| Mental Illness - NATIONAL DRAFT POLICY
Formulations from ACMI , Action For Mental Illness, Bangalore
ANNEXURE I Amendments
to PWD Act for Mental Illness:
The responsibility
towards persons with disabilities is unequivocally enshrined in
our constitution. Article 41 of the Directive Principles of the
State Policy, inter alia
calls upon the State to make effective provisions for the welfare
of persons with disabilities. Further the Persons with Disabilities
Act 1995 ( hereafter known as PWD Act 1995 ) outlines the
official commitment to capitalize on the 2% human resources
of the Indian population
that constitutes the disabled census of our country.
“ The National Policy
on Disability is a response to the objectives enshrined in the Persons
with Disabilities Act 1995 and is evolved to expedite the implementation
of the Act through a synergy of action by all concerned stake holders,
NGOs , govt. Departments and Agencies and the Private Corporate
Sector as well”. We
endorse the principle of Special
But Equal status of all disabled citizens of the Union Of India.
We also believe in the principles of equal
opportunities for disabled Indians in economic, civil and political
domains of public life.
The conceptual framework of rests on the triadic
principles of Rights
/ Needs / Care as
the cornerstone of our
National Policy on Disability. Appropriate distinctions between
Physical
and Mental Disabilities
shall be made through
systemic enablers of the Action Plan such that there is no
discrimination amongst the disabled persons themselves.
The unique nature of each and every disability
within the framework of universal disabilities will be taken
into account before formulating the Action plan.. Social variables
like poverty, rural
setting, besides gender
issues shall be given importance in the Action Plan especially with
regard to rehabilitation aspects.
Care of the
disabled persons will include components of rehabilitation
through appropriate technologies , facilities and services. Above
all, it shall include the safety and dignity of disabled persons
especially for those whose natural care givers are no longer living
.Accordingly, Self Help Group of disabled persons and their family
care givers will be given adequate support and training to take
care of life long issues.
Performance standards , service accountability
, minimum standards and norms , besides monitoring
quality will merit serious attention in the course of implementation.
Finally, in view of
the rapid socio economic changes , growth of
science and technology especially in the field of
bio-medical research
besides changes in the size of the disabled population the
policy shall provide enough scope for review
and amendment of the Act as and when the situation demands the same.
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here to read the entire Act
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ANNEXURE II Amendments to PWD Act for Mental Illness
Introduction :
PWD
Act was passed in 1995 – almost a decade of its life has been completed.
Now that MSJE is proposing
to embark on a National Policy for Disability , it is but logical
to review and make necessary amendments to the Act such that it
reflects the spirit and vision enshrined in the said legislation.
Secondly, at the time
of enactment of the PWD Act, awareness about the rights , needs
and care of the MI persons was inadequate if not nil. Probably,
the omission was largely due to the fact that NIMHANS ,
Bangalore was not among
the empanelled institutes for expert advice. Nor did representations
from NGOs, Family Support and Self Help groups
caring for MI persons
was solicited. As a result, the Ministry was denied the benefit
of state of the
art information about developments pertaining to the illness and
disability of persons with MI. Perceptions of MI as MR or worse
still MI persons as “lunatics” still dominates official thinking
in many parts of the country. The resultant ignorance has led to
a series of lacuna for the benefit of persons with MI especially
when compared to the physically disabled persons. In certain provisions,
one wonders if the Law itself
unwittingly denies equal opportunities to them.
Facts about MI and disability :
Probably,
MI is the only mental disability wherein the illness and disability
can co-exist , at times even overlapping each other. Hence it is
significant to identify the major characteristics of the disabilities
of MI persons. These may be broadly classified into Emotional (
capacity to express emotions appropriate
to the situation ) Social
( Interpersonal skills) and Cognitive ( such as attention span,
memory and information uptake etc). Another interesting feature
is the differences in degree and kind from person to person with
respect to both illness profile and its disability fall outs. Hence
, rehabilitation services and facilities have to be designed in
a manner that suits the needs of the individuals. The complexity
of the matter to a large extent is minimized by planning an appropriate
treatment and rehabilitation regimen for the affected person; education
for family members is a major part of this treatment package because
a supportive family environment reduces relapse and increases periods
of remission as
a general rule.
Suggested Amendments,
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