"Ten male and female cops surrounded me. They started kicking me
against my shin with their boots, laughing as they pushed me into the
police van," Deepali, a 45-year-old mother of four, told me in Delhi.
The police did not tell her why she was being picked up. They took her
to a mental hospital. Deepali later learned that her father had
convinced her husband to sign the papers committing her to an
institution, claiming that she had a psychosocial disability (a mental
health condition) following a panic attack.
http://www.hindustantimes.com/comment/analysis/support-not-abandon-the-mentally-disabled/article1-1296540.aspx

Deepali (name changed) was subsequently institutionalised by her
family despite having her medical file and a letter from her
psychiatrist stating she did not have bipolar disorder nor did she
need to be on medication or hospitalised.

Under the law, women can be admitted to institutions by family members
or guardians without their consent. Widespread stigma and a severe
shortage of state-sponsored community-based services and support often
result in families abandoning people with psychosocial or intellectual
disabilities.

"Relatives just dump patients at the hospital and think that's it," a
nurse in one of India's largest mental hospitals in Pune told me.
"They put fake addresses and phone numbers on the registration forms
so we cannot contact them again."

So what makes families do this?

For one, the dearth of services is striking. For more than 70 million
people with psychosocial disabilities -- mental health conditions such
as schizophrenia or depression -- who live in India, access to mental
health services is poor, with only 43 state-run mental hospitals
across the country, three psychiatrists and 0.47 psychologists per
million people. The few voluntary community-based services that do
exist are short-staffed and lack resources.

Similarly, for people with intellectual disabilities -- cognitive
impairments such as Down syndrome -- not only are support services
limited but the few existing services are under-utilised. A 2012
survey by Parivaar, a national confederation of over 230 parents'
associations and NGOs working to empower persons with intellectual
disabilities and their families,  found that 40% of people interviewed
in 58 districts across 10 states did not benefit from any services at
all.

Once in institutions, women with psychosocial or intellectual
disabilities are vulnerable to abuse and they have little say in what
happens to them.  To add to that, state institutions are often
overcrowded, the sanitation and hygiene dismal, access to treatment
and counselling poor, and rehabilitation efforts non-existent.

Under Indian laws, they can be denied their legal capacity -- the right
to make their own decisions -- whether in healthcare or even choosing
where to live.

Although India was among the first to ratify the UN Convention on the
Rights of Persons with Disabilities in 2007, it still has a long way
to go in ensuring that the rights of this population are respected and
they have access to services on an equal basis with others.

As the world recently celebrated International Day of Persons with
Disabilities, India should commit to initiating a roadmap to end an
abusive system that locks up women and girls with psychosocial or
intellectual disabilities in institutions and instead provide support
and services in the community.

India should commit to initiating a roadmap to end an abusive system
that locks up women and girls with psychosocial or intellectual
disabilities in institutions and instead provide support and services
in the community.

Kriti Sharma is researcher at Human Rights Watch



-- 
Avinash Shahi
Doctoral student at Centre for Law and Governance JNU

Clean India Campaign: Let us also chip in!



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