Tuesday, September 13, 2022

bicol medical center psychiatric facility: world class

 https://www.bicolmail.net/single-post/bmc-inaugurates-new-mental-facility


Don Susano J. Rodriguez Memorial Mental Hospital (DSJRMMH)

Out of the once-dilapidated and worn-out Don Susano J. Rodriguez Memorial Mental Hospital (DSJRMMH), a new Mental Health and Wellness Facility was born, equipped with state-of-the-art facilities and better health care services under the professional hands of mental health specialists, who are committed and dedicated in ushering an innovative psychiatric health care to its patients.


The DSJRMMH located in s sprawling 32.6 hectares lot is now home to wholistically designed out-patient building, administrative building, male ward, dietary, linen and laundry building, engineering and maintenance building, indoor and outdoor therapy area for in-patients, and play room for children in acute crisis.


A counselling room, neuropsychiatric testing room and pharmacy or Botika sa Masa are also part of the said edifice.


A dream comes true


Department of Psychiatry assistant administrator Ma. Theresa Reyes- Galvan feels that she is still caught in surreal sense that everything that just happened is too good to be true.


“It all started with a dream as we slowly moved from one request to another, until we realized, it finally happened. We are also blessed with great people who are instrumental in making this dream a reality. The Bicol Medical Center Department of Psychiatry started its planning for a New System including the construction of new buildings last 2011 under the leadership of then Medical Center Chief (MCC) Dr. Efren Nerva. The conceptualization of the projects continued during the time of MCC then Dr Marla Litam and finished today under Dr. Francisco Sales III,” Galvan stated.


The first building that was constructed was the Acute Crisis Intervention Services where newly admitted patients are placed for close monitoring. It started its full operation in 2018.


The green and modern architecture of the BMC Psychiatry, according to Galvan, is to create a new picture of hope.


“We wanted to have a different picture, the reason for the green architecture. We don’t want them to feel isolated. We want to make them feel that even if they felt like they are “imprisoned”, they will not feel desolate, but find hope that they will be healed. We want them to feel that this too, is their home,” Galvan added.


State-of-the-art facilities


BMC’s Department of Psychiatry was the first hospital to have the Deep Transcranial Magnetic Stimulation (TMS) Machine in the Philippines that caters to therapeutic non-invasive treatment for patient suffering from Major Depressive Disorder (MDD), Schizophrenia and other behavioral symptoms.


BMC Medical Professional Staff Division chief, Dr. Mary Jane Guazon-Uy, said that aside from BMC’s state-of- the- art facilities, they offer the TMS for depressive disorders and for patients unresponsive to treatment.


“TMS is available only in few centers in Southeast Asia. Under the new leadership of Dr. Sales, we took advantage of the pandemic to improve our infrastructure. We also want to improve the public perception towards the government’s mental health facilities by providing state-of-the-art services and professional psychiatric care,” Uy said.

Deep Transcranial Magnetic Stimulation (TMS) Machine (Photo credits: MGalvan-BMC )


Uy recalled how people, especially those who grew up in Camarines Sur and Naga City, know what it meant when they are told, “Dadarahon taka sa Cadlan (We will bring you in Cadlan)”.


“It meant incarceration in a place worse than prison, where the smell of urine, feces and unwashed bodies travels ahead, a hundred meters away, even before you set foot on the decrepit buildings. This used to be a place to abandon all hopes. But now, DSJRMMH is very far from that reputation,” Uy said.


Next in line, Galvan said, is the purchase of an electroconvulsive machine, which will be used for electroconvulsive therapy that will provide relief to psychologically challenged patients.


DSJRMMH has a total bed capacity of 200 and is run by four specialist doctors, namely: Dr. Edessa P. Laguidao, Department chairperson; Dr. Orville Jess A. Pandes, training officer; Dr. Lalyn Irene D. Marzan, forensic psychiatrist; and Dr. Ellaine Romano, Child & Adolescent psychiatrist.


Galvan said that they usually surpass that number up to 250. They also cater to at least 80 to 100 persons daily in the Out-Patient Department.


BMC Medical Center chief Francisco Sales III expressed his gratitude to everyone who dedicated their time, resources and commitment to ensure that all their efforts to make a change will not be wasted.


“The Department of Health (DOH) has been very supportive of our plans. I would like to specially thank DOH Asec. Maria Francia Laxamana, DOH Center for Health Development Region V Director Dr. Ernie Vera, the Department of Psychiatry, the committee and personnel of the Psychiatry Ward, and everyone who are instrumental in etching another milestone to BMC,” Sales said. (PIA5/Camarines Sur)


Friday, September 2, 2022

PH Mental Health Law of 2018: Objectives

 https://www.alburolaw.com/what-is-republic-act-no-11036-or-the-mental-health-act/

After reading What is Republic Act No. 11036 or the “Mental Health Act”? 

