ORGANIZATIONS WORKING IN THE FIELD OF MENTAL HEALTH

Item

Title: ORGANIZATIONS WORKING IN THE FIELD OF MENTAL HEALTH
extracted text: RF_MH_3_SUDHA

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Sal ar i es/ i nc remen ts/perks/pena11 i es*' kn—LeepJjiQ^jMj-tJi. cen tral
government!. Vfeightage to be given for qualifications and
exprerTence. Imp lementat ion of labour legislation and welfare?
measures as^prescribed by the Sovt.of India?)
dual ifications/minimum/tests

Recurring
overheads:rent/ut i1i t ies/maintenance/drugs/depreciat ion/
Admn:

procedures/stationery/contracts

Mktg: potential/survey/schemes/targets/1i terature/pric ing
Advtg: pr/con.ferences/talks/mai 1 i ng/brochure/
Finance: sources/repayment/prof i tab i1i ty

ROLE AND.. DUTIES OF STAFF in context to the organisation

Ln i tiator: a) Policy and priority /i■
'-------- b) Appointments and dis appjpji nt meats
<^)(p Funding and budgeting
;
,d‘) Monitoring and resourc^v.y.pw/

It will be constituted by the managing committee appointed by
the board of trustees. One member of the committee will be
appointed as the secretary and will also function as the co
ordinator of the centre.The managing committee will meet once
a month at the centre to cxuaduet-'-bcrrsuness.
-I'lv..’

Co-ordinator:a)
b)
c)
d)
will
will
will
will
will

Maintenance of records
Issuing instruction^
Integrating action
Monitoring results

be responsible for the administration^ot the centre.
function as the secretary to the managing committee.
be responsible for implementing the aims and objectives.
be resident at the centre and will /function as the head.)
be answerable to the managing committee.

Departmental Head:a)
b)
c)

Planning operations
Execution of tasks
Reports on results

will be qualified and experienced in the area administered.

will
will
will
will
will

be responsible for planning and progress reports.
undertake tasks assigned by the co-ordinator.
.relegate duties' to executives in the team.
be. responsible to see that dead-lines are met.
be responsible for the quality'of work ^rf^Th^-te^fn?

Executives:

will execute tasks allotted by departmental head.

DEPARTMENTS
1.
Therapeautics
2.
Rehabi1itat ion and Community outreach programmes
3.
**J3upp 1 ies/ stores/ housekeeping and maintenance ■
*Records,
5.
publications"’, accounts and correspondence
6.
Research,Development,^pplication and Dissemenation
7.
' Funding"', Finance and FanFare .

DEPARTMENT OF THERAPEAUTICS
Hoskote
it will
it will
^Xit will
|g+■it will
it will
it will
it will

Centre
look after the medical treatment of the patient.
run an OF'D three times a week^.
(general)
run a 19 bedded in patient facility, (psychiatric)
organise specialist OPD and camps.
participate in community outreach programmes.
provide technical bank for publications and work shop
research into improved methods of treatment.

Bangalore
they will
they will
they will
they will
they will

city centres
provide out patient facilities
refer cases requiring admission to Hoskote
follow up cases discharged from Hoskote
offer family guidance and theraphy
organise fellowship programmes for members

The Hoskote ETC will be staffed by
1.
Director of Therapeautics
■
. Am -‘should have a recognised post graduate degree^in Psych
I->will function^as the head of the therapeautic team.
'
- & will have to^organise community psychiatry programmes.
should be familiar with substance abuse/ general psych
'communitv osvchiatrv/ alternate medicine^'researchAfte
will head the technical bank for medical publications.
will be resident at the centre. Reports: to co-'ordinator.

2.
Asst 1 Director Therapeautics
should have an MDBS degree from a recognised institution.
will be resident on call,. W-rtT treat in-patients^/wi 11 man
the OPD
^participate in community out-reach programmes..
Should have an aptitude for teaching and mass communication
Will help develop alternate methods of theraphy and de-

mistj/f icat i on of‘mental

illness.

3.
Director of Nursing
should have a post graduate nursing qualification.
Will head the nursing team and organise training programmes.
Should be familiar with psychiatric/ detoxification nursing.
teaching experience family/ community. Capable of developing
appropriate nursing methods. Should be fami 1/(Zar with rural
life and customs,.
4.
Assistant Nurses should be graduate nurses with experience
and aptitude for working with the mentally ill/ handicap^d.
Will be resident on call and will work in the ORD,in-patients
and community.

5.
Director of Rehabi1itat ion
should have a post graduate degree in Social work.
with(experience of mentally ill/ retarded/ substance abuse.
Should be familiar with project administration and funding.
Will have to organise the community health programmes./Career
Guidance and motivation. ...
/ /
„
n 'I
'

6.
Director Motivation should be capable of empathising with
Drug Addicts. Alcholics, Manic Depressives, Schizophrenics,
and being one with the mentally retarded. Will be responsible
for converting human liabilities into productive citizens.
responsible for motivating
the
a)
afflicted b)the family c)the employer disociety
Should be competent in public speaking and qualified in mass
communication. Should have experience in publishing and
creative expression.will be responsible for all public
functions of the centre and will have to conduct public
awareness and promotional programmes/fe-^A^1^6^
7.
Director Education and placement will be responsible for
a) appropriate education programmes for mentaly afflicted.
b)
productions for mass education/ workshops/ seminars/ text
c)
running an artisan and trades workshop and apprentice
d)
career guidance and placement of treated and chronic cases
should have a post graduate qualification in education with a
specialisation in education of the handic’apped./experience in
working with drop puts/ addicts/ mentaly handicapped/ insane.
©/'running a vocational training and placement programme/
agriculture and rural/ cottage industry. Rural economy
alternate resource development/ alternate-energy-development. y

Ltfinimuni duration of stay - 3 weeks
Package deal for alcohol/drug therapy - 6 weeks

3 weeks compulsory in-patient care
3 weeks out-patient F/u twice a week
- Rs. 5,000/8,000 plus, drugs
Free Clinic Twice A Week On Tuesdays & Fridays

- liason with Lions Club

4,

Rotary Club
Bangalore Round Table
Jaycees
Leo Club
Al truss
- Other Social Welfare Organisations.
- Pharmaceuticals - Sun Pharma
Torrent
SKF
S.S. Pharma
INTAS
La Pharma
Sigma
Eros Pharma
Boots
USV
Abbots
Astra—IDL
Wellcome Burroughs
Merck
Hoechst

^Public Limited Companies

'BHEL, BEML, HMT, HAL,
Larson 8< Turbo, BPL

ITI,

NGEF,

MTCO,

LRDE

Mktg: potential/survey/schemes/ targets/ 1 i terature/pncing

Marketing
Potential
As indicated earlier the .potential for the Mental Health Care
in Bangalore is enormous, especial 1 y'wi th' rapid urbanisation

and industrialisation. The increase in awareness of cental
problems and modern methods of treatment will considerably
enhance'the market potential in the city.

Institutions of similar nature have been, run profitably and
are usually over—booked, The surplus and/or the cases that
cannot' be easily treated in these Institutions, will be our
primarv target audience and subsequently the market. The
strength in our organisation is the fact that it is run by
qualified specialists, which is not the case■in some of the
privately run mental health care institutions;.

The market potential can be divided into two basic segments:
1.Institutional
Many large Public limited industries, as mentioned earlier,
are facing an acute problem due to alcohol. This adversely
effects the production and is counter—productive. Both the
management and labour (unions) realise the need for care of
the workers thus afflicted. Funds have been kept aside from
both sides for this purpose. If this market segment is
adequately tapped it could, represent at least 707. of the in
patients in Phase 1 (7 beds). They could be contracted on an
annual bpsis ensuring a regular and reliable source of income
for the centre. They could be treated exclusively and special
concessions offered.

