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Consent in current psychiatric practice and research: An Indian perspective
Furkhan Ali1, Gopi Gajera2, Guru S Gowda1
1Department of Psychiatry, National Institute of Mental Health and Neuro Sciences (NIMHANS), Bengaluru, Karnataka, India.
Indian Journal of Psychiatry
|May 2, 2019
Summary
Informed consent is crucial in Indian mental healthcare, mandated by the Mental Healthcare Act (MHCA) 2017 for all aspects of patient care and research. This article reviews consent practices and challenges within Indian psychiatric settings.
Area of Science:
- Medical Ethics
- Mental Healthcare Law
- Biomedical Research Ethics
Background:
- Informed consent is a cornerstone of healthcare and research, respecting individual autonomy and the right to choose.
- It encompasses clinical, ethical, and legal dimensions, ensuring voluntary and informed decisions.
- The Mental Healthcare Act (MHCA) 2017 in India emphasizes informed consent for all mental health services and research.
Purpose of the Study:
- To provide an overview of the evaluation of consent in clinical practice.
- To highlight the specific approaches and challenges related to informed consent in psychiatric practice in India.
- To align with the Indian Council of Medical Research's National Ethical Guidelines for Biomedical and Health Research.
Main Methods:
- Literature review of consent principles in healthcare and research.
- Analysis of the legal framework provided by the Mental Healthcare Act (MHCA) 2017.
- Examination of ethical guidelines relevant to human participant research in India.
Main Results:
- Informed consent is legally mandated in Indian mental healthcare for admission, treatment, and research.
- The MHCA 2017 and ICMR guidelines provide a framework for ethical research practices.
- Psychiatric practice in India faces unique challenges in implementing and evaluating informed consent.
Conclusions:
- Upholding patient autonomy through informed consent is vital in Indian mental healthcare.
- Adherence to MHCA 2017 and national ethical guidelines is essential for ethical practice.
- Addressing the challenges in psychiatric consent is crucial for improving patient care and research integrity.
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