Mental Health Care

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8/10/2019 Mental Health Care http://slidepdf.com/reader/full/mental-health-care 1/17 LOK SABHA SECRETARIAT PARLIAMENT LIBRARY AND REFERENCE, RESEARCH, DOCUMENTATION AND INFORMATION SERVICE (LARRDIS) MEMBERS’ REFERENCE SERVICE REFERENCE NOTE . No. 33/RN/Ref./December/2013 For the use of Members of Parliament Not for Publication MENTAL HEALTH CARE The reference material is for personal use of the Members in the discharge of their Parliamentary duties, and is not for  publication. This Service is not to be quoted as the source of the information as it is based on the sources indicated at the end/in the text. This Service does not accept any responsibility for the accuracy or veracity of the information or views contained in the note/collection. 

Transcript of Mental Health Care

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LOK SABHA SECRETARIAT 

PARLIAMENT LIBRARY AND REFERENCE, RESEARCH, DOCUMENTATION

AND INFORMATION SERVICE (LARRDIS)

MEMBERS’ REFERENCE SERVICE 

REFERENCE NOTE . 

No. 33/RN/Ref./December/2013 

For the use of Members of Parliament Not for Publication

MENTAL HEALTH CARE

The reference material is for personal use of the Members in the discharge of their Parliamentary duties, and is not for

 publication. This Service is not to be quoted as the source of the information as it is based on the sources indicated at the

end/in the text. This Service does not accept any responsibility for the accuracy or veracity of the information or views

contained in the note/collection. 

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MENTAL HEALTH CARE

INTRODUCTION

Mental health is an integral and essential component of health. The World HealthOrganization (WHO) defines mental health as a state of well-being in which an

individual realizes his or her own abilities, can cope with the normal stresses of life, can

work productively and is able to make a contribution to his or her community. In this

positive sense, mental health is the foundation for individual well-being and the effective

functioning of a community1. 

Mental and behavior problems are increasing part of the health problems the

world over. The burden of illness resulting from psychiatric and behavioural disorders isenormous. Psychiatric symptoms are common in general population in both sides of

the globe. These symptoms viz. worry, tiredness, and sleepless nights affect more than

half of the adults at some time, while as many as one person in seven experiences

some form of diagnosable neurotic disorder.

INTERNATIONAL SCENARIO 

Prevalence of mental disorders as per World Health Report (2001) is around

10% and it is predicted that burden of disorders is likely to increase by 15% by 2020. At

the international level, mental health is receiving increasing importance as reflected by

the WHO focus on mental health as the theme for the World Health Day (4 th October

2001), World Health Assembly (15th May 2001) and the World Health Report 2001 with

Mental Health as the focus22.

In 2008, the WHO Mental Health Gap Action Programme (mhGAP) was

launched which aims at scaling up services for mental, neurological and substance use

disorders for countries especially with low and middle income.

1 WHO, Mental Health: Strengthening our Response, February 2013.  2 Indian Council of Medical Research, Mental Health Research in India 2005.  

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Taken together, mental, neurological and substance use disorders accounting for

13% of the total global burden of disease in the year 2004. Depression alone accounts

for 4.3% of the global burden of disease and is among the largest single causes of

disability worldwide (11% of all years lived with disability globally), particularly for

women. The gap between the need for treatment and its provision is large all over the

world. WHO’s Mental Health Atlas 2011 provides data that demonstrate the scarcity of

resources within countries to meet mental health needs3.

The Director General, World Health Organization launched the Mental Health

 Action Plan 2013-2020 on 7 October 2013. The action plan recognizes the essential

role of mental health in achieving health for all people. It aims to achieve equity through

universal health coverage and stresses the importance of prevention. The four major

objectives of the Action Plan are to:

  Strengthen effective leadership and governance for mental health.

  Provide comprehensive, integrated and responsive mental health and social careservices in community-based settings.

  Implement strategies for promotion and prevention in mental health.

  Strengthen information systems, evidence and research for mental health.