2.Individuals
a) Urban-Referred, Once the Centre is established and
functioning, the city centres can refer the cases that need
hospitalisation. Although the treatment may not differ from
those given to institutional patients they will not secure
the same economic benefits. Bed and treatments costs will be
at an average 207. more than that offered to the institutions.
The segment may be estimated at 207. <2 beds/private wards) .
b) Loc/al. To increase awareness and be of service to the
local community an ORD will be run at subsidised rates.
Although the income may not be substantial at the outset it
will lay a bsse for future development. 107.- one bed will be
reserved for this class of clientele.
Free .clinics sponsored by social groups will also be held
once a week to generate goodwill.
Survey
A survey amongst Institutions and similar health care centres
can establish the-above mentioned premise. The survey may be
conducted by the doctors themselves or with- the help of

,

Basis
The basis will primarly establish the existing market 3nd its
future potential. It could also help in establishing the need
for Old Age & Mental Health centres and its cost
effectiveness. It could also throw.new light on areas which
have marginal 1ised in this document, due to ignorance or lack
of information.

Questionaire
The questionaire must be simple and the contents should be
self explanatory for a-person to fill in. An extra section to
deal with Institutions must'cover economics, periods, success
/failures in the past, legal aspects... These questional res
can be filled in by. one of the doctors or person trained to
get the right response.
Analysis
The analysis of these questionaires can follow a
pre
determined format designed by the doctors/marketing manager.
Care should be taken to leave room for hew lines of thought
that can change or alter the existing approach.

Break-even. As indicated the break-even target of 5 bed
occupancy can be achieved through Institutions. Hence the
thrust must be intially focussed on this segment.. If the
alloted 7 beds are permanently booked by this segment it
could ensured a reliable source of income for the Centre to
run on.
Phase I
Pri c ing
Competitors
Opportunity
Packaging
Promotion
Advtg:
P

pr/conferences/taiks/mai1ing/brochure/

M H 2*

Environ Mental Trust
No 7/2, 12th Cross, 8th Main, Malleswaram, Bangalore 560 003
Phone:345099

Appeal
W e are a group of professionals who have formed a charitable Trust dedicated to the
service of the poor. The objective of the Trust is to provide a comprehensive Mental Health
Care system including Alcohol and Drug Deaddiction and Rehabilitation. Funds generated
^)by way of mass entertainment will go into building the necessary infra-structure. A British
group of musicians have agreed to tour the country in August and perform on our behalf.
We earnestly appeal to you for your sponsorship and support. You can help by under
writing basic costs of production.
Co-sponsorship of the programme involves providing financial assistance of all costs
other than publicity and advertising which is being sponsored by SWATCH, the famous
watch company of Switzerland.
SWATCH has undertaken a publicity campaign of Rs. 14 lakhs in 4 major cities.
However, to make it a fund raising project, financial assistance is also required for the
venue rent, hire of sound a'nd light equipment, security and costs of stage and barricade
erection.
The co-sponsor will benefit from the publicity through newspapers and other mass media
employed prior to the show. Banners of the co-sponsor will be displayed at the entrance.
Complimentary tickets will be given to the co-sponsor who in turn can use it to invite people
j^and improve their public relations.
PATRONS:
Dr K. S. Asok MBBS MRCP

Mrs O. Mendanha MA BT
TRUSTEES:

Neurologist
Educationist

Dr. Aravind Sheshadri
Psychiatrist
Dr. Laksman
Geriatrics
;yfe**V* k
ORGANISING COMMITTEE:
Dr. Rabindra Mendanha
Dr. Geetanjali Mahadevan
Dr. M.V. Shailesh Kumar
Mr. Harindranath Nair
Mr. Mahesh Kukreja
Mr. R. Rajashekar

°

>V■

I

Environ Mental Trust
No 7/2,12th Cross, 8th Main, Malleswaram, Bangalore 560 003
Phone:345099

The Need for Mental Health Care m India
east 27. of rhe oooulation have some definab

PROCESS

The Trust has registered and applied for SQ G exemption unaer
the Income Tax At.t as a secular public charitable Trusr.
The Trust will not discriminate on the basis of caste.
greed. race or religion.

Therapeutic:

Dr.
Dr.

R. Lakshman MBBS ITD (USA) DMRC Psych
Aravind Sheshadri MBBS DPM (NIMHANS)

Laboratory:

Dr.
Dr.

Rabindra Mendanha MBBS HD Physiology
M.V.Shailesn Kumar PhD Neurophysiology

Operations:

Mr.

Harindranath Nair B.Com Dip Management'!

Documentation:

Mr.

Mahesh Kukreja Design and Fabrication

Farming:

Mr.

8.

Satish Kumar Rural Deveiooment

Co-Ordination:

Mr.

R.

Rajashekar

Staff:

Mr.

S.

Motha

Behavioural

therapist.

Social Worker;

Administration

Leather Crafts

Occupational

Librarian:

Nurses;

Therapists.Psychiatr:

Laboratory technician;

Adminstrative and Catering.

STRUCTURE

Vital:losoital dormitory for 30 patients.
and out-patient/outreach facilities
2.

Staff residence

3.

Occupational therapy centre

4.

Laboratory equipment

5.

Kitchen and Dining Hall

6.

Water supply and Sewerage

7.

Office eouipment and

library

Activities

Treatment and Research.

1.

Mental:

2.

Vocational: Pottery, Toy making, Leather work,
Catering, Masonry. Carpentery.

3.

Social:

4.

Physical:

Farming,

5.

Creative:

Music,

Group interaction activities.

Adventure and Team sports.

Dance,

Drama,

Arts and Crafts.

larget Population:

The Centre will cater to the neeas of the population as a
whole.
It will also tend to the domicilliary needs of
patients referred from other centres.

treatment Approach:
i>

Biological: Treatment by Qualified staff using a multi
disciolinary aooroach.

ii;

Psychological:

iii)

Family:

Family Counselling and Therapy.

iv.'

Social:

Group

v)

uccuoational :

Groun psychotherapy and self help groups.

interaction activities and Education.
Therapy and Vocational crafts training,,

rroductivity Profile:
In the first phase 30 beds will be provided at the
Environ Mental Centre.

The duration of stay will vary from a few weeks for acute
cases to domicilliary care on a long term basis. Out patient
facilities will be orovided.
Emonasis will be on readjustment of the oatient initially to
self, then to his home environment in order to facilitate
social adjustment. The individual will develop a productive
skill in order to function as a contributing member of
society.

Essential:-

1.

Implements:

Farming and craft tools.

2.

Transport:

Ambulance/Jeep.

3.

Eauipment:

Communication and generator..

4.

Livestock:

Milch cattle,

go'par gas and cultivation.

Desirable:-

1.

Recreational

2.

Sports gymnasium.

facilities.

Maintenance and Working Cost;

To be reviewed annually.

Suggested heads of account
1.

Salaries Tor staff.

2.

Administrative expense.

3.

Catering and House keeping.

4.

Purchase of drugs and reagents.

5.

Maintenance of eauipment.

c.

Miscellaneous.

.

SOURCES OF FUNDS:1.

Donations from individuals and organisations both
inside and outside the country.

2.

Government Funding.

3.

Donation from affluent patients for service to poor

a..

Fund raising

by

Cultural and Sports activities.

Publication and Training programmes.