  • Mental Health refers to a state of well-being in which individual realizes one’s own abilities and potentials, copes adequately with the normal stresses of life, displays resilience in the face of extreme life events, works productively and fruitfully, and is able to make a positive contribution to the community

  • The State affirms the BASIC RIGHT of all Filipinos to mental health as well as the fundamental rights of people who require mental health services

  • The State commits itself to promoting the well-being of people by ensuring that mental heal is valued, promoted and protected

he State affirms the basic right of all Filipinos to mental health as well as the fundamental rights of people who require mental health services.

Also, the State commits itself to promoting the well-being of people by ensuring that:

  • mental health is valued, promoted and protected;

  • mental health conditions are treated and prevented;

  • timely, affordable, high-quality, and CULTURALLY-APPROPRIATE mental health case is made available to the public;

  • mental health services are free from coercion and accountable to the service users; and

  • persons affected by mental health conditions are able to exercise the full range of human rights, and participate fully in society and at work free from stigmatization and discrimination.

These are among the reasons why the Mental Health Act was enacted.

What is Mental Health Act?

The law says:

Republic Act No. 11036 or the “Mental Health Act”, which took effect on July 05, 2018, is the law which talks about the mental health of an individual.

Mental health refers to a state of well-being which the individual realizes one’s own abilities and potentials, scopes adequately with the normal stresses of life, displays resilience in the face of extreme life events, works productively and fruitfully, and is able to make positive contribution to the community.

On the other hand, mental health condition refers to a neurologic or psychiatric condition characterized by the existence of a recognizable, clinically-significant disturbance in an individual’s cognition, emotional regulation, or behavioral that reflects a genetic or acquired dysfunction in the neurological, psychosocial, or developmental process underlying mental functioning. The determination of neurologic and psychiatric conditions shall be based on scientifically-accepted medical nomenclature and best available scientific and medical evidence.

What are the objectives of the Mental Health Act?

The law says:

The objectives of the Mental Health Act are as follows:

  1. Strengthen effective leadership and governance for mental health by, among others, formulating, developing, and implementing national policies, strategies, programs, and regulations relating to mental health;

  2. Develop and establish a comprehensive, integrated effective and efficient national mental health care system responsive to the psychiatric, neurologic, and psychosocial needs of the Filipino people;

  3. Protect the rights and freedoms of persons with psychiatric, neurologic, and psychosocial needs of the Filipino people;

  4. Strengthen information systems, evidence and research for mental health;

  5. Integrated mental health care in the basic health services; and

  6. Integrate strategies promoting mental health in educational institutions, the workplace, and in communities


Alburo Alburo and Associates Law Offices specializes in business law and labor law consulting. For inquiries regarding illegal dismissal, you may reach us at info@alburolaw.com, or dial us at (02)7745-4391/0917-5772207.

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PH MH Law of 2018: Rights of Service Users

https://www.alburolaw.com/who-are-service-users-and-what-are-their-rights-under-republic-act-no-11036-or-the-mental-health-act/

After reading Who are Service Users and what are their rights under Republic Act No. 11036 or the “Mental Health Act”?,  read also What is Republic Act No. 11036 or the “Mental Health Act”?

  • Service user refers to a person with lived experience of any mental health condition including persons who require or are undergoing psychiatric, neurologic or psychosocial care

  • Service users shall enjoy humane treatment free from solitary confinement, torture, and other forms of cruel inhumane or degrading treatment

  • Any information in any aspect of the service user’s mental health shall be confidential except in instances allowed by law

epublic Act No. 11036 or the “Mental Health Act” provides that a service user refers to a person with lived experience of any mental health condition including persons who require or are undergoing psychiatric, neurologic or psychosocial care.

What are the rights of a service user?

The law says:

Service users shall enjoy, on an equal and nondiscriminatory basis, all rights guaranteed by the 1987 Philippine Constitution as well as those recognized under the United Nations Universal Declaration of Human Rights and the Convention on the Rights of Persons with Disabilities and all other relevant international and regional human rights conventions and declarations, including the right to:

  1. Freedom from social economic, and political discrimination and stigmatization, whether committed by public or private actors;

  2. Exercise all their inherent civil, political, economic, social, religious, educational, and cultural rights respecting individual qualities, abilities, and diversity of background, without discrimination on the basis of physical disability, age, gender, sexual orientation, race, color, language, religion or nationality, ethnic, or social origin;

