Page 73 - รายงานการปฏิบัติตามอนุสัญญาว่าด้วยสิทธิของคนพิการ

28

developed a system that responds effectively to the needs of persons with

mental disability. Responsible personnel of many hospitals are not trained

to rehabilitate persons with mental disability and such service is not

available at small hospitals. Presently, there is no specific institution that is

responsible for the rehabilitation of persons with mental disability whereas

for those with mobility disability, the Sirindhorn Center serves as the

institute that both offers medical rehabilitation and conducts research

work. Although Thailand has a law on mental health, persons with mental

disability were not involved in the drafting of the law and it does not

provide effective protection to them.

49. Some parents of children with autism of over 18 years have problems

handling their children who are depressed due to their inability to cope

with changes in hormones. They can become violent and might try to hurt

themselves, but very often hospitals, both general and specialized ones,

do not admit persons with autism who have become violent as in-patients.

The problem was conveyed to concerned government agencies but it has

not yet been addressed. Recently, persons with autism under the national

health care coverage scheme has been prescribed locally made medicines

which the parents believe have more side effects than the imported ones

although the latter are on the list of medicines that physicians can

prescribe to patients. Non-listed medicines are not covered under the

scheme and the patients have to bear the costs of these medicines

themselves. Because most of the non-listed medicines are usually more

expensive, this can be a burden for many persons with autism.

50. At present, there are no clear guidelines regarding transfer service for

persons with mental disability for treatment in emergency situation. A