This document summarizes key aspects of the Mental Healthcare Act, 2017 in India. It outlines the objectives of providing and protecting mental healthcare rights. It describes the implementation authorities at the central, state, and district levels. Key shifts include a focus on care over custody, and protecting human rights. Obligations of mental health establishments include registering with authorities, ensuring minimum standards, and adhering to patient rights. Admission and discharge procedures are detailed to respect patient capacity and autonomy.
This document provides information about a clinical assessment and report writing course taught by Arooj Fatima. It discusses several psychological tests used in assessment including the Beck Depression Inventory (BDI). The BDI is a 21-item self-report measure of depression symptoms. It has high reliability and correlates well with clinical ratings of depression. The BDI takes 10-15 minutes to complete in a peaceful environment. It assesses depression symptoms experienced over the previous two weeks. Scores are categorized as minimal, mild, moderate, or severe depression.
Lecture 8 sexual and gender identity disordersgsjus
This document summarizes a lecture on sexual and gender identity disorders given by Prof. Domingo O. Barcarse. It discusses normal sexuality and various disorders, including gender identity disorder, sexual dysfunctions (e.g. hypoactive sexual desire disorder, sexual aversion disorder, sexual arousal disorders, orgasmic disorders), and sexual pain disorders. It provides DSM-IV criteria for diagnosing these disorders and discusses myths related to sexuality.
This document provides an overview of transcultural psychiatry and cultural factors that are relevant to mental illness. It discusses what culture is, how culture can influence psychopathology in different ways such as pathogenic effects, pathoplastic effects, and pathofacilitative effects. It also examines cultural psychodynamics and how cultural variables like dependency versus autonomy, linguistic competence, and social support systems can impact mental health. The document provides examples of culture-bound syndromes and discusses the importance of considering culture in clinical practice and research in psychiatry.
This document provides an overview of mental health laws and policies in India, including:
1. It summarizes the history of mental health acts in India from the 1858 Indian Lunatic Asylum Act to the present-day Mental Health Care Bill of 2013.
2. It describes the key aspects and chapters of the Indian Lunacy Act of 1912 and the Mental Health Act of 1987, including definitions, admission procedures, and establishment of psychiatric hospitals.
3. It outlines the proposed amendments in the Mental Health Care Bill of 2013, such as expanded definitions of mental illness, the introduction of advance directives and nominated representatives, and establishment of new governing bodies.
The somatoform disorders are a group of psychological disorders in which a patient experiences physical symptoms that are inconsistent with or cannot be fully explained by any underlying general medical or neurologic condition. Medically unexplained physical symptoms account for as many as 50% of new medical outpatient visits. [1] Physical symptoms or painful complaints of unknown etiology are fairly common in pediatric populations. [2] Many healthy young children express emotional distress in terms of physical pain, such as stomachaches or headaches, but these complaints are usually transient and do not effect the child's overall functioning. The somatoform disorders represent the severe end of a continuum of somatic symptoms.
Somatization in children consists of the persistent experience and complaints of somatic distress that cannot be fully explained by a medical diagnosis. They can be represented by a wide spectrum of severity, ranging from mild self-limited symptoms, such as stomachache and headache, to chronic disabling symptoms, such as seizures and paralysis. These psychological disorders are often difficult to approach and complex to understand. It is important to note that these symptoms are not intentionally produced or under voluntary control.
In somatoform disorders, somatic symptoms become the focus of children and their families. They generally interfere with school, home life, and peer relationships. These youngsters are more likely to be considered sickly or health impaired by parents and caretakers, to be absent from school, and to perform poorly in academics. Somatization is often associated temporarily with psychosocial stress and can persist even after the acute stressor has resolved, resulting in the belief by the child and his or her family that the correct medical diagnosis has not yet been found. Thus, patients and families may continue to seek repeated medical treatment after being informed that no acute physical illness has been found and that the symptoms cannot be fully explained by a general medical condition. When somatization occurs in the context of a physical illness, it is identified by symptoms that go beyond the expected pathophysiology of the physical illness.
Recurrent complaints often present as diagnostic and treatment dilemmas to the primary care practitioner (PCP) who is trying to make sense of these symptoms. The PCP may feel poorly prepared and/or may have little time to assess or treat the somatic concerns. While the more disabling somatic complaints are more likely to be referred to a mental health professional, these youngsters presenting with these disabling physical symptoms bridge both medical and psychological domains and present a puzzling quandary for professionals from either field if working with them alone. [3] The nature of these symptoms requires an integrated medical and psychiatric treatment approach to successfully decrease the impairment caused by these disorders.
This document discusses sexual dysfunction and normal sexuality. It begins by defining normal sexuality and outlining the four phases of the physiological sexual response cycle: desire, excitement, orgasm, and resolution. It then defines sexual dysfunction and outlines its classification according to the DSM-5, including desire, arousal, orgasm, sexual pain disorders, and those due to medical conditions. Specific disorders like male hypoactive sexual desire disorder and female sexual interest/arousal disorder are then discussed in more detail such as their criteria, contributing factors, risk factors, and treatment options involving somatic and psychosocial approaches.
This document provides information about a clinical assessment and report writing course taught by Arooj Fatima. It discusses several psychological tests used in assessment including the Beck Depression Inventory (BDI). The BDI is a 21-item self-report measure of depression symptoms. It has high reliability and correlates well with clinical ratings of depression. The BDI takes 10-15 minutes to complete in a peaceful environment. It assesses depression symptoms experienced over the previous two weeks. Scores are categorized as minimal, mild, moderate, or severe depression.
Lecture 8 sexual and gender identity disordersgsjus
This document summarizes a lecture on sexual and gender identity disorders given by Prof. Domingo O. Barcarse. It discusses normal sexuality and various disorders, including gender identity disorder, sexual dysfunctions (e.g. hypoactive sexual desire disorder, sexual aversion disorder, sexual arousal disorders, orgasmic disorders), and sexual pain disorders. It provides DSM-IV criteria for diagnosing these disorders and discusses myths related to sexuality.