Environ Mental Trust
No 7/2,12th Cross, 8th Main, Malleswaram, Bangalore 560 003
.•)
Phone: 345099

The Environ Menial Health Centre Project
The Environ Mental Trust was registered in July
‘91 to commission The Environ Menial Health Centre
for therapeutic and rehabilitation purposes to succour
the psychologically distressed excluding the mentally
retarded and those below the age of 12 years with
the focus on alcohol and drug de- addiction.
Bacng round

Cosmopolitan Bangalore is rapidly evolving into
a megalopolis and is the fastest growing metro in
India and indeed Asia; with a population of over 50
lakhs (1991). Once a sleepy pensioners paradise
famous for its salubrious climate, the capital city, of
Karnataka is being shaken to the very core of its
being and the bewildered populace rudely awakened
to adapt to the complexities of ‘big city' life.
The social upheaval engendered over such a
shoa period of 10 years has brought in its wake
some of the more unwelcome problems of massive
urbanisation alongside mammoth industrial expan
sion.
Alcohol abuse has assumed alarming propor
tions. Speaking at a workshop on "The law and drug
abuse" Bangalore Police Commissioner, Mr.
Ramalingam was of the opinion that the spurt in al
cohol abuse figures, especially in the young was due
to the town’s 'pub culture'; Bangalore having the
largest number of pubs in India. At the same venue
Proi. Mohan Issac of NIMHANS stated that alcohol
related problems had shown a ten fold increase in
the last decade and 20%of cases seen at the nation
al referral centre were due to substance abuse, 90%
owing to alcohol (Deccan Herald Aug 1991).
Stress related disorders due to the pressures of
modern city life is widely reported on the increase
and awaits assessment.
Bangalore has the highest incidence of suicide
among Indian cities (ref: article in Blossom city
magazine July 1991 issue). The relationship with
stress is marked.
Widespread drug abuse remains worrisome and
is second only to alcohol abuse.
The add-on effect to the more conventional
areas ot mental illness viz schizophrenia, personality
and anxiety disorders need urgent evaluation. They
can be safely presumed to be on the upswing given
the well documented association with alcoholism,

stress, drug abuse and suicide.
The pressing need of the hour is for mental
health centres managed by professionals with ‘state
of the art' facilities to meet the increase in
psychological morbidity..
A group comprising of psychiatrists and oilier
professionals have come together because of a
shared cqncern in the area of mental health and its
problems to set up The Environ Mental Health Centre
in Hoskote on the outskirts of urban Bangalore for
purposes of therapy and rehabilitation.
The centre comes under the aegis of the Environ
Mental Trust, a secular charitable organisation con
ceived in July '91 by the aforementioned group with
headquarters in Malleswaram, Bangalore.

An analogy drawn from the field of interna!
medicine best visualises the philosophy of the group
to the field of mental illness and its place in society.
A protozoan trophozoite Entamoeba HistoMica
is the causative organism of amoebic dysentery.
Within the human intestine it lives in happy symbiosis
with the 'resident bacterial flora. Any disturbance in
this delicate triangular relationship triggers dysentery
and management consists of treating the amoebae
and bacteria specifically and the host symptomatical
ly to restore the status quo. By the same token the
psychological!;‘disturbed patient cannot be treated in
isolation but only in the context of his environment
and further afield society as we know it, to restore
the steady state enabling the patient to reintegrate
into society and live in amity within it.
On a different plane, the group will adopt a
kinder, gentler approach tempered by firmness and
fairness within an eclectic therapeutic framework.

Location

The cenhe is based at a fully equipped 40 bed
hospital on a 5 acre plot provided with electricity,
telephone & bore well. The oid Madras road (N.H.4)
bisects Hoskote 25 kms from Bangalore and secures
ready access via a metalled by-road in good condi
tion half km off the highway and on its right hand side
when approached from Bangalore. It is well con
nected by KSRTC buses every half hour from the
town centre.

Phase 1

A 10 bedded unit and two private rooms will be
unveiled with 'full back up services by trained
psychiatric and nursing staff on a 24 hour rota basis.
Assessment and out patient clinics commence on the
day of inauguration of the centre and will also be
operative at: "
1) Salnath Clinic, No.174 Seppings Road, Ban
galore 560 005, phone: 571276 (PP)
2) EMT, No. 7/2, 12th Cross, 8th Main, Malles
waram, Bangalore 560 003, phone: 345099.
Psychiatric and ancillary staff will pay domicilary
visits to private residences, family practitioners’
clinics, nursing homes and hospitals by prior arran
gement and at mutually convenient times.
The accent will be on acohol and drug de-addic
tion. The reasons for targeting this sub-group are
manifold. Today, there is a heightened awareness
that the flower of our youth in the sensitive twenty to
forty age group is the most vulnerable to these habits
and the devastating socio-economic implications
thereof. Giving these conditions top priority will en
sure the financial viability of the project in the crucial
first phase and furnish it with the much needed
publicity so necessary to boost its image abroad.
The trust had arranged an open air concert by
the British rock band ‘Touch’ at the Bangalore Palace
on 11th August '91 to secure funds. The band's con
cert here was overseen by the well known Swiss
watch company ‘Swatch’ in conjunction with the trust.
The event served the objective of raising the trust's
profile in the public eye. Further fund raising events
and drives will be undertaken at cenlral and state
government level; the corporate sector; voluntary,
self-help and social organisations; benevolent foun
dations and individual philanthropists to aid our
cause. The trust will lobby national and international
forums for financial support.
Lectures, workshops and seminars are to be or
ganised to educate the public about mental health,
especially the preventive aspects utilising audiob/isuat aids. Emphasis will be on the positive affirm
ative aspects of mental health. Liaison with other
organisations will be undertaken.
At Hoskofe, the personnel will settle in, take
stock of the surroundings and commence building
bridges with the community and imbibe Its culture
and traditions enabling them to work in harness with
the local institutions and people and not ‘go against
the grain’ as it were. Hoskote taluk has a population
of 1.5 lakhs. The people use allopathic medicine
sparingly (17%) and the figure for psychiatric take up
will be correspondingly smaller. Several out reach
centres continue to service the community and the
centre with these satellite units will constitute the
backdrop of the community mental health service

planned for the taluk. Sponsored free clinics and
camps will ba run at the centre and urban referral
units.
Estimated cost of phase I: Rs. 3 lakhs
Phase II

An audit of phase I will occur, the lessons ab
sorbed and the gains further consolidated. The
centre will expand to the projected capacity of 30
general beds and 10 private rooms with requisite in
frastructure and services. Occupational therapy plays
a cardinal role in rehabilitation and will occupy centre
stage. Self help, retraining and employment schemes
will be implemented to help clients make the best
. use of their skins and enhance their job prospects
thus easing their -e-entry into the mainstream of
society.
A full fledged therapeutic community will be set
in process.
Fund raising activities will continue at a higher
level.
Income generation schemes will now enter the
picture. Sericulture, animal husbandry and dairy
farming activities are available on site and will be
taken up.
Medical insurance schemes will be on offer and
the corporate sector encouraged to avail beds on a
booked basis.
Estimated cost of phase II :Rs. 8 lakhs

Phase III
At this juncture all problems ironed out/ the
centre will be on its feet and take its rightful place
amongst Bangalore's recognised psychiatric ser
vices.
A lab to do research in epidemiology,
phenomenonology,
psycho-pharmacology
and
psycho-genetics will be founded.
THE AGE - WISE PROJECT to cater tb the
speciality area of psycho-gerentology is on the anvil
_ and will be taken up in right earnest as It Is the con
tention of the trust that the field is of increasing
relevance in urban conurbations and will be here to
stay by the year 2000 AO (ref: Lead article India
Today, Sept 15,1991.)
The community mental health program in Hos
kote will provide basic data and fresh insights into
mental disorder. The information gleaned will prove
invaluable in doing comparative research by taking
advantage of Hoskote's favoured position on the
urban-rural divide with Bangalore which is unique in
the Indian sub-continent as an incubator of speedy
socio-economic-political change.
Where appropriate, centres run on similar lines
wilt be franchised elsewhere in Karnataka and even
tually, the rest of the country.

