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The Mentally Challenged

Sep 30, 2012 Editorial

 

We revisit a rather troubling subject. Guyanese are not very subtle (and certainly not very kind) when we speak of the unfortunate souls who, afflicted with one or another mental defect, live in our midst.  “Mad people” is about the kindest designation invoked and hurled at them.
The State mental health institution, located in Berbice, has always been known as “The Berbice Mad House”. The state of mind encapsulated by the name was even thought to have rubbed off on Berbicians: “You from Berbice, or what?” The rest of the world, however, cognisant of the insidious effects of a disparaging name, talks about being “mentally challenged”. Accepting this nomenclature should be the beginning of a national effort to deal with a problem which, by all accounts, has gotten out of control.
In the last decade or so, the population of individuals who are mentally challenged has grown exponentially – if we are to go by the burgeoning numbers that can be seen roaming our streets. Most of the reports on this phenomenon focus on the state of affairs in Georgetown, but the problem is nationwide. Every rural village has its share of the mentally challenged inhabiting the public space and, in too many instances, are abused in myriad ways.
One would have thought that by now the authorities would have revisited its rules for dealing with this group in a structured manner. Some years ago we were informed that the regulations for institutionalising the mentally challenged had been loosened radically, resulting in the influx into our streets.
Another factor during the same time period has been the increased use of hard drugs, which has a deleterious effect on the mental faculties of the habitual users. The change that has had the greatest impact, however, has been the gradual shift in the mores of our population as to their responsibilities towards relatives who are mentally challenged. Up to the seventies, the family was expected to take care of their own and state institutionalisation was seen as an extreme last resort – and considered as a failure of the family. Today, the loosening of the Guyanese family structure has forced many of even the borderline cases into the streets.
The state certainly has an interest in seeking to help these unfortunate souls to live a life that is integrated more positively with their fellow citizens. As it is, the average citizen literally skirts very warily around the mentally challenged who inhabit our streets, especially after the newspapers highlight the occasional acts of violence to which a small minority sometimes resort. Most of the mentally challenged are more of a threat to themselves than others. It would be an interesting statistic, for instance, if we could be informed as to the number of the mentally challenged who are the victims of accidents, rapes, beatings and other atrocities, in comparison to those they inflict on others.
A mark of our humanity is how we treat our less fortunate. If life in Guyana has proven to be so challenging to those of us with all our faculties intact, imagine what it must be like to those who are mentally challenged: they are certainly our most unfortunate. We have a Ministry of Social Services that must deal with this problem in a coherent and structured manner.
Let us begin with a study that informs us of the magnitude of the problem. We are certain that it will qualify as a public health emergency. The phenomenon of mental health is not a new one and various intervention strategies have been attempted across the globe. We are sure that our public health officials, in collaboration with our social services personnel, can craft an initial intervention programme suitable to our circumstances. The programme would then be monitored and amended as necessary.
Funding cannot be a constraining factor. We are positive that funds can be sourced to help the mentally challenged among us, who live in the most oppressive, depressing and disgraceful conditions.

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