KING EDWARD MEMORIAL HOSPITAL

Background History

The department of psychiatry of the Seth GS Medical College and K.E.M. Hospital came into existence in December 1947 – just after India became independent. From a humble beginning with a single psychiatrist – DR. N.S. Vahia, it has grown into one of the largest teaching departments.
In addition to patient care, it is active in education and research for which it has received support from WHO and UNDCP. Besides, the department is also engaged in collaborative research with other universities outside India. At present, the department has grown out of the hospital to community outreach programmes.

Heads of the Department

Personnel in Depapartment :

Dr. Ajita S. Nayak – Professor and Head of the Department

Ex – Heads of the Department :

• Dr. N.S.Vahia
• Dr. V.N.Bagadia
• Dr. D.R.Doongagi
• Dr. L.P.Shah
• Dr.Shubhangi R.Parkar

Details of Teaching and Non-Teaching Staff

Teaching Staff:-

Senior Residents:-

Junior Residents:-

De-addiction Lab staff:-

Psychiatric Social Worker (Community Development Officer):-

1. Sadhana Bhatkhande
2. Vasant Sutar

EEG Technicians:-

1. Milind Kadam- Sr. Elect. Technician
2. Akbar Pinjari

Clinical Psychologists:-

1. Ms Kaneenica Ninawe
2. Ms Priyanka Jagtap

Facilities, Equipment & Special services

Facilities Available

Emergency Services :

• Emergency Room (Casualty).
• Other ward references (Seen by Senior Residents on call 24 hours).

Inpatient Facilities :

• Nursing Staff for 24 hours.
• Residents on call for 24 hours.
• Free Accommodation/Food.
• Free TreatmentPharmacotherapy.
• Electro Convulsive Therapy.
• Psychotherapy.
• Investigations (Routine).

Outpatient facilities :

• [All days except Sunday & Holidays]
  1. Follow-up patients .
  2. New Patients .
  3. Electro Convulsive Therapy.
  4. Various groups/meetings (Psycho-educational).
• Consultation Liaison
• Pharmacotherapy
• Electro Convulsive Therapy
• Psychotherapy (Individual & Group)
• Behaviour Therapy
• Group Psychotherapy for family of mentally ill
• Group Psychotherapy for depressed patients
• Psychoeducational programme Geriatric services.
• Psychoeducational programme for families of Psychotic patients
• Investigation – Psychological & Medical

For Student

Courses:

Short-term courses conducted by the Department:-

1. Post-Doctoral Fellowship in Deaddiction:-

• 1-year course
• Started since September 2016.
• Present In-take: 2 candidates each year.

Courses Conducted :

• M.D. (Psychological Medicine)
• D. P. M. (Diploma in Psychological Medicine)
• Clinical Psychiatry for Undergraduate Medical Students
• Clinical Psychiatry for Nursing Undergraduates.
• Field placement and practical training for Students of Social Science, Clinical Psychology and Nursing.
• Training programmes for General Duty Medical Officers in Drug Deaddiction.

For Patient

Other

Other Activities

General Psychiatry :

Various Groups / Meetings : Conducted by General Psychiatry Units

Drug Deaddiction Center of Excellence:

Deaddiction Activities :

Major Activities and Services in Deaddiction :

• OPD services.
• Inpatients services (Male and Female).
• Occupational Therapy.
• Community outreach programmes.
• Group therapies.
• Self help groups.
• Drug monitoring.
• Psychotherapy & Behaviour therapy.
• Disulfiram clinic.

Special Activities :

• Demand Reduction and Harm Minimization.
• Community Group Meetings.
• Group for families of alcoholics & substance abusers.
• Alcohol group therapy.
• Narcotic Group therapy.
• Community Awareness Programmes.
• Community Drug Deaddiction Development Programme.
• Recreational activities.

General Psychiatry Patient Profile :

Deaddiction Patient Profile :

Paramedical Areas

Research Projects

Various Groups (Psycho-educational).

Duties:

• Social case work.
• Counseling and psychotherapy.
• Medication supplies to poor patients.
• Rehabilitation work.
• Community awareness programme.
• Behaviour councelling.

Clinical Psychologists :

Duties :

• Psychological Testing.
• Assessment to aid for Fitness Opinion
• Aid to patient management.
• Psychotherapy.
• Teaching & Research.
• All weekdays except Sunday & Holidays.

Occupational Therapists :

• Rehabilitation of patients.
• Assessment of adaptive skills.
• Assessment to aid for Fitness Opinion.
• All weekdays except Sunday & Holidays.
• Diagnostic observations.