This document provides an overview of transcultural psychiatry and cultural factors that are relevant to mental illness. It discusses what culture is, how culture can influence psychopathology in different ways such as pathogenic effects, pathoplastic effects, and pathofacilitative effects. It also examines cultural psychodynamics and how cultural variables like dependency versus autonomy, linguistic competence, and social support systems can impact mental health. The document provides examples of culture-bound syndromes and discusses the importance of considering culture in clinical practice and research in psychiatry.
This document provides an overview of mental health laws and policies in India, including:
1. It summarizes the history of mental health acts in India from the 1858 Indian Lunatic Asylum Act to the present-day Mental Health Care Bill of 2013.
2. It describes the key aspects and chapters of the Indian Lunacy Act of 1912 and the Mental Health Act of 1987, including definitions, admission procedures, and establishment of psychiatric hospitals.
3. It outlines the proposed amendments in the Mental Health Care Bill of 2013, such as expanded definitions of mental illness, the introduction of advance directives and nominated representatives, and establishment of new governing bodies.
The somatoform disorders are a group of psychological disorders in which a patient experiences physical symptoms that are inconsistent with or cannot be fully explained by any underlying general medical or neurologic condition. Medically unexplained physical symptoms account for as many as 50% of new medical outpatient visits. [1] Physical symptoms or painful complaints of unknown etiology are fairly common in pediatric populations. [2] Many healthy young children express emotional distress in terms of physical pain, such as stomachaches or headaches, but these complaints are usually transient and do not effect the child's overall functioning. The somatoform disorders represent the severe end of a continuum of somatic symptoms.
Somatization in children consists of the persistent experience and complaints of somatic distress that cannot be fully explained by a medical diagnosis. They can be represented by a wide spectrum of severity, ranging from mild self-limited symptoms, such as stomachache and headache, to chronic disabling symptoms, such as seizures and paralysis. These psychological disorders are often difficult to approach and complex to understand. It is important to note that these symptoms are not intentionally produced or under voluntary control.
In somatoform disorders, somatic symptoms become the focus of children and their families. They generally interfere with school, home life, and peer relationships. These youngsters are more likely to be considered sickly or health impaired by parents and caretakers, to be absent from school, and to perform poorly in academics. Somatization is often associated temporarily with psychosocial stress and can persist even after the acute stressor has resolved, resulting in the belief by the child and his or her family that the correct medical diagnosis has not yet been found. Thus, patients and families may continue to seek repeated medical treatment after being informed that no acute physical illness has been found and that the symptoms cannot be fully explained by a general medical condition. When somatization occurs in the context of a physical illness, it is identified by symptoms that go beyond the expected pathophysiology of the physical illness.
Recurrent complaints often present as diagnostic and treatment dilemmas to the primary care practitioner (PCP) who is trying to make sense of these symptoms. The PCP may feel poorly prepared and/or may have little time to assess or treat the somatic concerns. While the more disabling somatic complaints are more likely to be referred to a mental health professional, these youngsters presenting with these disabling physical symptoms bridge both medical and psychological domains and present a puzzling quandary for professionals from either field if working with them alone. [3] The nature of these symptoms requires an integrated medical and psychiatric treatment approach to successfully decrease the impairment caused by these disorders.
This document discusses sexual dysfunction and normal sexuality. It begins by defining normal sexuality and outlining the four phases of the physiological sexual response cycle: desire, excitement, orgasm, and resolution. It then defines sexual dysfunction and outlines its classification according to the DSM-5, including desire, arousal, orgasm, sexual pain disorders, and those due to medical conditions. Specific disorders like male hypoactive sexual desire disorder and female sexual interest/arousal disorder are then discussed in more detail such as their criteria, contributing factors, risk factors, and treatment options involving somatic and psychosocial approaches.
This document provides information on conducting a mental status examination (MSE). It begins by defining the MSE and listing its main components: history taking and observation. Key aspects of history taking are identified, including demographic data, medical history, and psychosocial factors. The main sections of the MSE are then outlined: general description, emotional state, experiences, thinking, and sensorium/cognition. Signs to observe for each section are defined, such as appearance, speech, mood, thought process, and orientation. The document concludes by listing references for further information on psychiatric nursing and MSE components.
This document discusses gender identity disorders and gender dysphoria. It defines key terms and describes the prevalence, etiology, diagnosis, and treatment according to the ICD and DSM classification systems. Regarding diagnosis, it outlines the criteria for diagnosing gender dysphoria in children and adolescents/adults in the DSM-5. It also discusses differential diagnosis, biological and psychosocial factors, and treatment approaches including hormone therapy and sex reassignment surgery.
Community Mental Health Services in india At Nmhans Power Point Students.AIIMS
The document discusses the history and development of community mental health services in India. It notes that early reports from 1947 and 1964 highlighted a significant shortage of mental health resources and facilities in the country. Several key initiatives helped integrate mental health into primary care starting in the 1970s. These included the National Mental Health Program in 1982 and expanding services to additional districts in the 1990s. The document also outlines the community psychiatry services developed at NIMHANS, including rural clinics and home care services. It discusses the teaching, training, research and roles provided in community mental health.
This document discusses sexual and gender identity disorders as defined in the DSM-IV-TR, including sexual dysfunctions, gender identity disorder, sexual orientation, and paraphilias. It outlines the sexual response cycle and categories of sexual dysfunction, including desire, arousal, orgasmic, and pain disorders. Predictors of sexual functioning include biological, psychosocial, and relationship factors. Treatment approaches are also reviewed.
This document summarizes key aspects of the Mental Health Care Act of 2017 in India. It repealed the previous Mental Health Act of 1987. Some key points:
- It defines mental illness and excludes conditions like intellectual disabilities.
- It outlines the process for determining mental illness and ensures it is not based on social or cultural factors.
- It recognizes post-graduate Ayush practitioners as mental health professionals.
- It establishes rights for mentally ill people like community living, protections from abuse, access to information about treatment, and legal aid.
- It tasks appropriate government authorities to promote mental health programs, create awareness to reduce stigma, and establish central and state mental health authorities.
