The Mental Health Act of 1969 is under review and may be tabled in Parliament soon.

The Vanuatu Law Reform Commission (VLRC) confirmed that consultations across all provinces are complete, and the next step is drafting a comprehensive report. The Commission will also update outdated drafting instructions before proceeding.

This review aligns with Vanuatu’s Mental Health Policy and Strategic Plan (2021–2030), which was implemented by the Director General of Health at the time, Russell Tamata. He noted the timeliness of the review, given Vanuatu’s vulnerability to natural disasters like cyclones, volcanic ashfall, and public health emergencies.

“This Mental Health Policy ensures mental well-being is a core part of health care, supporting equity, human rights, and universal health coverage,” said Tamata. He emphasised creating an environment where individuals can manage life’s stresses, work productively, and contribute to society, while being protected from mental health abuse and discrimination.

Mind Care Clinic Psychiatric Nurse, Norah Titus, at Vila Central Hospital (VCH), shared insights into the state of mental health services in Vanuatu. The clinic, established in 2014 and reopened in 2019 with support from New Zealand, handles a range of mental health cases, from anxiety disorders to severe mental illnesses.

Titus explained that mental health services operate as outpatient clinics, with referrals from other islands like Santo, Tanna, and Ambae. Patients often rely on their families for financial support during treatment.

“We consult with patients, provide diagnoses, and offer medication or therapy. However, when required medications are unavailable, families must purchase them from pharmacies,” she said.

Titus also addressed societal attitudes towards those with mental disorders. “It’s important not to blame them. Their minds are unwell, and without medication, they may become unstable or aggressive,” she said.

The clinic manages over 50 mental health patients each month, but the workload is overwhelming for its four staff members. The department does not admit patients, sending them home for family care due to limited resources.

Titus highlighted the lack of funding, human resources, and infrastructure as significant challenges.

“Mental health is not just for the mentally ill; it’s for everyone. Yet, we struggle with basic necessities like vehicles for outreach and sufficient staff to meet growing demands,” she said.

The nurse emphasised the urgency of amending the Mental Health Act to strengthen legal frameworks for treatment and patient rights. “The law doesn’t cover forcing mentally ill patients into treatment or prison, even if they commit offenses. Families are encouraged to bring them to clinics for help,” she added.

Titus called on authorities to prioritise mental health, as cases are expected to rise in the coming years. “Without proper investment in mental health services, we risk a surge in untreated cases. Funding and human resources are critical to addressing this issue,” she urged.

The review of the Mental Health Act is a vital step towards modernising mental health care in Vanuatu. With comprehensive policies and adequate resources, stakeholders aim to ensure accessible, equitable, and effective mental health services for all citizens.


SOURCE: VANUATU DAILY POST