Thursday, 11 August 2016

The Mental Health Care Bill, 2013





-         In line with UN Convention on People with Disabilities 2007 which India ractified
Rights of persons with mental illness:  Every person shall have the right to access mental health care and treatment from services run or funded by the government. 
-         The right to access mental health care includes affordable, good quality of and easy access to services.
-         Persons with mental illness also have the right to equality of treatment, protection from inhuman and degrading treatment, free legal services, access to their medical records, and complain regarding deficiencies in provision of mental health care.
Advance Directive: A mentally-ill person shall have the right to make an advance directive that states how he wants to be treated for the illness during a mental health situation and who his nominated representative shall be. 
-         The advance directive has to be certified by a medical practitioner or registered with the Mental Health Board. 
-         If a mental health professional/ relative/care-giver does not wish to follow the directive while treating the person, he can make an application to the Mental Health Board to review/alter/cancel the advance directive.
Central and State Mental Health Authority: These are administrative bodies are required to
(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
Mental Health Establishments: Every mental health establishment has to be registered with the relevant Central or State Mental Health Authority.  In order to be registered, the establishment has to fulfill various criteria prescribed in the Bill.
The Bill also specifies the process and procedure to be followed for admission, treatment and discharge of mentally ill individuals. 
-         A decision to be admitted in a mental health establishment shall, as far as possible, be made by the person with the mental illness except when he is unable to make an independent decision or conditions exist to make a supported admission unavoidable
Mental Health Review Commission and Board: The Mental Health Review Commission will be a quasi-judicial body that will periodically review the use of and the procedure for making advance directives and advise the government on protection of the rights of mentally ill persons.
 The Commission shall with the concurrence of the state governments, constitute Mental Health Review Boards in the districts of a state.
 The Board will have the power to
(a) register, review/alter/cancel an advance directive,
(b) appoint a nominated representative,
(c) adjudicate complaints regarding deficiencies in care and services,
(d) receive and decide application from a person with mental illness/his nominated representative/any other interested person against the decision of medical officer or psychiatrists in charge of a mental health establishment
Decriminalising suicide and prohibiting electro-convulsive therapy: A person who attempts suicide shall be presumed to be suffering from mental illness at that time and will not be punished under the Indian Penal Code. 
Electro-convulsive therapy is allowed only with the use of muscle relaxants and anaesthesia. The therapy is prohibited for minors



Jai Gau mata





Repeated attacks on Dalits and Muslims on issue of slaughteringof cows by so called “Gau Rakshak” dals
Eg: Dadri (UP) incident & Una (Guj.)
Art 48: The State shall endeavour to organise agriculture and animal husbandry on modern and scientific lines and shall, in particular, take steps for preserving and improving the breeds, and prohibiting the slaughter, of cows and calves and other milch and draught cattle
This is a DPSP, though individual states have made laws to prohibit cow slaughter : it does not ban consuming beef or sale purchase of cows & bulls.
Traditional work of Muslims & Schedule Caste people have been affected = slaughter houses closed + whole supply chain affected
Big part of rural & informal economy affected; unemployment in most backward sections of society
Farmers also affected = old/disabled animals as liability + loss of income
Gau rakshaks black mailing & looting farmers, traders etc in liason with police = corruption
Criminalisation of Politics & politicization of criminals
Further marginalization of SCs & Muslims
Way the inquiry and action taken by police and Judiciary is unsatisfactory
This could lead to social alienation + rise to naxalism (as in Bihar)
Need for strong action against such criminals
Updating Atrocities act + its proper implementation
In Guj counter agitation & riots by Valmiki community + refusal to clean carcass again
Eradication of Manual scavenging + skill upgradation of existing scavengers for other employments