Social factors and forensic psychiatry in India.
OBJECTIVE
Forensic psychiatry is a psychiatric specialty yet to be recognized in many countries. This review evaluates the current status and practice of forensic psychiatry in India and the impact of social factors as they relate to this area. It evaluates existing mental health legislation, civil and criminal laws, the standing of teaching and training of concerned professionals and emphasizes the scarcity of care provisions for mentally ill prisoners.


RESULTS
Mental health services in India have shown a tremendous improvement, especially during the last two decades. However there are some isolated reports of people with mental health disorders having been exposed to a wide range of human rights violations. Several reports identified gross inadequacies in the current mental health legislation and judicial apathy.


CONCLUSIONS
Forensic psychiatry in India at the dawn of the 21st century is practised in an environment of a bewildering mosaic of scarce resources, conflicting interests and apparent apathy of government, policy makers and legislators. Human rights and privileges to live with dignity of mentally ill prisoners have not been given adequate attention until now. This study also identifies pertinent issues for the future development of forensic psychiatry in India.
Kallivayalil
Roy Abraham
RA
Department of Psychiatry, Cooperative Medical College, Cochin, Kerela, India. roykallivayalil@dataone.in
Trivedi
Jitendra Kumar
JK
Tripathi
Adarsh
A
D003416:Criminal Law; D005555:Forensic Psychiatry / Q000193:education / Q000331:legislation & jurisprudence / Q000639:trends*; D006801:Humans; D007194:India; D007298:Insanity Defense; D001523:Mental Disorders / Q000534:rehabilitation; D008605:Mental Health Services / Q000331:legislation & jurisprudence*; D028701:Patient Rights / Q000331:legislation & jurisprudence*; D011329:Prisoners / Q000331:legislation & jurisprudence / Q000523:psychology; D012924:Social Conditions