Mental health advocacy in Fiji is gaining momentum, with Lorenzo Patrick-Samuela, a 38-year-old outpatient from Rotuma, making a passionate plea for better support systems and treatment conditions for psychiatric patients. Currently receiving care at the Upperfield Psychiatric Hospital, Samuela raised concerns regarding existing policies that inadequately support patients, particularly in terms of employment and treatment attendance.
Samuela emphasized the need for updated employment legislation that would include provisions for paid leave for psychiatric patients and compensation for attending outpatient clinics. He believes that these measures are essential for creating a more supportive framework for those struggling with mental health issues.
Additionally, he advocated for the introduction of a gym or fitness program specifically tailored for outpatients. This idea, which could be integrated into the social welfare system, aims to provide alternative support to food vouchers, allowing patients access to free physiotherapy, gym facilities, and counseling—highlighting the critical link between physical health and mental well-being.
Addressing the experience of inpatient care, Samuela suggested improvements to patient dignity during admission procedures, particularly during body searches. He recommended that these searches be performed by same-gender staff in private areas rather than in public settings, to ensure respect and confidentiality.
Furthermore, Samuela called for the establishment of designated outdoor spaces for family visits at the hospital. He noted the discomfort many relatives, especially older family members, feel when entering wards, which can impede their ability to provide vital support for the patient’s recovery.
These recommendations come at a time when Fiji is recognizing the pressing need for comprehensive reforms in mental healthcare, especially with the St Giles Psychiatric Hospital being the sole dedicated facility in the nation. The increasing admission rates highlight the urgency for improved infrastructure and care options. The government is actively pursuing partnerships to develop modern facilities to enhance treatment capabilities, particularly in addiction and specialized psychiatric care.
As community awareness regarding mental health rises, voices like Samuela’s pave the way for meaningful change. By fostering holistic approaches to mental health support and improving treatment environments, Fiji is poised to create a more compassionate and effective system for those facing mental health challenges, reinforcing the role of family involvement in the healing process for better overall outcomes.