final proceedings 2.8.2014

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Proceedings of the Meeting of Karnataka State Mental Health Authority held on
02/08/2014 under the Chairmanship of the Principal Secretary to Government, Health
and Family Welfare Department at 10.AM at Conference Hall, Shimoga Institute of
Medical Sciences, Shimoga.
Following Members attended.
1. Shri. N. Sivasailam
Principal Secretary to Government
Health and Family Welfare Department and
Chairman, Karnataka State Mental Health Authority
Bangalore.
2. Mrs. Shashikalashetty
Project Director
ICPS
Women and Child Development Department
3. Dr. Nagaraja D
Director
Dharwad Institute of Mental Health and Neuro Sciences
Dharwad
4. Dr. B.V Sushil Kumar
Director
Shimoga Institute of Medical Sciences
Shimoga
5. Sri. Sashikanth
Chief Executive Officer
Shimoga
6. Dr. GundeRao
Deputy Director (Mental Health)
Directorate of Health and Family Welfare
Services, Bangalore.
7. Dr. T. Nagaraja Naik
District Health and Family Welfare officer
Shimoga.
8. Sri. Syed zahiruddin
Office Manager
Department for the Empowerment of
Differently abled and senior citizens, Bangalore
9.
Dr. K. A. Ashok Pai
Chairman
Mental Health Task Force
and Member of KSMHA, Bangalore.
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10. Dr. Harisha Delanthabettu
Vice President, India Psychiatric Society
Karnataka chapter
11. Dr. Ramprasad
Head of the Department
Psychiatry, Shimoga Institute of Medical Sciences
Shimoga.
12. Dr. Sanjay H.C
Psychiatrist
District Mcghan Hospital
Shimoga .
13. Dr. Rajesh Suragihalli
District Mental Health Officer
Shimoga
14. Dr. H. Chandrashekar
Member Secretary
Karnataka State Mental Health Authority
Principal Secretary to Government Health and Family Welfare and Chairman, Karnataka State Mental
Health Authority welcomed all the members and invitee.
Apologies;
Dr. Dharitri Ramprasad, Dr.Shivshankar Pol , Dr Mathew Varghese , Dr MadhavRao
Subject no: 1. Confirmation of the minutes of the previous meeting
Minutes of the previous meeting held on 05/04/2014 and 27/06/2014 were read. Action taken on the
proceedings was also explained. The minutes were confirmed.
Subject no 2. Issues arising out of minutes
As per minutes of previous meetings every Tuesday will be declared as ‘Psychiatric Clinic ‘at all institutions
like Taluk Hospitals, CHCs and PHCs. This was deliberated and decided as follows:
Team from the districts either Government Medical College or District Hospitals will visit Talukas.
DIMHANS team will organize visits and monitor the districts in the Gulbarga and Belgaum divisions.
NIMHANS team will visit and monitor Bangalore and Mysore divisions. Medicines should be supplied on
indent by Medical Officers. Private Psychiatrists also should be considered for participation in this
programme. Medical officers should be trained and supported in this programme.
Medicines supply should be ensured in such a way that ‘no stock out ’situation should happen anytime.
Supply should be made from Drugs and Logistic Society through tender process, tender documents from
NIMHANS and DIMHANS also should be considered to ensure continue supply of medicines, in all
hospitals. DHO’s and District Surgeons should monitor regular supply of medicines.
104 Helpline Arogyavani should be asked to send report of Mental Health Programme to KSMHA and any
intervention done following crisis call should be reported to the authority.
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Action: Director, HFW Services, Directors of Government Medical
Colleges, DD (Mental Health), all DHO’s and District Surgeons
Subject no: 3.Current status of implementation of recommendation by NHRC
Sl no
3.1
Recommendations
There is need to have a separate de-addiction Action already
ward in all hospitals of the region.
De-addiction beds made available in medical colleges
and district hospitals as and when required.
Decisions taken in the present meeting
All Medical Colleges run District Hospital should
establish 20 beds psychiatry unit as prescribed by
Medical Council of India.
Action; Director, Health and Family Welfare
Services
3.2
There is a need to focus attention on the issue
of mental health in terms of quality of
services to the patients and appropriate human
resource and infrastructure development in
the mental hospitals.
Mysore Medical College & Research Institute:
RGUHS has approved for two MD (Psy) and two DPM
seats. Awaiting MCI inspection.
Vijayanagar Institute of Medical Sciences, Bellary:
shortage of teaching faculty.
Both institutions to take action to start MD(Psy)course
Action: Director, Medical Education, Director,
MMC&RI Mysore and VIMS, Bellary.
3.3
Action already taken
There is need to have more open wards and
Psychiatrists or trained medical officers are posted at
half way homes.
all district hospitals, treatment mainly given in open
wards in these institutions.