- It
Schizophrenia Spectrum & Other Psychotic Disorders for NCMHCE StudyJohn R. Williams
The document provides an overview of schizophrenia spectrum and other psychotic disorders according to the DSM-5. It discusses key features of psychotic disorders including delusions, hallucinations, and disorganized thinking. It then summarizes several psychotic disorders - brief psychotic disorder, delusional disorder, schizophrenia, schizoaffective disorder, substance/medication-induced psychotic disorder, and psychotic disorder due to another medical condition. For each disorder, it outlines diagnostic criteria and treatment approaches including medications, therapy, and monitoring.
Core slides from my presentation about the new DSM diagnostic system. The full presentation has more zing but I removed some to streamline and to whet the appetite.
The National Mental Healthcare Act-2017 and its implication to current psychiatric care practice in India.
A webinar on the topic at Parul University, Vadodara, Gujrat India
This presentation is about geriatric Psychiatry awareness. it contains basic information about what is geriatric psychiatry, which are the main psychiatry disorder found in elderly and how to manage them?. it contains some detailed information about late life depression, delirium and dementia in geriatric population.
Psychiatric History and Mental State Examination (MSE)Adarsha Neupane
The document provides information about a psychiatry seminar presentation on the brain and behavior. It discusses several key points:
1) It defines the brain as a physical organ located in the body, while the mind refers to thoughts, perceptions, and consciousness. The brain and mind are related but distinct.
2) It outlines the major structures of the brain - the brainstem, limbic system, and cerebral cortex - and their functions in regulating basic body processes, emotions, memory, and higher cognitive functions respectively.
3) It notes that the brain is divided into left and right hemispheres that specialize in different types of thinking and cognitive abilities.
Loving relationships contribute greatly to happiness, and sexuality influences who we fall in love with and mate with. The document discusses three categories of sexual disorders - paraphilias, gender dysphoria, and sexual dysfunctions. Paraphilias involve recurrent sexual fantasies or behaviors involving nonconsenting persons or harm. Gender dysphoria involves discomfort with one's sex. Sexual dysfunctions involve impaired sexual desire, arousal, orgasm or pain. Causes may be biological or psychological and treatments involve counseling, medication or therapy.
This is seminar presented as part of academics in my department. Please comment on the content, so that i can improve myself. If the content is good, kindly like it.
"Treatment Concepts and Techniques in Sexual Therapy" by Clinical Sexologist Dr. Martha Tara Lee of Eros Coaching for "Symposium - Sex and the Spine: All You Ever Wanted to Know about Sex and the Spine but Were Afraid to Ask" by NSpine as part of SpineWeek, at Marina Bay Sands Expo & Convention Centre on Mon 16 May 2016.
Dr Martha Tara Lee is Founder and Clinical Sexologist of Eros Coaching since 2009. She is a certified sexologist with ACS (American College of Sexologists), as well as a certified sexuality educator with AASECT (American Association of Sexuality Educators, Counselors, and Therapists). Martha holds a Doctorate in Human Sexuality as well as Certificates in Sex Therapy, Practical Counselling and Life Coaching. She was recognised as one of ‘Top 50 Inspiring Women under 40′ by Her World Singapore in July 2010 and ‘Top 100 Inspiring Women by CozyCot Singapore in March 2011. Website: http://www.eroscoaching.com.
The document provides an overview of psychiatric classification systems. It discusses the definition and advantages of classification, as well as key terms and historical approaches including etiological, descriptive, categorical, and dimensional.
It then describes the development of major classification systems including the DSM and ICD. The DSM is the diagnostic manual published by the American Psychiatric Association while the ICD is published by the World Health Organization. The document outlines the various editions of the DSM from DSM-I to the current DSM-5. It also discusses other classification systems and tools used in psychiatry such as the Chinese Classification of Mental Disorders and the Research Domain Criteria.
Psychoeducation involves educating patients and families about mental health conditions to help them better understand and manage the illness. It has roots in movements from the early 20th century and has been shown to improve outcomes. Psychoeducation can be delivered individually, to families, or in groups. It covers topics like the nature of the illness, treatment, and how to prevent relapse. Various models exist including providing information, teaching skills, and being supportive. Psychoeducation has benefits for conditions like schizophrenia, depression, and eating disorders.
This document summarizes the symptoms, diagnostic criteria, prevalence, and treatment approaches for gender identity disorder according to the DSM-IV. It describes symptoms in children, adolescents, and adults which include a strong desire to be the opposite sex and discomfort with one's biological sex. Treatment involves psychotherapy, hormone therapy, and potentially sexual reassignment surgery, with the goal of helping individuals live comfortably in their identified gender.
Treatment resistant schizophrenia & Treatment resistant depressionEnoch R G
This document discusses treatment resistant schizophrenia and provides guidelines for its management. It defines treatment resistance and outlines criteria from Kane and others. Factors associated with poor outcomes are biological, symptomatic, environmental, illness-related and pharmacological. The neurobiology of treatment resistant schizophrenia involves dopamine, glutamate, genetics and neuroanatomy. Management guidelines are provided from NICE and involve trials of clozapine as the gold standard treatment. Clozapine details include pharmacology, dosage, side effects, monitoring and predictors of response. Studies demonstrate clozapine's superior efficacy over other antipsychotics for treatment resistant schizophrenia.
the paradigm shift, salient features of the mental health care act 2017, the amendmends of MHCA 2017, The core principles, the comparison with other legislations, the applicability, criticisms are included
This document provides information on conducting a mental status examination (MSE). It begins by defining the MSE and listing its main components: history taking and observation. Key aspects of history taking are identified, including demographic data, medical history, and psychosocial factors. The main sections of the MSE are then outlined: general description, emotional state, experiences, thinking, and sensorium/cognition. Signs to observe for each section are defined, such as appearance, speech, mood, thought process, and orientation. The document concludes by listing references for further information on psychiatric nursing and MSE components.
This document discusses gender identity disorders and gender dysphoria. It defines key terms and describes the prevalence, etiology, diagnosis, and treatment according to the ICD and DSM classification systems. Regarding diagnosis, it outlines the criteria for diagnosing gender dysphoria in children and adolescents/adults in the DSM-5. It also discusses differential diagnosis, biological and psychosocial factors, and treatment approaches including hormone therapy and sex reassignment surgery.
