Nations Project: Rough Draft
Katie Metro
February 9, 2015
Mental Health Care in Indonesia
"It ruined my dignity or whatever shred of humanity I had left," says Anto Sg, of his experience with Indonesian mental health care. He was repeatedly chained while undergoing medical treatment in East Java at various medical centers. Anto notes that what he really needed was a psychiatrist and counseling, but instead he was shackled for months. He also says that his family believed he was insane and only trusted the treatment at the clinic, where his hands and feet were chained. He recalls crying a lot and considering his life “truly over.” The treatment shattered his dignity and the shred of humanity he had held onto. Anto Sg might have recovered more quickly and exempt from all the nightmares and trauma without the shackling. But Indonesia, with a population of about 249.9 million people, is severely lacking proper mental health care. The country has only about 800 psychiatrists. And with only 47 or 48 mental institutions in the country, all concentrated in four of the 34 provinces, Indonesia is severely lacking proper mental health care. Various sources suggest that 19 million people in Indonesia suffer from psychological disabilities like depression and anxiety. Another million have psychosis. The shortage of community based mental health services makes psychologically disabled people left only to the care of their families, who usually employ shackling on their
The research problem I am interested in studying is mental health in Southeast Asian Community. Growing up, my mother suffered from major depression and younger brother with bipolar disorder. However, my parents would not acknowledge and does not believe that talking to medical professional with help them. My brother joined a gang and was getting involved in criminal activities in middle school. He went to juvenile hall to group homes, prison and then moved to Minnesota to live with his friends. Based off my personal experiences, I believe that Southeast Asian individuals need become aware of mental health rather than thinking it is only for crazy individuals. I’m interested in studying of the need and problem of mental health in the Southeast Asian community. I would conduct a qualitatively research. I would like to understand the reasons of why Southeast Asian individuals opinions of mental health issues. Since mental health illness is viewed as a weakness, I would like to find new techniques to help counsel the Southeast Asian Community.
Health risk increased with unemployment. There is evident that the health risk is higher in areas where unemployment is common. Stable and secure work improves to individual’s job satisfaction, well-being and health. Deteriorate illness and premature death caused by higher unemployment (Wilkinson & Marmot 2003). A number of research form many foreign countries shows individuals and their families face comparatively high risk of premature death (Wilkinson & Marmot 2003). Australia indigenous peoples accounted for 2.4% of the Australian population, the impact of factors such as unemployment, imprisonment, low-income, eligible housing, lead them to life expectancy 9-12 years less than other Australian population(Cunningham & Paradies 2013).
31 y/o AA male patient seen today for psychiatric-mental health assessment. He is awake, alert and oriented x4. He is calm, cooperative and follows commands during assessment. The patient reports he is depressed, difficulty sleeping and nightmares at night. The patient explained his depression is as a result of deep thinking from a news he received two days ago from his elder brother that his mother is ill. Stressors identified by the patient include losing his job a week ago before the news about his mother; his wife is 6-months pregnant with their first child, who currently works part-time at her present job; patient relates difficulty paying monthly bills and inability to provide adequately for his family as a man. The patient denies mood swings, suicidal/homicidal thoughts and ideation. Patient reports his spouse is at work at the moment and he does not want to put stress on his wife due to her current condition. Patient denies been hospitalized for depression or psychiatric illness; and denies family history of mental illness. Patient reports he is seeking help because he does not like feeling this way using terms of “helpless and loss of worth from his spouse”. Patient reports he needs help with his depression and nightmares before his current condition get out of hands and ruined his marriage.
Mental illness disorders and suicide as surveys and statistics would show, affects Aboriginal and Torres Strait Islander people at a higher rate than the rest of the Australian population (Elder, Evans, Nizette, 2013). Thirty percent of Aboriginal and Torres Strait Islander population aged 18 years and over experienced some sort psychological distress at a greater than normal level during the year 2012 to 2013 (ABS, 2015). Compared to other Australians, the Indigenous people aged 18 years and over were three times more prone to experiencing psychological distress than the rest of the Australian population (ABS, 2015). Mental health services treat more Aboriginal and Torres Strait Islanders in contrast with the Non-Aboriginal population, around
emotionally capable of making an informed decision regarding participation in this study. Of the participants, 250 were male and 300 were female. Participants were selected from general
The Republic of Indonesia is a land full of many different cultures, ethnicities and beliefs. It consists of five large islands, and thousands of smaller islands, of which six thousand are inhabited (“Indonesia”, 2016). Indonesia is a little over nine thousand miles away from the United States, and with all that distance comes some distinct differences in lifestyle, beliefs, and social norms. As a nurse working in the healthcare field, it is our responsibility to be respectful of other people’s beliefs and values and to encourage diversity, even with our patients. Allowing our patients to continue their normal routines as much as possible and to feel comfortable decreases stress, which enables healing. It is hard to be respectful of another’s beliefs without first having an accurate data base of information about said person’s beliefs. This essay outlines detailed information about several different aspects of Indonesian culture including; family patterns, communication, space and time, nutritional patterns, health beliefs and practices, spiritual practices, and biological variations.
