This report inspects a murder that happened at Pullepady, in Kochi city of Kerala, in which the accused was a person on psychiatric treatment. Based on details in newspaper reports, it discusses certain lessons and implications for strengthening the public mental health system in the state. The incident helps to discuss issues like access to custodial care at district level, need for and provisioning of after-care services and mechanisms to support family caregivers. There is an urgent need for all stakeholders to come together and chalk out an action plan for the state to strengthen the system to address the lacunae noted.
Antony JT. Let us learn the right lessons from Erwadi. Indian J Psychiatry 2002; 44:186-92.
Mental hospitals told to frame dress code for secluded patients - The New Indian Express. http://www.newindianexpress.com/cities/kochi/Mental-Hospitals-Told-to-Frame-Dress-Code-for-Secluded-Patients/2016/04/06/article3365162.ece. Accessed June 4, 2016.
Murthy RS. Caregiving and caregivers: Challenges and opportunities in India. Indian J Soc Psychiatry 2016; 32:10-8.
Kumar CN, Thirthalli J, Suresha KK, Venkatesh BK, Kishorekumar KV, Arunachala U et al. Reasons for schizophrenia patients remaining out of treatment: Results from a prospective study in a rural south indian community. Indian J Psychol Med 2016; 38:101-4.
Hunt GE, Siegfried N, Morley K, Sitharthan T, Cleary M. (2013) Psychosocial interventions for people with both severe mental illness and substance misuse. In G. E. Hunt (Ed.), Cochrane Database of Systematic Reviews. Chichester, UK: John Wiley & Sons, Ltd.
Chandran R. Pakalveedu- The Kollam Experience. Kerala Journal of Psychiatry 2016; 28:189-94.
Therayil MK. Mental Health Care: Can We Create a New Kerala Model? Kerala Journal of Psychiatry 2015; 28:100-8.