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- lrtrrr srhf,rq 6v qrffio' sPdilfi.- (r) uq eTksrq, Gtq-fl qrffi{{^{{FOOTNOTE 6}}}} qfra-fi qqr-u t dql otn oafl st ffiq qq 6 sffi d il qT{{^{{FOOTNOTE 6}}}} d fi-d{ qr"q frqrrflqr d.re:d w rd H-i ilg ({{^{{FOOTNOTE 2}}}}) qTtro qfril'fi t M q{ d d-srq u-w mDo-rq of qFdfrM oi qryf +ur Rqr ur$q-r oil{ ss-ii q$ of tst-qfrkf, d-sTori dq ,Tlrd d ftqr-6 yq qarMa-o of w w RqlC qrfr-d *ft r ↩
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"rc*'ntt""U"" ", ta \{qeIH oT frtflE qr qrq, ffifu( d t frrfi yfi qr oTkm. qfrf,qf gnr frri ori or oil-Aql qlft o-q q-sdl t, selfd'-
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| I 2. 3. 4. 5. 6. | slwdn T$ frfrqq q{ d d{H qTRd Gl-i{il of ficql q{ d drr-{ otTqiftrd ffi {ri.rq yil-sq d ftq-cnT d or$-{ qHR6 {qrwrt {iwTmf of i{cq oN ft-drur rrGr qT r+q eTrfu-a ei, ii qHfro wr-w4 i{(erHf o1 HSIT 3[T Tild{UI qsq srE-fi-ruT gM qmm6 Hr-w4 q-qTForRqf .nr q-fiq{ | |
| 7. | d-q $-{sl-{ iflq rr'q elr-s{ S ilw sfliT oT Ffqrq etlq sr q{ 6.r Ts ori-{tr | |
| 8. | qrwr qrrcffi d GTtft-{ qqfu-6 ENaq dwrmt d frft-q e-{Tif d ftq x,rilf,r 3N frdr trilq qFf6 | |
| o | qnR{tr wreq tutnd ffiffqq, 2s17 Qw qr ro) d qrqqn\ eflr mqr | |
| 10. | qmfro {qnaq {itelrdi d tifrqq fu um, rfi-qn f,er ar*fiqf,, ffi-fr-oJ fril GTi d orquT HBf,, Griifi | |
| 11. | qrqRro {qr{art ${aTH S d-gT-q-fie{ur, dsFqfieTr RqId sRn | |
| 12. | qTqfuo sq t Gmfeq Eqfrf,dt d BrM d B*iqq iititf eil'q sq qq of T{ mriqT-{ qTw M | |
| 13. | tBo-n ifreqr{ei oft qrqfro {qrwq q-otrofiqi d fd{FfrirT ffii-*q riqrfr ft-q-{nT | |
| 14. | olq-€m w fiForcIr d qrq Ef{ s&fs{ FqR"r, qfNq ofu qffiE I) ffiftqq, 2s13 (zors or r+) of qNI 22 Grfi{ ordrerd w qtrdprt w d'q Bfr€q d sqq t q-S{ed trw"il frt vcqT dk Bq-6r fuflur |
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| 15. | qHRr6 lqrczr fiRrni d fufteM d{ qrq o.r frf,{q | |
| 16. | qfl$q,{ul d onrm d filsq BEct qrrrkrr i q[qr oTtrdf d Hcqr oilr sq-o1 fufr | |
| 17. | efl-q uq w e-qt3lf d s-{E q sfr d i{6irr if HK M of .rS flIqri | |
| 18. | qflfffiqt (i=T6 ilffi) t q{qqi | |
| 19. | trl1tlo{ulild g*r .il$T aT G utq | |
| 20. | eqnqHfi Tq riwriq {rifi qs6 | |
| 21. | a-difl e1lc, oTrq G qq dgt GnR qtrd qqe d-t tor fr+tq, | |
| 22. | oI{ ci-q a-d{qd} q;q-ffi: |
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Atal Nagar, the 2nd March 2020
NOTIFICATION
No. F l-3612019117-1.- In exercise of the powers conferred by sub-section (2) of Section r2l of the Mental Healthcare Act, 2ol7 (10 of 2ol7l, the Government of Chhattisgarh, hereby, makes the following rules relating to the administration of State Mental Health Establishment, namely:-
RUI,ES
CHAPTER.I
PRELIMINARY
1. Short title, extent and commencement. - (1) These rules may be called the Chhattisgarh Mental Healthcare (State Mental Health Authority) Rule s, 2O2O.