Every year on 10 October, the World Health Organization joins in celebrating the

World Mental Health Day. The day is celebrated at the initiative of the World

Federation of Mental Health and WHO supports this initiative through raising awareness

on mental health issues. The theme of the day in 2013 was “Mental Health and Older

Adults”.

On 10 December 2013 the Human Rights Day, WHO launched the MiNDbank. It

is a new online platform which brings together key international resources and national

policies, strategies, laws and service standards for mental health, substance abuse,

general health, disability, human rights and development. MiNDbank  will facilitate

3 Sixty-sixth World Health Assembly, Comprehensive Mental Health Action Plan 2013-2020.  

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debate, dialogue, advocacy and research in order to promote national reform in line with

international human rights and best practice standards.

INDIAN SCENARIO 

 According to various community based surveys, prevalence of mental disorders

in India is 6-7% for common mental disorders and 1-2% for severe mental disorders. In

India the rate of psychiatric disorders in children aged between 4 to 16 years is about

12% and nearly one-third of the population is less than 14 years of age. With such a

magnitude of mental disorders it becomes necessary to promote mental health services

for the well being of general population, in addition to provide treatment for mental

illnesses. Treatment gap for severe mental disorders is approximately 50% and in case

of Common Mental Disorders it is over 90%4.

 As per the National Survey of Mental Health Resources carried out by the

Directorate General of Health Services, Ministry of Health and Family Welfare during

May and July, 2002, the details of number of patients with mental disorders and

proportionate availability of psychiatrist, psychiatric nurses and social workers,

clinical psychologist and mental hospitals and beds in the Country, State/UT wise

is given in Annexure-I.

 As per the same survey, the ideal required number of mental health

professionals has been calculated and the details of present requirement and

availability of mental health professionals in the country are given in Annexure-II5.

In India the Government has been implementing several programmes to address

mental disorder as explained below:

NATIONAL MENTAL HEALTH PROGRAMME 

The National Mental Health Programme (NMHP) was started in 1982 with the

objectives to ensure availability and accessibility of minimum mental health care for all,

4 Ministry of Health and Family Welfare, Annual Report 2012-13, p. 161  

5 Rajya Sabha Unstarred Question No. 4439, dated 7 May 2013  

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to encourage mental health knowledge and skills and to promote community

participation in mental health service development and to stimulate self-help in the

community.

The strategies of National Mental Health Programme were - integration of mental

health with primary health care through the NMHP; provision of tertiary care institutions

for treatment of mental disorders; to eradicating stigmatization of mentally ill patients

and protecting their rights through regulatory institutions like the Central Mental Health

 Authority, and State Mental Health Authority.

Gradually the approach of mental health care services has shifted from hospital

based care (institutional) to community based mental healthcare, as majority of mental

disorders do not require hospitalization and can be managed at community level. The

National Mental Health Programme Division conducts nationwide mass media

campaign through audio-video and print media6. 

DISTRICT MENTAL HEALTH PROGRAMME

The District Mental Health Programme (DMHP) was initiated in 1996 during the

Ninth Five Year Plan based on Bellary Model developed by the National Institute of

Mental Health and Neuro Sciences (NIMHANS), Bangaluru. During the plan period, 27

districts were covered under DMHP. At present DMHP is covering 123 districts in 30

States and Union Territories. In addition to early identification and treatment of mentally

ill, District Mental Health Programme has now incorporated promotive and preventive

activities for positive mental health which include School Mental Health Services,

College Counselling Services, Work place Stress Management and Suicide Prevention

Services. The issues of awareness regarding mental illness and availability of

treatment are addressed through Information, Education and Communication (IEC)

activities at District level by the DMHP7.

6 Op.cit,. Annual Report 2012-13, pp. 161-162 

7 Ibid  

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The components of District Mental Health Programme include- training

programmes of all workers in the mental health team at the identified Nodal Institute in

the State; public education in the mental health to increase awareness and reduce

stigma; for early detection and treatment, the OPD and indoor services are provided ;

providing valuable data and experience at the level of community to the state and

Centre for future planning, improvement in service and research.

