Mentally Unstable Farmer Tied to Mango Tree for 10 Years

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Mentally Unstable Farmer Tied to Mango Tree for 10 Years

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Cambodia News, Kandal province: The Khmach Kandal district authority rescued a man with mental health problems in the village of Anlong village, Prek Ta Ma commune, Khsach Kandal district, on the morning of 23 November 2019.

The victim is Cheng Kim Seng , a 49-year-old male Khmer farmer, who has been chained to a mango tree for the past 10 years, after he became violent. According to the family, they had to keep the man tied up behind the house because he was attacking local villagers and family members. They fed him three meals a day and they had built him a hut, but he burnt it down. He is permanently mentally disabled, and prone to outbreaks of violence, so they did not know what else to do.
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The man's sister, Cheng Kim Ang, had previously reported the situation to the authorities, but the commune and village authorities did not act. However, finally, on November 23, 2019, a district coalition led by Mr. Long Navy, the deputy district governor, came with doctors and social workers to release the man and assist him. He was washed, clothed, given a hair cut, and authorities have promised to build him another hut.
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Mr Cynical
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Re: Mentally Unstable Farmer Tied to Mango Tree for 10 Years

Post by Mr Cynical »

Great news, so haircut, wash and shave and build a new hut. Hopefully they use modern comfortable shackles rather than the old style ones. KOW you couldn’t make it up
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Re: Mentally Unstable Farmer Tied to Mango Tree for 10 Years

Post by violet »

any stats/inside info on the number of students entering into mental health related studies?


And where are we at with mental health facilities/programs? Do any of the newer hospitals cater for this in any way at all?
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Re: Mentally Unstable Farmer Tied to Mango Tree for 10 Years

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Mr Cynical wrote: Sun Nov 24, 2019 2:05 pm Great news, so haircut, wash and shave and build a new hut. Hopefully they use modern comfortable shackles rather than the old style ones. KOW you couldn’t make it up

But 3 meal a day and a hut for accommodation.. Some down and out barang' s in the past that were living on riverside would think that is luxury.
Cambodia,,,, Don't fall in love with her.
Like the spoilt child she is, she will not be happy till she destroys herself from within and breaks your heart.
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Re: Mentally Unstable Farmer Tied to Mango Tree for 10 Years

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It sounds very nice to come in and rescue this poor guy, but the man needs more than a haircut - he needs medical help and surveillance. As far as I can understand from the OP, he can be violent and needs restraining. It doesn't sound like the family chained him up because they are horrible people. They just couldn't cope. And what is the point of building him a new hut if he's going to burn it down ?
I hope I'm wrong, but this looks like a quick-fix PR job from the authorities, and I'm afraid that they will move on after applying a band-aid to the situation and leave the fall-out to the family once again. :(
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Re: Mentally Unstable Farmer Tied to Mango Tree for 10 Years

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Ha ha I hope you are not referring to that upstanding member of the community that is an ex Pie Salesmen
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Re: Mentally Unstable Farmer Tied to Mango Tree for 10 Years

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Mr Cynical wrote: Sun Nov 24, 2019 2:34 pm Ha ha I hope you are not referring to that upstanding member of the community that is an ex Pie Salesmen

post319848.html?hilit=Begging#p319848
Cambodia,,,, Don't fall in love with her.
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Re: Mentally Unstable Farmer Tied to Mango Tree for 10 Years

Post by Kung-fu Hillbilly »

violet wrote: Sun Nov 24, 2019 2:10 pm any stats/inside info on the number of students entering into mental health related studies?
Mental health in primary health care in a rural district of Cambodia: a situational analysis

Published: 24 January 2018

Specialist mental health services
There are no mental health specialists in Lvea Em District. The closest in-patient facility for mental health care is KSFH, 40 km from the referral hospital in Lvea Em District; only 2 of 11 participants in the districts were aware of this. One psychiatrist in Phnom Penh said that 10 psychiatrists worked in KSFH, 10 in-patient beds were available and the hospital was open 24 h a day all week. Only one of 10 respondents from the health care centres reported KSFH as the closest in-patient facility.

