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Dr Ashutosh B. Potdar
M.D. (Forensic Medicine), PGDMLS
MENTAL HEALTH CARE ACT 2017
MENTAL HEALTH CARE ACT 2017
• Repeals the earlier Mental Health Act 1987
• Divided into 16 chapters
MENTAL ILLNESS
• A substantial disorder of thinking, mood, perception,
orientation or memory that
Chapter I of MHA 2017
MENTAL ILLNESS
• Grossly impairs judgment, behaviour, capacity to
recognise reality or ability to meet the ordinary
demands of life,
Chapter I of MHA 2017
MENTAL ILLNESS
• Mental conditions associated with the abuse of
alcohol and drugs, but
Chapter I of MHA 2017
MENTAL ILLNESS
• does not include mental retardation
which is
• a condition of arrested or incomplete
development of mind of a person,
specially characterised by sub-normality
of intelligence.
Chapter I of MHA 2017
DETERMINATION OF MENTAL ILLNESS
• Same style as nationwide or overseas held medical
criteria
Chapter II of MHA 2017
DETERMINATION OF MENTAL ILLNESS
• Cannot be decided by a person’s political, economic
or social status, association in cultural society, racial
or religious group, or
Chapter II of MHA 2017
MENTAL HEALTH PROFESSIONALS
• Post-graduate Ayush doctors as Mental Health
Professionals
Chapter I of MHA 2017
ADVANCE DIRECTIVES
• Instruction/s in writing made by a person not being minor
• The way the person wishes to be cared for and treated
for a mental illness
• Manner of making Advance Directives & maintaining it &
its power, review and liability
• Revocation, amendment or cancellation
Chapter III of MHA 2017
RIGHTS OF MENTALLY ILL PERSON
• Access to mental health care
• Community living - not be segregated from society
Chapter V of MHA 2017
RIGHTS OF MENTALLY ILL PERSON
• Protection from cruel, inhuman
and degrading treatment
• Equality and non-discrimination
Chapter V of MHA 2017
RIGHTS OF MENTALLY ILL PERSON
• Access to Information of illness & treatment
• Restriction on the release of information in respect of
Right to access medical records
Chapter V of MHA 2017
RIGHTS OF MENTALLY ILL PERSON
• Confidentiality
• Personal contacts and communication - refuse or
receive visitors and to refuse or receive and make
telephone or mobile phone calls
Chapter V of MHA 2017
RIGHTS OF MENTALLY ILL PERSON
• Access to Legal aid
• Make complaints about deficiencies in provision of
services
Chapter V of MHA 2017
DUTIES OF APPROPRIATE GOVERNMENT
• Promotion of mental health and preventive
programmes
Chapter VI, VII, VIII of MHA 2017
DUTIES OF APPROPRIATE GOVERNMENT
• Creating awareness about mental health and illness
and reducing stigma associated with mental illness
• Establishment, Composition, Duties of Central &
State Mental Health Authority
Chapter VI, VII, VIII of MHA 2017
DECRIMINALIZING S. 309 IPC
• S. 309 IPC:
Whoever attempts to commit suicide and does
any act towards the commission of such offence, shall
be punished with simple imprisonment for a term which
may extend to one year or with fine, or with both
DECRIMINALIZING S. 309 IPC
Whoever attempts to commit suicide
• Presumed to have severe stress
• Shall not be tried and punished
• Care, treatment & rehabilitation by Government
• Reduce risk of recurrence
Chapter XII of MHA 2017
RESTRICTED USAGE OF ECT
• Electroconvulsive therapy
• Emergency
• Not without use of muscle relaxants and anaesthetics
• Prohibited in minors
Chapter XII of MHA 2017
Thank you