(21 It shall extend to the whole State of Chhattisgarh.
(3) It shall come into force from the date of its publication in the Official Gazette.
2. Definitions. - (1) In these rules; unless the context otherwise requires -
(a) "Act" mea.ns the Mental Healthcare Act, 2OL7 (10 of 20t7);
(b) "Form" means a Form appended to these rules;
(c) 'De-addiction facitity' or called by any other name means a place khich qualifies the definition of Mental Health Establishment as per clause (p) of sub-section 320 (20) s*er.r€ 1rsqd, ftcifi r r crd zoz o
-
(1) of Section 2 of the Mental Healthcare Act, 2OL7 (LO of 2ol7l and where persons to have abuse or dependence on alcohol and/or other drugs are .d.iagnosed/ treated, / cared. for;
(d) "Non-official member" means a member of the State Authority nominated under clauses (g) to (n). of sub- section (1) of Section 46 of the Act;
(e) "Rules" means rules of the State Mental Health Authority of Chhattisgarh;
(f) "Section" means Section of the Act.
(2) The words and expressions used herein and not defined, but defined in the Act or, as the case may be, in the Indian Medical Council Act, 1956 (IO2 of 1956) or in the Indian Medicine Central Council Act, lgTO (a8 of LTTO), in so far as they are not inconsistent with the provisions of the Act, shalI have the meanings as assigned to them in the Act or, as the case may be, in those enactments.
srArE * "*r?tiffi*'J AUrHoRrry
3. Nomination of non-official members of State Authority. (1) The State Government shall nominate Secretar5r or Principal Secretary in the Department of Health as Chairperson of the State Authority under clause (a) of sub-section (1) of Section 46 of the Act.
(2) The State Government shall nominate Joint/Deputy Secretar5r in charge of mental healthcare in the Department of Health, the Director of Health Services, Director of Medical Education and Bffi{Fra{rqq{, ft4i6 11crd zozo
Joint/Deputy Secretary in the Oepartment of SociJ Welfare, as ex-officio members of the State Authority respectively under clauses (b), (.) and (d) of sub-section (1) of Section 46 of the Act. (3) The State Government shall nominate persons, not below the rank of Joint Secretaqr in the Departments of Home, Finance and Law and Director, Health & Family Welfare to be ex-officio members of State Authority under clause (e) of sub-section (1) of Section 46 ofthe Act.
(a) The State Government shall appoint Chief Executive Officer, not below the rank of Deputy Secretary under sub-section (1) of Section 52 and who shall execute all functions as mentioned under Section 53 of the Act.
4.Norms for selection of non-official members of State Authority.- A person shall not be selected as a non-official member of State Authority unless, he-
(i) is an Indian National;
(ii) is of the age not exceeding sixty-seven years;
(iii) Possesses qualification and experience as specified in rule 5.
5. Qualification and experience of non-official members of State Authority. (1) The State Government shall nominate one person who is an eminent psychiatrist as a member of the State Authority under clause (g) of sub-section (1) of Section 46 of the Act.
(2) The State Government shall nominate one mental health professional, one psychiatric social worker, one clinical psychologist and one mental health nurse/psychiatric nllrses, 320 (22)
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f' having a minimum of fifteen years' experience in their respective fields and registered as mental heatth professionals with the State Authority, as members of the State Authority respectively under clauses (h), (i), (o) and (k) of sub-section (1) of Section 46 of the Act.
(3) The State Government shall nominate two persons each from the following categories as members of the State Authority respectively under clauses (I), (m) and (n) of sub-section (1) of Section 46 of the Act, namely: -
(i) persons representing persons who have or have had mental illness;
(ii) persons representing care-givers of persons with mental illness or organizations representing care-givers; and (iii) persons representing non-governmental orgaralzations which provide services to persons with mental illness.
