Maybe just the hospital you went to didn't have any psychiatrists at that time, Pragmatic, but I doubt that's true of the whole province or city because there is a psychiatric hospital in Korat city.
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Maybe just the hospital you went to didn't have any psychiatrists at that time, Pragmatic, but I doubt that's true of the whole province or city because there is a psychiatric hospital in Korat city.
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Yes that was the hospital and as I said they did not have any qualified Psychiatric doctors. But in saying ' any' I mean children's doctors. Which in this case we are talking about.
So they had qualified psychiatrists but no psychiatrists qualified to work with children? Is that what you're saying, Prag?
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Last edited by Neverna; 01-08-2017 at 09:06 PM. Reason: typo
I'll try and remember that. Thanks.Originally Posted by thaimeme
I guess the experience was profoundOriginally Posted by thaimeme
I don't want to go into things too deep but they had NO Psychiatrists. Only Psychiatric nurses.Originally Posted by Neverna
I don't think Thai accept the phenomenon of mental illness in the way civilised countries do but merely see it as a manifestation of some karmic imbalance or because the sufferer "think too mut" and has neglected to visit the temple.
For what it's worth, bearing in mind that the WHO report this is quoted from is 10 years old;Originally Posted by Pragmatic
The World Health Organization Assessment Instrument for Mental Health Systems
(WHO-AIMS) was used to collect information on the mental health system in Thailand.
The goal of collecting this information is to improve the mental health system and to
provide a baseline for monitoring the change. This will enable Thailand to develop
information-based mental health plans with clear base-line information and targets. It will
also be useful to monitor progress in implementing reform policies, providing community
services, and involving users, families and other stakeholders in mental health promotion,
prevention, care and rehabilitation.
Thailand has a mental health policy and plans. The legislation is still in the process and it
is likely to be ready soon. Approximately 3.5% percent of health care expenditures by the
government health department is directed towards mental health services and half of this
is devoted to the mental hospitals. In Thailand there are three different social insurances,
which provide free access to essential psychotropic medicines to 93% of the population.
A human rights review body exists, but it does not oversee regular inspections and has no
authority to impose sanctions
The Mental Health Department (MHD) is the national mental health authority. There are
122 outpatient facilities in the country, located in mental hospitals and in general
hospitals. Eleven percent of these facilities are for children and adolescents only. There
are no day treatment facilities in Thailand. The only residential facilities are for people
with mental retardation and substance abuse. There are 25 community-based psychiatric
units with 0.4 beds per 100,000 population and 17 mental hospitals with 13.8 beds per
100,000 population. The rate of users in community based inpatient units is 173 per
100,000 population and in mental hospitals is 158 per 100,000 population. The majority
of patients admitted to mental hospitals have a diagnosis of schizophrenia. All forensic
beds are located in one mental hospital for security reasons. It was estimated that most
admissions to mental hospitals and inpatient units are involuntary.
Mental health care has been integrated into primary health care by MHD for many years.
Primary health care doctors have limited training and interaction with mental health
services.
There are 7.29 personnel working in mental health for every 100,000 population. There
are few psychiatrists and psychosocial staff working in mental hospitals. In terms of staff
to bed ratios, there are 0.01 psychiatrists, 0.15 nurses, 0.02 psychologists, social workers
or occupational therapists and 0.05 other mental health workers per bed in mental
hospitals. Some professionals are working for both inpatient and outpatient facilities.
There is a disproportionate amount of resources concentrated in the main cities, which
limits access to mental health services for rural users. There are 5 user associations and 3
family associations present in the country interacting with a few mental health facilities.
Public education and awareness campaigns are overseen by coordinating bodies. There
are links between departments/agencies responsible for mental health and those
responsible for primary health care/community health, HIV/AIDS, reproductive health,
child/adolescent health, substance abuse, child protection, education, employment,
housing, welfare, criminal justice, and the elderly. There are legislative provisions for
employment, but not for housing. Only a few mental health facilities assist with
employment for people with severe mental disorders, through activities outside the
mental health facilities.
Data are collected by all the facilities and transmitted to the government. Each year a
report on this data is published. Only one percent of the health research from within the
country published in journals is on mental health.
Due to inherent limitations of this assessment, more time may be needed to improve the
quality of the data and to verify the consistency of the item definitions. The findings of
this assessment, as with any assessments, should therefore be interpreted with caution.
He still visits and reads threads. So does his Digby character.
Basically you are correct in that mental illness is seen by many as a task for the monks to sort out. I can't find the article now but there was a case where police had to investigate a temple, 10-11 year ago, where a girl was taken by her family to have the evil spirits beaten out of her. The monks beat her so bad she was hospitalised, Hence the police.Originally Posted by Seekingasylum
Edit:-https://maytermthailand.org/2012/04/...or-counselors/A final conclusion that some limited number of respondents discussed that they believed that it could be caused by ‘ghosts or spirits’ because they have done something bad. One responded posed an interesting view in that she indicated a possible difference between the beliefs of those in urban and rural areas, “Most city people believe mental illness can be caused by spirits less that rural people. I am from rural part and I was taught this and I still believe it despite having scientific knowledge—you cannot prove about spirits”
Last edited by Pragmatic; 02-08-2017 at 07:06 AM.
...i.e., they're different from yours...those who break away from the herd are the first to be attacked...Originally Posted by Passing Through
Provision of care is pretty crap in much of Thailand, yes. I know a pediatric psychiatrist who works at the Chulalongkorn Hospital and who is extremely well educated (as are the rest of the people working there) but like everywhere in the world, though more so in Thailand than in many other places, access to these things is determined by location and social class.
i have made use of the psychiatric services in thailand. my daughter who is dyslexic, i kicked off at the local council office to find out if there is a special school for the more challenged kids. first hurdle, wot dyslexic, and of course no such thing as help for slow kids. next aproach hospital in patts, wot dyslexic, ... short story. we have to travel to chonburi city for the only psychiatric assessment in the county... apart from no help or assistance ,, i'm bound to say the very young sexy chinese psychiatrist was very good, very professional, and very over worked.
so my take on the scene is much like prags. no psychiatric help in a city the size of patts.
^dyslexia is a learning disability, you don't need a psychiatrist, just good teachers.
Err, no self-respecting modern psychiatric health professional worth even a smidgin of salt would ever spend a nano second of their time examining a patient whose only complaint was an inability to read well. Maybe forty years ago it was seen as a manifestation of mental illness but those days are long, long gone except it seems in bongo-bongo land.
true datOriginally Posted by cyrille
No harm done really in ensuring ones self diagnosis receives a second professional opinion. To be sure, to be sure.Originally Posted by Seekingasylum
Bit over the top to seek psychiatric help for learning difficulties...unless there's something else going on.Originally Posted by Pragmatic
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