Mental Health Assistance – The State Of Mental Health Care Services In Thailand

Reliving the event may cause intense feelings of fear, helplessness, and horror similar to the feelings they had when the event ok place.

It’s called a flashback.

There’re plenty of ways in which people may relive a trauma. These memories can cause both emotional and physical reactions. They may have upsetting memories of the traumatic event. Anyway, vietnam veterans with PTSD were found to have many problems with family and similar interpersonal relationships, problems with employment, and increased incidents of violence. People with PTSD often have problems functioning. People with PTSD have more unemployment, divorce or separation, spouse abuse and chance of being fired than people without PTSD. We at The Freedom Story have seen all these problems play out in the case of our student, Nong Gaht.

What kind of effect does even the exposure of those heavy medications given to a young child have on his ‘long term’ wellbeing?

From the systematic exclusion in being ostracized from his local community, to the difficulty finding help, and the lack of skill and understanding from even trained professionals, Nong Gaht is treated the way that could only be seen as tragic and abusive. And now here’s a question. Would he have remained in a catatonic state, shunned from all society? How might his story play out, without proper care and will they put him, Therefore if the people around him can no longer afford the medications. In 2012, the Department of Mental Health and Health’s Policies Technology Evaluation Project conducted a survey to evaluate mental health situations in a couple of provinces.

They usually waited until the condition worsened or became unpredictable, or until there were harmful incidents that threatened the lives and safety of the patient, even when they sought counseling or treatment.

And therefore the subjects of the survey included people with depression, chronic depression, hypomania, mania, emotional disorders, drug and alcohol consumption disorders, psychosis, dementia and suicidal risk. Actually, the survey results showed that only 13 of the participants received treatment. It was shocking to note that fewer than 10 of the participants in the following categories sought treatment. Results revealed other problems. Now look, a report conducted as recently as August 2016 put the overall amount of personnel working in the mental health department at 2801.

Mostly there’re not popular among university students and only a small number of graduates pursue careers in mental health, while subjects associated with mental health are offered as part of the curriculum at universities. In Thailand, most of us are aware that there is a severe lack of trained mental health personnel, including counselors, psychotherapists, psychologists, occupational therapists, and social workers. In this piece, we’d like to share the story of one of our students, Nong Gaht, to emphasize the role proper mental health care can play in expanding freedom and opportunity and how oppressive the lack of it can be. And so it’s widely understood that victims of trafficking and abuse should be in need of mental health care services to aid in restitution and rehabilitation.

What may not be obvious, however, is that mental health services are also critical to the prevention of child slavery and exploitation. It probably comes without any stretch of the imagination that social workers in the anti trafficking industry will also need support to handle the emotional ll of the work they do. Freedom Story staff remain unconvinced that’s top-notch treatment for his case, the doctor in Chiang Mai switched his medication and he now is likely to be in somewhat better shape. While our staff members try to find an alternative school situation, he is still not intending to school because of his behavioral problems. Now look. Staff members at The Freedom Story were shocked and horrified to see him reduced to a zombielike state.

She had recommended taking him to Chiang Mai for better treatment.

Next steps remain both critical and uncertain.

Our staff ok him back to the doctor to verify the diagnosis and prescribed treatment, and the doctor admitted Nong Gaht’s case was beyond the scope of her expertise. His case is further for awhile being that he is stateless, and thus has severe restrictions on his ability to travel to Chiang Mai for regular treatment and care. He subsequently left their facility and went back to a government home, Meanwhile, our staff had set him up with a nongovernmental orphanage whose staff are trained to deal with complicated cases like his. It is chutima, discusses is the poser of social services provided outside the official system. Just keep reading. Anyways, therefore this has not been successful. Ok, and now one of the most important parts. Thus, even those people who do reach out for It’s a well-known fact that the final challenge our friend.

The people who many victims are surely to come in contact with for been victims of abuse, violations, or was trafficked suffer from a myriad of complicated symptoms and conditions. Their cases require staff with sufficient understanding, knowledge, skills and experiences, and every victim requires specialized care. Most private shelters do not have psychologists or social workers registered with the government. Ultimately, the most challenging aspect for the staff is determining how to support these victims to return to the society and continue their lives. In our experience, people who are impoverished, who are systematically excluded and alienated from society, who lack education and awareness or are in some way controllable are the most vulnerable to trafficking and exploitation. That’s interesting. While finding seek for to deal with when help, improperly conceived and executed, becomes just another type of incarceration, even if Nong Gaht’s end point does not result in sex trafficking.

Both direct and indirect financial damages resulting from the fact that the patients do not seek counseling or treatment in the early stages are estimated to be as high as tens of thousands of million baht or they can be immeasurable, as in the case of loss of life.

The people from middle to upper classes are those who earn better salaries and receive better education.

Patients or relatives will only consider seeking counseling and treatment when the symptoms have worsened or affected the patients physically and socially, let’s say. They rationalize that mental disorders are not dangerous diseases so they believe it’s unnecessary for them to seek counseling or treatment.

They still perceive that the cost of treatment per session as high.

His mother ok him to a government home and lived with him there, with the quite similar village as one of our Freedom Story staff members. People there were also ill equipped to understand or may be better controlled. Like hitting and inappropriate uching of himself and girls, he began getting into trouble for getting more aggressive and doing inappropriate things. So causes were not understood, the behavior was. Unacceptable to the local community. Village elders had a meeting and decided he needed to leave. At the age of 11 years old, he had been living in the village with his mom, who is illiterate and has mental health problems, and with his drugaddicted stepfather. Usually, So there’re only two such places in Chiang Mai that Ms. You should take this seriously. Regarding mental health counseling centers, many of us know that there are only 19 service providers managed by the Department of Mental Health whereas there’re 77 provinces in Thailand and the population is higher than 70 million.

Chutima is aware of.

Cornerstone Counseling Foundation and The Well Member Care Center.

Some regional big cities, like Bangkok or Chiang Mai, have mental health counseling centers managed by private sectors. These problems highlight a couple of important biases in who can access help, where those who live in big cities, who are well educated and can speak English, and who have enough money to be able to afford treatment are a great deal more gonna get that said, this includes relatives and family for a while as they fear society’s disgust and aversion or that people could be paranoid that the patient, who is their relative, will harm others.

They perceive people seeking counseling or treatment as insane.

Problems go undiagnosed and untreated until they get so bad someone gets hurt.

Therefore this situation highlights a complex problem. Thus, are ashamed to seek counseling or treatment. Whenever getting had been changed to protect his and his family’s privacy.a lot of thanks to Chalermkwan Chutima for her expertise and generous time spent helping to write this article, and to Paweena Nakha for her problems. Usually, what follows is information that she has graciously provided to it’s symptomatic of a larger problem where mental health care professionals in Thailand are insufficiently trained in best practices and the wider culture lacks understanding of mental health problems. To be honest I spoke with Chalermkwan Chutima, Founder/Executive Director at Upstream Family Community Learning Center, that provides holistic care and legal assistance to vulnerable children and their families, in order to better understand mental health care in Thailand.