Community Mental Health Services in india At Nmhans Power Point Students.AIIMS
The document discusses the history and development of community mental health services in India. It notes that early reports from 1947 and 1964 highlighted a significant shortage of mental health resources and facilities in the country. Several key initiatives helped integrate mental health into primary care starting in the 1970s. These included the National Mental Health Program in 1982 and expanding services to additional districts in the 1990s. The document also outlines the community psychiatry services developed at NIMHANS, including rural clinics and home care services. It discusses the teaching, training, research and roles provided in community mental health.
This document discusses sexual and gender identity disorders as defined in the DSM-IV-TR, including sexual dysfunctions, gender identity disorder, sexual orientation, and paraphilias. It outlines the sexual response cycle and categories of sexual dysfunction, including desire, arousal, orgasmic, and pain disorders. Predictors of sexual functioning include biological, psychosocial, and relationship factors. Treatment approaches are also reviewed.
This document summarizes key aspects of the Mental Health Care Act of 2017 in India. It repealed the previous Mental Health Act of 1987. Some key points:
- It defines mental illness and excludes conditions like intellectual disabilities.
- It outlines the process for determining mental illness and ensures it is not based on social or cultural factors.
- It recognizes post-graduate Ayush practitioners as mental health professionals.
- It establishes rights for mentally ill people like community living, protections from abuse, access to information about treatment, and legal aid.
- It tasks appropriate government authorities to promote mental health programs, create awareness to reduce stigma, and establish central and state mental health authorities.
- It
Schizophrenia Spectrum & Other Psychotic Disorders for NCMHCE StudyJohn R. Williams
The document provides an overview of schizophrenia spectrum and other psychotic disorders according to the DSM-5. It discusses key features of psychotic disorders including delusions, hallucinations, and disorganized thinking. It then summarizes several psychotic disorders - brief psychotic disorder, delusional disorder, schizophrenia, schizoaffective disorder, substance/medication-induced psychotic disorder, and psychotic disorder due to another medical condition. For each disorder, it outlines diagnostic criteria and treatment approaches including medications, therapy, and monitoring.
Core slides from my presentation about the new DSM diagnostic system. The full presentation has more zing but I removed some to streamline and to whet the appetite.
The National Mental Healthcare Act-2017 and its implication to current psychiatric care practice in India.
A webinar on the topic at Parul University, Vadodara, Gujrat India
This presentation is about geriatric Psychiatry awareness. it contains basic information about what is geriatric psychiatry, which are the main psychiatry disorder found in elderly and how to manage them?. it contains some detailed information about late life depression, delirium and dementia in geriatric population.
Psychiatric History and Mental State Examination (MSE)Adarsha Neupane
The document provides information about a psychiatry seminar presentation on the brain and behavior. It discusses several key points:
1) It defines the brain as a physical organ located in the body, while the mind refers to thoughts, perceptions, and consciousness. The brain and mind are related but distinct.
2) It outlines the major structures of the brain - the brainstem, limbic system, and cerebral cortex - and their functions in regulating basic body processes, emotions, memory, and higher cognitive functions respectively.
3) It notes that the brain is divided into left and right hemispheres that specialize in different types of thinking and cognitive abilities.
Loving relationships contribute greatly to happiness, and sexuality influences who we fall in love with and mate with. The document discusses three categories of sexual disorders - paraphilias, gender dysphoria, and sexual dysfunctions. Paraphilias involve recurrent sexual fantasies or behaviors involving nonconsenting persons or harm. Gender dysphoria involves discomfort with one's sex. Sexual dysfunctions involve impaired sexual desire, arousal, orgasm or pain. Causes may be biological or psychological and treatments involve counseling, medication or therapy.
This is seminar presented as part of academics in my department. Please comment on the content, so that i can improve myself. If the content is good, kindly like it.
"Treatment Concepts and Techniques in Sexual Therapy" by Clinical Sexologist Dr. Martha Tara Lee of Eros Coaching for "Symposium - Sex and the Spine: All You Ever Wanted to Know about Sex and the Spine but Were Afraid to Ask" by NSpine as part of SpineWeek, at Marina Bay Sands Expo & Convention Centre on Mon 16 May 2016.
Dr Martha Tara Lee is Founder and Clinical Sexologist of Eros Coaching since 2009. She is a certified sexologist with ACS (American College of Sexologists), as well as a certified sexuality educator with AASECT (American Association of Sexuality Educators, Counselors, and Therapists). Martha holds a Doctorate in Human Sexuality as well as Certificates in Sex Therapy, Practical Counselling and Life Coaching. She was recognised as one of ‘Top 50 Inspiring Women under 40′ by Her World Singapore in July 2010 and ‘Top 100 Inspiring Women by CozyCot Singapore in March 2011. Website: http://www.eroscoaching.com.
The document provides an overview of psychiatric classification systems. It discusses the definition and advantages of classification, as well as key terms and historical approaches including etiological, descriptive, categorical, and dimensional.
It then describes the development of major classification systems including the DSM and ICD. The DSM is the diagnostic manual published by the American Psychiatric Association while the ICD is published by the World Health Organization. The document outlines the various editions of the DSM from DSM-I to the current DSM-5. It also discusses other classification systems and tools used in psychiatry such as the Chinese Classification of Mental Disorders and the Research Domain Criteria.
Psychoeducation involves educating patients and families about mental health conditions to help them better understand and manage the illness. It has roots in movements from the early 20th century and has been shown to improve outcomes. Psychoeducation can be delivered individually, to families, or in groups. It covers topics like the nature of the illness, treatment, and how to prevent relapse. Various models exist including providing information, teaching skills, and being supportive. Psychoeducation has benefits for conditions like schizophrenia, depression, and eating disorders.
This document summarizes the symptoms, diagnostic criteria, prevalence, and treatment approaches for gender identity disorder according to the DSM-IV. It describes symptoms in children, adolescents, and adults which include a strong desire to be the opposite sex and discomfort with one's biological sex. Treatment involves psychotherapy, hormone therapy, and potentially sexual reassignment surgery, with the goal of helping individuals live comfortably in their identified gender.
