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Murthy Pratima

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28.05.2018

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  • Murthy Pratima
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  • Home >> Users >> Dr Pratima Murthy. Dr. Pratima Murthy. Dr. Pratima Murthy. Faculty Profile. Designation. Professor. Contact Information. Phone. Alcohol and Substance Use, History of Psychiatry,Psychiatry and Law, Psychiatric Training, Neuropsychiatry. Source: National Institute of Mental Health & Neuro. Pratima Murthy of National Institute of Mental Health and Neuro Sciences, Bengaluru (NIMHANS) with expertise in: Social Psychology, Counseling Psychology.

    Murthy Pratima

    Indian J Psychiatry ; 41 2: Chavan BS, Gupta N. The American Journal of Addictions ; Initiating tobacco cessation services in India: Murthy P Ed Community based drug rehabilitation and workplace prevention. Lal R, Pattanayak R Eds. A comparison of brief intervention versus simple advice for alcohol use disorders in a north India community-based sample followed for 3 months.

    Alcohol and Alcoholism ; 42 4: Counselling for drug addiction. Individual, family and group: Murthy P, Nikketha B. Psychosocial interventions for persons with substance abuse: Murthy P Principal Author. Women and Drug Abuse: The Problem in India. Murthy P Ed Female injecting drug users and female sex partners of men who inject drugs.

    Assessing care needs and developing responsive services. Pattern and profile of children using substances in India: The National Medical Journal of India ;30 4: Helping people quit tobacco: Tobacco dependence treatment guidelines. Journal of Studies on Alcohol and Drugs. Vol 71 4 , July http: Nattala P, Murthy P, Nagarajaiah.

    Relapse prevention in alcohol dependence: Women partners of men with alcohol dependence: State-trait anger and quality of life among alcohol users. German J Psychiatry Sangath and London School for Tropical Medicine. Counselling for alcohol problems CAP. Study carried out at the Karnataka Road Transport Corporation. Murthy P, Sankaran L.

    Integrating psychosocial issues with health. Integrated brief tobacco and alcohol cessation intervention in a primary health-care setting in Karnataka.

    Indian J Public Health ; 61 Supplement: The programs in developing competencies in forensic psychiatry need to concentrate on multiple areas and contexts. These are summarized in Table 2. Indian literature on forensic issues such as negligence, informed consent, confidentiality, certification, seclusion, suicide, homicide, and the complication of various therapies is very negligible.

    There articles can be broadly arranged under the following three headings: After excluding substance use, There were high rates of tobacco use within the prison and in fact a 4-time increase in tobacco consumption after getting into prison. On conducting a random urine drug screen, Another study done by Chadda and Amarjeeth in Tihar jail of Delhi in [ 26 ] revealed that prevalence of psychiatric illness in prisoners was 3.

    They also found that depression and schizophrenia were the most common diagnosis in patients involved in major crimes and majority of patients with schizophrenia were implicated in cases of homicide. These studies highlight the need for mental health care in prisons. Soundness of mind is generally assumed in other branches of medicine, but in psychiatric research, there are often individuals who lack full judgment capacity or decision-making capacity. In India, the psychiatrist practicing forensic psychiatry has the dual role of both carrying out forensic assessments as well as providing medical treatment.

    In settings with well-established forensic services, one way of overcoming this dilemma has been to have forensic psychiatrists carrying out mental assessments of mentally ill offenders on behalf of the legal system, and treatment provision by a different set of treating professionals. The ultimate aim of the forensic psychiatrist should be revelation of truth as part of pursuit of justice without affecting privacy and autonomy of the patient.

    Although most prisons do have facilities to address basic physical health issues, prison-based mental health services are in a very rudimentary state in India. Many of the prisons have facilities of a visiting psychiatrist but not a full-time psychiatrist.

    Routine assessments for mental disorders or substance use are rarely carried out and a psychiatrist is usually only called upon only if there any signs of mental illness in an undertrial prisoner or convict. Another issue of serious concern is that there is no practice of routine mental status assessment in prisoners condemned to death. The mental condition of the offender is specifically of concern to the judicial system in two scenarios, one to ascertain mental state at the time of committing the crime and the other to assess fitness to stand trial.

    Such patients may be evaluated as outpatient or where facilities exist, as inpatients. Security is a prime concern when prison referrals occur as such patients are under the dual custody of the superintendents of the jail and the mental health facility. Apart from security, there are several other challenges in the inpatient assessment and care of undertrial and convict prisoners referred to a psychiatric facility.

    An important issue is the lack of background information about the patient's history, behavior, and serial mental state examinations before referral.

    The second is the lack of clear guidelines about the involvement and engagement of the family and legal counsel in patient care and decision-making. Determining mental state at the time of committing the offense is also challenging as the individual is often referred to psychiatric services long after incarceration and commencement of the trial.

    The lack of access to objective forensic investigations makes it difficult to identify offenders feigning insanity. Inpatient forensic services require appropriate infrastructure, well-trained human resources, adequate security, facilities for close behavioral observation and monitoring, specialized investigations, and well-developed and structured assessments and procedures.

    This can be implemented only by creating dedicated infrastructure and human resources for forensic psychiatry. Forensic psychiatry remains a neglected area in India and other countries in South-East Asia. This is unlike many of the developed settings where it has become an established subspecialty with a focus on clinical services, training, and research.