  3. Access to evidence-based treatment of the same standard and quality, regardless of age, sex, socioeconomic status, race, ethnicity or sexual orientation;

  4. Access to affordable essential health and social services for the purpose of achieving the highest attainable standard of mental health;

  5. Access to mental health service at all levels of the national health care system;

  6. Access to comprehensive and coordinated treatment integrating holistic prevention, promotion, rehabilitation, care and support, aimed at addressing mental health care needs through a multidisciplinary, user-driven treatment and recovery plan;

  7. Access to psychosocial care and clinical treatment in the least restrictive environment and manner;

  8. Humane treatment free from solitary confinement, torture, and other forms of cruel inhumane, harmful or degrading treatment and invasive procedures not backed by scientific evidence;

  9. Access to aftercare and rehabilitation, when possible, in the community for the purpose of social reintegration and inclusion;

  10. Access to adequate information regarding available multidisciplinary mental health services;

  11. Participate in metal health advocacy, policy planning, legislation, service provision, monitoring, research and evaluation;

  12. Confidentiality of all information, communications, and records, in whatever form or medium stored, regarding the service user, any aspect of the service user’s mental health, or any treatment or care received by the service user, which information, communications, and records shall not be disclosed to third parties without the written consent of the service user concerned or the service user’s legal representative, except in the following circumstances:

    1. Disclose is required by law or pursuant to an order issued by a court of competent jurisdiction;

    1. The service user has expressed consent to the disclosure;

    1. A life-threatening emergency exists and such disclosure is necessary to prevent harm or injury to the service user or other persons;

    1. The service user is a minor and the attending mental health professional reasonably believes that the service user is a victim of child abuse; or

    1. Disclosure is required in condition with an administrative, civil, or criminal case against a mental health professional ethics, to the extent necessary to completely adjudicate, settle, or resolve any issue or controversy involved;

  13. Give informed consent before receiving treatment or care, including the right to withdraw such consent. Such consent shall be recorded in the service user’s clinical record;

  14. Participate in the development and formulation of the psychosocial care or clinical treatment plan to be implemented;

  15. Designate or appoint a person of legal age to act as his or her legal representative in accordance with the Mental Health Act except in cases of impairment or temporary loss of decision-making capacity;

  16. Send or receive uncensored private communication which may include communication by letter, telephone or electronic means, and receive visitors at reasonable times, including the service user’s legal representative and representatives from the Commission on Human Rights (CHR);

  17. Legal services, through competent counsel of the service user’s choice. In case the service user cannot afford the services of a counsel, the Public Attorney’s Office, or a legal aid institution of the service user or representative’s choice, shall assist the service user;

  18. Access to their clinical records unless, in the opinion of the attending mental health professional, revealing such information would cause harm to the service user’s health or put the safety of others at risk. When any such clinical records are withheld, the service user or his or her legal representative may contest such decision with the internal review board created pursuant to Mental Health Act authorized to investigate and resolve disputes, or with the CHR;

  19. Information, within the twenty-four (24) hours of admission to a mental health facility, of the rights in a form and language understood by the service user; and

  20. By oneself or through a legal representative, to file with the appropriate agency, complaints of improprieties, abuses in mental health care, violations of rights of person with mental health needs, and seek to initiate appropriate investigation and action against those who authorized illegal or unlawful involuntary treatment or confinement, and other violations.


Alburo Alburo and Associates Law Offices specializes in business law and labor law consulting. For inquiries, you may reach us at info@alburolaw.com, or dial us at (02)7745-4391/0917-5772207.

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PH MH Law of 2018: Consent & Restraint

https://www.alburolaw.com/treatment-and-consent-of-service-users-under-the-mental-health-act/

After reading Treatment and Consent of Service Users under the Mental Health Act, read also Who are Service Users and What are their Rights under Republic Act No. 11036 or the Mental Health Act  

  • Informed consent refers to consent voluntarily given by a service user to a plan for treatment

  • Service users must provide informed consent prior to the implementation by mental health professionals of any program of therapy

  • A service user may set out his or her preference in relation to treatment

n our previous article, we mentioned that a service user refers to a person with lived experience of any mental health condition including persons who require or are undergoing psychiatric, neurologic or psychosocial care.

When treating a service user, his or her informed consent is a requirement. What is an informed consent?

The law says:

Informed consent refers to consent voluntarily given by a service user to a plan for treatment, after a full disclosure communicated in plain language by attending mental health service provider, of the nature, consequences, benefits, and risks of the proposed treatment, as well as available alternatives.

Service users must provide informed consent in writing prior to the implementation by mental health professionals, workers, and other service providers of any plan or program of therapy or treatment, including physical or chemical restraint. Also, a service user may set out his or her preference in relation to treatment through a signed, dated, and notarized advance directive executed for the purpose.