 Agencies like World Bank and WHO have been contacted to support various

components of the programme. Funds are provided by the Government of India to the

State Governments and the nodal institutes to meet the expenditure on staff,

equipments, vehicles, medicine, stationary, contingencies, training, etc. for initial 5

years and thereafter they should manage themselves.

 As per the Mental Health Act, 1987, there is provision for constitution of Central

Mental Health Authority (CMHA) at central level and State Mental Health Authority

(SMHA) at State Level. These statutory bodies are entrusted with the task of

development, regulation and coordination of mental health services in a State/Union

Territory, etc.

The National Human Rights Commission also monitors the conditions in the

mental hospitals along with the Government of India and the states are acting to ensure

quality in delivery of mental care.

MANPOWER DEVELOPMENT SCHEMES

Establishment of Centre of Excellence in Mental Health

Centres of Excellence in the field of mental health are being established by

upgrading and strengthening identified existing mental health hospitals/institutes for

addressing acute manpower gap and provision of state of the art mental health care

facilities in the long run. Eleven such Centres of Excellence were envisaged. Total

budgetary support of up to Rs 338 crore (Rs 30 crore per center) was provided for

undertaking capital work, equipment, library, faculty induction and retention for the plan

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period. 11 Mental Health Institutes have been funded for developing as Centres of

Excellence in Mental Health.

Establishment/up-gradation of Post Graduate Training Departments

To provide an impetus to development of Manpower in Mental Health Training

Centers, Government Medical Colleges/Government General Hospitals/ State run

Mental Health Institutes were also to be supported for starting Post Graduate (PG)

courses or increasing the intake capacity for PG training in Mental Health. Support was

to be provided for setting up/strengthening 30 units of Psychiatry, 30 Departments of

Clinical Psychology, 30 Departments of Psychiatric Social Work (PSW) and 30

Departments of Psychiatric Nursing. Total budget allocated for this scheme was Rs 70

crores during Eleventh Plan period with a limit of Rs 51 lacs to Rs 1 crore per PG

Department. As of now, 23 PG Departments in 11 Institutes have been taken up during

the Eleventh Plan period.

MAINSTREAMING NMHP INTO NATIONAL RURAL HEALTH MISSION

Efforts are being made to mainstream the components of NMHP under the

overall umbrella of National Rural Health Mission so that the States are able to plan

requirements concerning mental health services as part of their respective Programme

Implementation Plans (PIPs)8.

FIVE YEAR PLANS AND MENTAL HEALTH CARE

Tenth Five Year Plan

The thrust areas of Mental Health Programme in the Tenth Five Year Plan were:

  District Mental Health Programme in an enlarged and more effective form coveringthe entire country.

  Streamlining/ modernisation of mental hospitals in order to modify their custodialrole.

8 Ibid  

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  Upgrading department of psychiatry in Government medical colleges and enhancingthe psychiatry content of the medical curriculum at the undergraduate as well aspostgraduate level.

  Strengthening the Central and State Mental Health Authorities with a permanentsecretariat. Appointment of medical officers at state headquarters in order to make

their monitoring role more effective;

  Research and training in the field of community mental health, substance abuse andchild/ adolescent psychiatric clinics

9.

Eleventh Five Year Plan

Under the Eleventh Five Year Plan, the National Mental Health Programme has

been restructured to include the following components:

  Manpower Development Scheme: i) Establishment of Centres of Excellence(Scheme - A); ii) Scheme for manpower development in Mental Health (Scheme -B); and

  District Mental Health Programme with added components of Life Skills Educationand Counseling in Schools and Colleges, Suicide Prevention Services etc.

  Up-gradation of Psychiatric Wings of Government Medical Colleges.