Treatment resistant schizophrenia & Treatment resistant depressionEnoch R G
This document discusses treatment resistant schizophrenia and provides guidelines for its management. It defines treatment resistance and outlines criteria from Kane and others. Factors associated with poor outcomes are biological, symptomatic, environmental, illness-related and pharmacological. The neurobiology of treatment resistant schizophrenia involves dopamine, glutamate, genetics and neuroanatomy. Management guidelines are provided from NICE and involve trials of clozapine as the gold standard treatment. Clozapine details include pharmacology, dosage, side effects, monitoring and predictors of response. Studies demonstrate clozapine's superior efficacy over other antipsychotics for treatment resistant schizophrenia.
the paradigm shift, salient features of the mental health care act 2017, the amendmends of MHCA 2017, The core principles, the comparison with other legislations, the applicability, criticisms are included
The Receiving Center is a short-term outpatient crisis center staffed by mental health professionals to help resolve immediate psychiatric crises through assessment, crisis management, and discharge planning. It is not intended for long-term stays or inpatient admission, but rather aims to divert individuals from the emergency room and connect them to outpatient support. Guests may stay up to 23 hours in a recovery-focused living room environment before being discharged with community referrals.
Emergency medicine, psychiatry and the lawSCGH ED CME
The document discusses laws related to emergency psychiatry and involuntary treatment orders. It covers the criteria needed for a referral, including that a medical practitioner or authorized mental health practitioner must reasonably suspect the person needs involuntary treatment or their community treatment order needs changing. It explains the forms and process used for referrals, including providing rights to family members and allowing referrals to be extended or revoked.
The document summarizes the Mental Health Care Act of 2017 in India. Some key points:
- The Act was passed in 2017 to provide legal framework for mental healthcare and protect rights of those with mental illness.
- It outlines provisions for advance directives, nominated representatives, rights of those with mental illness, and establishment of central and state mental health authorities.
- The Act has 16 chapters covering definitions of key terms, determination of mental illness, consent procedures, admission/discharge processes, and offenses/penalties. It aims to improve community integration and access to high quality care for those suffering from mental illness.
The Mental Healthcare Act 2017 aims to decriminalize suicide, empower persons with mental illness, and fulfill India's obligations under the UN Convention on Rights of Persons with Disabilities. It recognizes the autonomy of people with mental illness and aims to protect their rights. Key aspects include advancing community-based mental healthcare, restricting the use of ECT, outlining the roles of various authorities and oversight boards, and regulating admission, treatment and discharge processes to safeguard patient rights and dignity. The Act replaces the Mental Health Act of 1987 and contains expanded provisions to promote inclusion, non-discrimination, and delivery of equitable mental health services across India.
Guidance for commissioners of acute care – inpatient and crisis home treatmentJCP MH
This guide is about commissioning services for people with acute mental health needs. It explains the purpose, characteristics and components of acute care so that commissioners can commission good quality services that are therapeutic, safe and support recovery.
This document summarizes the history and key aspects of mental health care legislation in India. It discusses the Indian Lunacy Act of 1912, which was replaced by the Mental Health Act of 1987. However, both acts were criticized for their custodial and rights-violating nature. The Mental Health Care Act of 2017 was passed to address these issues and protect the human rights of those with mental illness based on recommendations from the Indian Psychiatric Society and India's ratification of the UN Convention on the Rights of Persons with Disabilities. The 2017 act includes provisions on advance directives, nominated representatives, rights of those with mental illness, registration of mental health establishments, and mental health review boards.
This document provides an overview of the intersection between psychiatry and law. It discusses how law and psychiatry both aim to regulate human behavior but through different approaches - law punishes based on concepts of right and wrong, while psychiatry treats aberrant behavior as potential symptoms of illness. The document then examines key areas where psychiatry interfaces with civil law regarding issues like contracts, marriage, and testimony in court. It also explores the role of psychiatry in criminal law in assessing criminal responsibility, competency to stand trial, and other forensic issues. Finally, it outlines the various laws and acts in India governing mental health certification, disability assessment, and the psychiatrist's role as an expert witness in legal proceedings.
The Mental Health Act was enacted in 1987 to replace the outdated Indian Lunacy Act of 1912 and consolidate laws around the treatment of mentally ill persons. It aims to regulate admission to psychiatric facilities, protect patients' rights and society, and establish authorities to oversee mental health services. Key aspects include procedures for voluntary admission, admission under temporary treatment orders or reception orders, and discharge. It also covers management of patient property, liability for maintenance costs, and protections for human rights and participation in research. Overall, the Act aims to reduce stigma, incorporate modern scientific knowledge, and safeguard the rights and welfare of mentally ill individuals under treatment.
This document discusses issues related to providing interpreting services for detained immigrants in removal proceedings. It begins with an overview of the agencies involved in detention and removal proceedings, as well as common health issues faced by detained immigrants. It then discusses the conditions in detention centers, including issues related to medical care and recent litigation around treatment and conditions. The document provides guidance on logistics and technical aspects of interpreting in detention centers and clinical domains interpreters should prepare for, including medical terminology, mental health evaluations, and trauma-informed practice. Overall, it emphasizes the importance of protocols, confidentiality, and understanding the complex legal and health issues faced by detained immigrants.
This presentation is on Mental Health Act, Indian Lunacy Act and Rights of Patient. Mental Health Nursing one of core subject of B.Sc. Nursing Third Year.
BIBILIOGRAPHY
R SREEVANI “A Guide to Mental Health &
Psychiatric Nursing” 3rd Edition
Jaypee Medical Publisher Pp: 345 to 350
Shelia L Vedibeck “Psychiatric Mental Health
Nursing” 5th Edition Lippincott & Williams.
Mary C Townsend “Essential of Psychiatric health
nursing” 7th Edition F A Devis 2013.
