Psychotrauma centre bridging Mental Health Gap by Dr Usman Hotiana

Punjab Psychotrauma Centre & Forensic Psychiatry

Dr Usman Amin Hotiana

MBBS, FCPS (Psych.)

Assistant Professor of Psychiatry (HEC) & Behavioural Sciences

King Edward Medical University & Mayo Hospital

Creation of Punjab Psychotrauma Centre

Following Peshawer December Tragedy, Psychiatry Department at KEMU was designated to act as a Psychotrauma Centre.

CHIEF COORDINATOR DR ALI MADEEH HASHMI Members: HODs , All Public Psychiatric Units, Punjab

mhGAP: Workshops;Master Trainers, Police, 1122, Traffic Police, Teachers, Media etc.

mhGAP: Management of Peshawer Survivors

mhGAP: Workshop on Terrorism Professionals were sensitized to the terrorism related issues.

International speaksers such as Mia Bloom, John Horgan and renowned forensic psychiatrist from USA Dr Zebulon Tainter held talks at the Psychotrauma Centre, KEMU

mhGAPs: Experience Sharing & Collaboration with other Departments

Experiences were shared by Prof. Brig. Rashid, who was the key person to take care of the Peshawer Survivors. In a special workshop he shared the various aspects with a gathering of mental health professionals

mhGAP: Awareness among Lawyers & Judges and Subsequent Training to safeguard rights of mentally ill.

Prof. Aftab Asif & Dr Usman Hotiana talk at Lahore Institue of Management Sciences (LUMS) on Forensic Psychiatry and Capital Punishment

mhGAP: Collaboration with Punjab Police forensics Agency (PPFA)

mhGAP: Capacity BuildingWorkshops on Psychotrauma

Brig. Dr Mowadat Hussain Rana conducted a skill based workshop on handling the effects of trauma at Psychotrauma Centre, KEMU.

It was widely attended by Mental Health Professionals as well as postgraduate psychiatric and psychology trainees.

mhGAP: Skills Training;Eye Movement Desensitization Reprocessing (EMDR)

A special latest psychotherapy for Traumatic patients specially was also introduced to different Mental Health Professionals (MHPs)

Two postgraduate trainees were enrolled to get the training first hand from the master trainers in EMDR in collaboration with UK.

mhGAP: Goals;Promotion & Prevention

The issues were highlighted at the national and international conferences in Pakistan.

Psychotrauma Centre maintains a close liasion with Mental Health Professional (MHPs) from all the provinces and cities.

mhGAP: Implementation of the Mental Health Ordinance 2001

The Psychotrauma Centre took initiatives in matter of National Importance such as Revising the Mental Health Ordinance and taking practical steps to implement it in form of an act.

Number of meetings were carried out among to review in detail the current ordinance

Most recently the Psychotrauma Centre held a 3 hour workshop at the 21st National Pakistan Psychiatric Conference about the Forensic Psychiatry and Mental Health Ordinance Revision Process

mhGap: National cases of Mentally Ill patients

On National level the cases were pursued whereever mentally ill persons were at stake. For example the in case of famous case of Khizer Hayat.

Khizer Hayat was a policeman who developed psychosis during his prison. He was psychotic for past 8 years and was resistant to treatment. His black warrants were suspended as he was found to be be suffering from PSYCHOSIS by to Board of Certification.

Psychotrauma Centre, played an active role in collaboration and public awareness about such a key issue against the international human rights and Pakistan Penal Code.

This highlighted further caveats in the execution of the law by different stakeholders such as prison laws, police laws and mental health law itself.

mhGAP: Kasur DebacleFollowing the Kasur Incident, the Psychotrauma center made serial visits at Kasur in close coordination with the security personnels despite the active threats.

Team of Psychiatrists Prof. Aftab Asif, Dr Ali Madeeh Hashmi, Dr Usman Amin Hotiana, and the Principal Psychologists, Dr Tanvir, Dr Tasneem and Dr Rubina Mehmood also made visits.

The assessments were made in Kasur with the two dozen victims.

Subsequently the recommendations were made and sent to the govt.

mhGAP: National Guidelines for Treament and Management

Department participated actively with the primary Pakistan Psychiatric Society in formation of National Guidelines.

For example, most recently Dr Usman Amin Hotiana (KEMU)was nominated to collaborate with Dr Tamizuddin (Institute of Psychiatry)'GUIDELINES FOR POSTPARTUM DEPRESSION' They together made the first draft. Just last week the final version has been approved by National Gynaecological Association & PPS.

Pic : The First Meeting between Gynaecologists & Psychiatrists in March 2015

mhGAP: Workshop and Collaborative Conference with Punjab University

Collaboration with ADDICTION & REHABILITATION CENTRES in Lahore

Workshop in Collaboration with Punjab University

mhGAP: Community Awareness i) Dr Hashmi at Model Town Park ii) KEMU & LGH Camp at Murree

mhGAP: Awareness in other specialities about psychiatric issues (Liasion Psychiatry)

Dr Hotiana's talk on Depression at Cardiac Unit, Mayo Hospital

mhGAP: Mentally Ill Children, Workshop on Autism

Prof Aftab Asif Talk on Autism at a Children Conference held at KEMU with Experts from DOW, Karachi on Autism.

KEMU has a well developed Child Psychiatric Unit

mhGAP: Awareness about new threats Workshop on Eating Disorders

Nutritionist Angela Marie Siddiqua and Child Psychiatrist from UK on Eating Disorders

Thanks