Nursing Staff :

• Daily observation & maintenance of records.
• Psychoeducation & family counseling.
• Teaching & Research.
• Recreational group.
• Administration.
• Imp

Developmental Landmarks

• 1947 – Outpatient department
• 1949 – CO2 (Narcotherapy) treatment started
• 1950 – Regular Inpatient facility made available
• 1950 – E.E.G. facility started 1952 ECT straight started.
• 1960 – A separate ward (ward19) for psychiatric inpatients started
• 1963 – Regular Child Guidance Clinic started
• 1970 – ECT Modified
• 1980 – Discontinuation of Insulin coma treatment
• 1980 – Discontinuation of CO2 (Narcotherapy) treatments
• 1987 – Geropsychiatry Consultation
• 1988 – Suicide Counseling Clinic
• 1989 – Community Awareness Program
• 1991 – Drug Deaddiction Centre of Excellence started
• 1991 – Drug Deaddiction Laboratory
• 1992 – Geropsychiatry Liaison
• 1992 – Community Mental Health Programme started at Malavani.
• 1992 – Psychoeducational Programme
• 1997 – Female ward for Drug Deaddiction started

Location

General Psychiatry :

Special Clinics

• Suicide Counselling Service
• Sex Counselling Clinic
• Geriatric Clinic
• Community Mental Health (Malavani Primary Health Centre)
• Child Guidance Clinic

Research Projects

Research Projects in Following Areas :

1. Suicide ?Qualitative Research.
2. Addiction and substance use disorders.
3. Psychosomatic disorders
4. Psycho-Oncology- Coping skills and Body Image in patients of Breast Carcinoma
5. Consultation Liaison Psychiatry
6. Cultural Psychiatry – Deaddiction
7. Geriatric Psychiatry
8. Completed Clinical Drug Trials :
   • Risperidone,
   • Zuclopenthixol,
   • Sertraline
9. Ongoing Clinical Drug Trials :
   • Venlaflaxine,
   • Risperidone (for Dementia),
   • Buprenorphine
10. Child Psychiatry :
    • Children of Schizophrenic parents,
    • Children of Alcoholic parents.
11. Stigma in Mental Health

Research Publications during the last 2 years:-

1. Nayak AS, Merchant HH, Nachane HB, Anvekar AR. Risperidone as an effective choice for obsessive-compulsive symptoms and tardive dyskinesia in an Indian quadragenarian with schizo-obsessive disorder. Indian J Psychiatry 2019;61:311-3.
2. Nayak AS, Parkar SR, Nachane HB, Sangoi BA, Shinde RG. Gender variability of perceived stress and negative inferential feedback in depression. Indian J Psychol Med 2019;41:331-7.
3. Murthy Meghna, Nayak Ajita. A study of Neuropsychological profile of human immunodeficiency virus – positive children and adolescents on antiretroviral therapy .Indian Journal of Psychiatry 2018,Vol 60,Issue 1,114-120.
4. Limbachiya RJ, Nayak AS. A Study of Inferential Feedback as an Outcome Measure in Treatment Resistant Depression. Academic Journal of Psychological Studies 2018. Vol7, (1) 1-8.
5. Kamble KS, Arun Kumar V, Nayak AS. An Observational Study of Clinical Profile and Cognitive insight in patients of Treatment Resistant schizophrenia. International Journal of Scientific Research,2018 Vol7, Issue-3, 49-52.
6. Introduction and Basic Considerations in Psychiatry in API Text-book of Psychiatry 2018 by Dr. S.R. Parkar.
7. Kulkarni PS, Parkar SR, Kate N, Ninawe K, Limbachiya R. Role of personality in tobacco smoking behaviour in corporate sector: A cross sectional study. Ind Psychiatry J 2018, 27:103-9.
8. Sawant NS, Vanjari NA, Khopkar U. Gender Differences in Depression, Coping, Stigma, and Quality of Life in Patients of Vitiligo. Dermatology Research and Practice, Vol. 2019, Article ID 6879412, 10 pages, 2019. https://doi.org/10.1155/2019/6879412.
9. Sawant NS. Delusional parasitosis revisited. Ann Indian Psychiatry 2019;3:1-3.
10. Sawant N, Sharma A, Shah N. Life events and quality of life in patients of Cushing’s disease. Ann Indian Psychiatry 2019;3 :28-31.
11. Chougule A, Adarkar S, Kadam K, Parkar SR. Retrospective chart review of trends and clinical characteristics of patients with ATS use disorder in a tertiary care centre in Mumbai. Journal of Medical Society 2018;Volume 32;Issue 3;Sep-Dec 2018.
12. Bhamre R, Sawraw S, Adarkar S, Sakaria R, Bhatia S. Psychiatric co-morbidities in patients with inflammatory bowel disease. Indian Journal of Gastroenterology;July 2018;37(4);307-12.
13. Adarkar S. KEM deaddiction centre of excellence: the journey viewpoint. Ann Indian Psychiatry December 2018.
14. Bhagat P, Adarkar S. A study of psychiatric morbidities in recovering intensive care unit patients. Ann Indian Psychiatry, October 2019.
15. Shelke SB, Singh RV. Understanding biofeedback and its use in psychiatry. Ann Indian Psychiatry 2019;3:71-3.
16. Saurabh KH. Motivational enhancement: Sparking the fire within! Ann Indian Psychiatry 2018;2:67-9.

