Admission and Discharge of Person with Mental Illness under Mental Healthcare Act 2017
The Mental Healthcare Act (MHCA) 2017 has come up with some major changes in the mental healthcare by introducing the concept of advance directives and nominated representatives and aims at strengthening the human rights of person with mental illness (PMI) and clearly emphasized the responsibility of the government. The objective of this article is to give a brief overview of the admission and discharge of patients under MHCA, 2017.
Any person, who is incapable to make mental health care and treatment decisions independently and needs very high support in the mental health establishment. Admission and treatment of persons with mental illness with high support needs in mental health establishment up to thirty days (supported admission under sec 89) and beyond thirty days (supported admission under sec 90) under Mental Healthcare Act, 2017. The medical officer or mental health professional in charge of a mental health establishment shall admit every such person to the establishment, upon application by the nominated representative of the person, under sec 89 and 90.
The person has been independently examined on the day of admission or in the preceding seven days, by one psychiatrist and the other being a mental health professional (under sec 89). Two psychiatrist need to examine independently examined on the day of admission or in the preceding seven days (under sec 90).
Mental Healthcare Act 2017 mandates that proper discharge planning should be done and documented before any discharge is done from MHEs. Discharge planning should be based on a thorough assessment of the needs of the patient. Family should be actively involved in the planning process. Necessary steps should be taken for referral to other services, especially those in the community. Discharge planning helps us to balance the goals of the treatment at admission, to reality check at the time of discharge.
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13 Comments
Very informative video sir
Sir under this act can we admit patient for observation?
Sir hindi me bataye
U r superb sir,i gain so much knowledge from your lectures,beyond theory i get a good clinical view of psychiatry,thank you for your kind efforts.
What is involetry admission can doc forcefully admit pt of ocd and panic attack
Sir, How about fee or charges in NIMHANS for admit a psychiatric patient. Your reply will helpful for us to further proceed as my brother is facing challenge as you mentioned in video inability to care him self he left family sleeping in road side.His childrens are very upset & they don't no what to do further.
Please help us.Give me your contact number for discuss.
Hi sir really very much informative video. More helpful to mental health professional.
Thank you for making this video. 🙏🙏🙏
From Madhura, Mauni and Sagar: Thank you sir.
Great video, really helped us.
Dear sir, my brother is an schizophrenic as well he has a epilepsy. He is very unpredictable, aggressive, self harming as well as harm to my family. My family is living under constant fear and life threat.
Any suggestions please sir?
Sir, in the case of an independent admission, is it required to give a certificate for admission or just allowed to admit and sign is sufficient on the patients application!?
Sir, can a scizophrenic patient be forcibly dicharged from a mental hospital without the signature of his representative person?
Sir plz tell me
Mental health people how can they fill form for themselves since they are mentally ill and not aware of surrounding refer to independent admission