Re: [MhaNewsViewsIndia:823] Digest for MhaNewsViewsIndia@googlegroups.com - 5 Messages in 5 Topics

[Nirmala Srinivasan]

Vaishnavi

thnx for this information. We need to review the present policy of not running homes which makes thousands rush to few states where charities run homes. So far , the PMI has become an unwanted child  for everyone  - for the families and MH profs and even the State. . Families are blamed because they have no power and easiest to blame them because they cannot argue with the powers that be. Also the visibility of packing off their PMIs is seen at railway stations  and in street corners , chasing away their beloved ones. So easy to point out fingers at them. I think the State must share its blame for turning a Nelson's eye to this human tragedy. So also the MH professionals who discourage the State from opening such homes saying families will dump them. At the same time, these professionals render their time and expertise to such homes run in private sector on profit basis. Why this doublespeak?

God bless

nirmala

On Wed, Jan 11, 2012 at 2:22 PM, <MhaNewsV...@googlegroups.com> wrote:

  Today's Topic Summary

Group: http://groups.google.com/group/MhaNewsViewsIndia/topics

• Wasted opportunities, yet again : The NMHP report card 2011-2012 (so far) [1 Update]
• School suspends 'suicidal' student [1 Update]
• Mental Health Authority probe [1 Update]
• Care homes crowded with mentally ill from other States [1 Update]
• The dark world of the challenged [1 Update]

 Wasted opportunities, yet again : The NMHP report card 2011-2012 (so far)

Vaishnavi Jayakumar <vaishnavi...@inclusiveindia.info> Jan 11 12:02PM +0530  

The Performance ...
 
- 4 months before the end of the financial year, the National Mental
Health Programme has managed to release *(and hopefully spend)* just a
little over 2 % of its (already scaled down) budget of Rs. 130 crores
for 2011-2012.
- Finance Ministry
guidelines<http://www.telegraphindia.com/1111219/jsp/business/story_14899762.jsp>expressly
forbid flood funding in the last quarter of the financial year.
Only 33% of budgeted funds can be spent in this period. Even if the Health
Ministry manages to release that 33% in this period the unspent balance of
more than Rs. 80 crores will have to be returned to meet requirements of
other ministries who have exceeded their budgeted expenditure.
100 crores has already been 'saved' for the GoI by the NMHP from 2000-
2010 by way of unutilised
funds<http://www.scribd.com/collections/3429561/Mental-Health-in-India-s-12th-Five-Year-Plan>
.
- Other schemes' expenses average out to ~50% of budgeted expenses (BE).
- NMHP is the *lowest* in utilisation out of all schemes above 100
crores.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
PART-1 HEALTH
 
 
 
 
 
 
(Rs. In Crores)
 
 
 
 
*2011-2012 (BE)* *Expenditure till Nov. 2011 Actual* *%ge w.r.t BE*
 
 
*Scheme/Programme/Institutions* *Plan* *Non-Plan* *Total* *Plan* *
Non-Plan* *Total* *Plan* *Non-Plan* *Total*
 
33 National Mental Health Programme 130.00 0.00 130.00 3.05 0.00 3.05
2.35 0.00 2.35
 
 
Other than N.E.R 110.00 0.00 110.00 3.05 0.00 3.05 2.77 0.00 2.77
 
 
N.E.R. 20.00 20.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
 
 
 
 
 
 
 
 
 
 
 
 
 
 
As accessed from
http://ccahealth.gov.in/Health/Admin/Attachments/AccountFiles/MonthlyExpenditure/2011-2012November_Month%20wise%20progressive.%20exptd.%20Upto%20Nov.%202011%20Health,%20NRHM.pdf
 
 
...and the priority
 
*~6.45%* : *Weightage of NMHP's role in successful performance of the
Health Ministry according to this years RESULT FRAMEWORK DOCUMENT*
http://mohfw.nic.in/showfile.php?lid=960
 
*EXTRACT FROM RFD, MOHFW*
 
22. District Mental Health Programme (DMHP)
 
The main objective of DMHP is to provide basic mental health services to
community & to integrate these with general health services. It envisages a
community based approach to the problem, which includes:
 
 
- Provide service for early detection &treatment of mental illness in
the community (OPD/Indoor &follow up).
- Training of mental health team at identified nodal institutions.
- Increase awareness &reduce stigma related to Mental Health problems.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
*Section 2:
Inter se Priorities among Key Objectives, Success indicators and Targets *
 
*Objective* *Weight* *Action* *Success Indicator* *Unit* *Weight* *Target /
Criteria Value*
 
*Excellent* *Very Good* *Good* *Fair* *Poor*
 
*100.00%* *90.00%* *80.00%* *70.00%* *60.00%*
 
5 Reducing overall disease burden of the society (contd) 15.5 (total sub
items) Ensure availability of minimum Mental health care services Establishment
Of Centres Of Excellence Number 0.5 (out of 15.5) 2 1 0 0 0
 