  Modernization of Government Mental Hospitals10. (The List of Government Mental

Hospitals and Grants-in-aid provided for their modernisation are given atAnnexure-III and IV)

Rs 623.445 crore was approved as Eleventh Plan outlay for the National Mental

Health Programme. Year wise financial allocation for the NMHP and expenditure

incurred is as given in the table below – 

Financial Year Allocation ( Rs. crore) Expenditure(Rs. Crore)

2009-10 55 52.272010-11 101 113.66

2011-12 130 50.34Source: MHFW, Annual Report, 2012-13

9 http://www.nihfw.org/NDC/Documentation Services/National Health Programme 

10 Lok Sabha Unstarred Question No. 1976 dated 8 March 2013.  

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Twelfth Five Year Plan

The Government has accorded high priority particularly to child and adolescent

mental health care during the Twelfth Five Year Plan. The Government is integrating

different components of National Mental Health Programme with the components of

National Rural Health Mission namely School Health, Reproductive Child Health and

 Adolescent Friendly Clinics during the Twelfth Five Year Plan to reach out to the

community in a more effective manner 11

.

OTHER INITIATIVES

The Ministry of Social Justice and Empowerment, under its Central Sector

Deendayal Disabled Rehabilitation Scheme (DDRS) has provided financial assistance

to Non-Governmental Organizations (NGOs), for providing various services to persons

with disabilities including special schools, half way homes etc. for mentally retarded

persons. The National Trust for the Welfare of Persons with Autism, Cerebral Palsy,

Mental Retardation and Multiple Disabilities implements various other schemes for the

rehabilitation of such persons. The State-wise details of funds released under DDRS

by the Ministry of Social Justice and Empowerment for the rehabilitation of the

mentally retarded persons during the last three years is given at Annexure-V.

THE MENTAL HEALTH CARE BILL, 2013

The Mental Health Care Bill, 2013 which seeks to provide for mental health

care and services for persons with mental illness and to protect, promote and fulfil the

rights of such persons during delivery of mental health care and services and for

matters connected therewith or incidental thereto, was introduced in the Rajya

Sabha on 19 August 2013. The Bill was referred to the Departmentally Related

Standing Committee on Health and Family Welfare. The Bill repeals the Mental Health

 Act, 1987.

The key features of the Bill are:

  The Central and State Mental Health Authorities will continue as regulatoryagencies.

11 Ibid  

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  All persons have the right to access mental health care and treatment frommental health services run or funded by the Government. Such services shouldbe affordable, of good quality and available without discrimination.

  Any person with or without mental illness can make an Advance Directive statinghow he/she wishes to be treated for a future mental illness and also how he

does not wish to be treated.

  A person with mental illness had the right to live in, be part of and not segregatedfrom society .The Government has an obligation to provide for half way homes,community caring centres etc.

  Provision for Mental Health Review Commission (MHRC). The MHRC is a quasi- judicial body to provide an independent oversight to the functioning of mentalhealth facilities and protect the rights of persons with mental illness in thesefacilities. It thus meets the need for an independent review mechanism asrequired under the Convention on the Rights of Persons with Disabilities(CRPD)12.

CONCLUSION

Problems relating to mental health would be managed with sensitivity at the

community level, through better training of community workers and primary care teams,

and through education of care givers. However, to address the huge burden of mental

disorders and shortage of qualified professionals in the field of mental health, the

Government is implementing the National Mental Health Programme since 1982 .

Further there are 3 centrally run mental health institutes, 43 Government run mental

hospitals and institutions and 381 medical colleges both Government and Private

across the country equipped to treat the patients suffering from mental illness. The

Mental Health Care Bill 2013 would bring about a paradigm shift in the area of mental

health. The National Institute of Mental Health and Neuro Sciences (NIMHANS),

Bangalore which has become an institution of national importance would mentor and

support child and adolescent mental health services13

.

12 Departmentally Related Parliamentary Standing Committee on Health & Family Welfare, ‘Seventy -

Fourth Report on ‘The Mental Health Care Bill, 2013’, pp. 10-12. 13

 Press Information Bureau, Ministry of Health and Family Welfare, 25 September, 2013.  

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 ANNEXURE - 1

Number of Patients with mental disorder and proportionate availability of

Psychiatrist, Psychiatric Nurses and Social Workers etc.

