People with mental illness (PWMI) continue to be one of the most
neglected and stigmatized groups in society. Often devoid of empathy and
support, they face not only health challenges but also social exclusion. Unlike
other diseases, mental illness is not adequately recognized, and its
treatment—whether psychological, medical, or both—is often delayed or
discontinued.
Through implementation of our mental health support program, it has
been observed that continuous care and family involvement are critical for
recovery. However, this is difficult for caregivers who are also responsible
for their livelihoods and other social duties. In emergencies, travel to
distant mental health centers becomes an additional burden. Community
volunteers have been mobilized to bridge this gap by providing support and
transportation when required.
Currently, Vikash is supporting 1,047 PWMIs across five
districts in Odisha, offering regular home visits, medical assistance, and
counseling.
In the above context, Dharanidhar Bhoi is an example . At the age of
22, following the sudden death of his younger brother, Dharanidhar began
experiencing severe psychological distress. Symptoms included insomnia,
self-talking, social withdrawal, and inability to perform Activities of Daily
Living (ADLs). Though he initially sought medical help and began medication,
the treatment was discontinued after a month due to financial constraints. This
led to a worsening of his condition.
Intervention by Vikash
- Medical Support:
Reinitiation of psychiatric treatment and provision of regular medication.
- Home Visits:
Regular monitoring and counseling provided to both Dharanidhar and his
family.
- Family Counseling:
Emphasis on continuous treatment and support, particularly regarding
medication adherence.
- Skill Building:
Encouragement to resume household tasks and farming activities to rebuild
independence and self-esteem.
Current Status
Remarkable improvements have been
observed:
- Mental Health:
No more self-talking or aggressive outbursts; sleeps well at night.
- Daily Living:
Independently manages all ADLs.
- Economic
Participation: Actively involved in farming and small-scale business;
earns income by selling products at the market.
- Social Integration:
Reconnected with community members; participates in family events and
decision-making.
- Family Relations:
Provides financial and emotional support; expresses affection through
gift-giving and respectful behavior.
- Responsibility:
Regularly handles household marketing and contributes to family needs.
Impact and
Future Outlook
Dharanidhar is no longer viewed as a burden by his family but as a
productive and respected member. The family expresses gratitude to donors for
the continuous supply of medicines, which has been pivotal in his
transformation. His reintegration into the community and family life marks a
significant milestone in his mental health recovery.
Following the psychiatrist’s advice, Dharanidhar continues his
medication regimen and is expected to maintain and further improve his mental
health status with ongoing support.
Conclusion
Dharanidhar’s case illustrates the importance of a sustained,
community-based mental health intervention model, combining medical care,
counseling, and livelihood support. His story is a powerful example of how
timely and consistent care can restore dignity and independence to a person
living with mental illness.
