Amend the Mental Health Care Act 2017: A Survey of Indian Psychiatrists (Paper 1).

IF 1.7 4区 医学 Q3 PSYCHIATRY Indian Journal of Psychiatry Pub Date : 2024-09-01 Epub Date: 2024-09-19 DOI:10.4103/indianjpsychiatry.indianjpsychiatry_667_24
Savita Malhotra, Shruti Srivastava, Mahesh R Gowda, Nidhi Sharma, Mohan R Gopalan, Vidyadhar G Watve, Imon Paul
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Abstract

Aim: This paper highlights the difficulties and lacunae in the Mental Health Care Act 2017 that hinder its implementation and use for the care and treatment of persons with mental illness in India.

Methods: An online nationwide survey, involving structured questions as well as open-ended questions, to elicit the level of implementation, experience in complying with the provisions of the Act, and level of satisfaction, of practicing psychiatrists was carried out. Responses were analyzed using appropriate statistics.

Results: 600 respondents answered the online questionnaire. A majority of psychiatrists were senior practitioners with over 10 years of experience. 92.5% respondents were dissatisfied with the MHCA, wherein 73.3% wanted it amended, and 19.2% asked for repeal. Procedural issues were deterrent for 66.5% from taking medically necessary or helpful decisions for patients. Non-implementation of the Act was a major finding. Major dissatisfaction was expressed regarding judicial over reach in admission and discharge procedures, inclusion of general hospital psychiatry units in the definition of mental health establishment, non-applicability of provisions like advance directive and nominated representative in Indian setting, and that all treatment should be covered under insurance.

Conclusion: The Act in its present form defies the spirit of its own objectives and is unimplementable. It needs major revisions.

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修订《2017 年精神健康护理法》:印度精神科医生调查(论文 1)。
目的:本文强调了 2017 年《精神健康护理法》中存在的困难和缺陷,这些困难和缺陷阻碍了该法在印度的实施和用于精神疾病患者的护理和治疗:方法:在全国范围内开展了一项在线调查,涉及结构化问题和开放式问题,以了解执业精神科医生的执行水平、遵守该法案规定的经验以及满意度。结果:600 名受访者回答了在线问卷:600 名受访者回答了在线问卷。大多数精神科医生都是拥有 10 年以上经验的资深从业人员。92.5%的受访者对《精神健康管理法》不满意,其中73.3%的受访者希望对其进行修订,19.2%的受访者要求废除该法。66.5%的受访者因程序问题而不愿为患者做出医学上必要或有益的决定。不执行该法是一项主要调查结果。人们主要对以下问题表示不满:入院和出院程序中的司法干预过多、将综合医院的精神病科纳入精神健康机构的定义中、预先指示和指定代表等条款在印度环境中不适用,以及所有治疗都应纳入保险范围:结论:该法案目前的形式违背了其自身目标的精神,无法实施。它需要进行重大修订。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Indian Journal of Psychiatry
Indian Journal of Psychiatry Medicine-Psychiatry and Mental Health
CiteScore
4.40
自引率
3.20%
发文量
130
审稿时长
34 weeks
期刊介绍: The Indian Journal of Psychiatry (ISSN 0019-5545), is an official publication of the Indian Psychiatric Society. It is published Bimonthly with one additional supplement (total 5 issues). The IJP publishes original work in all the fields of psychiatry. All papers are peer-reviewed before publication. The issues are published Bimonthly. An additional supplement is also published annually. Articles can be submitted online from www.journalonweb.com . The journal provides immediate free access to all the published articles. The journal does not charge the authors for submission, processing or publication of the articles.
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