S.No State

(1)

Population

(2)

   D   e   n   s   i   t   y    /

   S   q   K   m     (   3

    )

Estimated case load (4) Existing facilities

Hospital beds

(5)

Manpower resources

(6)

Psychiatrists Clinical psychologists Psy. social workers Psychiatric nurses

Majormental

disorders

Minormental

disorders

Govt.sector Pvt.secto

r

   A   v   a   i    l   a    b    l   e

   I    d   e   a    l   r   e   q .

   D   e    f   i   c   i   t

   A   v   a   i    l   a    b    l   e

   I    d   e   a    l   r   e   q .

   D   e    f   i   c   i   t

   A   v   a   i    l   a    b    l   e

   I    d   e   a    l   r   e   q .

   D   e    f   i   c   i   t

   A   v   a   i    l   a    b    l   e

   I    d   e   a    l   r   e   q .

   D   e    f   i   c   i   t

i ii iii iv v vi vii viii ix x xi xii xiii xiv xv xvi xvii xviii xix xx

1 A & N 356265 43 3562 18810 10 - 1 4 3 - 6 6 - 8 8 - 3 3

2 Andhra Pradesh 75727541 275 757275 3766375 1020 210 180 757 577 8 865 857 3 1154 1151 Nil 123 1

3 Arunachal

Pradesh

1091117 13 10911 54555 10 - 1 10 9 - 15 15 - 20 20 - 1 1

4 Assam 26638407 340 266384 1331720 500 - 29 266 237 5 450 445 1 564 563 1 50 4

5 Bihar 82878796 880 828787 4143935 - - 28 828 800 13 1214 1201 NA 1656 ** NA ** *

6 Chandigarh 900914 7903 9009 45045 57 - 31 9 +22 14 14 - 10 18 8 1 6 5

7 Chhattisgarh 20795956 154 207959 1049795 10 3 15 207 192 1 304 303 2 414 412 - 2 2

8 Daman & Diu,

Dadra & Nagar

Haveli

158059,

220451

1411,

449

3785 18925 10 - 1 4 3 - 6 6 1 8 7 4 1 +

9 Delhi 13782976 9294 137829 689145 329 113 155 137 +18 43 207 164 13 274 261 172

**

32 +

10 Goa 1343998 363 13439 77195 210 - 26 14 +12 2 21 19 3 28 25 2 21 1

11 Gujarat 50596992 258 505969 2529845 853 326 97 505 408 12 753 741 12 1010 998 - 118 1

12 Haryana 21082989 477 210829 1054145 89 98 39 210 171 2 315 313 - 420 420 1 19 1

13 Himachal Pradesh 6077248 109 60772 303860 14 3 8 61 53 2 90 88 - 122 122 - 6 6

14 Jharkhand 26909428 338 269094 1345470 1173 145 50 270 220 15 405 390 10 540 530 NA 135 *

15 J & K 10069917 99 100699 503495 120 - 4 100 96 1 150 149 1 200 199 - 12 1

16 Karnataka 52733958 275 527339 2636695 1341 1113 198 527 329 69 762 693 56 1052 996 175 245 7

17 Kerala 31838619 819 318386 1591930 1937 1539 238 318 80 42 477 435 40 636 596 14 348 3

18 Lakshadweep 60595 1894 605 3025 - - - 1 1 - 2 2 - 4 4 - 1 1

19 MP 60388118 196 603881 3019405 592 NA 12 603 591 - 905 905 - 1206 1206 1 60 5

20 Maharashtra 96752247 314 967522 4837610 6073 652 486 967 481 33 484 451 44 1934 1890 117 672 5

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21 Manipur 2388634 107 23886 119430 10 - 6 24 18 1 36 35 2 48 46 - 1 1