Is there an exception to the informed consent?

The law says:

Yes.

During psychiatric or neurologic emergencies, or when there is impairment or temporary loss of decision-making capacity on the part of a service user, treatment, restraint or confinement, whether physical or chemical, may be administered or implemented pursuant to the following safeguards and conditions:

  1. In compliance with the service user’s advance directives, if available, unless doing so would pose an immediate risk of serious harm to the patient or another person;

  2. Only to the extent that such treatment or restraint is necessary, and only while a psychiatric or neurologic emergency, impairment or temporary loss of capacity, exists or persists;

  3. Upon the order of the service user’s attending mental health professional, which order must be reviewed by the internal review board of the mental health facility where the patient is being treated within fifteen (15) days from the date such order was issued, and every fifteen (15) days thereafter while the treatment or restraint continues; and

  4. That such involuntary treatment or restraint shall be in strict accordance with guidelines approved by the appropriate authorities, which must contain clear criteria regulating the application and termination of such medical intervention, and fully documented and subject to regular external independent monitoring, review and audit by the internal review boards.


Alburo Alburo and Associates Law Offices specializes in business law and labor law consulting. For inquiries, you may reach us at info@alburolaw.com, or dial us at (02)7745-4391/0917-5772207.

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PH Mental Health Law of 2018: DOH role

https://www.alburolaw.com/duties-and-responsibilities-of-the-department-of-health-under-the-mental-health-act/

fter reading Duties and Responsibilities of the Department of Health under the Mental Health Act, read also Treatment and Consent of Service Users under the Mental Health Act

  • The Department of Health (DOH) shall ensure that a safe, therapeutic, and hygienic environment with sufficient privacy exists in all mental health facilities

  • The DOH shall ensure that all public and private mental health institution uphold the right of patients to be protected against torture or cruel, inhumane, and degrading treatment

  • The DOH shall establish a balanced system of community-based and hospital-based mental health services at all levels of the public health care system

What are the duties and responsibilities of the Department of Health (DOH) under the Mental Health Act?

The law says:

To achieve the policy and objectives of the Mental Health Act, the DOH shall:

  1. Formulate, develop, and implement a national mental health program. In coordination with relevant government agencies, create a framework for Mental Health Awareness Program to promote effective strategies regarding mental healthcare, its components, and services, as well as to improve awareness on stigmatized medical conditions;

  2. Ensure that a safe, therapeutic, and hygienic environment with sufficient privacy exists in all mental health facilities and, for this purpose, shall be responsible for the regulation, licensing, monitoring, and assessment of all mental health facilities;

  3. Integrated mental health into the routine health information systems and identify, collate, routinely report and use core mental health data disaggregated by sex and age, and health outcomes, including data on complete and attempted suicides, in order to improve mental health service delivery, promotion and prevention strategies;

  4. Improve research capacity and academic collaboration on national priorities for research in mental health, particularly operational research with direct relevance to service development, implementation, and the exercise of human rights by persons with mental health conditions, including establishment of centers of excellence;

  5. Ensure that all public and private mental health institution uphold the right of patients to be protected against torture or cruel, inhumane, and degrading treatment;

  6. Coordinate with the Philippine Health Insurance Corporation to ensure that insurance packages equivalent to those covering physical disorders of comparable impact to the patient, as measured by Disability-Adjusted Life Year or other methodologies, are available to patients affected by mental health conditions;

  7. Prohibit forced or inadequately remunerated labor within mental health facilities, unless such labor is justified as part of an accepted therapeutic treatment program;

  8. Provide support services for families and co-workers of service users, mental professionals, workers, and other service providers;

  9. Develop alternatives to institutionalization, particularly community, recovery-based approaches to treatment aimed at receiving patients discharged from hospitals, meeting the needs expressed by persons with mental health conditions, and respecting their autonomy, decisions, dignity, and privacy;

  10. Ensure that all health facilities shall establish their respective internal review boards. In consultation with stakeholders, the DOH shall promulgate the rules and regulations, necessary for the efficient disposition of all proceedings, matters, and cases referred to or reviewed by the internal review board;

  11. Establish a balanced system of community-based and hospital-based mental health services at all levels of the public health care system from the barangay, municipal, city, provincial, regional to the national level; and

  12. Ensure that all health workers shall undergo human rights trainings in coordination with appropriate agencies or organizations.


Alburo Alburo and Associates Law Offices specializes in business law and labor law consulting. For inquiries, you may reach us at info@alburolaw.com, or dial us at (02)7745-4391/0917-5772207.

All rights reserved.