Many cultural beliefs and values are held about mental illness and health in Americans of
In the general population, 6 in 10 men and 5 in 10 women will experience a traumatic event which will lead into unstable habits, resulting in restricted physical activity. These restrictions in physical activities are linked with fear. In the recent years, researchers such as Campbell et al. (2008), Follette et al. (1996), Hoge et al. (2007) and Wagner et al. (2000) have concluded that there are physical health impacts a person can present from traumatic events (namely, combat exposure, sexual assault or natural disaster). The Australian Defence Force states that in 2010, approximately 90% of the ADF and 73% of Australian citizens have been affected by at least one traumatic event (Australian Government, unknown).Brewin, Andrews and Valentine (2000) informs that multiple traumatic events induce stronger neural signals on the brain. Campbell et al. (2008) and Hoge et al. (2007) highlight that somatic disorder is interrelated from these strong neural signals on the brain in emerging data in traumatic events and physical health.
The article Asian American Mental Health: What We Know And What We Don't Know by Stanley Sue was about Asian Americans and how they deal with their mental health. There are about 4% of Asians in the United States and because of this small percentage; it is hard for researchers to find people to help conclude their studies. What some have found out is that Asian Americans are offered mental health services but rarely use it. They find other ways such as asking their family for help or making an herbal remedy to help with their sickness. A researcher named Kuo has studies that show Asians are more depressed than Caucasians. According to a researcher named Leong the high depression rate is because Asians have problems with adjusting. I think what these researchers have studied is a great topic but it just needs more information. According to the article since it is such a low population of Asians in America it is hard to find people to do the research on. I think if they keep looking they can get more information about this topic.
In the United States the Mental Health Care field is one of the most underserved areas of healthcare. The mental healthcare field faces many challenges to the proper treatment of patients from both a societal and professional standpoint. From a societal perspective a negative stereotype is associated with patients seeking psychiatric care. Patients seeking care are often labeled as defective or damaged. Add in the complication that most patients with mental illness appear to be normal, accepting that someone is ill without outward symptoms can also be difficult for a society to understand. From a professional perspective the challenges within the mental health care industry include personal prejudice, staffing issues, and problems with coordinating care. The combination of these factors has a direct negative impact on the willingness of individuals suffering from mental illness in seeking the care needed to treat the symptoms of mental illness.
Mental health illnesses affect everyone. It is highly prevalent affecting people of all ages, gender, cultures, and social groups. Attitudes towards mental health illnesses vary among individuals and often are highly influenced by the various cultures that the individuals identify with. Culture as a social concept can be defined as a set of norms, values, behaviours, and beliefs that are common and shared amongst a group of individuals (U.S. Department of Health and Human Services, 1999). Culture can be applicable to groups like Asians and Americans but also to groups of shared norms, beliefs, and values established within professions such as the culture of patients and practitioners. Culture provides these groups with structure and context to understanding their society and the world as a whole. Culture influence a wide range of aspects of mental health, including how mental health is perceived by the patient, how the patient will experience mental health stigma, and how they cope with symptoms of mental health illness. Additionally, these cultural influences impact the relationship between the patient and the practitioner in a number of ways.
People with mental health problems are a growing issue and must be addressed accordingly. When police officers are responding to a 911 call that involves a mentally ill person, the police officers that are responding must be trained on how to de-escalate the situation to protect everyone’s safety. The American Psychological Association (APA) suggests that police departments expand the number of officers with specialty mental health training in their department. (American Psychological Association, 2015). This is where the need for a mental health task force is shown.
American history is littered with tails of reform and revolution. Earlier on in America’s young life, revolution included war, struggle for basic human rights and dignity as well as radical tactics taken by the public. As time went on Americans learned that revolution and reform could occur through the government systems that our forefathers had put in place. The battle for human rights has all but ended but the way in which Americans wage war is a different story altogether. Now American’s fight for better public healthcare, equal rights for homosexual individuals and couples, and stricter standards for social welfare programs.
Mental health issues, a shadowed problem in the U.S, has affected millions across the nation. In the United States, there are many problems with its mental health service. People with mental disorders are in an inferior area with hospitals being shut down, they usually end up homeless, and sometimes they even end up in prison. Consequently, the U.S pays a large amount of money to go into holding these prisoners who could have been in mental hospitals. In addition to mental hospitals being closed, some people do not receive treatment or help towards their problems.
In 2013, the National Institute of Mental Health (NIMH) broadly launched the Research Domain Criteria project (RDoC). The purpose of RDoC is to provide a working framework to advance dimensional approaches of classifying psychopathology on the basis of observable behaviors and neurobiological measures (National Institute of Mental Health, 2013). Reflecting on the last thirty years, incredible progress has been made in understanding brain-behavior relationships in numerous mental disorders. The continued interdisciplinary work of geneticists, cognitive and affective neuroscientists, and behavioral researchers has not only expanded our knowledge of biological causal and maintenance factors, but has also provided the field with a strong