6. Invitation of application for the posts of non-official members of State Authority. - A vacancy for the post of non- official member of the State Authority shall be given wide publicity through open advertisement in at least two daily newspapers (one English and one Local Language) having wide circulation in the State and the advertisement shall also be made available on the website of the Department of Health and Family Welfare.
7. Selection Committee for nomination of non-official members of State Authority. - The Selection Committee for nomination of non-official members of the State Authority shall consist of a Chairperson who shall be the Chairperson of the State ,frii6ltrndzozo 320 (231
t:
-
Authority, Direcior Health ""a Family welfare and Chief Executive Officer, State Mental Health Authority, nominated by the State Government of Chhattisgarh.
8. Procedure for nomination of non-oflicial members of State Authority.- (1) The Selection Committee constituted under rule 7 shall consider all applicati,ons received by the Depar:tment and scrutinize such applications which fulfill the requirements of Section 46 of the Act and rule 4 and,S of these rules.
(2) The Selection Committee shall, having regard to the provisions of the Act and these rules, decide about the suitability of the applicants for being selected as members of the State Authority:
Provided that in case of persons to be nominated under sub-rule (3) of rule 5, preference shall be given to the persons with ten years of experience in dealing with persons \Mith mental illness.
(3) The State Government shall nominate the persons selected by the Selection Committee as members of the State Authority.
g. Terms of office and allowances of non-oflicial members of State Authority. (1) Every non-official member nominated und.er rule 8 shall hold his office for a term of three years at a time from the date of his nomination.
(2)Every non-official member attending the meeting of the State Authority shall be entitled to sitting allowance, travelling allowance, daily allowance and such other allowances as are applicable to non-official members of the Commissions and
F 320 (241 Bffi{Fra rrqrrd, fuia r r qrd zozo
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Committees of the State Government attending the meeting of such Commission or Committee.
.10. Furnishing of information.- The State Government may call for information concerning the activities of the State Authority or the Board period.ically or as and when required by it and the State Authority or the Board, as the case may be, shall furnish such information in Form-A.
CHAPTER.III
QUALIFICATION OF MENTAL HEALTH PROFESSIONALS 11. Recognition to be psychiatrist.- The State Government shall recognize any Medical Officer as Psychiatrist under clause (y) "f sub-section (1) of Section 2 of the Act.
l2.Qualifications for Clinical Psychologist and Psychiatric Social Worker .- (1) The qualifications for Clinical Psychologist shall be as under clause (g) of sub-section (1) of Section 2 of th.e Act, subject to notification by the State Government for further qualification under clamse (a) of sub-section (3) of Section L2L of the Act, for the purpose of emplo5rment in Government service.
{21 The qualifications for Psychiatric Social V/orker shall be as under clause (r) of sub-section (1) of Section 2 of the Act, subject to noti{ication by the State Government for further qualification under clause (b) of sub-section (3) of Section 12I of the Act, for the purpose of employment in Government service.
320 (2sl
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CHAPTER IV
PROVISIONAL REGISTRATION OF MENTAL HEALTH
' ESTABLISHMENTS BY STATE AUTHORITY
13. Procedure for provisional registration of mental health establishments by State Authority. Minimum norms for Mental Health Establishment will be notified (with appropriate modifications) by the State Mental Health Authority, Government of Chhattisgarh once the Central Mental Health Authority, Government of India notifies the same-
(1) Every mental health establishment in a State, except the mental health establishment under the Control of the Central Government, shall be registered with the State Authority.
(2) Every mental health establishment referred to in sub-rule (1) shall submit an application for provisional registration to the State Authority in Form-B, containing details as specified therein, along with a fees of rupees five thousand by way of a demand draft drawn in favour of the Chairperson, State Mental Health Authority payable at the place where the State Authority is situated.
(3) The State Authority shall, on being satisfied that the mental health establishment fulfils all the requirements as specified in Section 65 and 66, grant to such mental health establishment, a provisional registration certificate in Form-C.
14. Validity and renewal of certificate of registration. - The provisional registration certificate granted under sub-rule (3) of
320 (26)
-
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rule 13 shall be valid for a period of twelve months from the date of such grant and an application for renewal of such certificate shall be made in Form-B within thirty days before the date of expiry of the period of validity of such certificate.
