Mental Problems Rising In Poor Countries

War, Poverty, Diseases Add Cases Of Depression, Schizophrenia; Experts Urge More Money, New Strategies

(AP)  War, poverty and diseases such as AIDS are adding to mental health problems in poorer countries, which are generally ill-equipped to respond to depression, schizophrenia and other such ailments, according to health officials.

Experts say that has to change.

On Tuesday, health officials called for new strategies and more money to treat the mentally ill in the developing world in a special issue of the British medical journal, The Lancet. Unless mental health treatment becomes widely available, the futures of poor countries will be handicapped, the writers argue.

Among the simple solutions offered: training lay people to spot mental illness in their community. The ill people and their families can then be referred for treatment. India has already introduced such a program for schizophrenia in certain provinces.

"We're thinking outside the box. We're not thinking of more mental health specialists," said Dr. Vikram Patel, a professor of international mental health at London's School of Hygiene and Tropical Medicine and co-author of several of the papers in The Lancet.

Nirmala Srinivasan, head of Action For Mental Illness, a lobby group based in Bangalore, India, said only a small percentage of Indians who suffer from some form of mental illness - schizophrenia, depression, obsessive compulsive disorder, anxiety - get proper treatment.

"The main reason is that people can't access treatment," Srinivasan told The Associated Press, adding that "there is no treatment available" in rural areas.

Dr. N. Vijaya, head of the Institute of Mental Health, a 1,600-bed facility with programs for 400-500 more outpatients in the southern Indian city of Chennai, said awareness of mental health was increasing in India - leading more people to seek treatment.
She said nearly a third of her facility's patients have been "wandering mentally ill" rescued from the streets by police and private aid groups.

"Social workers help us in contacting their families later," she said.

In Brazil, mental health care rivaling that in developed nations is available for those who can afford it. The Lancet said Brazil's mental health care system has improved in the past several decades, but gaps remain.

Mentally ill adults in the teeming cities of Brazil, Latin America's largest nation, are frequently seen begging on street corners and sleeping under highway overpasses. In destitute rural communities, families living in poverty cope the best they can with mentally ill relatives, but often can't afford medication or special care.

In some poorer countries, people turn to chains or cages to restrain those with mental illness.

In African countries, doctors and nurses are often too overwhelmed with illnesses such as AIDS and malaria to care for those with mental health problems.

But mental health advocates argue that because psychiatric problems such as depression and psychoses often lead to physical problems, investing in treating mental illness could prevent other diseases. That can in turn aid the overall economy.

Treating mental illness can't be solved simply by sending in foreign doctors, experts said. Counseling for mental health problems must come from someone who speaks the language and understands the local culture.

In countries such as Zambia, where mental illness is believed to be a sign of witchcraft or being possessed by the devil, people who are sick are reluctant to seek help. When they do, or when others alert the authorities, they are often locked up in institutions.

"You can't just parachute into a system and expect to solve their complex mental health problems," said Cornelius Williams, who helps treat emotionally scarred former child soldiers in Uganda for UNICEF.

Dr. Richard Horton, The Lancet's editor, wrote in an accompanying commentary that the World Health Organization has not done enough to support nations' mental health needs. Although the agency pledged in 2001 to bring "new hope" to treating the mentally ill, "WHO has not backed its words with resources," Horton said.

WHO officials declined to comment.

[rushman71]

The solution is easy, even a Therapist could do it
Posted by rray52 at 01:37 PM

It''s so easy, a caveman can do it!!! LOL

[olebd]

This lady in the picture kills any animal that comes near her with her bare hands! I''d like to see her near one of Michael Vick''s dogs.

I wonder if this ailment of hers includes males of her own species? She looks kind oof cute :)

[bequialife]

So I guess we will paying for that too, the whole world''s mentally ill? I guess that is our problem too?

[ianlou]

My problem is Nerve A is getting on Nerve B''s nerves.

[bobnjersey]

["You can''t just parachute into a system and expect to solve their complex mental health problems," said Cornelius Williams, who helps treat emotionally scarred former child soldiers in Uganda for UNICEF. ]

maybe they could build some holiday inn expresses.

[boldwin223]

"That''''s right, all the doctors in the world want to work in the U.S. because the mentally ill are treated so much better here than in their own countries."

give me a break.

Posted by ianlou at 11:26 AM : Sep 04, 2007

The mentally ill are treated so much better here!!! Is that why every US city has more than their share of mentally ill homeless.

[rray52]

The solution is easy, even a Therapist could do it

[darlinone]

I believe the quote is "One can judge a society''s humanity by the way they treat their weakest citizens".

Even though it is 2007, mental illness is still has a tremendous stigma attached to it and people are still afraid of what they fear. It''s so much easier to lock sufferers of mental illness away then to have to deal with them in a civilized and humane way. These unfortunate people HURT badly and suffer so much when we have the knowledge and ability to make their lives productive and easier. Why don''t we? Because they get in our way and make us uncomfortable. The shame of mental illness is that as a society we do so very little to enrich the lives of others because we are too busy enriching ourselves.

[ianlou]

That''''s why all the doctors in the world want to work in the US.
Posted by cathaleen at 11:11 AM : Sep 04, 2007

That''s right, all the doctors in the world want to work in the U.S. because the mentally ill are treated so much better here than in their own countries.

give me a break.

[drivelphobe]

"Mental illness" is a normal human condition and not a disease.

The medical community dreams up new conditions to treat. Look at the dreaded disease "ED". Wow, is that terrible and now it''s been linked to elevated blood pressure. Years ago a cholesterol level of 200 was fine. Now with Lipitor and others drugs in this class, the doctors say it should be 160. More drugs! More doctor visits! More lab tests! More $ for le doctor.

Psychiatry is a ridiculous waste of time and money. These doctors sit, manipulate the weak, and collect $200-$300 per hour, tossing in electro-shock to pay for the fancy machines. These patients rarely recover and pay forever.

One hundred and fifty years ago people just lived, adjusted and made their way. Today, medicine has made people feel they are all in need of some kind of cure all and have taken away the one thing people have to have and that is the self confidence to live and make their own decisions.

Doctors can''t make a living just treating the sick and injured. Now they have convinced most everyone that even the healthy need medical treatment. They call it preventative medicine.

At least most quality health insurers have substantial limits on benefits for the "mentally ill". They at least must be hospitalized so the hospital can get in on the bucks too.

[cathaleen]

We have our problems with mental illness. We are probably the most open and candid country regarding all our health issues.

The people who criticize us should look at their own countries and see how their mentally ill are treated. That''s why all the doctors in the world want to work in the US.

[ianlou]

The American way is: if "they" show up at a hospital without insurance, give them a free ride to the nearest Skid-Row; eventually they will land in one of America''s defacto Mental Health Facilities; also know as our State Prison System.

In the U.S., Poor + Mentally Ill = Guilty.

They say you can measure a country%u2019s humanity by the condition of it%u2019s Prisons, the U.S has replaced Mental Hospitals with Prisons.

[magoo2u1]

I''m not surprised to find no comments here. Americans do not accept that mental illness exists. It''s the sufferers fault. If they prayed more or took vitamins everything would be ok. Maybe an exocism would help