22 Meghalaya 2306069 103 23060 115300 70 - 5 23 18 - 35 35 - 46 46 2 7 5

23 Mizoram 891058 93 8910 44550 14 - 4 9 5 1 13 12 1 18 17 2 2 -

24 Nagaland 1988636 120 19886 99430 25 - 5 20 15 - 30 30 - 40 40 1 3 2

25 Odisha 36706920 236 367069 1835345 118 - 19 367 348 5 550 545 1 734 733 - 11 1

26 Pondicherry 973829 2029 9738 48690 44 20 15 10 +5 1 5 14 13 20 7 20 7 -(

27 Punjab 24289296 482 242892 1114460 580 267 89 242 153 18 363 345 21 484 463 10 85 7

28 Rajasthan 56473122 165 564731 2823655 627 110 75 565 490 12 798 786 4 1130 1126 - 74 7

29 Sikkim 540493 78 5404 27020 20 12 2 5 3 - 7 7 - 10 10 - 3 3

30 Tamil Nadu 62110839 478 621108 3105540 1800 NA 262 621 359 7 910 903 21 1242 1221 - 180 1

31 Tripura 3191168 304 31911 159555 16 - 9 31 22 - 45 45 - 62 62 - 2 232 Uttaranchal 8479562 159 84795 423975 - - 6 84 78 - 126 126 - 168 168 - - -

33 Uttar Pradesh 166052859 689 1660528 8302640 1750 275 115 1660 1545 20 2490 2470 35 3320 3285 - 202 2

34 West Bengal 80221171 904 802211 4011055 1471 210 83 802 719 28 1204 1176 - 1604 1604 4400* 1604 +

Grand Total  10270165 51251625 20893 5096 2219 9696 7477 343 13259 12926 290 19064 17118 **

(6527)

4036 *

Note

*figures unreliable: Nurses with some psychiatric training but without a Diploma in Psychiatric Nursing (DPN) appear to have been

included.

** Figures unreliable

Column 2.The population figures have been taken from the Census of India-2001 as published in Provisional Population Totals (Registrar

General Census Commissioner, India).

Column 3.Population density per square kilometre together with geographical terrain is a useful input in planning deployment of mental

health resources.

Column 4.Case-load in respect to major mental disorders has been calculated at the rate of 1% of the population and that of minor mental

disorders at the rate of 5% of population.

SOURCE: National Survey of Mental Health Resources carried out by the Directorate General of Health Services, Ministry of Health &

Family Welfare during May and July, 2002

  Source: Rajya Sabha Unstarred Question No. 4439 dated 7 May 2013 

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 ANNEXURE-II

Ideal required number of mental health professionals.

i. Psychiatrists : 1.0 per 1,00,000 population

ii. Clinical Psychologist : 1.5 per 1,00,000 population

iii. Psychiatric Social Workers : 2.0 per 1,00,000 population

iv. Psychiatric Nurses : 1.0 per 10 psychiatric beds.

The details of requirement and availability of mental health professionals in the country

is as under:

Manpower Requirement Availability

Psychiatrist 11500 3800

Clinical Psychologist 17250 898

Psychiatric Social Workers 23000 850

Psychiatric Nurses 3000 1500

Total 54750 7048

Source: Ibid .

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 ANNEXURE - III  

List of Govt. Mental Hospitals/Institutes

S. No.  State  Name of the Mental Hospital 

1. AndhraPradesh 

Institute of Mental Health, Govt. Hospital for Mental Care, S.R. Nagar,Hyderabad

2. Government Hospital for Mental Care, Chinnawaltair, Vishakapatnam.

3.Assam 

Lokopriya Gopinath Bordoloi Institute of Mental Health, P.O. Tezpur, Dist.Sonitpur, Assam *

4. Bihar   Institute of Mental Health, Koelwar, Bhojpur, BIHAR

5.

Jharkhand 

Central Institute of Psychiatry, Kanke P.O. Ranchi. *

6. Ranchi Institute of Neuropsychiaty and Allied Science (RINPAS), Kanke,

Ranchi.

7. Delhi  Institute of Human Behavior & Allied Sciences, G.T. Road, Jhilmil, Delhi

8. Goa  Institute of Psychiatry & Human Behavior, Altinho, Panaji.

9.

Gujarat 

Hospital for Mental Health, Bhuj.

10. Hospital for Mental Health, Vikasgruh Road, Jamnagar.

11. Hospital for Mental Health, Behind Kapadia High School, Outside DelhiGate, Shahibaug Road, Ahamedabad

12. Hospital for Mental Health, Karelibag, Baroda.

13. HimachalPradesh 

Himachal Hospital of Mental Health & Rehabilitation, Boileauganj, Shimla

14.