The registration and renewal fees shall be as under:-
Less than or equal to 10 bedded- shall pay fees of Rs. 5000, 11-50 bedded shall pay fees of Rs. 1OOOO and 51 and above bedded shall pay fees of Rs. 20,000 by way of a demand draft drawn in favour of the Chairperson, State Mental Health Authority payable at the place where the State Authority is situated and for permanent registration within the specified period.
The mental health establishment shatl pay fees as under:-
Less than or equal to 1O bedded- shall pay fees of Rs. 5OOO, 11-50 bedded shall pay fees of Rs. 1OOOO and 51 and above bedded shall pay fees of Rs. 20,OOO by way of a demand draft drawn in favor of the Chairperson, State Mental Health Authority payable at the place where the State Authority is situated.
15. fssue of duplicate certificate. - Where a certificate of registration granted to a mental health establishment is destroyed or lost or mutilated or damaged, the State Authority may issue a duplicate certificate on an application made by such establishment along \Mith fees of rupees two thousand by way of a demand draft drawn in favor of the Chairperson, State
Rdsrra {qqd, fr{td; t l rnd zoz o
320 (27\ F
I Mental Health Authority payable at the place where the State Authority is situated.
16. Maintenance of digital register.- (1) A category-wise register in Form-D of all registered mental health establishments shall be maintained by the State Authority in digital format in accordance with the provisions of Section 7l and 55.
(2) A category-wise register in Form-E of all registered mental health professionals shall be maintained by the State Authority in digital format in accordance with the provisions of clause (d) of sub-section (1) of Section 55 of the Act.
(3) For application for Registration of Mental Health Professionals along with fees of rupees three thousand by way of a demand draft drawn in favour of the Chairperson, State Mental Health Authority in Form-F payable at the place where the State Authority is situated.
(4) Form-G is the format for registration certificate issued to the professionals by the State Mental Health Authority. The registration certificate issued, is subject to the conditions laid . down in the Mental Healthcare Act, 2oL7 (10 of 2ot7l and the rules and regulations made there under and shall be valid for a period of ten years from the date of its issue and can be renewed before one month of the expiry with the prescribed fees.
(5) In fulfillment of the requirement of the Act, the Authority shall issue regulation or notification with regards to creating and operating online, register of mental health professionals, advanced directives, mental health establishment etc. by taking
320 (2E) Bdqrrq {qr{, fr{im 1 1 qdi rrm
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rds, rules and
into accou
nt the current laws, standard.s, rules and rigrt"tior," for such online databases or portal from time to time.
CHAPTER V
FINANCE, ACCOUNTS AND AUDIT
L7. Accounts and audit -of State Authority. (1) The State Authority shall maintain accounts of its income and expenditure relating to each year and prepare an annual statement of accounts consisting of income and expenditure account and the balance sheet.
(2)Annual statement of accounts shall be submitted for audit not later than 3oth June of each yeffi in the common accounting format prescribed from time to time by the Ministry of Finance for the central autonomous bodies or as nearer thereto as the circumstances admit.
(3)The annual statement of accounts prepared under sub-nrle (1) shall be signed on behalf of the State Authority by the officer in-charge of accounts and the Chief Executive Officer and shall be approved by the State Authority.
18. Annual report of the State Authority. -(1) The State Authority shall prepare its annual report in Form-H and forward it to the State Government within nine months of the end of the financial year for being laid before each House of State Legislature.
(2) The annual report shall give a full account of the activities of the State Authority during the previous year and shall include the audited accounts of the year and the report of the Comptroller and. Auditor General of India thereon.
Bi#qrr6 {snqa, frqis r r m{ zozo
320 (2el )
CHAPTER.VI
AUDIT, INSPECTION AND ENQUIRY OF MENTAL HEALTH ESTABLISHMENTS 19. Audit of Mental Health Establishments.-(1) The State Authority shall, for the purpose of conducting audit of registered mental heatth establishments in the State, authorize one or more of the following persons to ensure that such mental health establishments, comply with the minimum standards specified under the Act, namely:-
(a) A representative of the District Collector or District Commissioner of the district where the mental health establishment is situated;
(b) A representative of the State Human Rights Commission of the State where the mental health establishment is situated;
(c) A psychiatrist who is in Government service;
(d) A psychiatrist who is in private practice; (e) A mental health professional who is not a psychiatrist; (0 A representative of a non-governmental organization working in the area of mental health;
(g) Representatives of the care-givers of persons with mental illness or organizations representing care-givers; and
(h) Representatives of the persons who have or have had mental illness.