ANTONY JAMES T (2000): “A decade with the
mental health act, Indian Journal
of Psychiatry, 42(4)
Kothari, Jaya “Moving towards autonomy &
equity an analysis of mental health care
bill 2013”
The document discusses progressive patient care and the importance of counseling in hospitals. It explains that progressive patient care aims to provide better treatment by organizing hospital services around individual patients' needs. Hospitals divide inpatient areas into sections based on care intensity - intensive care for critically ill patients, intermediate care, self-care, and long-term care. Counseling helps patients cope with illness and promotes quality of life. Ensuring proper grief counseling involves fostering trusting relationships and addressing feelings like guilt. The document also briefly discusses hospital accreditation and NABH, noting that accreditation demonstrates commitment to quality and safety standards.
The Mental Health Act of 1987 in India consolidated and amended laws relating to the treatment of mentally ill persons. Some key points:
- It established central and state mental health authorities to regulate psychiatric hospitals and services.
- Hospitals require licenses from these authorities. Admission can be voluntary, under special circumstances, or by court order.
- The Act protects patients' rights and outlines procedures for admission, discharge, leaves of absence, and moving patients.
- It addresses maintenance of patients, management of property, and penalties for non-compliance with the Act's guidelines.
This document provides an overview of the Mental Health Act of 1987 in India. Some key points:
- The Act was passed in 1987 and came into effect in 1993, replacing previous legislation from 1912 and 1858.
- It established central and state mental health authorities to regulate and oversee psychiatric facilities and services.
- The Act covers procedures for licensing psychiatric hospitals and nursing homes, voluntary and involuntary admission of patients, reception orders for long-term detention, rights of detained individuals, and legal oversight of facilities.
- Its goals were to improve standards of care for the mentally ill, protect their rights and safety, and modernize outdated terminology from previous laws. It aims to balance treatment and protection of both patients
The document summarizes key aspects of the Mental Health Act of 1987 in India. It outlines the history and objectives of the act, including replacing outdated terminology. It describes the establishment of central and state mental health authorities. It also explains provisions around licensing of psychiatric facilities, admission and detention procedures, discharge processes, leave of absence, and the inspection of facilities. The document breaks down the various chapters of the act and the procedures established around admitting and treating mentally ill individuals.
This document provides an overview of community mental health programs in India. It discusses the aims of community mental health programs, which include promoting mental health, early diagnosis and treatment of mental illnesses, and rehabilitation. It outlines the roles of community mental health nurses in providing primary, secondary, and tertiary prevention. This includes activities like mental health education, screening, crisis intervention, and helping patients regain functioning. The document also discusses the factors that led to the development of community-based mental healthcare in India to make services more accessible and reduce costs.
The document discusses mental health challenges and initiatives in India. It outlines 7 key challenges: 1) large unmet need for care, 2) lack of understanding that psychological issues require treatment, 3) limited acceptance of modern care, 4) insufficient mental health services and professionals, 5) underutilization of existing services, 6) difficulties with recovery and reintegration, 7) lack of organized systems. It then details various national initiatives over decades to address these, including developing community-based care and integrating mental health into general health services.
The document discusses human rights and mental health. It summarizes a report on a fire at a mental health facility in India that killed 27 people. This incident highlighted issues with the treatment of the mentally ill and lack of basic human rights. The document then discusses the evolution of declarations and laws related to human rights and mental health internationally and in India. It analyzes the state of mental healthcare in India, including lack of facilities, professionals, and funding. The National Human Rights Commission was tasked with investigating conditions and made recommendations to better protect the rights of the mentally ill and improve care. While challenges remain, efforts are underway in India to reform laws and increase resources to provide proper treatment and rehabilitation for those suffering
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There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
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Mercurius is named after the roman god mercurius, the god of trade and science. The planet mercurius is named after the same god. Mercurius is sometimes called hydrargyrum, means ‘watery silver’. Its shine and colour are very similar to silver, but mercury is a fluid at room temperatures. The name quick silver is a translation of hydrargyrum, where the word quick describes its tendency to scatter away in all directions.
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3. PREAMBLE
An Act
• To provide mental health care and services for
persons with mental illness
• To protect, promote and fulfil the rights of such
persons during delivery of mental health care services
• And for matters connected therewith or incidental
thereto
4. OVERVIEW
• MHCA emphasis on care and treatment rather than on
custodial care.
• It provided detailed procedures for hospital admission
• Human rights, guardianship and the management of
the property of people with a mental illness.
5. MENTAL HEALTHCARE ACT 2017
• ❑ 16 Chapters, Contains 126 clauses
• ❑ Chapters include
• Definitions,
• Advance Directives,
• Nominated Representatives,
• Rights of Patients ,
• Mental health authorities
(Central/State),
• Duties of appropriate governments,
• Mental Health Review Boards,
• Mental Health Establishment,
• Admission, Treatment & Discharge
• Penalties etc
7. WHO IS THE PERSON WITH MENTAL
ILLNESS AS PER MHCA ?
■ Person with Mental illness
• ❑ Substantial disorder of thinking, mood, perception,
orientation or memory that grossly impairs judgment,
behavior, capacity to recognize reality or ability to
meet the ordinary demands of life
• ❑ Includes Substance use disorders,
• ❑ Excludes Mental Retardation
8. OBLIGATIONS
•To register as Mental Health Professional under SMHA
•Intimation to the concerned MHRB within 72 hrs for
women and children admission
•Intimation to the concerned MHRB within 7 days for
adult male
•Ensuring and adhere to Rights of persons with mental
illness in MHE
•Ensuring MINIMUM STANDARDS at MHE
•Informing Board about Restraint practice
9. HOW THIS MHCA GOING TO
IMPLEMENTED IN INDIA ? • It is through Implementation
Authorities
• ❑ Central mental health
authority (Ch-7, Sec 33-44)
• ❑ State mental health authority
(Ch-8, Sec 45-56)
• ❑ Mental Health Board
(District) (Ch-11, Sec 73-84)
10. CENTRAL MENTAL HEALTH AUTHORITY
• (a) Secretary or Additional Secretary, MoHFW, GoI
• (b) Joint Secretary, MoHFW, GoI
• (c) Joint Secretary, Ayush, GOI.
