The doctor is out. In fact, he바카라s only an occasional visitor. There are no full-time psychiatrists across jails and borstals (juvenile detention centres) in Maharashtra. Section 103 of the Mental Health Care Act, 2017, requires state governments to set up a mental health establishment in the medical wing of at least one prison in each state, where prisoners can be referred to and cared for. Certainly, such psychiatric wings can be found in Maharashtra바카라s jails바카라it바카라s just that they have no resident doctors, only visiting psychiatrists.
Sandeep Mahamuni, visiting psychiatrist at Yerawada jail, tells Outlook, 바카라There are no full-time psychiatrists. I work as a visiting psychiatrist at the jail. There is also another clinical psychologist who visits as and when required. The patients are evaluated for anxiety, depression, schizophrenia and other mental illnesses. There is a psychiatric ward inside the jail. The prisoners who are suicidal and need immediate attention are admitted to hospitals in Pune바카라since there are no full-time doctors at the jail, where they are kept on oral medication. The clinical psychologist conducts counselling sessions for the prisoners.바카라
Maharashtra바카라s inspector general, prisons, confirms this, saying. 바카라There바카라s no full time psychiatrist for any jails in the state. As and when any undertrial or convicted criminal has a need, they are referred to the relevant doctors.바카라 He adds that jail staff may also be called upon to take up the slack: 바카라Further, when there바카라s a need for the staff to acquire knowledge, police conduct in-house training for jail staffers by calling in psychiatrists.바카라
Can such provision be adequate? 바카라Prisons embody a vicious cycle of mental disorders and human rights violations. Due to the lack of any psychological support inside, this situation often precipitates into mental disorders, which can lead to serious impairments and disabilities. So while some prisoners commit crimes when mentally ill, many develop mental disorders while in detention. In both instances, courts can, after ensuring that the accused is of unsound mind and is incapacitated to stand trial and further allow delay of the trial,바카라 says a prison inspector at Arthur Road jail in Mumbai.
Counselling and support are vital for young offenders. 바카라Juveniles at the borstals like to explore their sexuality. Sex education at juvenile observation homes, jails and borstals is very important. Sodomy in jails is a common issue. Mental conditions in the jails can be transformed by humanising the experience through communication,바카라 asserts psychiatrist Harish Shetty.
The law may also call for regular treatment for inmates. According to Dipak Chattopadhyay, an advocate at the Bombay High Court and former member of the Juvenile Justice Board, 바카라Section 330 of the Code of Criminal Procedure, which provides for the release on bail of a mentally ill undertrial, is confusing, but suggests that where bail cannot be granted, the court must order the accused to be kept in a place where regular psychiatric treatment can be provided. If implemented, this would mean that mentally ill prisoners can no longer be kept inside a prison. The National Legal Services Authority바카라s scheme for mentally ill persons also supports the intent of Section 330, inasmuch as it directs state legal services authorities to carry out inspections in all jails with the assistance of state mental health authorities. These checks seek to ascertain whether there are mentally ill people in prisons, and if such persons are located, legal services authorities must seek appropriate directions to shift them out for treatment.바카라
Implementation is the crux here; Chattopadhyay adds, 바카라More than 5,000 people with mental illnesses are currently imprisoned across India, and despite the law바카라s corrective measures, little has been implemented.바카라 Why not? Nilesh Jerurkar, visiting psychiatrist at the Nashik central jail, observes, 바카라In my experience of serving at the jail for the last 3.5 years, I have been treating around 3000 patients. Many of them have been suffering from mental irritation, schizophrenia and other mental illnesses. We keep tabs on the behavioural changes of the prisoners, a diary entry of the medicines prescribed to them is made, and counselling is given to them. The priorities of the jail authorities are different. Hence, no full-time psychiatrists are appointed.바카라
By Neel Shah in Mumbai