320 (30) Br#qrr€ttsrrrr, €ici-6 1r crd zozo
l. (21 For conducting audit of registered mental health establishment, the State Authority shall charge fees as follows:
Less than or equal to 10 bedded- sha1l pay a fee of Rs. 5OOO, 11-50 bedded shall pay fees of Rs. 1OOOO and 51 and above bedded shall pay fees of Rs. 2O,O0O way of a demand draft drawn in favor of the Chairperson, State Mental Health Authority payable at the place where the Authority is situated.
20. Inspection and inquiry of mental health establishments. - (1) The State Authority ffi&y, suo-motu or on a complaint received from any person with respect to non-adherence of minimum standards specified by or under the Act or on contravention of any provision thereof, order an inspection and inquiry of any mental health establishment, to be made by one or more of the following persons, namely:-
(a)a psychiatrist in Government service;
(b)a psychiatrist in private practice;
(c)a mental health professional who is not a psychiatrist; (d)a representative of a non-governmental orgaratzation . working in the area of mental health;
(ela police officer in charge of the police station under whose jurisdiction, the mental health establishment is situated;
(0 a representative of the District Collector or District C-ommissioner of the district where the mental health establishment is situated.
(2)The State Authority or the person authorized by it under sub-rule ( 1), if it has reasons to, believe that a person is
sffiqlr€ {rqqd, fr-iis I 1 crd zozo
320 (3r) r operating a mental health establishment without registration or is not adhering to the minimum standards specified by or under the Act or has been contravening any of the provisions, of the Act or the rules and regulations made there under, enter and search such mental health establishment will be done.
(3) During search, the State Authority or the person authorized by it may require the mental health professional in charge of the mental health establishment to produce the original documents relating to its registration with the State Authority and it shall be obligatory on the part of the mental health establishment to, produce such documents.
(4) Within two days of completing search of the mental health establishment under sub-ru1e (3), a written report of the findings of such search shatl be submitted to the Chairperson of the Authority.
of (S)The Chairperson of the State Authority, shall, on receipt
it the written report under sub-rule (4), take such action as
in deems fit, against the defaulting mental health establishment accordance with the provisions of the Act.
By order and in the name of the Governor of Chhattisgarh,
C. R. PARSANNA, Special Secretary.
320 (32)
Fonu-e
(See rule 1O|
INFORMATION ON THE ACTIVITIES OF THE STATE AUTHORITY/ BOARD
| 1. | New Regulations notified | |
| 2. | Number of orders passed during the year | |
| 3. | Meetings held durins the year | |
| 4. | Number and details of mental health establishments under the control of the State Government | |
| 5. | Number and details of mental health establishments in the State or Union Territory | |
| 6. | Registration of mental health professionals by the State Authority | |
| 7. | references Statement on Central received from the Government and the State Government and action taken thereon | |
| 8. | Quality and service provision norms for different types of mental health establishments under the State Government | |
| 9: | Training imparted to persons enforcement including law health officials, mental professionals and other health the professionals about provisions and implementation of the Mental Healthcare Act, 2ot7 (ro of 2oL7l | |
| 10. | Applications for registration of mental health establishments received accepted and rejected along with reasons for such reiection: |
,ftqi6 rrqr{zozo rzo (ss) |
| 11. Audit of Mental Health Establishments along with audit reports 72. Complaints received regarding violation of rights of mentally ill persons and action taken thereon | ||
| 13. Details regarding guidance medical document for practitioners and mental health professionals | ||
| 14. Number of cases registered regarding Sexual Harassment of Women at Workplace under Section 22 of the Sexual Harassment of Women at Workplace (Prevention, Redressal) Act, Prohibition and 2OL3 (No.14 of 2013) and details thereof | ||
| 15. Details of | inspection and inquiry of Mental Health Establishments | |
| t6. Number of appeals to High Court against order of Authority and status thereof | ||
| 17. Complaints received regarding deficiencies in provision of services and action taken thereon | ||
| 18. | Stakeholders Consultations | |
| 19. | the Inquiry initiated by Authority/Board | |
| 20. Administration | and establishment matters | |
| 2t. Budget and Accounts with details-including balance sheet, expenditure income and account, etc. | ||
| 22. | Any other matter which may be relevant |
320 (34)
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FORM.B
[See rules 13(2) and 14]
APPLICATION FOR GRANT OF PROVISIONAL REGISTRATION RENEWAL OF PROVISIONAL REGISTRATION OF A MENTAL HEALTH ESTABLISHMENT
To, The State Mental Health Authority, The Department of Health and Family Welfare, Government of Chhattisgarh.