NATIONAL INSTITUTE OF MENTAL HEALTH AND
NEURO SCIENCES, BANGALORE
AND

THE INDIAN PSYCHIATRIC SOCIETY,
Karnataka Branch

<41

---------

MENTAL HEALTH WEEK
10th to 16th April 1976

EXHIBITION &
CULTURAL PROGRAMME

r 9:00 a.m. to 12:00 nooa
L 3:00 p.m. to 8:00 p.m.

at The Recreation Hall, National Institute of Mental Health
and Neuro Sciences.

PLEASE VISIT THE EXHIBITION TO KNOW MORE
ABOUT MENTAL HEALTH

HINTS FOR MAINTAINING MENTAL HEALTH

1.

Have a hobby, acquire pursuits which absorb your interests.

2.

Develop a philosophy, adapt yourself to social and spiritual
surroundings.

3.

Share your thoughts; cultivate companionship in thought
and in feeling.

4.

Face your fears, analyse them, day light dismisses ghosts.

•

•

5.

Balance fantasy with fact, dream, but also do; wish,
but build, imagine, but ever face reality.

6.

Beware of alluring escapes, alcohols, opiates and so on.

7.

Exercise; walk, swim; muscles, need activity.

8.

Love, but love wisely.

9.

w

Don’t become engulfed in whirlpool of workers, call for
early help.

16. Trust in time, be patient and hopeful.

I

WARNING SIGNALS OF POOR MENTAL HEALTH
1.

Are you always worrying?

2.

Are you unable to concentrate because of unrecognised
reasons?

3.

Are you continuously unhappy without justified cause?

4.

Do you loose your temper early and often?

5.

Are you troubled by regular insomnia?

6.

Do you have wide fluctuations of mood by depression
to'election- back to depression which incapacitate you?

7.

Do you'continually dislike to be with people?

8.

Are you upset if the routine of your life is diSvJirbed?

9.

Do your children constantly get on your nerves?

10.

Are you continuously bitter?

11.

Are you afraid without real cause?

12.

Are you always right and the other person wrong?

13.

Do you have numerous aches and pains for which no
doctor can find a physical cause?

TREATMENT FACILITIES AVAILABLE AT THE
NATIONAL INSTITUTE OF MENTAL HEALTH AND
NEURO SCIENCES, BANGALORE

OUT-PATIENT DEPARTMENTS:
On all working days between
8 : 30 a.m. and 12 ■ 00 noon

Psychiatric Clinic

2.

On all working days between
8 ■ 30 a.m. and 12 : 00 noon

Child Guidance Clinic

3.

On all working Mondays and
Thursdays between 8-30 a.m.
and 12-00 noon

Neurology Clinic

4.

On all working Tuesdays and
Fridays between 8-30 a.m.
and 12-00 noon

Neurosurgical Clinic

Special Clinics:

2

C all working Thursdays
. between 2-00 p.m. and 4'00 p.m.

Anxiety Clinic

On all working Thursdays
between 2-00 p.m. &4-00p.m.

Clinic for
Mentally Retarded

TREATMENT PROGRAMME

Drugs, ECT, Psychological Testing, Behaviour Therapy,
Psycho-therapy,'Group Psycho-therapy, Family Therapy,
Marriage Guidance Clinic, Surgery etc.
IN-PATIENT TREATMENT
All admissions are made depending on the need.
Please do not insist on admission.

3-^

NATIONAL WORKSHOP
ON

m PSYCHIATRY

26th September 1988at Sea Rock Hotel, Bombay.

RECOMMENDATIONS

ORGANIZED BY
PSYCHIATRIC EDUCATION COMMITTEE
INDIAN PSYCHIATRIC SOCIETY

Edited by : Dr. Anil Shah.

INDIAN PSYCHIATRIC SOCIETY
Psychiatric Education Committe
Prof : Dr. A, P. Patkar (Bombay)—Chairperson
Prof : Dr. Anil Shah (Ahmedabad)
Prof : Dr. A. K. Agarwal (Lucknow)

Prof : Dr, V. K. Varma (Chandigarh)

Prof : Dr. V. Ramchandran (Madras)
Prof : Dr. G. C. Boral (Calcutta)
Prof : Dr. Ramesh R. Patel (Bombay)—Secretary

Prof : Dr. Lalit P. Shah (Bombay)—President
Prof : Dr. I. Desai (Maroli)—Hon. Gen. Secretary

036/o

PREAMBLE
The president, vice-president and council mem
bers of Indian Psychiatric Society advised me to hold
a national workshop on postgraduate psychiatric
education, involving fellows of the Indian Psychiatric
Society in general and leading personalities in Psychi
atric education in particular. Prior to that, a letter
(Ref. MC1-186 (ll)86-med (15441) was received from
the Medical Council of India asking for I.P.S views
on Postgraduate Psychiatric education. A suitable
questionnaire was prepared and mailed to all the mem
bers of I. P. S. A national workshop was held on 26.
Sept. 1987 at the venue of annual conference of I.P.S.
west zone in Bombay, which was attended by about
230 delegates. Senior Psychiatrists from all over India
participated in the workshop and expressed their views.
The responses received by post and suggestions
made at the national workshop were compiled in
form of Recommenrations which have been forwarded
to the President and secretary of Medical Council
of India.
The workshop was inaugurated by Dr. M.
Bengalee, Vice Chancellor, University of Bombay.
Dr. R. K. Gandhi and Dr. S. N. Desmukh, members
of the Medical Council of India, Chaired the sessions;
3

Forward
Over the past 2 decades the training facilities
for psychiatrists have increased in our country. This
is mainly done in view of the realisation that there
is a paucity of trained and qualified psychiatrists in£)
-our country when one considers the very large patient
population. The Government of India has committed
itself to achieve the goal of providing health care
facilities to each and every citizen of our country
by the year 2000 A. D. To achieve this object the
national programme for mental health has been
-developed and the implimentation has been already
started. It is hoped that these efforts would
improve the existing situation. Every year about 150
doctors receive post-graduate qualification in psychi
atry from about 40 centres which provide facility
for their training, but this is bound to prove
inadequate as it is expected that there would be an
.absolute as well as a relative increase in the number
of patients suffering from various forms of menta0
illnesses, hence the country will have to develop
more training centres for post-graduate training in
.psychiatry.
A review of the existing training centres reveals
that there is a wide variations amongst these centres
.they differ in the syllabus, the staff which is required
for providing the training, the laboratory and library
6

facilities, clinical facilities and the duration of the
.post-graduate training. Some centres are offering
■diploma course of one year, some offers diploma
■course of 2 years, few centres are offering the degree
course of 3 years and there are a very few centres
which are offering both diploma and degree courses.
These centres have different eligiblity criteria for deg
rees who desire to train himself as a psychiatrists and
the number of students admitted to these courses
also differs from centre to centre. Needless to say that
the standards of the training in the quality of
■specialists who come to these centres would have a
wide variation.

