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It depends on what the person really has as they can be wrongly diagnosed, schizophrenia (used to be) the catchall for "wtf is wrong with them?" Part of this article is from that time, and part of it relies on family involvement. Part of that is in USAnian culture, we are each "supposed to be" independent of each other. Part of it is like below, MAKE SURE THEY TAKE THEIR MEDS
"My theory is that the family here ensures they take medication properly," said the psychiatrist, who prefers to be identified by the single name Thara. "Compliance is a problem in the West." If patients refuse medication, Thara instructs families to crush the pills and disguise the medicine in food."
Different social acceptance customs. Here we have revolving door syndrome.
While work and family are clearly beneficial for patients, Thara acknowledged that caregivers, who are usually women, pay a price. "My parents told me to get married," said one Chennai woman, C. Chitra, whose marriage was arranged when she was 23. Her in-laws, who came from a wealthier family, had told her only that her husband-to-be sometimes "got angry." Chitra thought nothing of it: "Everyone gets angry." But her 34-year-old husband had schizophrenia. "He hit me without reason," she said.
Chitra did not consider divorce: She felt her options as a poor, divorced woman would be worse. Shortly thereafter, her husband's brother moved in with them -- and he had schizophrenia, too. Chitra cared for both men, dealt with their psychoses and calmed them when they turned violent.
It depends on what is meant by "better". Yes, we do need some MAJOR fixing of mental health care in the USA, but not sure if what is written in this article is "better".
"Is it possible that a mental health system which is poor, deprived, with no resources, no drugs is providing better and more humane and sensible service to the population rather than in rich countries?" WHO's Saraceno asked. "Good mental health service doesn't require big technologies but human technologies. Sometimes, you get better human technologies in the streets of Rio than in the center of Rome."
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