    Academic centers need to actively engage in developing this area. They need to consider the fast-growing need of developing this specialty, recognize the vast scope of the field, and device curricula that cater to the diverse needs of the country.

    Dedicated clinical services need to be started for this vulnerable patient population. Apart from the dedicated fellowships and super-specialties, training courses catering to the different mental health disciplines psychiatry, clinical psychology, psychiatric social work, and psychiatric nursing students in other branches of medicine and law also need to be trained in the forensic aspects of mental health care.

    In addition, various other stakeholders who need regular sensitization and training in issues relating to mental health include law enforcement agencies, judiciary, advocates, and women and child welfare departments, commissions related to the mental health including the Human Rights Commissions, Women's Commissions, Child Welfare Commissions, etc.

    Support for focused research in many areas of overlap between mental health and the law is also critical. It is important for government to take initiatives to establish centers of excellence in forensic psychiatry. One such effort has begun at the NIMHANS, Bengaluru, where such a center has been conceptualized, and a postdoctoral fellowship in forensic psychiatry has been initiated in National Center for Biotechnology Information , U. Journal List Indian J Psychiatry v. Pratima Murthy , B.

    Naveen Kumar , and Suresh Bada Math. Author information Copyright and License information Disclaimer. Abstract Human rights and mental health care of vulnerable population need supportive legislations and policies. Forensic psychiatry, India, law, mental health. Open in a separate window.

    Table 2 Skills and competencies required in forensic psychiatry training. Non-medical use of prescription drugs in Bangalore, India. Psychological symptoms and medical responses in nineteenth-century India. Hist Psychiatry Mar;26 1: The systematic development and pilot randomized evaluation of counselling for alcohol problems, a lay counselor-delivered psychological treatment for harmful drinking in primary care in India: Alcohol Clin Exp Res Mar 19;39 3: Indian J Med Res Jan; 1: Alcohol use and alcohol-use disorders among older adults in India: Aging Ment Health 10;17 8: Epub May Nonmedical use of sedatives in urban Bengaluru.

    Indian J Psychiatry Jul;56 3: The effectiveness and cost-effectiveness of lay counsellor-delivered psychological treatments for harmful and dependent drinking and moderate to severe depression in primary care in India: Trials Apr 2; Epub Apr 2. Compr Psychiatry Jan 7;55 1: Epub Oct 7. Role of nicotine receptor partial agonists in tobacco cessation. Indian J Psychiatry Jan;56 1: The explanatory models and coping strategies for alcohol use disorders: Asian J Psychiatr Dec 18;6 6: Chemistry, metabolism, and toxicology of cannabis: Iran J Psychiatry ;7 4: Indian J Med Res Feb; 2: Broad-based with a cutting edge: Pratima Murthy Sanjeev Jain.

    Asian J Psychiatr Dec 25;5 4: Successful management of vaginismus: Indian J Psychiatry Oct;54 4: Indian J Psychol Med Oct;34 4: Idiopathic environmental intolerance electromagnetic hypersensitivity syndrome. Motives and simultaneous sedative-alcohol use among past month alcohol and nonmedical sedative users.

    Agonist treatment in opioid use: Asian J Psychiatr Jun 4;5 2: Epub May 4. Treatment of dual diagnosis disorders. Pratima Murthy Prabhat Chand. Curr Opin Psychiatry May;25 3: Fetal alcohol spectrum disorders--a case-control study from India. J Trop Pediatr Feb 14;58 1: A case of late-onset pedophilia and response to sertraline.

    Disulfiram in a 'traditional' medicine sold to patients with alcohol dependence in India. Addiction Oct 27; Catatonia and multiple pressure ulcers: A rare complication in psychiatric setting. Indian J Psychiatry Jul-Sep;51 3: Toluene associated schizophrenia-like psychosis. Indian J Psychiatry Oct-Dec;51 4: Prevention of alcohol dependence: Subst Abus Jul;32 3: The availability, diversion and injection of pharmaceutical opioids in South Asia.

    Drug Alcohol Rev May;30 3: Knowledge, attitude and practices of Indian dental surgeons towards tobacco control: Asian Pac J Cancer Prev ;11 4: Indian J Psychiatry Apr;53 2: Current status of behavioral medicine research and practice in developing countries. Curr Opin Psychiatry Mar;24 2: Mental Health Act Indian J Med Res Mar; Service utilization in a tertiary psychiatric care setting in South India. Asian J Psychiatr Dec;3 4: The Mental Health Act Baclofen in cannabis dependence syndrome.

    Biol Psychiatry Aug 21;68 3: Qualitative high performance thin layer chromatography HPTLC analysis of cannabinoids in urine samples of Cannabis abusers.

    Indian J Med Res Aug;

    Dr. Pratima Murthy

    PRATIMA MURTHY PRESENT POSITION: Professor, Dept. of Psychiatry, & Chief , De-addiction Services National Institute Of Mental Health And Neuro Sciences. Pratima Murthy. Indian J Psychiatry Feb;60(Suppl 4):S Professor of Psychiatry, Centre for Addiction Medicine, National Institute of Mental Health and . View the profiles of people named Pratima Murthy. Join Facebook to connect with Pratima Murthy and others you may know. Facebook gives people the power.

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