MD., DPM., MRCPsch., Consultant Psychiatrist, 20/380, Poothole Road, Trichur-680004, Kerala.
Indian J Psychiatry. 2000 Oct;42(4):347-55.
The Mental Health Act, 1987 came into force in 1993. Mental Health Authorities that were created by this Act are useful, but the present situation of not having Government Mental Hospitals under the scrutiny of these authorities is a shortcoming. The high capital needed for upgradation of Government mental hospitals; is likely to be found, only with the intervention of Mental Health Authorities Creation of a funding agency of Government of India is also needed Denying profoundly retarded persons access to a psychiatric hospital is a hard situation. Psychiatric patients in general hospitals' having to face the hassles of mental hospital admission is against the spirit of the act and needs to be remedied Courts' directly determining the presence of psychiatric illness in persons is not serving the end of justice. They should do this on the basis of evidence Several avoidable hardships that may be caused by having the act in the present form has to be corrected This could be done by amendment of the act in certain cases by approaching the High Court in certain others and by thoughtfully framing the State Mental Health Rules in a quite a few other situations. The success of Mental Health Act, 1987 is in its effectiveness to ensure basic human rights of mental patients. A set of Mental Health Rules, that incorporates adequate provisions to protect human rights of patients, in all respects, can go a long way to strengthen the Mental Health Act.
1987 年《精神卫生法》于 1993 年生效。该法案设立的精神卫生管理局很有用,但目前没有政府精神病院受到这些管理局监督的情况是一个缺陷。升级政府精神病院需要大量资金,只有在精神卫生管理局的干预下才有可能找到。还需要创建一个印度政府的资金机构。拒绝严重智障人士进入精神病院是一个困难的情况。一般医院的精神病人不得不面对住院的麻烦,这违反了该法案的精神,需要加以纠正。法院直接确定某人患有精神病并不是为了司法公正。他们应该根据证据来这样做。目前该法案存在一些不可避免的困难,需要加以纠正。在某些情况下,可以通过修订法案,在某些其他情况下可以向高等法院提出申诉,在其他一些情况下可以深思熟虑地制定州精神卫生规则来解决这些问题。1987 年《精神卫生法》的成功之处在于其确保精神病人基本人权的效力。一套精神卫生规则,如果在各方面都包含充分的保护患者人权的规定,将大大加强《精神卫生法》。