Dear Sir/ Madam,
I/we intend to apply for grant of provisional registration/ permanent registration/ renewal of provisional registration for the Mental Health Establishment namely of which I am/we a.re holding a valid license lregistration for the establishment/ maintenance of such hospital / nursing home. Details of the hospital/nursing home are given below:
1. Name of applicants
2. Details of license with reference to the name of the authority issuing the license and date:
3. Age:
4.'Professional experience in Psychiatry:
5. Permanent address of the applicant:.. ..
6. Location of the proposed hospital/nursing home:
7. Address of the proposed nursing home/hospital:
8. Proposed" aceommodations:
(a) Number of rooms: . i.....
(b) Number of beds:
(c) Facilities provided: ... ..
(d) Out-patient:
. (e) Ernergency services:
(0 In-patient facilities:
(g) Occupational and recreational facilities:
(h) ECT facilities (n X-Ray facilities):
(i) Psychological testing facilities:
fi) Investigation and laboratory facilities:
(k) Treatment facilities staff pattern:
Staff Pattern
(a) Number of doctors:
(b) Number of nurses:
(c) Number of attendees:
(d) others:
I am herewith sending a bank draft for Rs.
.as application fee.
drawn in favor of ...
I hereby undertake to abide by the rules and regulation of.the Mental Health Authority.
I request you to consider my application and grant the license for establishment/maintenance of psychiatric hospital/ nursing home.
Yours faithfully
Signature
Name Dated 320 (36) sdslrq {rq[d, ftqi6 t r qrd zozo
FORM.C
[See rule 13(3]l
CERTTFTCATE OF PROVTSTONAL REGTSTRATTON/ RENEWAL OF PROVISONAL REGISTRATION
.... ..... .. submitted by
The State Authority, after considering the application dated .......under Section 65 (21 or Section 66 (3) or Section 66(10) of the Mental Healthcare Act, 2Ol7 (10 of 2ol7l, hereby accords provisional registration I renewal of provisional registration to the applicant mental health establishment in terms of Section 66 (4) or section 66 (1 1), as per the details given hereunder:
Name:
Address
No of beds:
The provisional registration certificate issued is subject to the conditions laid down in the Mental Healthcare Act, 2OL7 (10 of 20171 and the rules and regulations made there under and shall be valid for a period of twelve months from the date of its issue and can be renewed
Place
Dated
Registration Authority
Seal of the Registration Authority ffi{lqrd,ftqifi 11qrd2s26 320 G7l
._"oRY-D (See rule 16| REGISTER OF MENTAL HEALTH ESTABLISHMENTS
, (IN DIGITAL FORMAT}
Separate table for each category of mental health establishment Category
| sl. No | Name & address of the aoolicant | Name of the establishment and address | Date of the application | Date and particulars of resistration | No. of beds | Remarks |
320 (38) sdsrrd rrqqd, ftqi6 t t cF{ zozo
FORIVI.E
See Section 55 (U (dl
REGISTER OF MENTAL HEALTH PROFESSIONALS
(IN DIGITAL FORMAT}
Separate table for each category of mental health professionals Category of Mental Health Professionals
| S1 No | Full Name & address of the applica nt | Degree/PC RCI/NCI/others* | Place of practice/ work | Contact Number / Email | Remarks | |
*the Psychiatric Social Workers will be registered as the Mental Healthcare Act, 2OL7 (10 of 2ol7l, shall prescribed.