O

In view of the above the Medical Council of
India, National Academy of Medical Sciences and the
National Board of Examinations who are all concerned
with the quality of training feel concerned about the
prevailing situation. The Indian Psychiatric Society
has also been very much concerned about these
problems for a very long time. Efforts were made
.at individual level without much success. It was
'therefore thought very proper that the I. P. S. should
suggest a proper pattern for post-graduate training
with a view to achieve uniformity. The task of
-achieving this object was entrusted to the psychiatric
education committee which is functioning at present
under the dynamic and enthusiastic leadership of
Prof. A. P. Patkar, Professor and Head, Department
■of Psychiatry, T. N. Medical College and B. Y. L.
Nair Hospital, Bombay. Prof. A. P. Patkar, Chair
person of the Psychiatric Education Committee
has very carefully and painstakingly undertaken the
•task. A special proforma was prepared to elicit the
7

information. This profoima was sent to each and'
every member of the society who have the first time
got an opportunity to express their views on the
Suggest. The workshop was also arranged with the
same objectives. Many interesting paper were presented
by experienced teachers These have been forwarded to
the concerned authorities. It is hoped that all these
efforts would produce satisfactory results in near
future. I would like to congratulate Prof. Patkar and
all others who have contributed substantially to this
laudable goal.

Kailash Darshan,
5th floor, Flat No. 19,
Kennedy Bridge,
Nana Chowk,
Bombay 400 007.
Date : 28th May, 1988.
Place : Bombay

PROF L, P. SHAH
Presidents
Indian Psychiatric Society

8

Programme
Inaugural function

0

Welcome :

Dr. O. Somasundaram, President,
Indian Psychiatric Society.

•Objectives and Findings of survey : Prof. A. P.
Patker Chair, Psychiatric Education
Committee, I.P.S.

Inaugural Address : Dr. M. D. Bengalee Vice
Chancellor Bombay University
Vote of Thanks : Prof. L. P. Shah, Vice President,
I. P. S.

2

Session I
Chair : Dr. S. N. Deshmukh: Co-chair Dr. G. C.
Boral : Rapporteur Dr. R. C. Maniar

0

'Papers :

>

(a)

Prof. Deepali Dutt; Establishment of
Psychiatric Depts, in Teaching Gene
ral Hospital.

■(b) Prof. Anil Shah : Superspecialities in
Psychiatry.
■(c) Dr. A. B. Khorana : Staffing of Psy
chiatry Department.
9

1
Dr. P. L. Moholkar : Establishment of
Psychiatric Services, departments,
wards and
Community Health
Services.
Discussion from floor.

(d)

3.

Session II
Chair : Dr. R. K. Gandhi; Co-chair : Dr. Rosha®
Master. Rapponeur: Dr. V. G. Watve
Papers :
g
(a) Dr. A. Ramnathan : Facilities-for Inves
tigations, Experimental Laboratory
and library
(b) Dr. V. D. Shah : In patient Out patient,.
followup Services : Record and
filing facilities.
(c) Dr. P. N. Mehta : . Assessment of post
graduate
students. Eligibity fon
Teachers etc.
Discussion from floor.

4. Section III
Report of session I : Dr. R. C. Maniar
Report of session II : Dr. V. C. Watve
Rccommedations : Prof. A. P. Patkar

10

•

Recommendations
(1)

STAFF : For each unit in Psychiatry Department

(A) Medical :

Professor
Associate Professor
Asstt. Professor
Tutor Lecturer
Registrar
Residents : House Physicians
P. G. Students, (as per MCI rule)

one
one
one
one
one
two

(B) Paramedical :

0

(1) Lecturer in psychology (with M. A.) for teach
ing post graduate students for 1st 6 months of
residentship, Nurses, O. T., P. T., Speech
therapy students.
Clinical Psychologist
one
Psychiatric Social Workers
twoPsychiatric Nures
four
Occupational Therapists
twoStatistician (may be common with other
depts.)
Yoga therapist
one
Psychotherapist (or Psychoanalyst)
one

(C) Office Staff •
Clerk cum typist

one

<II) (a) Accomodation : Inpatient wards are a must
and should be separate but nearby, for males,
females and children. They should have at
least 10 males, 10 females and 5 children,
beds per unit Rooms should be available
for ECT, Individual, Group Psychotherapy
anp O. T. Arrangements for violent patients
in separate rooms with grills for initial tre
atment of patients. Children ward should be
separate with one way glass window for for 0
observation, child guidance clinic may be
associated with it.

<b) acute crises unit should be made available,
preferably, in association with medical
facilities,

•(c) Investigative/Experimental lab is a must.
Separate lab. for routine investigations i.e.
blood, urine, stool, VDRL etc. Specialised
lab. in association with other departmens
for RIA assay. Serum Lithium, Plasma cor
tisol, drug level of antiepileptics antipsy
chotics Experimental lab is desirable for the
institutions who can afford it.
<d) Record, filing and follow up must be routi
nely available in all depts. A Clerk cum
typist should be provided for this work and
assist P. S. W. with follow up work.
<e) Animal House : at selected places only, if
possible.
12

(0

Other requirements :
Child Guidance Clinic
Behaviour Therapy Unit
Play therapy room-Recreation room
Equipment for pychological testing, Occ.
therapy
Computor, video-TV, Tape recorder-if poss
ible and feasible
Sleep laboratory equipment
Psycho Pharmacology Research facilities.

(II) Special equipmentECT machine
ECG/polygraph machine
Behaviour therapy equipment
Slide Projector, (Tape recorder-video already
mentioned)
Sleep Therapy machine
C. T. Scanner in any dept, in the institute
Bio-feed back equipment
(IV)

£)

Library facilities :

At least 200 books in Departmental library :
Rest in college library.
8 International and 2 Indian journals
Regular grant of at least Rs. 75,000/- yearly for
addition of new books.
Xerox facilities at cheap rates in library
At least 2 Indices-Excerpta Medical and
Index Medicus : should be open for at least 12 hrs.
13

Allied specialities should
institution.

(V)

be available in the=

Objectives of the course—

(VI)

The level of competence after the course
should be ■

able to diagnose, and manage
independently.
(b) organise research.
(c) to serve as a clinical tutor

(a)

patients.

$

(d)
(e)

manage crises situations
competence in behaviour and biofeedback
therapy
(f) knowledge & experience in preventive & co
mmunity psychiatry& forensic psychiatry.

Special Eligibility requirement
M. B. B. S. with minimum 55% marks and
interest in psychiatry
12 months preregistration post-6 months in
medicine & 6 months in psychiatry before
registration.
Preselection : personality assessdment, vocational
interest, inventory and motivation tests.
0)
Interview by professor of psychiatry
A written test including-Neurology, Biochemistry,.
Pharmacology, Endocrinology, Medicine may be
advised.

(VII)

(VIII)

Student-Teacher Ratio
for D. P. M.-4 : 1
for M. D. -2 : 1
14

(IX)

Duration of training :
D. P. M. : 2 Years
M. D.
: 3 Years
During training candidates should be rotated in
Neurology, Medicine, Mental Hospital, Rural.
Health Centre in the 2nd year of training for
M. D, Visits to physically handicapped and
mental retardation institutions should be
arranged.

Eligibility for being P. G. Teacher and Examiner
5 years experience to become a teacher
10 years experience to become an examiner
(XI) Suggestions regarding requirements for starting.
new P. G. departments :
(a) adequate staff and funds must be available
(b) Every state must have at least one or morepost graduate centres.
(c) M. C. I. inspectors should be given guida
nces for the minimum requirements for
recognition of the dept.
(d) Time limit should be set on the report to be
submitted by M. C. I. inspection.
(e) M. C. I. inspection should be carried out
every 5 years on established departments.
and every 3 years on new departments.
(f) M. C. I. inspection should take into consi
deration vastness of our country and regio
nal imbalances and availaility of trained
personnel in diff parts. Hence, some flexib
ility should be shown in granting permission.
to the establishment of new departments.
(X)

15

(g)

Undergraduate Psychiatric education should
be increased and strengthened.

