@ cecktor spss Letters to the Editor {to underlie a possible coexistence of both primary and secondary (organic) forms of dlolusional parasitosis.*" Therefore, a proper detailed neurological and psychological ‘workupis necessary inall such cases. Declaration of patient consent ‘Tae authors certify that they have abtained al appropriate patient consent farms. Inthe form the. patient) hashave_ given his/herthelr consent for hisfherfthelr linial information Teperted inthe journal. The patients une derstand that thelr names and inal il not be published and due efforts will be made to conceal their identity but anonymity cannet be ausranteed Declaration of Conflicting interests The authors declared no potential conflicts of interest with respect te the research, authorship andlor puslcation ofthis artile Funding ‘The authors receved no financial svppor forthers- search authorship andr publication of this artl Sai Krishna Tikka (@ hrtpsifercé.erploooe- SEPP spitnddayone hepsulorcidorg? ‘Sai krishna Tikka’, Barikar C.Malathesh, ‘Abhishek Arora" Syed Murthuza, Sandeep Garret and Vishakina Jin’ ‘Dept. af Psychiat, All India Institute of Medi- cal Sciences, Biinagar, Hyderabad, Telangana, gross, Al dis Wethute ¥ Bibiagar, Hyderabad, Telangana, Indi. Dept of General Medicine All india stitute of Medical Sciences, Blbinagar, bad, Telangana, Inia. “Dept of Aneas- thesology and Critical Cae, All india Insitute fof Medial Sciences, BibinagenHycerabad, Telangana, India. Dept. of General Medicine, All india stitute of Medical Sciences, Bbinagay, bad, Telangana Ina [Address for Corespondence: Barkar C. Malathesh, Dest of Poychaty, All inia stitute of Medical Sciences, Bibinagay, bad, Telangana 50826 India. E-mail be rmalatheshiogmailcom ‘Submitted 04 Oct 2021 ‘Accepted 2Dec 200 Published Onine 22 Feb, 2023 References 1. Trabere W100 years of delusional parasie: sis. Meta-analysis of 223 case reports. Psychopathology 1995; 2%: 238-246, 2 Reich A, Kwiatkowska D, and Pacan Delusions of parasitoss: An update, Dermatel Ther 2013; 9: 631-638 3. WHO. Infodemic; 3021, hetps:/worw. ‘who inywesternpaciifhealthtopics! infodemic(accessed December 3, 2021) 4. Banerjee D and Meena KS, COVID 39 35 an "Infodemic” in publicbealth: Critical role ofthe social media. Front Peblic Health 202 5:23. [Larsen EM, Donaldson KR, Liew M, etal Conspirtorial thinking during OVID The roles of paranoa, delusion pronenes, nd intolerance of uncertainty Front Paychauy 20m 21254 6, Fotshi M, Mian A, MeysamiS, etal [Neurobiology of COVID-s, | Alzheimers Dis 2020;76: 319, 7% HaddadiX, hasemian Rand Shafizad (M, asal ganglia involvement and akered mental tats: unique neurological manifestation of coronavirus dissaee 32019. Cureus 2029; 12: 7856, 8. Huber M, Karner M, Kircher etal Serial lesions in delusional prasitosis revealed by magnetic resonance imaging, Prog Neuropsychopharmacol Biol Psychiatry 2008; 33:2987-397. alban 0, Tekect MH, ea Fahy’ syadzome presenting with seizures in SARS-CoV'2 (COVID-19) pneumonia—a «case repo, Newzol Sc 2020 Nov 4) 3085-3065. 10, Chacko M, Job A, Casto Fe 3. COVID- snduced psychosis and suicidal behavior (Case report Sn Comps Cin Med:1:-5 1, DeSousa A. Delusional prssitosisin a 69-yeatold malein relation to COVID3s, J Geriacr Ment Health 2020; 7:58. 1a, Marouda K, MantonakisL, and Kollias XK. Brief psychotic disorder with delusion content related to the COVID=s 0 break, Bsychiteki 2021; 32: 79-82 13. Kunert Hf} NocraC and Hoi Theories of delusional disorders. PSP 2007; 491191-202. 