CME Programs and Conferences Conducted by the Department/Institution:-

1. V.N. Bagadia Oration at ORACON 2019 on “Social Psychiatry: Essence of Psychiatry” by Dr. Rakesh K Chadda on 20^th November, 2019 at KEM Hospital and Seth GS Medical College, Mumbai.
2. MUHS 2-day Workshop on “Communication Skills in Health Care Practice” at MUHS Regional Centre on 25^th and 26^th November 2019.
3. Bombay Psychiatric Society Clinical Meet by Dr. Ajita Nayak’s Unit (Deaddiction) on “Drug Wars: The Rise of Newer Psychoactive Substances” on 29^th November, 2019 at KEM Hospital and Seth GS Medical College, Mumbai.
4. Conflict Management: Advance Course on Medical Education’ MET, KEM, 2nd Dec 2019 by Dr. Neena Sawant.
5. Speakers in the Symposium on ‘Women and substance use disorder’ – Gender Differences on 13^th November 2019.
6. Webcast on Pain Disorders and Tricyclic Antidepressants on 13^th November, 2019 at KEM Hospital and Seth GS Medical College, Mumbai.
7. Workshop on Family Intervention  by Dr. Shilpa Adarkar , Dr. Kumar Kamble & Dr. Gaurang Surti on 12^th November, 2019.
8. Workshop on Body Image, Anxiety, Fear and Stress management at Yuvaparivartan, Bandra on 9^th October, 2019 by Dr. Hemant Saurabh, Dr. Avanti Rave and Dr. Aditya Anvekar.
9. Various Guest lectures and awareness programmes conducted by the Department during the Mental Health Week, 4^th October to 10^th October, 2019.
10. Guest Lecture on Training in Caregivers of patients with Dementia on World Alzheimer’s Day, 21^st  September 2019.
11. Workshop for PG students on Sexual Dysfunctions and Therapies 22nd September 2019 at BJMC, Pune by Dr. Neena Sawant.
12. Poster exhibition on World Suicide Prevention Day, 10^th September 2019.
13. Conducted lectures on Learning Styles, Stress management and Communication Skills as part of Foundation Course for Ist MBBS students, held at KEM Hospital, Mumbai during August, 2019.
14. Bombay Psychiatric Society Clinical Meet by Dr. Ajita Nayak’s Unit on “Psychosis Unmasked by Gaming” in July, 2019 at KEM Hospital and Seth GS Medical College, Mumbai.
15. Guest Lecture by Dr. Shilpa Adarkar on Newer Psychoactive Substances at MP Psycon, Ujjain; June 2019.
16. CME on Tobacco Addiction on World No Tobacco Day, 31^st May 2019 held at KEM Hospital, Mumbai.
17. Guest lecture by Dr. Neena Sawant on “Communicating effectively To Parents”- 7th April 2019 : CME on Transforming Children through Mental Health -Thane Psychiatric Society.
18. Lectures on “Communication Skills” at Shidori I and Shidori II held at KEM Hospital, Mumbai.
19. PG Practical Mock Exam Sessions conducted by Faculty in March-April 2019.
20. Indian Psychiatric Society Specialty Section Suicide Prevention CME and Workshop at KEM Hospital and Seth GS Medical College, Mumbai on 1^st and 2^nd December, 2018
21. Bombay Psychiatric Society Clinical Meet by Dr. S.R. Parkar’s Unit on “Treatment with Biofeedback” on 21^st November, 2018 at KEM Hospital and Seth GS Medical College, Mumbai.
22. V.N. Bagadia Oration at ORACON 2018 on “Geriatric Psychiatry” by Dr. S.C. Tiwari on 7^th August, 2018 at KEM Hospital and Seth GS Medical College, Mumbai.
23. Bombay Psychiatric Society Clinical Meet by Dr. Ajita Nayak’s Unit on “Urbanization in Psychiatry” on 27^th July, 2018 at KEM Hospital and Seth GS Medical College, Mumbai.
24. CME on Substance Use Prevention in Community at KEM Hospital and Seth GS Medical College, Mumbai on 1^st July, 2018.
25. Guest Lecture on Treatment tools and targets in Anxiety and Mood Disorders by Dr. Nirmala Rao on 16^th March, 2018 at KEM Hospital and Seth GS Medical College, Mumbai.
26. Drug Reviews for various psychotropic drugs like Sertraline, Aripiprazole, Olanzapine + Fluoxetine combination, Melitracen + Flupenthixol combination and Vortioxetine.

