Hi
1) In your case, since your brother is diagnosed with 39% disability, your brother can pursue MBBS Course.
2) However with regards to applying for reservation under the disability quota for mental illness, you may pursue the Comprehensive report regarding guidelines for admission of person with specified disabilities submitted by MCI on 05-June -2018.
(The extract is reproduced below)
Mental illness:
1) Eligible for medical course, not eligible for PH quota: Absence or mild Disability
<40% (under IDEAS)
2) Eligible for medical course, eligible for PH quota: Currently not recommended due to the above-mentioned lack of objective method to establish presence and extent of mental illness.. However, the benefit of reservation/quota may be considered. in future after developing better methods of disability assessment.
3) Not eligible for medical course: >40% disability or if the person is deemed unfit to
perform his/her duties. Standards may be drafted for the definition of "fitness to practice medicine", as are used by several institutions of countries other than India.
Hope this information is useful.