14, Roberts K,DasA, Puller M, etal Coexistence of primary and second any delusional parastosis. Case Rep Psychiatry 2020; 2020: 6. HOW TO CITE THIS ARTICLE: Tikka SK. Malathesh BC. Arora AJ..Murthuza S,Garre Sand Jain V.A Case af Acute-Onset Post-COVID Delusional Parasitosis: A Manifestation of a Possible Neure-COVID or af COVIDInfodemic? Indian J Psychal Med. 2022;44(2):201-202. @SAGE ©O9 Copyright © The Author(s) 2022 ‘eve Canons Non Carma CCBY-NC Tisai s dato ed under eta of he Cate Cres Aviation: NenCarmercil 4a License fepwncrestvecormens.ergicersey-c.f) ich emits ra-Carmerlture production aa.rtraustin ofthe workwthout hr pean Provided be onigal ore atbted ae speceg onthe SAGE and Open Acer pages pe Uesagepucomlarusramioper-acessrtsage [ACCESS THIS ARTICLE ONLINE Website: journas.sagepub.convhornelsz) Dob resnyrfeasg7m762n072256 Implementation of MHCA 2017 and Formation of Mental Health Review Boards: Current Status of IPS South Zone Territory DearSit, fhe Mental Health Care Act, 2017 T: amongst most progteste legislations espousing rights based approach to mental health caze* ‘The vehicles of MHCA include the Mental Health Review Board (MHRB) State Men- tal Fealth Authority (SMH), and Central Mental Health Authority (CMHA). The SMHA fanetions at the state level, and MHRB has been conceptualized to function at the district level, and the lat ters jurisdiction may be extended toa few districts"The CMFTAhasbeen formed vide notification No. V.:son/og/2017 PH-Tand is tasked with registering all the mental health establishments (MEE) under the central government.’ Implementation of the MHCA 2017, notifications of rules 202, Indian Journal of Psychological Medicine | Volume 44 | Issue 2 | March 2022 ‘thereupon, and formation of MHRB were recently discussed in the Rajya Sabha.* Current Status of SHMA and MHRB in the South Indian Territory ‘We examined the notifications of MHCA, rrles and the formation of SMHA and MERB across the Indian Psychiatric Society South Zone territories. A rapid review of pertinent central and state gov- cemment notifications and gazertes wasLetters to the Editor andertaken from websites up to October 30, 2021, to get information on the for- ‘mation of MHRB and SMEA. ‘The implementation of the MHCA 2ox7 across these states is at different stages (Table 2. Three of the five states had websites and MHRBs, while four hhad notified rules regarding SMHA, None of the union territories have web- sites or MHRBs. Of the states that had proceeded with MARES, three had received applications and made appointments, Anecdotally, judicial interventions have helped to hasten this process in Kerala. The Legal Services Authority intervened inthe Kerala High Court, requesting hastening. implementation of the MHCA.* the formation of sala The Way Forward Nearing five years post lover three years since coming into effect, it is high time to examine the extent of implementation of provisions of the MHICA. The COVID-19 pandemic has dis rupted and slowed the implementation of various policies and programs. However, ‘on a positive note, mental health has now gained much more traction than ever before. State authority for mental health services under the MHA 1987 persists in. some states, while no MHRBs under the MICA 2017 have been formed. Mental Health Practitioners (MEPs) face chal: lenging clinical situations when their practice intersects with the law. Ie is the best opportunity for MEPs to review the current legalities and nuances to initiate relevant advocacy efforts. enactment and MHRE is a quastjudical body with sweeping powers regarding the treatment ‘of persons with mental illness as well as the functioning of the MHEs, We noted that MHRB formation and MCA imple- _mentation have been tardy at best. Its in the interest of psychiatrists to advocate for MERE formation as well as participate in its functioning, Psychiatrists must advo- ‘ateappropriate and quality mental health ‘are through theirrolein this vehicleof the MEICA. A large professional body like the dian Psychiatrie Society would do best alsoto safeguard theinterests of those psy- chiatrists who engage with these boards, Some issues that need immedi ‘agy are attractive remuneration packages to make such involvement meaningful and worthwhile, given that any psychia- tuist would have to extricate themselves fiom their practice to attend to these added responsibilities. Tamil Nadu has ‘modeled this in specifjing remunerations for each MFRB position, with the judge receiving €,00,000 and the psychiatrist receiving %0,0007 Thete is