The major concern is the gap between the human resources needed on account
of the growing demand for mental health services and the available resources.
The median number of psychiatrist, Clinical Psychologist, Psychiatric Social
Worker and Psychiatric nurses is 0.2, 0.03, 0.03 and 0.05 per 1,00,000 population
respectively. This is nowhere near ICMR norm of 1 Psychiatrist, 1.5 Clinical
Psychologist, 2 Psychiatric Social Workers per 1,00,000 population respectively
and 1 Psychiatric nurse per 10 psychiatric beds.
In Rakesh Chandra Narayan Vs. State of Bihar and Others (WP Civil No.339 of
1986) the Apex court in its judgement dated 17.5.1994 had indicated that
teaching, training, research should go side by side with treatment and social and
occupational rehabilitation of the patients. The main objective of setting up of
mental health hospitals should be to provide medical and mental health care
services; provide optimal undergraduate and post graduate teaching as required
by the University; and conduct training and research in Psychiatry. A mental
health hospital should have a close knit team of psychiatrists, clinical psychologists,
psychiatric social workers and psychiatric nurses.
Pursuit of excellence had never been the hallmark of mental health centres in
India. There is no evidence of any planned, imaginative and determined efforts
to excel in teaching, research or training, and far less in treatment, prime
indicator of success of a mental health institute.
The human resource position in different Mental Health Centres of India is given
below:
Institute of Mental Health (IMH), Hyderabad (19th and 20th July, 2010)
The IMH Hyderabad was grossly understaffed. Against 305 sanctioned posts
both permanent and temporary only 239 were in position and 63 posts were
vacant. According to Rule 22 of State Mental Health Rules 1990 IMH with
sanctioned strength of 600 beds was entitled to 6 Clinical Psychology and 6
Psychiatric Social Workers but had only 2 Clinical Psychologists and no Psychiatric
Social Workers. In the absence of any psychiatric social workers it was not
possible to undertake home visits, impart family counselling and provide correct
feedback to the hospital authorities on the status of patients who had been
treated, recovered, discharged and sent back home.
The Sanctioned posts of biochemist and laboratory technician, dark room
assistant, two occupational therapists, two telephone operators, electrician Gr. II,
two lady tailors were lying vacant. Since the number of female nursing orderlies
was much less than the required number, the FNOs were finding great difficulty
to manage the workload.
State Govt. should sanction 4 more posts of Clinical Psychologist, requisite
number of posts of Psychiatric Social Workers and 30 more posts of staff nursed;
appoint a full time qualified technicians on a regular basis; fill up vacant posts of
two occupational therapists, two telephone operator, one electrician- Grade II and
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National Human Rights Commission