<(XII) Suggestion for improvement in existing P. G.
depts.
(a) Balanced exposure to various fields of psy
chiatry which are at present neglected.

(b)

Fill up existing vacancies with qualified
staff
(c) Uniformity of syllabus and training with v
central monitoring body.
(d) Involve teachers of behaviour and Psycho
therapy
(e) IPS should get representation in recognising
P. G. psychiatry depts.

(f)

Semester system for M. D. may be consid
ered, as it will have a 6 monthly check on
the progress of a candidate and corrections
in his studies can be instituted at an early
date rather than after 3 years.

(g)

If Non teaching private psychiatric Nursing
homes satisfy minimum criteria laid down
by M. C. I. they may be considered for
recognition for DPM first. This will encour
age them to upgrade their services to
attain better standards for eventual M. D.
recognition.

<XIII) Superspecialities :
A certificate course of one year duration may
be started at selected places for child Psychiatry
after M. D.
13

Report of the First Session
The workshop on post-graduate Psychiairic Educ
ation was held on 26th Sept. 1988 at Hotel Sea Rock,.
Bombay during the XV11I Annual Conference of
Indian Psychiatric Society (West Zone).
Dr. A. P. Patkar, Chairman, Post-graduate Educa
tion Committee Indian Psychiatric Society introduced
the distinguised guests.

Dr. O. Somasundaram, President, Indian Psychia
tric Society welcomed the guests, the speakers and
the delegates and gave an introductory speech about
the necessity of such workshop.
Dr. (Mrs) M. D. Bengalee, Vice Chancellor, Univ
ersity of Bombay, inaugurated the workshop. In her
inaugural speech, she emphasized the importance of
such a workshop, and remarked how we have lost
the ‘Human Touch’ in every held of life, including
the field of Education. According to her there is a.
) need of hierarchy of persons to train the students.
The curriculum and the training programme require
extensive restructuring. She stressed on the importance
of continuous assesment of the students rather than
final assesment at the end. She also opined that there.
should be renewal examination of the certification at.
regular interval for th? post-graduate medical consul
tants, so that the consultants would keep themselves.
in touch with the recent knowledge.
17

Dr. A. P. Patkar and Dr. Anand Popli informed
about the questionnaire survey on ‘post-graduate
Psychiatric Education’ done by them recently. Dr.
Anand Popli gave the details of the data of the
abovesaid survey. Dr. A. P. Patkar talked about
certain interesting responses to the questionnaire.
The first session of the workshop was chaired
by Dr. S. N. Deshmukh, Dean, Medical Faculty,
University of Bombay and was co-chaired by Dr.
G.C. Boral, past-president, Indian Psychiatric Society?1
The first session started with introduction of
the speakers by Dr. A. P. Patkar.
The Chairman, Dr. S. N. Deshmukh, congratulated
Indian Psychiatric Society, for holding a workshop
on such an important subject. He discussed the impor
tance of such a workshop.
The first speaker, Dr. (Mrs) Deepali Dutta talked
on establishment of new psychiatric services, depart
ments and wards. She described few of the difficulties
she experienced during the establishment of new
psychiatric services. She opined that the psychiatric
Departments, including outdoor facilities and wards
should be developed gradually i. e. step by step.

Dr. Moholkar, the second speaker, while talking
about community Mental Health Services, gave few
interesting figures from WHO report. There are only
1,500 Psychiatrists for the population of 700 million
in India, i. e there is only psychiatrist for the popul
ation of 5 lac. Dr. Moholkar opined that Medical
Council of India’’ should be practical rather than
18

■theoretical in recognising the psychiatric departments
for P. G. studies, so that more psychiatrists would
be available to serve the society. Dr. Moholkar
suggested that every Taluka hospital should have
indoor and outdoor facilities with one psychiatrist
for the psychiatric patients, and there should be 40
male and 30 female beds in every district hospital,
and there should be at least one psychiatrist in the dist
rict hospital. Dr. Moholkar stressed on the importance
of training the family physicians and community health
workers to recognise the psychiatric problems, so
that early intervention can be done.
The third speaker, Dr. Anil Shah remarked that
such a workshop is the need of the hour. He spoke
on the superspeciality in Psychiatry. He questioned
•the audience whether at present there is any need for
superspecialization in Psychiatry. He discussed at length
the pros and cons of superspecialization. He gave
details of the reports of the committee of the Amer
ican Board on superspecialization in Psychiatry. Dr.
Shah opined that there should not be many centres
for superspecialization, otherwise the general psychi
atrist will be undermined and there is a fear of
fragmentation of the subject of psychiatry. However
without superspecialization, the science of psychiatry
would loose the image of a progressive science and
there will be retardation of the academic growth and
hence there is a need for the superspecialization in
the subject of psrehiatry.
Dr. Shah opined that there should be very few
limited centres for the superspecialization in psychiatry
so that the persons trained at such centres, can
•teach the speciality in psychiatry to the general
19

psychiatry P. G. Students at different P. G. centres.
The superspeciality should be in five subjects, namely
(1) Child Psychiatry
(2) Adolescent Psychiatry
(3) Geriatric Psychiatry
(4) Drug Addiction (Abuse)
(5) Psychoanalysis and Psychotherapy.
The last speaker, Dr. A. B. Khorana, gave his
views on the subject of staffing of Psychiatry Departments-medical and paramedical. He strongly suggested
that the Psychiatry department should be an indepen- $
dent department and should not be kept as part of
the Medicine Department. In each department of
Psychiatry there should be minimum following staff.
Medical Staff :
- One professor of Psychiatry
- At least one or more Associate / Asstt. Professor/
Tutor of Psychiatry
- Resident doctors.
Paramedical Staff :
- One Asstt. Professor of clincial Psychology-he:
should have qualifications more than M. A.
(Psychology)
- One Psychiatric Social Worker
- One Psychiatric Nurse.
The paramedical staff members should also be 0
involved in teaching of the post-graduate students.
At the end of the session, Dr. Vihang Vahia, Mr.
Tejbahadursing, Dr. Roshen Master, Dr. P. N. Mehta,.
Dr. S. N. Deshmukh and Dr. Mohan Agashe gave
few suggestions on the subject.
The session ended with vote of thanks by Dr.
L. P. Shah, President Elect, Indian Psychiatric Society.
Dr. R. C. Maniar Rapporteur
20

Second Session

Report Of the

Dr. R. K. Gandhi was [Chairperson. Dr. (Mrs)
Roshan Master was co-Chairperson. Dr. V. G. Watve
was Rapporteur.
Dr. A. R a run a th an-spoke about investigative,
-experimental laberatories and library facilities. He
suggested that there should be a minimum of 100
books on Psychiatry in the library of a department
and the translation facilities should be available.
Facilities for routine medical investigations should
be available and if possible sophisticated investigations
like blood gases, serum lithium and C. T. Scan etc.
should be made available.
Dr. V. D, Shah-discussed the inpatient and out
patient services, records, filing and follow-up services
■of the department. He emphasised the importance of
inpatient and outpatient departments in teaching of
©Psychiatry in post graduate training. He also said
that management of acute psychiatric emergencies
should form an important training in P. G. Courses.
Students should learn about various therapies during
the training. Students should be trained to administer
and interpret the various Psychological tests. Lastly,
research should form an integral part of our P. G.