a need to hhave guidelines for professional conduct and review to assuage apprehensions of MEBs because there is only 17% repre sentation for MEPs (of the six members constituting the MHRB, only one is (MEP)? Te would be beneficial if psychia tists especially those in private practice, proactively take up positions of the ‘MEIRB' general medical practitioners. The South Indian states have not stipulated experience thresholds for the positions in MERE" However, the qualification and experience of the ‘MEPs in the MHRB should be such that they should be in a position to review advo. Implementation Status of the MHCA 2017 Across South India ‘the functioning of MHPs and MHEs, have required experience, and be of good standing. Financial limitations may be an importantbarrierto overcome inimple- menting MHCA. There is aneed to find innovative and costeffective means for effective implementation. The appoint ment of parttime psychiatrists fom district hospitals and medical colleges with allowances could be piloted in a few districts and Later be implemented, ata national level, It is also important to allow for online functioning of the board, considering both the prevailing. pandemic and saving costs. Peychiattists and their professional odies would also do well to promotethe involvement of theiz patients and carers by apprising them of such opportunities Current and prior mental health-care service users who have benefited from mental health care are best positioned to discharge MH roles as patient and carer representatives, Irwould be prudent to develop incentiv: ized certificate courses toward informing howbestthe MERE could function tosafe- ‘guard user and provider interests. Similar shoreterm courses on how general prac- titioners could do capacity assessments and support patients would ensure that motivated practitioners are sufficiently equipped. Over time, these training pro- grams could be incorporated into the ‘emergency room and psychiateic waining for medical interns. Professional bodies could also collaborate with advocacy {groups and social activists to speed up ‘the implementation. The inital few years sae SHEA [ RulesNowhed? Website | WHRB [Total Status of Appownees! Operational iatus Formea? | StateMMRBy Updates? | Formed? | Oiswiets Applications Bot GndivaPadean | Formed | Sate Te ve = Noinfernaton aaTsbie™ | Ne information availble amar Tamed | Sate Te waa Tpplatons Te apenseon™ | No. Feral Formed | Boh Yes SMaRBS [a vacances Ne payehianiss, BRM: caregivers NGOs TamiNade | Formed | State Yes aes [Ge Applications caled er | Ne. Telangana™ a Nor Nor FT No Nor Pondiche Nor [Nor Nor er 4 No Nom Latshadwees [Net Not Nor Nor o Nee Nom Indian Journal of Psychological Medicine | Volume 44 | Issue 2| March 2022 203Letters to the Editor of any sach endeavor are often riddled with frustrations and misadventures, especially because this involves multiple stakeholders Iewouldbeidealif MHRB positions were contractual and fullterm so that initial roadmaps and protocols could be ironed out, especially regarding compliance for ‘MHEs, documentations, appeal processes, registration and inspection efforts, and the development of best conduct guidelines. ‘We recommend that the functions of the ‘MER listed in the MHA be codified as terms of reference. Such terms of reference ‘would provide a clear construct within which the MERRB could function—this would help clarify when the MARB could ‘take Sue meto (on its own) cognizance. Declaration of Conficting interests The authors have ne potential cons of inter- est to declare with respect tothe reseatch, au ‘hership andr publication of his ance Funding The authors received no hancal suppor forthe research, authorship, andor publication ofthis ile, ‘oncibins Sharad Pritio (D hepsi Bo26-3378 ‘Anoop Joby Augustine (@ hepsilridorg/ SerEers Dheersj Kala (B) htpsvorcidergfooo0- coer6-5eba orgfeoee-o00%- 9007-58 75-436% © ‘Sharad Philip’, Anoop Joby Augustine’, Dheeraj Kattula» and Raviteja Innamnu Dept. of Psychiatry, National institute of Mental