation, attempt to commit suicide is a
crime and punishable under IPC.309. Since
attempted is considered as a cry of help, an act of
despair, and a disease of hope, many mental health
professional and nongovernmental organizations
continue to remove this section. Recently, the
parliament is taking up this Bill to decriminalize the
attempted suicide and very soon this section will be
repelled. Euthanasia, the act of killing oneself, is
legally not permissible in India.
Recently, in India, they have enacted a
legislation called The Protection of Children
from Sexual Offences Act (POCSO 2012). As
per this act, sexual offences against children are
considered in a serious way and the punishment
will be very severe. The National Commission
for Protection of Child Rights (NCPCR) and the
State Commission for the Protection of Child
Rights (SCPCR) are monitoring the
implementation of this act.
THE PROTECTION OF CHILDREN FROM
SEXUAL OFFENCES ACT 2012
 Setting up of special juvenile courts for this purpose
 Evidence of the child to be recorded within 30 days ad trial to
be completed within a year
 The statement of the child has to be recorded where the child
is comfortable – e.g., at home
 A woman police officer should investigate
 No child to be detained overnight at the police station
 Assistance of a special educator or interpreter can be
arranged
 The medical exam to be conducted in the presence of parents
 The child should not be called repeatedly during the trial
 In camera trial must be done
Contd.,..
 The media had been barred from disclosing
the identity of the child victim
 The attempt to commit a crime, even if not
successful, is liable for punishment
 The central and the stare government should
execute an awareness and wide publicity
regarding this crime
 The NCPCR and SCPCR have been made the
designated authority to monitor the
implementation of the Act.
OTHER SPECIAL ACTS RELATED TO MENTAL
HEALTH
Narcotic Drugs and Psychotropic
Substances Act (NDPSA) 1985
(amended 1988)
Domestic Violence Act 2005.
NDPSA 1985. This Act provide
stringent control and regulation of
operations relating to narcotic drugs
and psychotropic substances to provide
for the forfeiture of property derived
from or used in illicit traffic in narcotic
drugs and psychotropic substances to
implement the provisions of the
international conventions on narcotic
drugs and psychotropic substances.
CPA has gained much importance and at times
looked upon by the mentally ill persons and their
care givers and providing means to get quick
justice.
Protection of Women from Sexual Offenses
and Domestic Violence Act has gained a greater
momentum in the past. There are stringent laws for
sexual offences such as rape, unnatural sexual
offences, and obscene acts. If rape is committed
against a mentally ill person even with his/own
consent, it is considered to be a crime and
punishable. The protection of women from
domestic violence Act 2005 provides far more
effective protection of the rights of woman.
FUTURE: Mental health professionals, PGs in
psychiatry, lawyers, police officers, and judicial
officers are all expected to know the basic mental
health legislation in India. There should be
periodic sensitization programs. The forensic
psychiatry in India is to focus the followings:
Active training of postgraduates in forensic
psychiatry
Research activities
Better understanding and implementation of the
mental health legislations
Improving prison psychiatry units.
CONCLUSION: The majority of psychiatric
patients do not require any intervention
from the law and can be managed
comfortably in day-to-day practice without
any clinical or legal conflict.
Forensic Psychiatry
Forensic Psychiatry

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Forensic Psychiatry

  • 1.
  • 2. DEFINITION  Forensic Psychiatry is a subspecialty of Psychiatry, which in turn, is a medical specialty. It is commonly defined as "the branch of psychiatry that deals with issues arising in the interface between psychiatry and the law" (Gutheil, 2004).  Forensic Psychiatry is the branch of psychiatry that deals with issues arising in the interface between psychiatry and the law, and with the flow of mentally disordered offenders along a continuum of health and social systems."Arboleda-Flórez (2006)
  • 3. Forensic Psychiatry has benefited from four key important moments in legal-psychiatric thinking: 1. Increased knowledge of the relationship between mental illness and criminality. 2. Evolution of forensic legal operations in criminal and in civil law. 3. Developments in systems interactions. 4. A deeper understanding and concern about issues in biomedical ethics.
