Duration of Illness at the Time of Disability Certification for Mental Illness and Neurological Disorders

Jadhav, Prabhu; Sivakumar, Thanapal; Gupta, Anupam

doi:10.1177/0253717620953370

Cited by 4 publications

(4 citation statements)

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“…[ 9 ] Early certification of disability in these conditions may be due to increased awareness and a limited scope of achieving remission. [ 12 ] As per the Government of India office memorandum dated 08/05/2020 (File no 38-01/2020-DD-III), persons diagnosed with SLD on NIMHANS SLD battery shall be considered persons with benchmark disability, i.e., ≥40% disability. Hence, all persons with SLD have been shown as having 40% disability across centres.…”

Section: Discussionmentioning

confidence: 99%

“…However, many disorders, including obsessive-compulsive disorder, are under-represented in DC issued across centres. Unlike developed countries like the United Kingdom, where common MIs account for 70% of those with welfare benefits,[ 12 ] common MIs like depression and anxiety disorders account for only a tiny subset of DC across centres (except Kashmir). A similar observation is made by previous studies also.…”

Section: Discussionmentioning

confidence: 99%

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Sociodemographic and clinical profile of patients receiving disability certificates for psychiatric disorders

Sivakumar

Jadhav

Nabi

et al. 2022

Indian Journal of Psychiatry

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Aim: To study the sociodemographic and clinical profile of subjects receiving disability certificates (DCs) issued for psychiatric disorders across multiple centres in India. Materials and Methods: Eleven centres, including ten government and one non-governmental organization spread across the country, participated in the study. Data on the sociodemographic and clinical profiles of patients who were issued DC in the calendar year 2019 were collected on a proforma designed for the study. Results: Overall, 2018 patients were issued DC for various psychiatric disorders across 11 centres in 2019. The number of certificates issued across different centres varied from 34 to 622. In terms of diagnostic profile, intellectual disability accounted for most of the certificates issued. In terms of psychiatric diagnosis, schizophrenia was the most common psychiatric diagnosis, followed by bipolar disorder, for which a DC was issued. When the diagnosis was considered, centre wise, intellectual disability (6 centres), mental illness (MI; 4 centres), and autism and specific learning disability (1 centre) accounted for the most DCs issued. Schizophrenia (9 centres), bipolar affective disorder (1 centre), and dementia (1 centre) were the most common MI for which DC was issued. Across centres, more than two-thirds of DC were issued to males. Conclusion: There is a wide variation in the number and clinical profile of DC issued across centres.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Sociodemographic and clinical profile of patients receiving disability certificates for psychiatric disorders

Sivakumar

Jadhav

Nabi

et al. 2022

Indian Journal of Psychiatry

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“…[ 6 ] Such data on disability certificates from Indian centers have been reported in only few prior studies. [ 7 8 9 10 11 ]…”

Section: Introductionmentioning

confidence: 99%

Audit of requests for disability certification of adults received at a tertiary care general hospital psychiatry unit

Sen

Pattanayak

Nair

et al. 2021

Indian Journal of Psychiatry

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Background: Persons with disability (PwD) are entitled to certain benefits from the State on grounds of being disabled. With the recent enactment of the Rights of PwD Act, 2016, and increased efforts to provide assistance to persons with certifiable disabilities, data pertaining to disability requests can be useful to understand the way in which services are utilized. Materials and Methods: This study is an audit of the disability certificates issued to all subjects with age ≥18 years between 2016 and 2019 at a tertiary care general hospital psychiatry unit, and discusses the pattern and profile of the certificates. Results: A total of 356 patients were issued disability certificates (2016–2019). The mean age of the subjects was 32.8 (±11.2) years and about 30% of them were females. Intellectual disability (58.3%) was the most common diagnosis, followed by schizophrenia and related disorders (31%), while all other disorders constituted a smaller proportion (11%) of the sample. About 60% of the subjects had moderate disability, 37.4% had severe disability, and 1.7% had profound disability. Conclusion: A large majority of the certificates were issued to subjects with intellectual disability. Patients with severe mental illnesses are probably not accessing the disability benefits optimally. This audit also points to under-representation of women as well as an overall underutilization of services by individuals with mental disability.

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“…9 Previous studies have only touched upon the data concerning disability certificates issued by Indian canters on mental illness, no such study on locomotor disability. [10][11][12] The implementation of the RPwD Act in December 2016 and the increased focus on supporting individuals with verifiable disabilities, it is crucial to examine the data on disability certificates issued by hospitals in India. This data can provide valuable insights into the characteristics of patients who obtain certification and their utilization of services.…”

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confidence: 99%

Profile of patients coming to the department of physical medicine and rehabilitation for locomotor disability certification: a 5-years observational study

Saha,

Gupt,

Mandal

2024

Int J Community Med Public Health

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Background: The persons with locomotor disability are eligible for various social welfare benefits from the Government under ‘The persons with disabilities (Equal opportunities, protection of rights and full participation) Act, 1995’ along with other causes of disabilities like blindness, hearing impairment etc. and recent enactment of the Rights of Persons with Disabilities (RPwD) Act, 2016. Understanding the utilization of services is crucial in enhancing assistance for individuals with certifiable disabilities. This study aimed to observe the clinico-demographic profile of patients coming to outpatient Department of Physical Medicine and Rehabilitations for locomotor disabilities certification and 5 years’ trend in the number of patients getting disability certificate. Methods: This retrospective study was based on the data taken at time of disability certification in a multispecialty tertiary care government medical college in Northern India. All persons with locomotor disability who were issued disability certificate between 2014 and 2018 were included in the study. Results: A total of 857 patients were issued disability certificates during the study period of 2014 to 2018. Among the 744 adult patients, only 149 (20%) were female. Most of them were urban residents. In locomotor disability, post-polio residual paralysis was the most common diagnosis encountered, followed by amputations and cerebral palsy. Most of the applicants were having a disability of 40-50%. Conclusions: Awareness has to be generated about the disability benefits and disability certification. Utilisation of services by females should be encouraged. Robust data and literature need to be built up for prevention and management of locomotor disability.

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Duration of Illness at the Time of Disability Certification for Mental Illness and Neurological Disorders

Cited by 4 publications

References 4 publications

Sociodemographic and clinical profile of patients receiving disability certificates for psychiatric disorders

Sociodemographic and clinical profile of patients receiving disability certificates for psychiatric disorders

Audit of requests for disability certification of adults received at a tertiary care general hospital psychiatry unit

Profile of patients coming to the department of physical medicine and rehabilitation for locomotor disability certification: a 5-years observational study

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