Jammu &Kashmir  

Govt. Hospital for Psychiatric Diseases , Rainawari, Khatidarwaze,SRINAGAR

15. The Medical Superintendent, Psychiatric Diseases hospital GMC,Jammu, Ambphalla B.C. Road, Jammu.

16.

Karnataka 

Karnataka Institute of Mental Health, Belgaum Road, Dharwad,

Karnataka.

17. National Institute of Mental Health and Neuro Sciences, Bangalore *

18.

Kerala 

Mental Health Centre, Oolampara, Thiruvanathapuram.

19. Govt. Mental Health Centre, Kuthiravattom, Kozhikode.

20. Govt. Mental Health Centre, Poothole, Thrissur.

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S. No.  State  Name of the Mental Hospital 

21.MadhyaPradesh 

Gwalior Manasik Arogyasala, Central jail Road, Gwalior

22. Mental Hospital, Banganga Sawer Road, Indore.

23.

Maharashtra 

Regional Mental Hospital, Nagpur.

24. Regional Mental Hospital, Yeravda, Pune.

25. Regional Mental Hospital, Wagle Estate, Thane (W)

26. Regional Mental Hospital, Ratnagiri

27.Meghalaya 

Meghalaya Institute of Mental Health & Neurosciences, Shillong,

28. Modern Psychiatric Hospital, Narsingarh, Agartala, West Tripura.

29. Nagaland  Mental Hospital, Kohima, Nagaland.

30. Orissa  Mental Health Institute, S.C.B. Medical College, Cuttack.

31. Punjab  Dr. Vidyasagar Punjab Mental Hospital. Circular Road, Amritsar.

32.Rajasthan 

Mental Hospital (Psychiatric Centre), Janta Colony, Jaipur.

33. Mental Hospital, (Psychiatric Center), Shastri Nagar, Jodhpur.

34. Tamil Nadu  Institute of Mental Health, Medavakkam Tank Road,Kilpauk, Chennai.

35.

Uttar

Pradesh 

Institute of Mental Health & Hospital, Billochpura, Mathura Road, Agra

36. Mental Hospital Bareilly, Civil Lines, Bareilly.

37. Mental Hospital, S2/1 Pandeypur, Varanasi.

38.

WestBengal 

Lumbini Park Mental Hospital, 115, G.S, Bose Road, Calcutta.

39. Institute for Mental Care, Purulia P.O., Purulia.

40. Mental Hospital Berhampore, Berhampore Mental Hospital,Berhampore, Murshidabad,

41. The Mental Hospital (Calcutta & Mankundu), 133, Vivekananda Road,Calcutta,

42. Institute of Psychiatry, 7, D.L. Khan Road, Calcutta

43. Calcutta Pavlov Hospital, 18, Gobra Road, Calcutta

Source: Lok Sabha Unstarred Question No. 1728 dated 16 August 2013

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 ANNEXURE - IV  

Grant-in-aid provided to Govt. Mental Hospitals under National Mental HealthProgramme for their Modernisation

Sl. No. States Year Institute Amount (in Rs.)

1.  Andhra Pradesh 2005-06 Institution of Mental Health, Hyderabad 2,71,00,000/-

2.  Andhra Pradesh 2006-07Government Hospital for Mental Care,

Vishakhapatnam.3,00,00,000/-

3.  Assam 2005-06

Lokopriya Gopinath Bordoloi Regional Institute

of Mental Health, Tezpur (Central Govt.