• (d) Director General of Health Services
• (e) Joint Secretary, Department of Disability Affairs of the Ministry of Social Justice and Empowerment
• (f) Joint Secretary, Ministry of Women and Child Development
• (g) Directors of the Central Institutions for Mental Health
• (h) Central Government Ministries or Departments
• (i) One psychiatrist
• (j) One psychiatric social worker
• (k) One clinical psychologist
• (l) One mental health nurse
• (m) Two persons representing persons who have or have had mental illness
• (n) Two persons representing care-givers or organisations representing care-givers,
• (o) Two persons representing non-governmental organisations two persons representing areas relevant to mental health
11. CENTRAL MENTAL HEALTH AUTHORITY
(a) Register, supervise and maintain a register of all mental
health establishments
(b) Develop quality and service provision norms for such
establishments
(c) Maintain a register of mental health professionals
(d) Train law enforcement officials and mental health
professionals on the provisions of the Act
(e) Receive complaints about deficiencies in provision of
services, and
(f) Advise the government on matters relating to mental
12. STATE MENTAL HEALTH AUTHORITY
• (a) Secretary or Principal Secretary in the Department of Health of State Government
• (b) Joint Secretary in the Department of Health of the State Government, in charge of
• mental health
• (c) Director of Health Services or Medical Education
• (d) Joint Secretary in the Department of Social Welfare of the State Government
• (e) Head of any of the Mental Hospitals in the State or Head of Department of
Psychiatry at any Government Medical College
• (f) One psychiatrist from the State not in Government service
13. STATE MENTAL HEALTH AUTHORITY
• (g) One mental health professional
• (h) One psychiatric social worker
• (i) One clinical psychologist
• (j) One mental health nurse
• (k) Two persons representing persons
• (l) Two persons representing care-givers of persons
• (m) Two persons representing non-governmental
organisations
14. FUNCTION OF SMHA
• (a) Register, supervise and maintain a register of all mental health
establishments.
• (b) Develop quality and service provision norms for such
establishments,
• (c) Maintain a register of mental health professionals,
• (d) Train law enforcement officials and mental health professionals on
the provisions of the Act,
• (e) Receive complaints about deficiencies in provision of services, and
• (f) Advise the government on matters relating to mental health.
15. MENTAL HEALTH REVIEW BOARD
• The board consists of
❑ Judge (Chair-person)
❑ Representative of the District
Collector
❑ Two members
One Psychiatrist
One Medical Practitioner
❑ Two more members from
among
Patients
Relatives
Caregivers
NGOs
16. MENTAL HEALTH REVIEW BOARD
• Powers/Functions
❑ Register, review, alter, modify or cancel an advance
directive
❑ To appoint nominated representative
❑ To receive and decide application against the decision of
the MO/MHP
❑ To receive and decide: Non-disclosure of information
❑ To adjudicate complaints regarding deficiencies in care
and services
❑ Visit to MHE
17. MENTAL HEALTH REVIEW BOARD
• ❑ Equal representation for patients, caregivers and
NGO like that of Mental Health Professionals and
Government Agencies in MHRB, SMHA & CMHA.
• ❑ It ensure multi stakeholder perspective in different
of MHRB, SMHA, CMHA
19. MENTAL HEALTH ESTABLISHMENT
• 2 (1) (p) “mental health establishment” means any health establishment, including
Ayurveda, Yoga and Naturopathy, Unani, Siddha and Homoeopathy establishment, by
whatever name called, either wholly or partly, meant for the care of persons with
mental illness, established, owned, controlled or maintained by the appropriate
Government, local authority, trust, whether private or public, corporation, co-
operative society, organisation or any other entity or person, where persons with
mental illness are admitted and reside at, or kept in, for care, treatment,
convalescence and rehabilitation, either temporarily or otherwise; and includes any
general hospital or general nursing home established or maintained by the
appropriate Government, local authority, trust, whether private or public, corporation,
co-operative society, organisation or any other entity or person; but does not
include a family residential place where a person with mental illness resides
with his relatives or friends
20. MENTAL HEALTH ESTABLISHMENT
• The definition of ‘Mental health establishment’ (MHE)
is mainly for registration only.
• Hospital provide inpatients care to person with
mental illness need to be registered as ‘Mental
health establishment’ (MHE) under SMHA.
• OPD basis treatment and day care services are
exempted from registration under SMHA.
• OPD is not considered as the MHE.
21. MINIMUM STANDARDS FOR MHE
• Premises to be well maintained
• Comfortable living conditions
• Hygiene, cleanliness and sanitation
• Wholesome, sumptuous and nutritive food and potable
drinking water
• Cultural, leisure and recreational activities
• Adequate human resources
• Adequate floor spaces
• Maintenance of privacy, safety, dignity and security
22. ADMISSION & DISCHARGE PROCEDURE
UNDER MHCA 2017
• Articulation is clear and almost similar to MHA 1987
• Clinician look into Capacity, Advance Directive and NR
related issue...
• Only reporting to board is added
23.
24. SUPPORTED ADMISSION
■ Justifications
• Recent threatening/attempt of self-harm Violence
towards others
• Inability to care for himself to a degree that places the
individual at risk of himself
■ Information to the Board
Within 3 days in case of women or minors
25. EMERGENCY TREATMENT (SEC 94)
• Any medical treatment may be provided subject to
• ❑ Informed consent of the nominated representative,
• ❑ If it is immediately necessary to prevent –
• Danger to self or
• Danger to others or
• Person causing serious damage to property belonging to self
or to others
• The treatment referred shall be limited to 72 hours only.
26. PROHIBITIONS AND RESTRICTIONS
• a) Psychosurgery, only after consent & Board clearance
• b) Restraint
• a) If it is the only way to prevent imminent and immediate harm to self or others
• b) Authorized by the psychiatrist in-charge
• c) As less a time as is permissible
• c) Unmodified electro-convulsive therapy - totally prohibited
• d) Sterilization- Totally prohibited
• e) Chaining/seclusion/solitary confinement - prohibited
• f) ECT is prohibited in minors (except with prior clearance from the board)
27. DE-CRIMINALIZING SUICIDE
• Section 115 of the act provides for decriminalizing
suicidal attempts (Sec 309 IPC).