Heslth ang Neurosciences, Bengslry Xamataka, Incia. Dept. of Psychiatry, Government Medical College, Kannur Patyaram, Kerala, India. Dest. of Psychiatry, Christan Medical Coleg, Vellore, Tamil Nadu, India. Dept. of Psychiatry, Gover cl College, Nizamabad, Telangana ‘Address or correspondence: Aaviteja Innarur, Dept. of Psychiatry, Goveen- ment Medical College, Nizamabad, Telangana 50300, India. E-mail craitjsinnamutiogmal ‘Submitted 2g Sep 20m ‘Accepteég Dec 2031 Published Onine 2g Feb.2622 References 1. Ministry of Law and justice-The Mental Health Care Act 07 pf, upssfwww.egazerce nici WriteReadData/2or7irs2q8 pdf (accessed Octaber:6, 2020. 2. Dilly RM and Kelly BD. Concordance of ‘he Indian Mental Health Care Act 2017 withthe World Health Organization's checklist on mental health legislation. Int Ment Health Syst 2017 4. Mental Health Caze CMA and MEI Rules 208, Mental Health Caze CMHA and MHRB Rules 2015, httpsimain ‘ohfw-gov.in/sites/defaulfiles) -MentalsszoHealth Care%220CMHIAx and’s20MHIRBS20Rules%202018_o. pal {accessed October 8, 2021. 4 Rajya Sabha, beosjipgarsnicinfannex/ ass/AUi68 pf acessed January Indian Poychiatry Society South Zone Branch ([PSSZ3),heep:wwwripsszb.org/ {accessed Octaber 38,2021. 6. KELSA 2021, Borand Bench Indian Legal ‘New, hups;wwarandbench.comy evesiltigation kerala high-court meatal health-unit prison (accessed October 17, Tamil Nadu State Mencal Health Authority, hetpsems.tn.gov.injsites Aefaulyflesigoyhfv_e_248_20:9-pd {accessed October 16,202), 4. Kerala Stave Mental Health Authority (KSMHA) huepywwwcksmha.org/ {accessed October, 2020. 9. Manas Karat, iepsje-manas. eamataka,gow inf accessed October 16, 202, 10. Ministry of Health & Family Welfare, Government of Indi Mental Healthcare (CMHA nd MERB Rules 2018, bps! hf. gov.n/stesdelauluiles) Mental’s2oHfealtheare%420CMHIA%i30 andSs2oMHRBX20Rules’s2020:8_o pdf {accessed 16 October 2020, su. nda Pradesh Fara Medical Boa, (dme apni in/StateMencal¥iealth HOW TO CITE THIS ARTICLE: Philip S, Augustine AJ, Kattula D and Innamuri R, Implementation of MHA 2017 and Formation of ‘Mental Health Review Boards: Current Status of IPS South Zone Territory. Indian Prychal Me. 2022;44(2): 202-204. @SAGE ©0989 Copyright © The Author(s) 2022 Cranston NenCermeial License (eplwmcreasvecormensarficarsesPo- 0 hich pers ron-Cermelluse reproduction an tration ofthe work wither person Provided te original works alribted as pected onthe SAGE and Open Aces pages (tp {Seep comlariahandoper nies es ‘ACCESS THIS ARTICLE ONLINE Website: journals sagepub.camfnamels2) Dol sernyyfoag3rr762x070421 Book review - Building a life worth living: A memoir (Marsha M Linehan) House, ew York: Random 2020, PP. 340,449. The year 2020 has been almost toully hijacked by COVID.g. So much so that many other happenings of note go relatively unnoticed. Marsha Linehan's memoir came out in January 2020 and seems to be the first non- technical book from the “developer of dialectical behavior therapy (DBIY" as the book officially describes he. The book is aptly titled Building a Life Worth Living. The book cover cites that her primary research interest is in the development and evaluation of evi= dence-based treatments for populations with high suicide risk and multiple severe mental disorders. The book also mentions that in 2018, she was featured in a special issue of Time Magazine on Great scientists: Geniuses and visionaries who transformed our world, 204 Indian Journal f Psychological Medicine | Volume 44 | Issue 2 | March 2022 In the 340:page memoir, Linehan traces her journey from a popular and energetic teenager to a severely emo- tionally disturbed and suicidal young ‘woman who lands in a psychiatric hos- pital where she ends up spending more than two yeazs. She recalls, whatever she can, the 25 months of in-patient ueaument including psychotropic drugs, electroconvulsive cherapy, cold blanket treatments (if you may call it a treatment), and seclusion. Afterward, she makes a vow that if she could get ‘out of emotional hell, she would help