Institute)

3,00,00,000/-

4.  Gujarat 2005-06 Hospital for Mental Health, Ahmedabad 76,64,000/-

5.  Gujarat 2005-06 Hospital for Mental Health, Vadodara 2,99,50,000/-

6.  Gujarat 2005-06 Hospital for Mental Health, Jamnagar 82,28,000/-

7.  Jammu & Kashmir 2007-08 Govt. Psychiatric Diseases Hospital, Srinagar. 2,50,00,000/-

8.  Jharkhand 2004-05

Ranchi Institute of Neuro Psychiatry & allied

sciences, Ranchi 2,45,00,000/-

9.  Karnataka 2006-07Karnataka Institute of Mental Health,

Dharwad.3,00,00,000/-

10.  Kerala 2005-06 Mental Health Centre, Kozhikode 2,85,00,000/-

11.  Kerala 2005-06 Mental Health Centre, Thrissur 1,10,00,000/-

12.  Kerala 2005-06 Mental Health Centre, Trivandrum 2,50,00,000/-

13.  Madhya Pradesh 2005-06 Gwalior Mansik Arogyasala, Gwalior 2,13,00,000/-

14.  Madhya Pradesh 2006-07 Mental Hospital, Indore 2,99,75,000/-

15.  Maharashtra 2005-06 Regional Mental Hospital, Yervada/ Pune 2,71,00,000/-

16.  Maharashtra 2005-06 Regional Mental Hospital, Thane 2,49,50,000/-

17.  Maharashtra 2005-06 Regional Mental Hospital, Nagpur 2,89,00,000/-

18.  Maharashtra 2008-09 Regional Mental Hospital, Ratnagiri, 2,84,00,000/-

19.  Meghalaya 2008-09Meghalaya Institute of Mental Health &

Neurological, Shillong3,00,00,000/-

20.  Nagaland 2007-08 Mental Hospital, Kohima 1,60,00,000/-

21.  Orissa 2005-06 Mental Health Institute, Cuttack 1,51,00,000/-

22.  Rajasthan 2007-08 Psychiatric Centre, Jaipur 2,60,50,000/-

23.  Tamil Nadu 2005-06 Mental Health Institution, Kilpauk 2,69,00,000/-

24.  Uttar Pradesh 2005-06 Mental Hospital Bareily 2,33,32,000/-

25.  Uttar Pradesh 2006-07 Institute of Mental Health and Hospital, Agra. 3,00,00,000/-

26.  Uttar Pradesh 2006-07 Mental Hospital, Varanasi 3,00,00,000/-

27.  West Bengal 2005-06 Pavlov Mental Hospital, Kolkata 94,40,000/-

28.  West Bengal 2005-06 Behrampore Mental Hospital, Murshidabad 2,94,80,000/-29.  West Bengal 2005-06 Institute of Mental Health Care, Purulia 1,00,00,000/-

Source: Ibid  

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 Annexure-V  

Statement Indicating State-wise details of funds released under DDRS to thevarious NGOs for the rehabilitation of MR persons.

S. No  Amount Released (Rs in lakh) 

State  2010-11  2011-12  2012-13 

1. Andhra Pradesh  1195.06  1360.91  868.621 2. Assam  34.81  35.2  27.26 3. Bihar   0.00  49.86  9.01 4. Chhattisgarh  0.00  13.05  0.00 5. Delhi  24.57  8.82  10.77 6. Gujarat  81.74  10.06  3.72 7. Haryana  63.52  47.55  55.54 8. Himachal Pradesh  5.07  6.72  7.39 9. Jammu & Kashmir   0.00  0.00  3.67 

10. Karnataka  293.39  298.4  91.28 11. Kerala  722.48  784.07  434.64 12. Madhya Pradesh  61.89  120.12  48.66 13. Maharshtra  38.71  5.4  6.44 14. Manipur   151.42  86.82  68.76 15. Meghalya  13.8  7.16  0.00 16. Mizoram  31.18  14.83  0.00 17. Odisha  160.31  217.76  114.91 18. Punjab  74.82  35.44  23.63 19. Rajsthan  89.03  18.04  30.32 20. Tamil Nadu  92.31  152.93  83.50 

21. Tripura  1.19  4.6  6.52 22. Uttar Pradesh  128.35  176.31  99.18 23. Utrakhand  47.06  24.02  8.29 24. West Bengal  338.15  319.92  166.49 

Total  3648.86  3797.99  2168.601 

Source: Lok Sabha Unstarred Question No.5156 dated 26 April 2013.