India's forgotten and abandoned patients
Laxmi Jaiswal
Laxmi has come to terms with her reality
Eastern India's most prominent mental health
institute, in the city of Ranchi, has recently
published a list of 98 patients "abandoned" by
their families. They were brought here for
treatment and even though they are now stable,
they are languishing because their families
refuse to take them. The BBC's Geeta Pandey reports.
A group of women stand in a hall, praying: "God,
give us strength, to conquer our minds. Before we
conquer others, let us conquer ourselves."
Among the women is Laxmi Jaiswal. Her advanced
age is etched in the lines of her face. "I've
been here a very long time, at least 20 years,"
she tells me. Hospital records show that it is
even longer than that - 23 years and two months.
In the years that Laxmi has been incarcerated,
she has not had a single visitor. She was
initially diagnosed with schizophrenia. After she
stabilised, several letters were sent to her
address, but there has been no response from the family.
She doesn't discuss her life with other inmates.
"I keep it buried in my heart. If I were to tell
anyone, will they be able to return me my family?" she asks.
Gently nudged by Sister Celine, the supervisor of
the hospital's female ward, she pours out her heart to me.
"My brother-in-law brought me here. He didn't get
along with my husband. I had children, whereas he
didn't have any. He didn't like that. He snatched
my children from me, and dumped me in this
madhouse. My husband did not intervene," she says.
'No idea'
Laxmi has spent a better part of her life in the
institute, forgotten by her family and the outside world.
"We had a large farm in Bihar and my husband used
to sell tobacco. I have no idea where he is now
or why he never came to see me. He must have
taken a second wife, or maybe a third one."
Laxmi is mother to five boys and six girls. "They
must be all grown up now. I miss them," she says, tears clouding her eyes.
Sister Celine
Sister Celine is the supervisor in the female ward
Although abandoned by her family, Laxmi is yet to
abandon hope. Recently, she told the hospital
staff that one of her sons was living in Ranchi's Upper Bazar area.
"It's a very congested area, we spent an entire
day there, but the patient was unable to identify
the house. She named a pond, then a market, then
a by-lane, but we couldn't trace her home," Sister Celine says.
"She's an old woman, she's been here far too
long. It can happen to us. Even if you or I go
somewhere after a long time, we may not be able
to recognise the place," she says.
In this 500-bed hospital, Laxmi is among the 98
people on the list of abandoned patients.
Clinical psychologist at the hospital Amul Ranjan
Singh says the reason why families reject a
patient is because in India there is a stigma attached to mental illness.
'Myth'
Most people believe that once a person develops a
mental illness, he or she can never be cured.
"There's a myth that a mental health patient
cannot do day-to-day activities or earn a
livelihood. And a majority of our patients come
from poor families who believe that these people
won't be productive economically."
[]
<http://news.bbc.co.uk/2/hi/south_asia//1/shared/spl/hi/pop_ups/08/south_asia_the_abandoned/html/1.stm>
[]
The women who have been abandoned by their loved ones
[]
<http://news.bbc.co.uk/2/hi/south_asia//1/shared/spl/hi/pop_ups/08/south_asia_the_abandoned/html/1.stm>
[]
<http://news.bbc.co.uk/2/hi/south_asia//1/shared/spl/hi/pop_ups/08/south_asia_the_abandoned/html/1.stm>In
pictures
Hospital staff say some patients are found
wandering on the streets and are brought in by
the police and there are no records of where they came from.
Then, it all depends on what the patient
remembers once he or she is stable. Sometimes,
they are able to remember and give their details,
but sometimes memory lapses result in mistakes.
"Sometimes the families refuse, outright, to take
the patient back. How do we tell a family that
the patient is theirs if they refuse?" Sister Celine asks.
'Denial'
For the patients though, coping with rejection can be a very painful affair.
"They go into denial," says Dr Singh. "And there
are two ways of denial - either they deny the
existence of their family, or they deny their attitude towards them.
"Specially the female patients never forget and
they keep expecting that somebody will come for
them. Males easily agree that probably there's
nobody around who will come, and they say, I don't want to go back home.
Dr Amul Ranjan Singh
Dr Singh says patients should be gently rehabilitated into society
"Sometimes after a few months, you find the same
patient roaming in front of the institute. Their
families come and leave them here. This is
pathetic. We take them back in and try to give
them a life of dignity here," he says.
The hospital's sprawling campus is divided into
separate male and female wards - 150 places are
reserved for women and the number of male patients is 350.
The male ward has nearly three dozen "abandoned" patients.
Here I meet Budhwa Munda, weaving cloth on a
loom. He's 62 and has spent 36 years in the
hospital. "He has grown old here," says caretaker Jehangir.
Budhwa was brought to the hospital in 1973 by the
police and letters sent to the authorities have gone unanswered.
Budhwa doesn't talk at all, he speaks only with
gestures if he needs anything, and Jehangir says
they have no idea about his family.
'Take me home'
Working on the loom alongside Budhwa is Ramji. He
was brought to the hospital by his family when he was a boy.
"When he came here, he had no facial hair. Today,
he's greying, so you can make out how long he's been here," says Jehangir.
At the time of his admission, his family wrote
down a false address and no one has ever come to
see him. Letters sent to the address have all come back.
"Please take me home," Ramji appeals to me as
soon as he sees me. "Send someone with me who
will take me by the hand and put me on a bus. He
can drop me home and come back. I'll return a year later."
I'm perhaps the only visitor Ramji has had in a
long time. Or maybe ever. He follows me around as
I move on to speak to others. His desperation,
and the hope in his eyes, is gut wrenching.
For these abandoned men and women here, home's a
far away place, a chimera, a mirage. And it will
perhaps remain out of reach for most of them, forever.
Laxmi, however, seems to have come to terms with
her reality. "Since this is the place I have been
mandated to live in, I will live here till the
day I die. After that I will meet my maker."
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