Approval for Starting up Of PG courses
In Mental Health Specialities Number 0.5 (out of 15.5) 40 36 32 28 24
 
 
 
 
 
 
 
 
 
 
 
 
 
 
*
*
 
 
 
 
 
 
 
 
 
*Section 3: Trend Values of the Success Indicators*
 
*Objective* *Action* *Success Indicator* *Unit* *Actual Value for FY 09/10*
*Actual Value for FY 10/11* *Target Value for FY 11/12* *Projected Value
for FY 12/13* *Projected Value for FY 13/14*
 
5 Reducing overall disease burden of the society (contd) Ensure
Availability Of Minimum Mental Health Care Services Establishment Of
Centres Of Excellence Number 7 3 1 -- --
 
Approval for starting up of PG courses in Mental Health Specialities Number
19 5 36 -- --
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
The Verdict...let the numbers speak.
---------------------------------------
*VAISHNAVI JAYAKUMAR*
http://about.me/vjayakumar
 
ERWADI:Call to Justice 10 years
on<http://www.dipity.com/vjayakumar/Remembering-Erwadi/#flip>


 

 School suspends 'suicidal' student

Vaishnavi Jayakumar <vaishnavi...@inclusiveindia.info> Jan 10 11:09PM +0530  

*Anamika More*
 
*8 January 2012*
 
*Vikhroli school convinces student that she is mentally 'weak' after fight
with teacher, then suspends her, then allows her to resume classes after a
month*
*
*
*Mumbai* :
 
*Sugaran (left) with her father Shankar Navate and Principal Charushila *
*Vispute outside police chowki No. 3 at Vikhroli. pic/ Sameer Markande*
 
In a strange turn of events, the authorities of a Vikhroli school, who were
convinced that one of their students was mentally ill and had allegedly
tried to commit suicide, allowed the student to resume classes, almost a
month after the incident.
 
On December 8, Sugaran Navate, a 13 year-old Standard 9 student of Vidya
Mandir School in Vikhroli, was suspended from school, after the school
principal felt that she tried committing suicide after an altercation with
her class teacher. Navate had reportedly confronted her class teacher two
days earlier when she learnt that one of her classmates was not punished
for not wearing school shoes. On December 2, the same teacher had
reportedly made Navate stand outside the classroom for half an hour for the
same infraction of the school rule.
 
"When I asked the teacher why she had not punished the girl (classmate),
she said I was needlessly arguing and scolded me. I was in tears and I
moved to the window so nobody could see me crying. But the teacher felt I
was trying to jump off from the window," said Navate.
 
According to the 13 year-old, despite trying to explain that she wasn't
trying to commit suicide, the teacher complained to the principal. The
principal reportedly decided to have her suspended from school until her
parents wrote a note saying the school would not be blamed if such a
situation occurred again.
 
According to Navate's parents, Shankar and Suman Navate, "Raising voice
against disparity of treatment doesn't mean my daughter is mentally ill.
Why should we write such a note?"
 
The school reportedly decided to allow Navate to resume classes from
Saturday, without receiving any note from her parents, after a few regional
language newspapers followed up on the case.
 
When contacted, the principal of the school, Charushila Vispute, said.
"Next time if something like this happens, we don't want to be blamed. We
have, however, taken her back in school."
 
http://www.mid-day.com/news/2012/jan/081211-School-suspends-suicidal-student.htm


 

 Mental Health Authority probe

Vaishnavi Jayakumar <vaishnavi...@inclusiveindia.info> Jan 10 10:57PM +0530  

*10 January 2012*
 
*THRISSUR* : Mental Health Authority Secretary D. Raju conducted inspection
at the Shanthi Bhavan Sarvodhaya Pankuvakkal Charitable Society, Avanur,
near here, on Monday. Dr. Raju inspected the documents and facilities at
the centre. Later, he called on the patients admitted to the West Fort
Mental Health Centre. The Health Department recently rescued 41
mentally-ill patients from the illegal treatment centre at Avanur during a
raid.
 
http://www.thehindu.com/todays-paper/tp-national/tp-kerala/article2789444.ece


 

 Care homes crowded with mentally ill from other States

Vaishnavi Jayakumar <vaishnavi...@inclusiveindia.info> Jan 10 10:55PM +0530  

*10 January 2012*
 
*K.P.M. BASHEER*
 
In Kerala, rehabilitation centres provide care free
 
*KOCHI* : Kerala has over the years emerged as a destination for persons
with mental illness (PMI) from other States—they land up here not on their
own, but often are put on Kerala-bound trains or long-distance trucks by
their own relatives or villagers.
 