• A person who attempts suicide shall be presumed to
be suffering from mental illness (stress) at that time
and will not be punished under the Indian Penal Code
28. LEAVE OF ABSENCE (SEC 91)
• The medical officer or psychiatrist in charge of the
hospital may grant leave to an inpatient to be absent
from the establishment subject to such conditions, if
any, and for such duration as such medical officer or
psychiatrist may consider necessary
• Consent from nominated representative In writing
29. RIGHTS OF PERSONS WITH MENTAL
ILLNESS
• Right to access mental health care
❑ All type of services (IP/OP/Rehabilitation)
❑ Affordable cost, quality & quantity
❑ Compensatory
❑ Free treatment for BPL/Destitute
❑ Long term care also included
30. RIGHT TO PROTECTION FROM CRUEL,
INHUMAN AND DEGRADING TREATMENT
(a) Safe and hygienic environment
(b) Adequate sanitary conditions
(c) Leisure, recreation, education and religious practices;
(d) Privacy, Clothing
(e) Not to be forced to undertake work in a mental health
establishment and to receive appropriate remuneration for
work when undertaken
(f) Adequate provision for preparing for living in the
community
31. RIGHT TO PROTECTION FROM CRUEL,
INHUMAN AND DEGRADING TREATMENT
(g) Wholesome food, articles of personal hygiene, in
particular, women’s personal hygiene
(h) No compulsory tonsuring (shaving of head hair)
(j) To wear own personal clothes; if so wished and to
not be forced to wear uniforms provided by the
establishment; and
(h) To be protected from all forms of physical, verbal,
emotional and sexual abuse.
32. RIGHT TO EQUALITY AND
NONDISCRIMINATION
• Equality to persons with physical illness in the
provision of all health care
• Obligation of the State to provide emergency facilities
and emergency services for mental illness such as
ambulance, adequate and appropriate living
conditions similar to physical illness.
• Insurance for those with mental illness
❑ Insurers make provisions for medical insurance for
treatment of mental illness on the same basis as is
available for treatment of physical illness .
33. RIGHT TO INFORMATION
• As per the Act, person with mental illness and his
nominated representative shall have the rights to the
following information
a) Reason for admission,
b) To ask for a review of admission procedure: to the
board,
c) Treatment procedure
d) Language
34. RIGHT TO CONFIDENTIALITY
• Duty to keep information confidential, Exceptions
a) Nominated representative
b) Other mental health professionals and other health
professionals to enable them to provide care and
treatment
c) Dangerous to self or others
d) Medical emergencies
e) In the interest of public safety and security
f) Judicial proceedings
35. RIGHTS OF PWMI
•Right to Community Living
•Right to Legal Aid
•Right to access medical records
❑ OP / IP Basic Medical Records
•Right to restriction on release of information in respect
of mental illness
•Right to personal contacts and communication
•Right to make complaints about deficiencies in
provision of services
36. WHO IS CARE-GIVER / FAMILY /
RELATIVE ?
• Care-giver - Means a person who resides with a
person with mental illness and is responsible for
providing care to that person and includes a relative
or any other person who performs this function,
either free or with remuneration
• Family - Means a group of persons related by blood,
adoption or marriage
• Relative - Means any person related to the person
with mental illness by blood, marriage or adoption;
37. RESPONSIBILITIES OF OTHER AGENCIES
• Police officer –
❑ Wandering HMI
❑ Absconding patients
❑ Ill treated / neglected
• Section 111 - order by magistrate, only for 10 days –
for assessment and treatment.
• After 10 days submit report – discharge or admit him
as per the provisions of the act
38. ADVANCE DIRECTIVE
• Every person, who is not a minor
❑ The way the person wishes to be treated for
❑ The way NOT to be treated for
❑ The individuals he/she wants to appoint as his
nominated representative
❑ Comes into play only during ‘LOSS OF CAPACITY’
❑ Not applicable in cases of ‘Emergency Treatment’
❑ MHPs/Relative/Caregiver can approach the board
40. NOMINATED REPRESENTATIVE
• Individual appointed under AD
❑ Relative / Family
• By marriage
• By blood
• By adoption
❑ Care-giver
❑ Suitable person appointed by the board
❑ State (Social Welfare department)
41. NOMINATED REPRESENTATIVE
• To provide support to the person with mental illness
in making treatment decisions under section 89 or
section 90
• Has the right to seek information on diagnosis and
treatment
• Discharge planning
• Apply to the board on behalf of PWMI
• Right to give consent for research
42. RANGE OF SERVICE ADVOCATED AT
DISTRICT LEVEL UNDER MHCA 17
• (a) Acute mental healthcare services
• (b) Outpatient and inpatient services
• (c) Half-way homes, sheltered accommodation, supported
accommodation
• (d) mental health services to support family of person with
mental illness or home based rehabilitation
• (e) Hospital and community based rehabilitation
establishments and services
• (f) Child mental health services and old age mental health
services.
43. CHAPTER XV TITLED OFFENCES AND
PENALTIES
• Penalties for hospitals:
❑ 5000 to 50000 for first time,
❑ 50000 to 2 lakhs second time and
❑ 2-5 lakhs for 3rd time
• Breaking any other rules:
❑ 6 months to 2 years imprisonment with or without
fine
44. PROS OF NEW LEGISLATION
• This act is a long anticipated act based on United Nations Convention on
Rights of Persons with Disability(UNCRPD).
• MHCA legislation is concordant with higher proportion of WHO’s human right
standard.
1. Increased focus on human rights
2. Increased patient autonomy.
3. Decriminalization of suicide
4. Regulation and licensing of general hospital
5. Review boards consists of representation from allied sciences and
representation of parent party might be helpful in complete view/perspect in
taking decision.
45. CONS OF NEW LEGISLATION
• After passing of the act, there has been large debate regarding whether the
inspection of these facility would discourage opening of General Hospital
Psychiatric Units.
• Especially , private practitioners added onus of responsibilities on them.
• Burden of providing health care on shoulder of government.
• Possibility of underrepresentation of psychiatrists as place made for allied
sciences.
• Banning unmodified ECTs in resource poor setting, which might be lifesaving
option.
• Issues regarding the resources
• Autonomy might limit ability to treat patients.