training.
21

Quality of a Psychiatrist will increase onlythrough proper training and we should concentrate
more on quality than quantity.
Dr. P. N. Mehta-spoke about the assessment of
P. G. Students, eligibility and student-teacher relati
onship. He said that the selection of a good candidate
is important from various points. He discussed various
reasons why a medical student would take up Psychi
atry, and hence stressed the importance of proper
screening before selecting the candidate. The attitude fT’
of the student should also be considered before
selection.
About student-teacher relationship Dr. Mehta
said that teachers who are administrators or in private
practice, have no time for the student and they hardly
observe the student-patient interaction.
He stressed the importance of teaching some of'
the aspects of adminstration to every student.
Discussion :
Dr. Gopalkrishnao recommended that non-teach
ing private hospitals should be recognised by MCI
for teaching puipeses if they fulfill the criteria.
Dr. Vahia stressed the importance of including;
Forensic Psychiatry in the syllabus.
Dr. Agasbe said that the motivational aspect of
the candidate should be considered for eligibility.
He also said that ethies is very important and should
be emphasised from the undergraduate level.
Dr. V. G. Watve
Rapporteur

22

LIST OF

PARTICIPANTS

1 Dr. (Miss) M. D.
Bengalee
Vice Chancellor
Bombay University
2 Dr. S. N. Deshmukh
Dean
Faculty of Medicine
Bombay University
.3 Dr. R, K, Gandhi
Ex. Dear,
Faculty of Medicine
Bombay University
4 Dr. L. P. Shah
President Ind. Psych
. Society
Prof, of Psychiatry
G.S. Medical College
Bombay-12
■5 Dr. Soma Sundrain
Past-President Ind.
Psych Society
Thangai illan, 30,
Bexantnagar,
Madras-600 090
6 Dr. Anil Shah
/')
Prof. & Head, Dept.
of Psychiatry
BJMC &CH.&MH,
Advisor on Mental
Health
Gujarat Government
Ahmedabad-380016
-- 7 Dr. Dipali Dutta
Professor of Psychiatry
Gauhati Medical
College
Gauhati-781 005

8 Dr. G. C. Boral
Prof, of Psychiatry
22, Parasar Rd.,
Calcutta-700 029'’
9 Dr. Roshaa Mister
Emeritus Professor
BJMC, Pune 411001
10 Dr. R, C, Miaiar
Assistant Professor
V. S. 'Hospital
Ahmedabad-7
11 Dr. P. N. Mehta
Bhara Clinic, Near
Advance Cinema ’
Ahmedabad
'
12 Dr. V. D. Shah
Nobles, Ashram Rd.
Ahmedabad-9
. 13 Dr. P. L. Moholkar
Prof of Psychiatry
Dr. V. M. Medical
College
Sholapur
14 Dr. A. B. Khorana
Professor of Psychratry Medical College
Baroda
15 Dr. A Ramnathan
Asstiant Professor
Institute of Mental
Health
Madras-600 010
16 Dr. V. G. Waive
32/36 Prabhat R’d.
Pune 411 004

Mental Health Education & Research Trust is a
Public Charitable Tiust devoted to promotion of
activities of Training Education,clinical services and
Research in the field of Mental Health and its
related fields.
Address
c/o. Dr. Anil V. Shah
19, New Alkapuri Society,
Ahmedabad-380 016
INDIA

Publisher

: Dr. Anil V. Shah, on be!alf ol Mental Health
Education & Research Trust, Ahmedabad. India,

Printed by : Chardiila Printery, Mirzapur Rcad,Abnicdabad— 1.
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mH 3:5

SCHIZOPHRENIA
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“She used to get up everyday at 5 in the morning
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These are not born out of a writer’s
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Both these people suffered from an illness called
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EARLY SIGNS AND SYMPTOMS
•

Lack of concentration in work, studies.

•

Confused thinking; strange or grandiose ideas.

•

Prolonged severe depression; apathy; mood
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•

Withdrawal from society, friendlessness;
appears lost in thoughts, brooding a lot.

•

Denial of obvious problems; strong resistance e

•

Thinking or talking about suicide.

•

Numerous, unexplained physical ailments;
marked changes in eating or sleeping
patterns.

•

Anger or hostility out of proportion to the
situation.

to help.

•

Delusions, hallucinations, hearing voices.

•

Abuse of alcohol or drugs; neglect of self-care.

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Growing inability to cope with problems and
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psychology, nursing & occupational therapy.

But what is SCARF?

SCARF is the acronym for the Schizophrenia
Research Foundation, a non-governmental, non
profit organisation in Madras, now renamed
Chennai, India, which since 1984 has committed
itself to schizophrenia care and research.
Founded by a group of philanthropists and
mental health professionals, SCARF has
established itelf as a centre of repute in
rehabilitation of the illnesss and research.
What does SCARF offer to patients suffering from
this illness?

SCARF offers a comprehensive, totally free
treatment package comprising of:

•

Out-patient care manned by a multi
disciplinary team of psychiatrists, social
workers and psychologists.

•

Free medication for those who cannot
afford it.

•

A well worked out, individually tailored
rehabilitation programme consisting of
occupational therapy, group therapy, social
skills training and cognitive training.

•

A special emphasis on the family by the
family cell to support, counsel them and
involve them in treatment programmes.

®

An employment bureau which seeks to find
jobs for the disabled.

And above all SCARF sees in each client a human
being disabled in various ways, but yet deserving
the self respect, dignity like his brethren.

Has been recognised by the Dr. M.G.R. Medical
University as a centre for Ph.D training.
•

Has had some of its faculty trained in certain
special programmes such as cognitive
retraining.

SCARF’S COLLABORATORS, SPONSORS

•

World Health Organisation, Geneva; WHO
SEARO, New Delhi.

•

World Association For
Rehabilitation (WAPR).

•

Johns Hopkins University, U.S.A.

•

International Development Research Centre
(IDRC), Canada.

•

Royal Crichton Hospital, Dumfries, Scotland.

•

Douglas Hospital, Montreal, Canada.

•

Oxfam.

Psychosocial

•

HelpAge.

•

Tata Institute of Social Sciences & Sir Dorabji
TATA Trust.

•

Clinical Epidemiology
Medical College.

•

National Commission for Women, New Delhi.

Unit,

Chennai

AWARENESS, EDUCATION
SCARF has been equally active in the field of
awareness and education.
Myths and
misconceptions abound in the understanding of
mental illness leading to delay in seeking
treatment. SCARF therefore identified this as
an important area of work and has organised
several awareness programmes not only in urban
areas, but in rural pockets using indigenous
modes of communication. Video films, Audio'!
visual materials have been produced on the
illness and its management.

•
Free out-patient
treatment at Anna
Nagar for nearly 4,000
mentally ill.
•
Cared for 1,200
rural patients at
Karnambut
and
Thiruporur and 200
from urban slums.

•
Found jobs for 82
mentally disabled.
•
In recognition of
outstanding services
for the welfare of the
handicapped, SCARF
received the “National
Award to Outstanding
Employer 1995” from
the President of India
Dr. Shankar Dayal
Sharma on December
3, 1995 at New Delhi.

•
Reintegrated 165
women into their
families
after
rehabilitating them.
•
Provided
free
transport to patients
reaching our centre.
•
Assisted
210
children
of
the
mentally ill with their
education.

•
Engaged over 300
patients in work units.

TRAINING
Training various levels
of health workers in
the basic principles of
detection
and
management of mental
health problems is
another important
area of activity. We
launched 2 training
programmes in 1998.
One is a Certificate Course on “Mental Health &
Psychosocial Rehabilitation” along with the
Department of Psychology, University of Madras.
A “Capacity Building Programme on Research
Methodology” along with the CEU of Chennai
Medical College constitutes the other.