Other Academic Activities Conducted by the Department:-

(1) Weekly Case Presentations (Schizophrenia, Depression, OCD, Bipolar Disorders, Anxiety Disorders, Conversion Disorder, Dementia, ADHD, Intellectual Disability, and DSH) by the Resident doctors and supervised by faculty members.

(2) Various academic and clinical seminars conducted by the Junior and Senior Residents of the Department and supervised by the faculty members.

Awards and Achievements received by students/faculty:-

1. Shilpa Adarkar appointed as the President of Bombay Psychiatric Society for 2019-2020.
2. Neena Sawant as the Hon. Editor of the Annals of Indian Psychiatry of IPS-WZB for 2018-2020.
3. Indian Psychiatric Society – Western Zonal Branch Under-Graduate Quiz 2019 1st Prize; Dr. Alhad Mulkalwar and Dr. Amit Dashputra.
4. Torrent Young Scholar Award Western Zonal Round 2019:- 2^nd Runner up; Dr. Sachin Mahajan.
5. Bombay Psychiatric Society Intercollegiate Quiz 2019:- 2^nd Prize; Dr. Tanvi Vaidya and Dr. Sachin Mahajan.
6. MD Psychiatry Summer 2019 Examination conducted by MUHS, Nashik: – Gold Medal; Dr. Shachi Singh.
7. A. K. Naik Best Paper Award 2019:- Comparison of patterns of resilience, coping strategies and personality profile in patients with single and multiple suicide attempts; Dr. Tanvi Vaidya, Dr. S.R. Parkar.
8. L.P. Shah Best Paper Award 2019:- Study of domestic violence and its correlations with coping and suicidal severity in wives of alcohol dependent patients; Dr. Amey Angane, Dr. Kranti Kadam, Dr. Sampada Raikar.
9. Bombay Psychiatric Society Intercollege Debate 2019 on Cosmetic Psychopharmacology:- Best Speaker; Dr. Tanvi Vaidya.
10. MEDINSPIRE Best Poster Award 2019: – Analysis of sibling relations in children with ADHD; Dr. Prerna Keshari, Dr. Ajita Nayak, Dr. Hrishikesh Nachane, Dr. Kumar Hemant Saurabh.
11. ACIPS-WZB 2018, Pune Best Free Poster: – Comfort of resident doctors while assessing sexual complaints; Dr. Sachin Mahajan, Dr. Rashmi Singh, Dr. Neena Sawant.
12. MD Psychiatry Summer 2018 Examination conducted by MUHS, Nashik: – Gold Medal; Dr. Amey Angane.
13. L.P. Shah Best Paper Award 2018:- “Is hopelessness gender neutral?”; Dr. Hrishikesh Nachane, Dr. Ajita Nayak, Dr. Shubhangi Parkar.
14. Bombay Psychiatric Society Intercollege Debate 2018:- Winning Team; Dr. Hemant Saurabh.
15. Completed project “National Survey on Extent and pattern of substance use in India” under the aegis of Ministry of social justice and empowerment.
16. DTC Scheme under Drug Deaddiction Program (DDAP) under the aegis of Ministry of Health and Family Welfare – The scheme was further expanded with 5 new DTCs established at :

1. 1. GMC, Dhule
   2. GMC, Nagpur

• IMH, Hyderabad

1. IMH, Chennai
2. IMH, Indore

Teaching Schedule:-

Post-Graduate training activities are conducted on Fridays in the afternoon from 2 pm to 3 pm by Faculty. Various topics have been covered during the PG Teaching over the last 1 year as follows:-

1. Mental Status Examination
2. Electro-Convulsive Therapy
3. Theories of Schizophrenia
4. Medico-Legal Documentation
5. Bio-Medical Waste Management
6. Drugs causing Obesity and Diabetes
7. Sexual History Taking
8. Sexual Myths
9. Sexual Disorders and their Management
10. Dual Sex Therapy
11. Newer Psychoactive Substances
12. Sex and the Senses, Sensate Focus.
13. Hyponatremia and its importance in Psychiatry
14. Hepatic Side Effects of Antipsychotics
15. Suicide in Children and Adolescents
16. Approach to patients with prior suicidal history.
17. Suicide in Personality Disorders
18. Mental Health Care Act 2017
19. Clinical Psychological Testing
20. Psychotherapy in Brain Trauma