Citation

Harbishettar V, Enara A, Gowda M. Indian J. Psychiatry 2019; 61(10): S645-S649.

Copyright

(Copyright © 2019, Medknow Publications)

DOI

10.4103/psychiatry.IndianJPsychiatry_98_19

PMID

unavailable

Abstract

The Mental Healthcare Act (MHCA) 2017, after parliamentary approval in 2017, came into effect from May 29, 2018. It is rights-based and empowers the patients to make their own choices unless they become incapacitous due to mental illness. There is much emphasis on the protection of human rights of persons with mental illness. The act provides a framework and regulation on how a person with mental illness should be treated. The experts, on multiple occasions, have debated on whether the act is a boon or a bane for the practitioners in India. The MHCA 2017 brings about more impetus on documentation, unlike the previous acts. With the act in place, clear documentation with reasons for decisions made and care given are important for good practice. Although this may potentially raise the cost of care, this will ensure a safer practice of psychiatry and will prove beneficial for the patients and the psychiatrists. To comply with the provisions of the act, one will have to modify the manner in which one carries out the day-to-day practice. Regular training through workshops is required to understand the practical implications of different provisions of the act. Furthermore, regular peer group meetings may give a sense of support and an opportunity to learn from one another and help find solutions to difficult aspects. Overall, following this and adapting to the new act may bring uniformity in practice. This article aims to explore ways to leverage the MHCA 2017 from the practitioner's perspective. © 2019 Indian Journal of Psychiatry | Published by Wolters Kluwer - Medknow.

Language: en

Keywords

human; suicide; Review; training; psychiatry; Legislation; mental illness; risk factor; conceptual framework; mental disease; physician; mental health care; psychiatrist; health care delivery; patient care; electroconvulsive therapy; health insurance; emergency health service; health care cost; health care personnel; hospital discharge; good clinical practice; clinical decision making; patient decision making; act; adrenal gland; protocol compliance; legal service; Mental Healthcare Act 2017; practitioners