Enchanted with its unique structure of Islands, magnetized
for tourists with sailing events, traditional festivals and cultural heritage,
Indonesia has become a high spot for the globe. Turning the coin, human rights
activists are more concerned with a severe issue prevailing in Indonesia which
is restraints or confinements for the people with mental disorders, affecting nation’s
beauty depressingly.
“Pasung”, a confinement for mentally ill, is awfully common
in Indonesia. Being a developing country, a large chunk of less privileged
families do not find a better way than chaining mentally ill people or
hemming them in somewhere for an unknown time span. Another issue identified
was that it’s also sometimes considered as a punishment from Almighty due to
lack of education and awareness. Statistics on Pasung are astonishing, 11 percent
of the whole country, making it one of the most serious health issues to be
considered critically.
Unwanted behavior towards these deviants leads to
increase mental illness that could be cured far more easily with a positive attitude. So many cases are reported every month in Indonesia where people with
mental disability are kept far away from homes putting in their ankles in iron
shackles or wooden stocks, locked in cages, huts or boxes or are immobilized
for many years. According to mental
health workers, this discrimination actually worsening the mental order of
patients, reported in two surveys for Health Education Authority (HEA). These
practices contribute to a great stigma in society for the people with mental
illness.
Here a question arises, why families practice restraints for
their beloved ones with mental disorders? Major reasons identified being chance
of harm by the psychological patients to themselves and to others,
un-affordability of treatment and deficiency of care and love. In actual, psychological
patients are more vulnerable to the emotional reactions they receive from
surroundings that include strange, mysterious and dangerous perceptions. Families
communicated that cost need to incur on the treatment also includes cost of
travel as medical centers providing psychiatric assistance are less being only 33
in number for whole nation.
Let us see now what Article 4 of Declaration of Human Rights
and Mental Health states about the rights of mentally challenged people:
“The fundamental rights of persons, who are labeled, or diagnosed,
treated or defined as mentally or emotionally ill or distressed, shall be the
same as those of all other citizens. These include the right to coercion-free,
dignified, humane and qualified treatment with access to medically,
psychologically and socially indicated technology....”
Despite of the declarations and principles lay down by human
rights organizations at global level, such stories come into light so
religiously. Horrendous tales about abusive behavior towards these psychological
patients, which is destroying mental well-being of patients too strongly, must
be reported to human rights activists and international forums. It will help the country to deal with the gloomy state of affairs with more professionally sound
individuals and foreign aid because a developing country is naturally unable to
do so at an effective scale.
In a research, it was identified that main reason for
increasing pasung in Indonesia must be referred to lack of governmental
interest in this regard and must not put all of the burden on the shoulders of
communities and their lack of entertaining psychiatric assistance. But we
must not ignore the initiative taken by Indonesian government to eradicate pasung by 2014. This is the
first observance ever from any developing country towards elimination of abuse
with mentally ill patients. Though legislation and budgetary allocations are
still questionable in this regard, still a hope arises for those who own soft hearts.
Started from collecting facts and statistics regarding
pasung all over the country, Indonesian Director of Health Ministry Dr.
Irmansyah took an initiative for “pasung free Indonesia”. They also focused on
extensive campaigns to educate health workers and general public about pasung
treatment. Role of mental health workers must be emphasized remarkably to
increase understanding about downbeat consequences of pasung among masses.
Unless proper training given to them, right facilities provided, and empowering a
say in policies to abolish pasung, this issue cannot be scaled on a precise
direction.
As human being has accessed most of the knowledge about
human body and nature, anatomy and physiology indicates “partial insanity”
since in most of the cases only a part of a brain is damaged and not the whole
one. What is in need then is to reach to the working part of the brain that
could help to repair the damaged one. This scenario surely encourages moral
treatment of patients. Asylums with right environment are then needed to be
developed rigorously in Indonesia to provide protection and fair treatment to
the people with mental disorder.
We have had many examples in past where dreadful diseases
that were considered as uncontrollable were managed to be controlled.
Tuberculosis in India and Polio in Pakistan are dramatic examples from
under-developed countries. Indonesia can also handle this health related severe
issue by having a suitable strategic plan and proper implementation with potential task-force.
If we end up by saying that more hospitals treating mentally
ill patients are required to eliminate pasung by 2014 in Indonesia, then an
important curve is still left out. Are we going to create a new pasung for
psychological patients with a label of hospital? Only a proper atmosphere in
line with rights of mentally challenged people can bring some difference. We
have an example of New York State where mental hospitals are replaced with
prisons. It is not that strange, if you are going to leave the deviants in
the middle of the treatment or releasing them without proper assistance with
them then they may end up in filling out prisons. It is a delicate matter and
necessitates to be handled with sound planning and strategies created in
collaboration with affected families, psychologists, governmental bodies,
health workers and human rights associations.
Whatever the strategy adopted, incarceration cannot be a
solution to help mental illness. Pasung or confinements for mentally ill people
are a source of biggest shame for the country. It may be gripped by uplifting
know-how of the matter in consideration, training health workers and enhanced
governmental support in form of subsidies in hospitals and development of
asylums with appropriate environment. Magnificence of Indonesia will then be
retained and appreciated more wholeheartedly.