Implementation Update on Mental Healthcare Act, 2017

Pathare, Soumitra; Kapoor, Arjun

doi:10.1007/978-981-15-5009-6_11

Cited by 33 publications

(9 citation statements)

References 9 publications

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“…The WHO has specified what legislation and regulations need to include, as well as how these might be implemented. For example, current efforts in India to implement these principles through new mental health leg islation include strategies to support de cisionmaking for people experiencing a mental health crisis through advanced di rectives and nominated representatives 204 .…”

Section: Crisis Care In Low-and Middleincome Countries (Lmics)mentioning

confidence: 99%

Acute psychiatric care: approaches to increasing the range of services and improving access and quality of care

et al. 2022

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Acute services for mental health crises are very important to service users and their supporters, and consume a substantial share of mental health resources in many countries. However, acute care is often unpopular and sometimes coercive, and the evidence on which models are best for patient experience and outcomes remains surprisingly limited, in part reflecting challenges in conducting studies with people in crisis. Evidence on best approaches to initial assessment and immediate management is particularly lacking, but some innovative models involving extended assessment, brief interventions, and diversifying settings and strategies for providing support are potentially helpful. Acute wards continue to be central in the intensive treatment phase following a crisis, but new approaches need to be developed, evaluated and implemented to reducing coercion, addressing trauma, diversifying treatments and the inpatient workforce, and making decision‐making and care collaborative. Intensive home treatment services, acute day units, and community crisis services have supporting evidence in diverting some service users from hospital admission: a greater understanding of how best to implement them in a wide range of contexts and what works best for which service users would be valuable. Approaches to crisis management in the voluntary sector are more flexible and informal: such services have potential to complement and provide valuable learning for statutory sector services, especially for groups who tend to be underserved or disengaged. Such approaches often involve staff with personal experience of mental health crises, who have important potential roles in improving quality of acute care across sectors. Large gaps exist in many low‐ and middle‐income countries, fuelled by poor access to quality mental health care. Responses need to build on a foundation of existing community responses and contextually relevant evidence. The necessity of moving outside formal systems in low‐resource settings may lead to wider learning from locally embedded strategies.

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Section: Crisis Care In Low-and Middleincome Countries (Lmics)mentioning

confidence: 99%

Acute psychiatric care: approaches to increasing the range of services and improving access and quality of care

et al. 2022

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“…Under this Act, every adult 'shall have a right to make an advance directive in writing' , specifying 'the way the person wishes to be cared for and treated for a mental illness,' 'the way the person wishes not to be cared for & treated' . An advanced directive is used only if the person ceases to have the capacity to make mental healthcare decisions and shall remain e ective till the person regains the capacity to make decisions [19][20][21][22].…”

Section: Provision Of Advanced Directivesmentioning

confidence: 99%

“…e nomination shall be made in writing on plain paper with the person's signature or thumb impression. e person who is appointed as nominated representative shouldn't be a minor, capable of ful lling his duties given to him under this act [19][20][21][22].…”

Section: Nominated Representativesmentioning

confidence: 99%

“…In India, where mental health professionals are scarce, families are o en the critical resource for PMI care due to the tradition of interdependence and concern for loved ones in times of need. e act would bene t from acknowledging and fostering the contribution of family members' support in providing care [20][21][22][23][24][25].…”

Section: Critical Assessment Of Mhca 2017mentioning

confidence: 99%

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Mental healthcare act, 2017: a critical analysis on the protection of rights of the people with mental illness

Bhattacharjee

2024

J. Ment. Health. Behav. Sci.

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It's important to acknowledge that individuals, groups, and agencies often violate the human rights of individuals living with mental illness. However, it is crucial to recognize that these rights apply to all human beings, regardless of their race, sex, nationality, ethnicity, language, or religion. Human rights include the right to life and liberty, freedom from slavery, discrimination, and torture, freedom of speech and expression, as well as the right to work and education, among others. The Mental Health Care Act (MHCA) of 2017 has replaced the Mental Health Act (MHA) of 1987 in India to protect the rights and well-being of people with mental illness. The old Act was not su cient in protecting the rights of the mentally ill, even though it served its purpose when it was created. As time passed and the focus shifted to the rights of the mentally ill, the 1987 Act fell short. The new Act aims to make mental healthcare services more humane and aligned with human rights standards, incorporating some novel ideas not present in its predecessor. However, only time will tell how e ective these new ideas, concepts, and clauses will be in the Indian context. In this article, we will explore how the Mental Healthcare Act of 2017 safeguards the human rights of mentally ill people in India.

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“…The Press Council of India (PCI) in 2019 issued a notification endorsing the WHO guidelines for responsible reporting of suicide, and drew upon the provisions on the Mental Health Care Act 2017 [18], which stipulates that the media should not publish photographs or any other information about a person undergoing mental health treatment without their consent [19]. While these guidelines do exist, there is evidence that media reporting is not concordant with these guidelines [18], due to various reasons including lack of awareness about the guidelines, poor implementation, and a deficit of monitoring mechanisms, to a limited understanding of the issue of suicide and how the media can contribute to suicide prevention efforts [17,20,21].…”

Section: Introductionmentioning

confidence: 99%

Application of a Scorecard Tool for Assessing and Engaging Media on Responsible Reporting of Suicide-Related News in India

Vijayakumar

Shastri

Fernandes

et al. 2021

IJERPH

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Background: Each year there are more than 800,000 deaths by suicide across the world, while India alone accounts for one third of female suicides and one fourth of male suicides worldwide. Responsible media reporting of suicide is an important suicide prevention intervention at the population level. There is sufficient evidence to show that the way suicide is reported and portrayed in the media can have a significant impact on individuals experiencing suicidal thoughts and behaviors. Recognizing the important role of the media in suicide prevention, the World Health Organization (WHO) issued guidelines for responsible reporting of suicides by the media. The Press Council of India, in 2019 endorsed WHO’s guidelines for media reporting of suicides, however there is no evidence that the Indian media is complying with these guidelines. Methods: To encourage responsible media reporting, we developed a scorecard to assess and rate media reports on suicide. We reviewed several resource documents that contained guidelines on responsible reporting of suicide. After consulting with a team of experts, we arrived at a scorecard that consisted of 10 positive and 10 negative parameters. Results: We applied the scorecard to 1318 reports on suicide from 9 English language newspapers, with the highest readership in India between the dates of 1 April to 30 June 2020. For the articles analyzed, the average positive score across all newspapers was 1.32 and the average negative score was 3.31. Discussion: The scorecard can be a useful tool to assess media reports on suicide and provide metrics for the same. It can facilitate improved monitoring and engagement with media organizations, who can quickly check their own reporting compliance to the WHO guidelines and compare how well they are performing compared to their peers over time.

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Implementation Update on Mental Healthcare Act, 2017

Cited by 33 publications

References 9 publications

Acute psychiatric care: approaches to increasing the range of services and improving access and quality of care

Acute psychiatric care: approaches to increasing the range of services and improving access and quality of care

Mental healthcare act, 2017: a critical analysis on the protection of rights of the people with mental illness

Application of a Scorecard Tool for Assessing and Engaging Media on Responsible Reporting of Suicide-Related News in India

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