  • 5. MENTAL HEALTH ACT 1987  1987, the mental health care in India is governed by the mental health Act. There are a lot of positive changes in mental health care in this act compared to the Indian lunacy act of 1912.  Some of them are as follows:  More humane approach to the problems of the mentally ill, changing the old terminologies such as lunatics and criminal lunatics as mentally ill persona and mentally ill prisoners  There is also emphasis on the better management for the property of the mentally ill persons and protection of the human rights  Creation of central and state mental health authorities was a welcome step
  • 6. Contd.,..  The admission and discharge procedures have been simplified and liberalized  Even minor with mental health problems can be admitted by the consent of the guardian as per this act  Even if a mentally ill person not willing to give consent for admission, he can be admitted using the category of “admissions under special circumstances” where their relatives or even friend or employer can give consent.
  • 7. VARIOUS INDIAN ACTS RELATED TO MENTAL HEALTH CARE Mental health care legislations:  Mental Health Act 1987  Mental Health Care Bill 2013  Persons with Disability Act 1996 with amendment act 1988  Juvenile Justice Act (care and protection of children) Act 2000, amendment Act 2006  Others like Consumer Protection Act (CPA) 1986.
  • 8. MENTAL HEALTH ACT 1987  1987, the mental health care in India is governed by the mental health Act. There are a lot of positive changes in mental health care in this act compared to the Indian lunacy act of 1912.  Some of them are as follows:  More humane approach to the problems of the mentally ill, changing the old terminologies such as lunatics and criminal lunatics as mentally ill persona and mentally ill prisoners  There is also emphasis on the better management for the property of the mentally ill persons and protection of the human rights  Creation of central and state mental health authorities was a welcome step
  • 9. Contd.,..  The admission and discharge procedures have been simplified and liberalized  Even minor with mental health problems can be admitted by the consent of the guardian as per this act  Even if a mentally ill person not willing to give consent for admission, he can be admitted using the category of “admissions under special circumstances” where their relatives or even friend or employer can give consent.
  • 10. CRITICAL ASPECTS OF MHA 1987  The act does not reflect the government policy on mental health framed in 1987 as well as the Mental Health Programme, 1987  No attention to the WHO guidelines  Legal considerations have been given more weightage in comparison to medical ones  Failed to remove the criminal flavor by keeping the power of criminal court to exert its control over admissions and discharge of noncriminal mentally ill persons  No importance to family and community psychiatry
  • 11. Contd.,.. There are no provisions for punishing the relatives and officers requesting unnecessary detention of a person to such hospitals Once a person is admitted to mental hospital, he is termed as insane or mad by the society. There should be provisions in the act to educate the society against these misconceptions Much stress is laid on hospital admission and treatment. This again increases the cost of health care. No provisions are made for home treatment. The act has no provision for transportation of an unwilling patient except by police.
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  • 15. Disability Act 1995 – Equal opportunities, protection of rights, and full participation and later there was an amendment for this Act known as The National Trust for Welfare of persons with Autism, Cerebral Palsy, Mental Retardation and Multiple Disabilities Act 1999. Through this Act, lot of opportunities and concessions are available for the mentally disabled along with other physically disabled persons. Juvenile Justice Act 2000 (child care and protection Act) which protects the rights of the mentally ill, disabled or deviant children
  • 16. CPA has gained much importance and at times looked upon by the mentally ill persons and their care givers and providing means to get quick justice. Protection of Women from Sexual Offenses and Domestic Violence Act has gained a greater momentum in the past. There are stringent laws for sexual offences such as rape, unnatural sexual offences, and obscene acts. If rape is committed against a mentally ill person even with his/own consent, it is considered to be a crime and punishable. The protection of women from domestic violence Act 2005 provides far more effective protection of the rights of woman.
  • 17. Indian legislations, a person with unsoundness of mind who is incapable of knowing what he is doing is right or wrong cannot write a valid will, cannot enter into a contract, cannot stand or vote in the election, cannot adopt or giving adoption of a child, and cannot give his organ for transplantation to others. Hence, the law protects these civil rights of the mentally ill.
