Cargando…
Is it the right time to implement Community Treatment Order in India?
India enacted the Mental Healthcare Act, 2017 (MHCA 2017) on April 7, 2017 to align and harmonize with United Nations Convention on Persons with Disabilities and the principles of prioritizing human rights protection. While MHCA 2017 is oriented toward the rights of the patients, the rights of the f...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2019
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6482678/ https://www.ncbi.nlm.nih.gov/pubmed/31040480 http://dx.doi.org/10.4103/psychiatry.IndianJPsychiatry_88_19 |
_version_ | 1783413929218670592 |
---|---|
author | Gowda, Guru S. Enara, Arun Raveesh, Bevinahalli Nanjegowda Gowda, Mahesh |
author_facet | Gowda, Guru S. Enara, Arun Raveesh, Bevinahalli Nanjegowda Gowda, Mahesh |
author_sort | Gowda, Guru S. |
collection | PubMed |
description | India enacted the Mental Healthcare Act, 2017 (MHCA 2017) on April 7, 2017 to align and harmonize with United Nations Convention on Persons with Disabilities and the principles of prioritizing human rights protection. While MHCA 2017 is oriented toward the rights of the patients, the rights of the family members and professionals delivering treatment, care, and support to persons with severe mental disorder (SMD) often suffer. MHCA 2017 mandates discharge planning in consultation with the patients for admitted patients and makes the service providers responsible for ensuring continuity of care in the community. The concerns surrounding the chances of relapse and recurrence when a person with a SMD stops medications continue to remain largely unaddressed. The rights-based MHCA 2017 makes it difficult for the prevailing practices of surreptitious treatment by the family/caregiver and proxy consultations on behalf of the patients. This will, in turn, lead to increased chances of relapse, risk of violence, homelessness, stigma, and suicide in persons with SMDs in the community, largely due to noncompliance to treatment. This will also result in increased caregiver burden and burnouts and may also cause disruptions in the family and the community. To strike a balance over the current MHCA 2017, there is a need to amend or bring-forth a new law rooted in the principles of community treatment order. |
format | Online Article Text |
id | pubmed-6482678 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-64826782019-04-30 Is it the right time to implement Community Treatment Order in India? Gowda, Guru S. Enara, Arun Raveesh, Bevinahalli Nanjegowda Gowda, Mahesh Indian J Psychiatry Review Article India enacted the Mental Healthcare Act, 2017 (MHCA 2017) on April 7, 2017 to align and harmonize with United Nations Convention on Persons with Disabilities and the principles of prioritizing human rights protection. While MHCA 2017 is oriented toward the rights of the patients, the rights of the family members and professionals delivering treatment, care, and support to persons with severe mental disorder (SMD) often suffer. MHCA 2017 mandates discharge planning in consultation with the patients for admitted patients and makes the service providers responsible for ensuring continuity of care in the community. The concerns surrounding the chances of relapse and recurrence when a person with a SMD stops medications continue to remain largely unaddressed. The rights-based MHCA 2017 makes it difficult for the prevailing practices of surreptitious treatment by the family/caregiver and proxy consultations on behalf of the patients. This will, in turn, lead to increased chances of relapse, risk of violence, homelessness, stigma, and suicide in persons with SMDs in the community, largely due to noncompliance to treatment. This will also result in increased caregiver burden and burnouts and may also cause disruptions in the family and the community. To strike a balance over the current MHCA 2017, there is a need to amend or bring-forth a new law rooted in the principles of community treatment order. Medknow Publications & Media Pvt Ltd 2019-04 /pmc/articles/PMC6482678/ /pubmed/31040480 http://dx.doi.org/10.4103/psychiatry.IndianJPsychiatry_88_19 Text en Copyright: © 2019 Indian Journal of Psychiatry http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Review Article Gowda, Guru S. Enara, Arun Raveesh, Bevinahalli Nanjegowda Gowda, Mahesh Is it the right time to implement Community Treatment Order in India? |
title | Is it the right time to implement Community Treatment Order in India? |
title_full | Is it the right time to implement Community Treatment Order in India? |
title_fullStr | Is it the right time to implement Community Treatment Order in India? |
title_full_unstemmed | Is it the right time to implement Community Treatment Order in India? |
title_short | Is it the right time to implement Community Treatment Order in India? |
title_sort | is it the right time to implement community treatment order in india? |
topic | Review Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6482678/ https://www.ncbi.nlm.nih.gov/pubmed/31040480 http://dx.doi.org/10.4103/psychiatry.IndianJPsychiatry_88_19 |
work_keys_str_mv | AT gowdagurus isittherighttimetoimplementcommunitytreatmentorderinindia AT enaraarun isittherighttimetoimplementcommunitytreatmentorderinindia AT raveeshbevinahallinanjegowda isittherighttimetoimplementcommunitytreatmentorderinindia AT gowdamahesh isittherighttimetoimplementcommunitytreatmentorderinindia |