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Mental health care act 2017

  • 1. Dr Ashutosh B. Potdar M.D. (Forensic Medicine), PGDMLS MENTAL HEALTH CARE ACT 2017
  • 2. MENTAL HEALTH CARE ACT 2017 • Repeals the earlier Mental Health Act 1987 • Divided into 16 chapters
  • 3. MENTAL ILLNESS • A substantial disorder of thinking, mood, perception, orientation or memory that Chapter I of MHA 2017
  • 4. MENTAL ILLNESS • Grossly impairs judgment, behaviour, capacity to recognise reality or ability to meet the ordinary demands of life, Chapter I of MHA 2017
  • 5. MENTAL ILLNESS • Mental conditions associated with the abuse of alcohol and drugs, but Chapter I of MHA 2017
  • 6. MENTAL ILLNESS • does not include mental retardation which is • a condition of arrested or incomplete development of mind of a person, specially characterised by sub-normality of intelligence. Chapter I of MHA 2017
  • 7. DETERMINATION OF MENTAL ILLNESS • Same style as nationwide or overseas held medical criteria Chapter II of MHA 2017
  • 8. DETERMINATION OF MENTAL ILLNESS • Cannot be decided by a person’s political, economic or social status, association in cultural society, racial or religious group, or Chapter II of MHA 2017
  • 9. MENTAL HEALTH PROFESSIONALS • Post-graduate Ayush doctors as Mental Health Professionals Chapter I of MHA 2017
  • 10. ADVANCE DIRECTIVES • Instruction/s in writing made by a person not being minor • The way the person wishes to be cared for and treated for a mental illness • Manner of making Advance Directives & maintaining it & its power, review and liability • Revocation, amendment or cancellation Chapter III of MHA 2017
  • 11. RIGHTS OF MENTALLY ILL PERSON • Access to mental health care • Community living - not be segregated from society Chapter V of MHA 2017
  • 12. RIGHTS OF MENTALLY ILL PERSON • Protection from cruel, inhuman and degrading treatment • Equality and non-discrimination Chapter V of MHA 2017
  • 13. RIGHTS OF MENTALLY ILL PERSON • Access to Information of illness & treatment • Restriction on the release of information in respect of Right to access medical records Chapter V of MHA 2017
  • 14. RIGHTS OF MENTALLY ILL PERSON • Confidentiality • Personal contacts and communication - refuse or receive visitors and to refuse or receive and make telephone or mobile phone calls Chapter V of MHA 2017
  • 15. RIGHTS OF MENTALLY ILL PERSON • Access to Legal aid • Make complaints about deficiencies in provision of services Chapter V of MHA 2017
  • 16. DUTIES OF APPROPRIATE GOVERNMENT • Promotion of mental health and preventive programmes Chapter VI, VII, VIII of MHA 2017
  • 17. DUTIES OF APPROPRIATE GOVERNMENT • Creating awareness about mental health and illness and reducing stigma associated with mental illness • Establishment, Composition, Duties of Central & State Mental Health Authority Chapter VI, VII, VIII of MHA 2017
  • 18. DECRIMINALIZING S. 309 IPC • S. 309 IPC: Whoever attempts to commit suicide and does any act towards the commission of such offence, shall be punished with simple imprisonment for a term which may extend to one year or with fine, or with both
  • 19. DECRIMINALIZING S. 309 IPC Whoever attempts to commit suicide • Presumed to have severe stress • Shall not be tried and punished • Care, treatment & rehabilitation by Government • Reduce risk of recurrence Chapter XII of MHA 2017
  • 20. RESTRICTED USAGE OF ECT • Electroconvulsive therapy • Emergency • Not without use of muscle relaxants and anaesthetics • Prohibited in minors Chapter XII of MHA 2017

Editor's Notes

  1. https://blog.ipleaders.in/all-need-know-about-mental-healthcare-act/
  2. abolishes the existing Mental Healthcare Act, 1987 which had been extensively criticized for not acknowledging the rights of a mentally ill person
  3. The act says that Diagnostic criteria must be same in across the country and also worldwide.
  4. Ayurveda professional having a post-graduate degree in Mano Vigyan/ Manas Roga or Homoeopathy PG in Psychiatry or Unani practitioner PG in Nafasiyatt and Siddha professional PG in Sirappu Maruthuva are also recognised as Mental healthcare professionals
  5. A person with mental illness shall have the right to make an advance directive that states how he/she wants to be treated for the illness and who his/her nominated representative shall be. It can be revoked, amended or cancelled by the person anytime.
  6. The Act ensures every person shall have a right to access mental health care and treatment from mental health services run or funded by the appropriate government. The right to access mental healthcare and treatment shall mean mental health services of affordable cost, of good quality, available in sufficient quantity, accessible geographically, without discrimination on the basis of gender, sex, sexual orientation, religion, culture, caste, social or political beliefs, class, disability. Mentally ill person shall not be subjected to seclusion or solitary confinement. Physical restraint may only be used, if necessary.
  7. No cruel, inhuman and degrading treatment to be given and right to live without discrimination
  8. They deserve
  9. Govt must organise events to promote mental health and arrange preventive programmes
  10. appropriate government must Establish and specify the duties of Central & State Mental Health Authority to look after implementation of the Act
  11. A person who attempts suicide shall be presumed to be suffering from mental illness at that time and will not be punished under the Indian Penal Code. The government shall have a duty to provide care, treatment and rehabilitation to a person, having severe stress and who attempted to commit suicide, to reduce the risk of recurrence of attempt to commit suicide
  12. Also sterilisation is prohibited.