  • 18. Marriage and mental health legislations. Various laws related to marriage and divorce existing in India and family court Act 1984 The evidence Act 1925, section 118 Law of contract section 6, 11, and 12 Right to vote and stand for election Act 326,102 of the constitution of India Testament capacity - Indian Succession Act 1925, section 59. CIVIL LAWS RELATED TO PERSONS WITH MENTAL ILLNESS
  • 19. Hindu Marriage Act, Parsi marriage Act, and Christian marriage Act, respondent has been incurably of sound mind or has been suffering continuous or intermittently from mental disorder of such a kind and to such an extent that the petitioner cannot reasonably expected to live with him. As per the Muslim marriage Act, Muslim women can seek divorce on the ground that her husband has been insane for a period of 2 years. Indian divorce act (for Christians) – unsoundness of mind is a ground for divorce on two conditions: It must be incurable It must be at least for 2 years immediately before filing the petition.
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  • 22. CRIMINAL LAWS OF MENTALLY ILL OFFENDERS  Mentally ill persons who commit a crime are dealt in sections 328-329, CrPc 1973;Criminal responsibility – Section 84, IPC 1860(Based on McNaughton Act)  Attempt to commit suicide – section 309 IPC  Right to private defense against an insane person- section 98 IPC  Misconduct in public under intoxication. Example alcohol intoxication section 510 IPC
  • 23. The Indian penal code section 84, nothing is an offence done by a person who is of unsoundness of mind at the time of the crime, not knowing the nature of the act, not knowing what he is doing is right or wrong, not knowing the act is contrary to law, and not knowing the consequences of the act.
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  • 27. Indian Legislation, attempt to commit suicide is a crime and punishable under IPC.309. Since attempted is considered as a cry of help, an act of despair, and a disease of hope, many mental health professional and nongovernmental organizations continue to remove this section. Recently, the parliament is taking up this Bill to decriminalize the attempted suicide and very soon this section will be repelled. Euthanasia, the act of killing oneself, is legally not permissible in India.
  • 28. Recently, in India, they have enacted a legislation called The Protection of Children from Sexual Offences Act (POCSO 2012). As per this act, sexual offences against children are considered in a serious way and the punishment will be very severe. The National Commission for Protection of Child Rights (NCPCR) and the State Commission for the Protection of Child Rights (SCPCR) are monitoring the implementation of this act.
  • 29. THE PROTECTION OF CHILDREN FROM SEXUAL OFFENCES ACT 2012  Setting up of special juvenile courts for this purpose  Evidence of the child to be recorded within 30 days ad trial to be completed within a year  The statement of the child has to be recorded where the child is comfortable – e.g., at home  A woman police officer should investigate  No child to be detained overnight at the police station  Assistance of a special educator or interpreter can be arranged  The medical exam to be conducted in the presence of parents  The child should not be called repeatedly during the trial  In camera trial must be done
  • 30. Contd.,..  The media had been barred from disclosing the identity of the child victim  The attempt to commit a crime, even if not successful, is liable for punishment  The central and the stare government should execute an awareness and wide publicity regarding this crime  The NCPCR and SCPCR have been made the designated authority to monitor the implementation of the Act.
  • 31. OTHER SPECIAL ACTS RELATED TO MENTAL HEALTH Narcotic Drugs and Psychotropic Substances Act (NDPSA) 1985 (amended 1988) Domestic Violence Act 2005.
  • 32. NDPSA 1985. This Act provide stringent control and regulation of operations relating to narcotic drugs and psychotropic substances to provide for the forfeiture of property derived from or used in illicit traffic in narcotic drugs and psychotropic substances to implement the provisions of the international conventions on narcotic drugs and psychotropic substances.
  • 33. CPA has gained much importance and at times looked upon by the mentally ill persons and their care givers and providing means to get quick justice. Protection of Women from Sexual Offenses and Domestic Violence Act has gained a greater momentum in the past. There are stringent laws for sexual offences such as rape, unnatural sexual offences, and obscene acts. If rape is committed against a mentally ill person even with his/own consent, it is considered to be a crime and punishable. The protection of women from domestic violence Act 2005 provides far more effective protection of the rights of woman.
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  • 36. FUTURE: Mental health professionals, PGs in psychiatry, lawyers, police officers, and judicial officers are all expected to know the basic mental health legislation in India. There should be periodic sensitization programs. The forensic psychiatry in India is to focus the followings: Active training of postgraduates in forensic psychiatry Research activities Better understanding and implementation of the mental health legislations Improving prison psychiatry units.
  • 37. CONCLUSION: The majority of psychiatric patients do not require any intervention from the law and can be managed comfortably in day-to-day practice without any clinical or legal conflict.