A random check with functionaries of mental health care homes in different
districts and discussions with health-care professionals show that a
substantial number of the inmates of these homes are from outside Kerala.
They come from States as diverse as UP, Bihar, Orissa, West Bengal, Andhra
Pradesh, Tamil Nadu, and Karnataka.
 
They arrive at the charity care homes after days or weeks of wandering and
living on the street. They often arrive without the ability to recall their
names, languages, States or home addresses. They are taken to these homes
by social workers, police, panchayat council members or people who take
pity on the PMI.
 
Elizabeth Sebastian of Malayattoor, who is in charge of a care home for
mentally ill, said 24 out of the 34 inmates were non-Malayalis. Hari Kumar
of Divya Karunyalayam, said about a half the number of inmates were people
from UP, Orissa, Karnataka and West Bengal. Mathappan Chettan, who founded
Love Home in Ernakulam district, recalled that recently he had handed over
25 non-Malayali inmates to `Udavum Karangal' an NGO in Tamil Nadu, to be
sent back to their respective homes. He once had a woman inmate from Sikkim.
 
*Arrive by trains*
 
Scores of PMIs arrive in Kerala every week, mostly by train. Kochi and
Thiruvananthapuram, where many inter-State trains terminate, are the main
arrival cities. Kanyakumari in Tamil Nadu is also a major arrival point,
from where hundreds arrive in Kerala. Santhosh Joseph, who runs
Mariasadanam at Pala, points out that care homes that are close to railway
stations often have more number of non-Malayali inmates than Malayalis.
 
In many States, where mental illness is considered a curse, families tend
to get rid of the mentally ill. They simply pack these people off. The
easiest way to do so is putting them on a long-distance train. Again,
villagers and townspeople do the same to wandering PMIs in their midst.
“It's like the practice in Kerala villages of putting unwanted kitten or
puppies in a gunny bag, taking them across the river and letting them free
on the other side of the river,” one functionary of a care home, who did
not want to be named, told The Hindu .
 
Occasionally, PMIs are packed off on long-distance trucks by bribing the
drivers. At the Walayar check-post, the drivers just let the PMIs get off.
Then it is a long walk of days or weeks — until someone takes them to a
charity care home.
 
Fr. George Thomas, who runs St. Joseph Mental Bhavan in Thrissur district,
recalled that once while he was in an Andhra Pradesh village, people had
told him that they always packed off their mentally ill to Kerala. Why
Kerala? A major reason is the large number of care homes for the mentally
ill which are run by charitable societies and trusts in Kerala. The huge
majority of them are managed by church organisations, church-related
entities or Christian philanthropic people. They find it easier to raise
funds to support the institutions and also find committed nuns and priests
to take physical care of the PMIs.
 
*Another Kerala Model?*
 
Most other States do not have the concept of care and rehabilitation homes
for the mentally ill where food, housing, clothing and medicines are
provided free. In fact, there is a kind of `Kerala model' of care homes for
mentally ill. Now, charity agencies in some States are trying to adopt this
Kerala model. In many States, caring for the mentally ill is not on the
agenda of society, as mental illness is stigmatised. Relatives of the PMIs
arriving in Kerala know very well that once in Kerala, their kin would
somehow be taken care of until death, one Christian nun pointed out.
 
http://www.thehindu.com/todays-paper/tp-national/tp-andhrapradesh/article2789022.ece


 

 The dark world of the challenged

Vaishnavi Jayakumar <vaishnavi...@inclusiveindia.info> Jan 10 10:59PM +0530  

*10 Jan 2012*
 
*Toby Antony*
 
*KOCHI* : Though the city boasts of having several institutions and
rehabilitation centres for the mentally-challenged people, neither the
Social Welfare Department nor the Health Department has any clear data
about the number of such organisations functioning in the city. It is the
responsibility of these departments to give licence for the institutions
for the mentally-challenged.
 
“The department maintains the details of rehabilitation centres in the
district but there are several organisations functioning here of which we
have no idea. It seems like they do not have the approval of our
department,” an official with the Social Welfare Department told City
Express.Social Welfare officer C Sundari said she was new to the district
and was studying the rehabilitation centres in Ernakulam. “Action will be
taken if any such centre functions without the permission of the
department. In the wake of the incident in Thrissur where a raid was held
on a centre for mentally-challenged, the government has alerted the Health
Department to look into similar issues. So, it is the Health Department
which has to take action in this regard,” she said. District Medical
Officer K Sudakaran said there were orders from the government to conduct
check at every rehabilitation centre in the district. “We will check every
rehabilitation centre after discussing with the government. So far, we
could identify only four such organisations. If any of the centres is found
functioning with inadequate facilities and improper hygiene, then it will
have to face the heat. The Health Department has taken the issue
seriously and the current situation will be discussed with the District
Collector soon,” K Sudakaran said.
 
http://expressbuzz.com/cities/kochi/The-dark-world-of-the-challenged/351653.html


 

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