Open Access Open Access  Restricted Access Subscription or Fee Access

Mental Healthcare Act 2017: An Overview with Issues

Dinesh Sharma

Abstract


There is no health without mental health. National Mental Health Survey cited a commonness of 13.7% lifetime and 10.6% current mental bleakness. To address this mammoth issue, an optimistic law was sanctioned titled "Mental Healthcare Act, 2017" (MHCA 2017). The demonstration is dynamic and rights situated in nature. The entire committed Chapter 5 on “Rights of Persons with Mental Illness” is the substance of this enactment. Be that as it may, the demonstration predominantly centres on the privileges of the people with mental illness (PMI), just during treatment in medical clinic; however, it isn't similarly earnest about congruity of treatment in the network. The demonstration neglects to recognize and encourage the job and commitment of relatives in giving consideration to PMI. In spite of the fact that there are numerous positive angles to the MHCA 2017, it might affect antagonistically on the psychological wellness care in India. India has a huge weight of psychological instability. Regardless of the acknowledgment of this populace of individuals living with psychological sickness, the treatment hole keeps on being about 83%. So as to meet this tremendous neglected need and in the perspective on adjusting the emotional wellness enactment to the worldwide measures and the UN Convention on the Rights of Persons with Disabilities, the MHCA 2017 was passed and upheld as of late. Presently, after the requirement of the demonstration, all psychological wellness experts (MHPs) have a legitimate authoritative to observe the arrangements in the law. The MHPs are accountable to the statutory bodies—the Central Mental Health Authority, State Mental Health Authority, Mental Health Review Board, lastly, the High Court or the Supreme Court. The MHCA and significant articles/records acquired relating to MHCA and their assessment were audited, the significant spotlight being on the job of legal/administrative bodies. We concluded that the MHCA will have both positive and negative aspects. However, it becomes precautionary for the MHPs to be well equipped with the MHCA and be acquainted with the requirements of the statutory bodies for ensuring a safe practice. The outcome of the implementation of the act will become evident only with time.


Full Text:

PDF

References


Institute of Health Metrics and Evaluation. (2020). GBD compare data visualization. [Online]. Available from: http://www.health

data.org/gbd/data-visualizations.

Chokshi M, Patil B, et al. Health systems in India. J Perinatol. 2016; 36(3): 9–12p.

Kyu HH, et al. Global, regional, and national disability-adjusted life-years (DALYs) for 359 diseases and injuries and healthy life expectancy (HALE) for 195 countries and territories, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet. 2018; 392(10159): 1859–1922p.

World Health Organization. (2013). Mental Health Action Plan 2013–2020. [Online]. Available from: https://www.who.int/mental_health/publications/action_plan/en/.

Gururaj G, Varghese M, et al. National Mental Health Survey of India, 2015–2016: Prevalence, Patterns and Outcomes. Bengaluru: National Institute of Mental Health and NeuroSciences; 2016.

Charlson FJ, Baxter AJ, et al. The burden of mental, neurological, and substance use disorders in China and India: a systematic analysis of community representative epidemiological studies. Lancet. 2016; 388(10042): 376–389p.

Duffy RM, Kelly BD. Concordance of the Indian Mental Healthcare Act 2017 with the world health organization’s checklist on mental health legislation. Int J Ment Health Syst.2017; 11: 48p.

The Indian Express. (2017). What is mental healthcare bill? [Online]. Available from: https://indianexpress.

com/article/what-is/mental-healthcare

-bill-passed-parliament-lok-sabha-45

/#:~:text=The%20Parliament%20on%20Monday%20passed,for%20people%20with%20mental%20illness.

van Ginneken N, Jain S, et al. The development of mental health services within primary care in India: Learning from oral history. Int J Ment Health Syst. 2014; 8: 30p.

Murthy RS. Mental health initiatives in India (1947–2010). Natl Med J India. 2011; 24(2): 98–107p.

Isaac M, Kulhara P. National Mental Health Programme: Time for Reappraisal. New Delhi: Indian Psychiatric Society; 2011.

van Ginneken N, Tharya P, et al. Non-specialist health worker interventions for the care of mental, neurological and substance-abuse disorders in low- and middle-income countries. Cochrane Database Syst Rev. 2013; 11(11).

Mishra A, Galhotra A. Mental Healthcare Act 2017: need to wait and watch. Int J Appl Basic Med Res. 2018;8(2):67-70. doi:10.4103/ijabmr.IJABMR_328_17

Hindustan Times. (2017). Mental healthcare bill decriminalizes suicide attempt passed by Parliament. [Online]. Available from: https://www.hindustantimes.com/india-news/mental-healthcare-bill-that-decriminalises-suicide-attempt-passed-by-parliament/story-iL3DXiatxP7BFhS2t4zGCM.html.

Ministry of Law and Justice. The Mental Healthcare Act 2017. [Online]. Available from: http://

www.egazette.nic.in/WriteReadData/2017/175248.pdf.

Zelle H, Kemp K, et al. Advance directives in mental health care: evidence, challenges and promise. World Psychiatry. 2015; 14(3):

–280p.

India Environment Portal knowledge for change. Draft rules and regulations under Mental Healthcare Act, 2017. [Online]. Available from: http://www.indiaenvironmentportal.org.in/content/447691/draft-rules-and-regulations-under-mental-healthcare-act-2017/.

Drew N, Funk M, et al. Human rights violations of people with mental and psychosocial disabilities: an unresolved global crisis. Lancet. 2011; 378(9803): 1664–1675p.

Neredumilli PK, Padma V, et al. Mental Healthcare Act 2017: review and upcoming issues. Arch Ment Health. 2018; 19(1): 9–14p.


Refbacks

  • There are currently no refbacks.