MENTAL HEALTH
Work has been confined not just to institutions,
but has been taken to the community as well.
Thiruporur in Chengelput district, Kamambut in
North Arcot District, Thiruverkadu and the urban
slums at Vyasarpadi have all benefited from

SCARF’s community based programmes, a rubric
of activities including treatment, rehabilitation,
awareness etc. A key element in these programmes
has been the extensive participation of the

community in all our activities.
RESIDENTIAL CARE
Recognising that the path of rehabilitation is

long and tedious and involves several levels of
intervention. SCARF has established two
residential centres at Thiruverkadu and

Mahabalipuram.

Manned
by
a
professional, multi
disciplinary team,
these centres offer
varying, need based
periods of stay and
intensive efforts at
improving the skills
lost by the patients.
The centre at Thiruverkadu was built in 1991
(on land donated by
the temple trust with
donations
from
HelpAge India, IDBI,
Madras Round Table I)
and
houses
55
mentally
disabled
women and elderly.
Just outside the town
of Mahabalipuram is
the centre for 20 men, on land donated by

Sri Sankaracharya of Kanchi with Sri.
Sugalchand, Jindal Trust & Sri. G.N. Damani
being the major donors
for the construction of
buildings. This centre
was inaugurated in
1994.
By

January

’99

an additional floor

in the Centre at
Mahabalipuram will

accommodate

i-

r»'H irr

15

more
residents.
The expansion is
estimated to cost
Rs. 8 lakhs. SCARF
seeks your helping
hand

once

to
complete
project.

again,
the

POLICY & LEGISLATION

SCARF has also gone beyond microlevel planning
and has been actively engaged in influencing
legislation and welfare programmes for the
mentally disabled at the level of the state and
central governments.

All this has been possible because of
•

A high degree of commitment to the cause of
mental illness.

•

An excellent multi-disciplinary team.

•

Support from the public, donors, governments
of Tamil Nadu and India.

•

A great number of beneficiaries who have
reposed faith and trust in us.

OUR OWN HOME

SCARF’s greatest ambition of building a
comprehensive mental health centre was fulfilled
in Chennai in 1998 with the completion of the
construction of the building with a total area of
10,800 sq.ft, on the land donated by the
Government of Tamilnadu for this purpose. This
has been built at a cost of Rs.66 Lakhs, and
houses the following:

•

Out patient clinic

•

Day Care Centre

•

Vocational units for men and women

•

Research wing with a computer cell

•

Training and education centre

•

Special services for women and elderly
mentally disabled

•

Auditorium

•

Library

•

Guest Room

•

Administration and accounts

This will be a centre of excellence and repute in
all aspects of Mental Health Care and Research.
This centre will do the country proud and bring
solace and comfort to the mentally disabled and
their families.
We at SCARF acknowledge with gratitude
the immense support received from the
public which has enabled us to increase our

services

manifold

beginning in 1984.

from

the

humble

We seek your co

operation and support to expand these
activities further into the 21st century. The

following are some of the ways in which you

can help us do this:
0

Make donations to SCARF and avail of a
100% tax relief under 35 (i) (ii) of the
T. Act.
I.

e

Become a life member/institutional member
of SCARF.

•

Sponsor the education of the children of
patients, especially if they are the bread
winners of the family.

•

Help generate employment for our improved
clients.

•

If your communication skills are good, you
can write in the general press about
schizophrenia and SCARF and improve
awareness.

•

Above all you can be a friend and well wisher
and be part of us in our mission to work for
a brighter future for the mentally ill.

SCARF has been designated as a Woi’ld
Health Organisation Collaborating Centre

for Mental Health Research & Training - the
first Indian NGO dealing with Mental Health

to be accorded this status.

PEOPLE BEHIND SCARF:

Patron-in-Chief: Honourable Sri. K.R.
Narayanan, President of India; President of the
Board of Management: Mr. V.T. Somasundaram,
Vice-Presidents: Mr. M.A. Vellodi, Dr.M.S.

Valiathan, Mr. K.P. Mahahngam Secretary: Dr.
R. Thara, Founder & Advisor: Dr. M. Sarada
Menon, Members: Mr. K.R. Baliga, Dr. S.

Rajkumar, Dr. T.R. Govindachari, Mrs. C.K.
Gariyali, Dr. Subash Phaterpekar, Mr. Habibullah

Badsha, Dr. S.M. Channabasavanna, Mrs.
Rasheeda Bhagat, Mr. Venuprasad.

FUNDING OPTIONS
A.

Client Support for one year

1.

Cost of Medicine Rs.800/- x 12

= Rs.9,600.00

2.

Cost of Food Rs.800/- x 12

= Rs.9,600.00

3.

Cost of other support services Rs.200/- x 12

= Rs.2,400.00

4.

Sponsoring the education of one child of
a person unable to work on account
of his illness

5.

Sponsorship of expensive medicines to poor
patients including mandatory medical tests
Rs.800/- x 12

= Rs.9,600.00

6.

Sponsoring a poor client for life in one of
our residential centres

= Rs.1,50,000.00

B.

= Rs. 1500/per year

Furniture and Fittings for the proposal to increase the
capacity in Mahabalipuram:

1.

Steel Cots (15 x Rs.1,500/-)

= Rs.22,500.00

2.

Steel Cupboards (15 x Rs.2,500/-)

= Rs.37,500.00

3.

Mattresses, Pillows, Pullovers etc.(15 sets)
(15 x Rs.1000/-)

= Rs.15,000.00

4.

Two Dining Tables (2 x Rs.6,000/-)

= Rs.12,000.00

5.

Chairs (15 x Rs.400/-)

= Rs. 6,000.00

C.

Support to Research Activities:

1.

A Research Fellowship endowment for
one research staff

= Rs.2,00,000.00

2.

Support for Educational and Awareness
Programmes, Mental Health Awareness
Week (held every October)

= Rs.25,000.00

3.

D.

Printing of awareness material,
pamphlets etc.

= Rs. 1,00,000.00

Day Care Centre

1. A VAN to transport our clients who come for day care, for our
outreach programmes in villages, and for professionals to make
home visits. The present van has been in use since 1988 and is
unlikely to be road worthy for a much longer time.
A new van would cost us Rs.2,75,000/-

2.

A XEROX MACHINE to replace the ten year old one which has
become unserviceable
Cost of new Xerox machine Rs. 1, 25,000/-

3.

AUDITORIUM - The new building houses an auditorium of
1000 Sq.ft. But in order to use it for seminars, meetings and
conferences a lot of work is required in terms of equipping it with
false ceiling, air conditioners, a dais, podium and appropriate chairs.
Unless this is done the space cannot be effectively utilised. This
process of "professionalisation", of our auditorium would cost us
Rs.6,00,000/-.

Please note that all donations to SCARF are exempted fully (100%)
from taxable income under Section 35 (i) (ii) of the Income Tax Act.

JOIN SCARF (INDIA) in the crusade.
The Secretary
Schizophrenia Research Foundation (India)

Plot R/7A, North Main Road,

Anna Nagar (West Extension)
Madras-600 101.
INDIA.

E-mail : scarf@md2.vsnl.net.in

Tick where applicable

Kindly enroll me as a Life / Institutional member.
I wish to support the activities of the Foundation. Please
accept my enclosed contribution.

Name
Address

Cheque/Demand Draft No.:

Drawn

on
Date

Cheques may be drawn in the name of SCHIZOPHRENIA
RESEARCH FOUNDATION (INDIA).

*

Life Member Fee Rs. 2,000/-

Institutional Member Fee Rs. 10,000/-

SCARF’S New Comprehensive Mental Health Centre
Annanagar, Chennai.

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