320 (3e) l
effiqrrd {rqq{, fui+ t r rnd zozo
FORM.F
lSee rules 16(3)l
AppLrcATroN FoR GRANT OF REGTSTRATTON / RENEWAL OF REGISTRATION Or. A MENTAL HEALTH PROFESSIONAL To, The Mental Health Authority, The Department of Health & Family Welfare, Government of Chhattisgarh
Dear Sir/ Madam,
I intend to apply for grant of registration/ renewal of registration for 1. Name of applicants 2. Details of Registration of qualifying degree in respective specialties{{^{{FOOTNOTE *}}}} (RCI / NCI) (copy attached)' ....
3. Age: 4. Professional experience in Psychiatry: 5. Permanent address of the applicant: 6. Locattonf s of the Practice: 7. Qualifications (copies attached):
I am herewith sending a bank draft for Rs...
...as appiication fee.
drawn in favour of . I hereby undertake to abide by the rules and regulation of the Mental Health Authority.
I request you to consider my application and grant the registration for the Mental Health Professional to practice in Chhattisgarh State.
Yours faithfully
Signature Name Dated
*this is not applicable for Psychiatric Social Worker I 320 (40)
,frqi6 rrrndzozo
l
-
FORM.G
[See rule 16(4]I
:
CERTTFTCATE OF PROVTSTONAL REGISTRATTON/ RENEWAL OF PROVISONAL REIGISTRATION
The State Authority, .. .. . . submitted by
after considering the application dated under Section 55 (1) (d) of the Mental Healthcare Act, 2OI7 (10 of 2OL7l, hereby accords registration/renewal of registration to the applicant, Registration No:
The registration certificate issued is subject to the conditions laid down in the Mental Health care Act,2Ol7 (1O of 2OL7l and the rules and regulations made there under and shall be valid for a period of ten years from the date of its issue and can be renewed.
Place
Dated
Registration Authority
Seal of the Registration Authority 320 (41)
u*glrd {srrd, frqio r r crd zozo
r"""':,ffiE,r,,
ANNUAL REPORT OF STATE AUTHORITY
1. Introduction 2. Profile of the Authority's Members
3. Scope of Regulation
4. New Regulations/proceduresetc. notified/issued
5. Orders passed by the Authority
6. Meetings of the State Mental Hea1th Authority held during the year
7. Mental health establishments under the control of the State Government
8. Mental health establishments in the State 9. Registration of mental health professionals by the State Authorities
10. A statement on references received from Central and State Governments and action taken thereon
1 1. A statement on references sent to the Central and State Governments and action taken thereon by the Jespective Governments
12. Qualiff end service provision norms for different types of mental health establishments under the State Government
13. Supervision of mental health establishments under the State Government and action taken on the complaints received about deficiencies in provision of services therein
14. Training imparted to persons including law enforcement officials, _ - mental health professionals and other health professionals about the provisions and implementation of the Mental Healthcare Act, 2017 (10 of 2OL7) .-
320(421 Bdtrrr€ trqq{, frqi6 r r rnd zozo
r 5. AppiiC.tio.r* for registration of mental health establishments , received accepted and rejected along with reasons for such re;ectron.
t,
16. Audit of Mental Health Establishments
17. Complaints received regarding violation of rights of Mentally ill persons .and action taken thereon
18. Details regarding guidance docurn-ent for medical practitioners and mental health professionals
19. Implementation of RTI Act, 2OO5 (No. 22 of 2005)
20. Details regarding Sexual Harassment of Women at Workplace under Section 22 of The Sexual Harassment of Women at Workplace (Prevention, Prohibition and Redressal) Act, 2Ol3 (No. 1a of 2O 13).
21. Inspection and Inquiry of Mental Health Establishments
22. Appeals to High Court against order of Authority and status thereof
23. Status of review of use of advance directives and recommendations of the Authority in respect thereof.
24. Cornplaints received about deficiencies in provision of services and action taken thereon.
25. Inquiry initiated by the Authority
26. Administration and establishment matters
27. Annual Accounts
28. Any other-matter which in the opinion of the Authority needs to be highlighted
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