Economic aspect of schizophrenia in indonesia
Economic aspects include the cost: benefit, employment, fiscal policies, production, distribution, and consumption of goods/services in Indonesia and how that affects Schizophrenia
Evidence indicates that economics of Schizophrenia affects Indonesia in the following major ways:
1. Lack of affordable, and accessible health care
2. Higher rates than assumed/expected
3. Lack of knowledge about Schizophrenia
4. Execution of man with Schizophrenia
5. Deinstitutionalization
Lack of affordable, accessible health care
Higher Rates than assumed/
expected
Lack of knowledge about Schizophrenia
Execution of man with schizophrenia
Deinstitutionalization
Unfortunately, even basic services for mental health are not available in many parts of the country, including Indonesia (Irmansyah, 2009). Indonesia has been known for years as a place that is negligent to human rights. There are fewer than 600 psychiatrists in a country with 240 million people, and it is estimated that about 30 THOUSAND people are living in restraints (Schondhardt, 2011). Considering that the economic outlook in Indonesia seems to be a positive one (World Bank Group, 2017), some changes should be made to insure better mental health care. Hope can be found in the statement "In Indonesia, however, there are signs of progress. Indonesia passed a landmark mental health bill in 2014 that will provide a blueprint for developing the country's mental health infrastructure. The country is now on its way to establishing the first national center for mental health research.” (Emont, 2016).
It is probably a little known fact that Schizophrenia has the greatest chronic disability out of all mental disorders (Institute of medicine, 2001). In both developing and developed countries, it is not unusual for schizophrenic patients to end up in the criminal justice system, psychiatric hospitals, or even on the streets (Institute of medicine, 2001). This TED talk is given by a woman with schizophrenia and talks about the prevalence as well as the issues of mistreatment that are linked to this disease - https://www.ted.com/talks/elyn_saks_seeing_mental_illness#t-868423.
She insisted at the end of her talk that "We need to invest more resources into research and treatment of mental illness. The better we understand these illnesses, the better the treatments we can provide, and the better the treatments we can provide, the more we can offer people care, and not have to use force. Also, we must stop criminalizing mental illness" (Saks, 2012).
https://www.ted.com/talks/vikram_patel_mental_health_for_all_by_involving_all
This TED talk explains how everyone could better help people with Schizophrenia to cope with this disease. "It's this injustice that has really driven my mission to try to do a little bit to transform the lives of people affected by mental illness, and a particularly critical action that I focused on is to bridge the gulf between the knowledge we have that can transform lives, the knowledge of effective treatments, and how we actually use that knowledge in the everyday world." (Patel 2012).
In 2015, in Indonesia, eight of nine people convicted of drug smuggling were executed via a firing squad. One of these eight people happened to be a Brazilian who had been diagnosed with Schizophrenia. These executions are both cruel and unnecessary(El Jazeera, 2015). And if they are willing to execute a drug smuggler with Schizophrenia, then what is going to stop them from killing anyone with a mental illness? "Father Charlie Burrows, a priest who ministers to prisoners in Cilacap, said he had tried in vain to explain to Gularte for three days that he was about to be killed." (Safi, 2015).
Could deinstitutionalization be the cause to the massive rise in shootings? "Since 1976, there has been an average of 20 mass murders a year. J. Reid Meloy, Ph.D., is a forensic psychologist who studied them. He found that mass murderers suffer mental illnesses that range from chronic psychotic disturbances and schizophrenia to paranoid disorders. They have the paranoid, narcissistic and schizoid traits of personality disorders." (Amadeo, 2017).
Figure 13. Cumulative Plots of the Male:Female Prevalence Estimate Ratio of Schizophrenia by Economic Status of Country https://doi.org/10.1371/journal.pmed.0020141.g013