This completes compliance
3.4
The State Government should focus on DSERT has proposed for Rs.29 lakhs to implement life
starting school mental health programmes skills education training to teachers through
with teachers trained in suicide prevention.
NIMHANS and process is continuing.
This completes compliance
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Subject no: 4. District Mental Health Programme (DMHP)
Members were informed that Government of India has released grants for 12 districts to implement District
Mental Health Programme. After deliberation members concurred for following proposals:
Department of Psychiatry the Government Medical Colleges will take over District Mental Health
Programme as listed.
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2
3
4
5
6
7
8
9
10
11
12
DMHP District
Gulbarga
Shimoga
Karwar
Chamrajnagar
Raichur
Bellary
Belgaum
Dharwad
Dakshinakannada
Chikkaballpur
Hassan
Mysore
Nodal Office
Government Medical College, Gulbarga
SIMS, Shimoga
Psychiatry Unit, District Hospital
Psychiatry Unit, District Hospital
RIMS, Raichur
VIMS, Bellary
BIMS, Belgaum
DIMHANS, Dharwad
Psychiatry Unit, District Hospital
BMC&RI, Bangalore
HIMS, Hassan
MMC&RI, Mysore
Assistant Professor of Psychiatry, Government Medical Colleges will be designated as Nodal Officer of
DMHP programmes. He will be identified by Professor & Head of the Department of Psychiatry. If there is
no Government Medical College in the district, Mental Health Programme cum Family Welfare officer will
be the Nodal Officer of DMHP programme.
Appointment of the District Mental Health Programme (DMHP) team will be as per the DMHP 11th plan
guidelines.
Two divisions of South Karnataka, Bangalore division and Mysore division DMHP programme will be
supervised by NIMHANS Bangalore. Two divisions of North Karnataka, Gulbarga division and Belgaum
division DMHP programme will be supervised by DIMHANS Dharwad. For Dharwad district DMHP
programme will be done by DIMHANS Dharwad & the joint account for the DMHP programme funds will
be operated by Director, DIMHANS Dharwad and DHO Dharwad. In other districts joint account of DHO
and Director of Medical College /DHO and Mental Health Programme Officer.
Drugs and Logistic Society and tender documents of NIMHANS/DIMHANS to taken to consideration and
orders be placed for drugs to DMHP.
It was agreed in principle to re-appoint existing DMHP staff in 4 districts of Gulbarga, Karwar, Shimoga
and Chamarajanagar and give benefit of salary as per NMHP 11th five year plan.
Action: Director HFW Services, Directors of Government Medical Colleges,
DD (Mental Health), NIMHANS, DIMHANS all DHO’s and District
surgeons.
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Subject no: 5. Audited accounts for the year 2013-14
Audited accounts of Karnataka State Mental Health Authority for the year 2013-14 was presented by the
Secretary of the Karnataka State Mental Health Authority. Audit report was approved.
Subject no: 6. Establishment of Day Care Centers
It was informed that Day Care Centers for rehabilitation of severely mentally ill persons are established and
functioning at Mysore, Chamrajnagar, Chikkmangalore and Gadag districts. Members discussed and said
that performance report of day care centers should be reviewed at every meeting.
It was also pointed out that NGOs should be allowed to function in their own centers if their no proper place
provided for day care centers by the district hospitals. This will continue till provision is made in District
Hospital / Government Hospitals.
Action: Deputy Director (Mental Health)
Subject no: 7.Any other business brought forward with the consent of the chairman.
7.1: Establishment of Manasa Kendra’s by Department for the Empowerment of Differently
abled and senior citizens
This subject was discussed and following was decided
Directors of Shimoga Institute of Medical Sciences Shimoga, Raichur Institute of Medical Sciences,
Raichur should provide place for establishment of “Manasa Kendras” run by Department of
Disability Welfare. Manasa Kendra’s should become part of Psychiatry Department of the
concerned Medical colleges. Manasa Kendra of Bangalore should be run by Psychiatry Unit of Sir
C.V Raman Hospital, Indiranagar, and Bangalore.
7.2: Report on National Conference on Mental Health and Human Rights organized by NHRC
Report on deliberations held at National Conference on Mental Health and Human Rights organized
by NHRC held on 30th May 2014 at India International Centers, New Delhi was presented and
accepted.
Project of NIMHANS and Women and Child Development Department about education of teachers
through SKYPE was informed. she was suggested to use telemedicine facility for the Purpose.
Next meeting fixed on 5th Sept 2014 at Udupi district.
Meeting concluded with vote of thanks.
S/d
N. Sivasailam
Principal Secretary to Government
Health and Family Welfare Department and
Chairman, Karnataka State Mental Health Authority, Bangalore.
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