Education, knowledge and service training
The heads of the health care centres stressed that no pre-service training had been provided in mental health for PHC workers. Around one-third of the nurses have had training in mental health care at least 2 days in the last year, provided by CCAMH. The nurses had been trained in child mental health and development but also in aspects related to maternal care. One respondent also commented that the medical doctors had very limited training in mental health during their education

Psychiatry has recently been included in the medical programme for undergraduate students, and 30 theoretical hours per year was allocated for mental health during year 4–6. One psychiatrist (former medical and psychiatrist student in Phnom Penh) explained that medical students now might have an internship in psychiatry during their education but not necessarily everyone has that possibility. To become a specialist in psychiatry in Cambodia, 3 years of education are necessary and in 2015, only four psychiatrist residents graduated.

There is no existing education for psychiatry nurses in Cambodia; the only psychiatry nurses in the country were educated during a training programme by a Norwegian university in the late 1990s to the beginning 2000s. No education for psychiatry nurses has been maintained in the country after the support from abroad ended.

Mental health care in primary health care
From the questionnaires and interviews the very limited access to mental health services at the district level is evident (see Tables 5, 6). Health care staff reported that no mental health services were provided in the district but if a patient with mental health came to the health service, health workers tried to take care of the patient. Minor mental health problems such as anxiety and sleep problems might be treated since drugs should be present (see Table 5).

Section VΙ: Monitoring and evaluation
Respondents from both the national and provincial levels said that there was an existing general health information system in Cambodia but not a separate one for mental health care, though HIV and TB had their own reporting systems. Furthermore, there is no monitoring evaluation system for quality of mental health care in PHC in Cambodia. One of the psychiatrists in Phnom Penh expressed that mental health care was included in the information system but it was not comprehensive yet. According to respondents at the national level, there is a need for a system to identify patients since today there is no unified code for the patients in Cambodia.

Mental health policies and plans
There are both similarities and differences between Lvea Em District and Cambodia as a whole according to politics, policies and plans for mental health. The limited implementation of mental health care into PHC has resulted in a minor focus on mental health reflected in the low resources and knowledge in the district. Reports from WHO have also indicated that the mental health plan was only partly implemented in the country [28]. Although Cambodia has a budget for mental health, it is far below sufficient (0.01%) when compared to high-income countries where it is usually around 5.1% of the total health care budget or even in other low-income countries where it can be around 0.5% [3]. No legislation for mental health has been created even though it had been described as a development objective in the mental health plan. By comparing the background information with data and quotes from the respondents, it seems like the plans, guidelines and goals were far from being fulfilled.

Availability of mental health services
The limited resources of mental health specialists and mental health care both in the district and in the country, along with the lack of knowledge about its availability, are huge challenges for the improvement of the mental health care system. The 60 psychiatrists in Cambodia corresponds to one psychiatrist per nearly 260,000 inhabitants, while in Sweden the corresponding number is one psychiatrist per nearly 4400 inhabitants [29, 30].

full study https://ijmhs.biomedcentral.com/article ... 018-0185-3
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Re: Mentally Unstable Farmer Tied to Mango Tree for 10 Years

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Availability of mental health services
The limited resources of mental health specialists and mental health care both in the district and in the country, along with the lack of knowledge about its availability, are huge challenges for the improvement of the mental health care system. The 60 psychiatrists in Cambodia corresponds to one psychiatrist per nearly 260,000 inhabitants, while in Sweden the corresponding number is one psychiatrist per nearly 4400 inhabitants [29, 30].
A mental health centre was opened in September this year in Kandal province (where the man in question is living.) They are probably overbooked, but there should be some outpatient services available surely ?
newsworthy/new-mental-health-treatment- ... 32030.html

However, that said, even when help is available, a big problem for poor Cambodian families is that treatment for mentally disturbed individuals like this man is often a lifetime treatment , and a lot of families just can't afford to pay out longterm for one person who has serious psychiatric problems without depriving the rest of the family of income. There is little or no aid from the state.
As I said before, a haircut and some temporary aid are all very well, and better than nothing I guess; but this is only a quick-fix to a problem that can last for decades and affects the whole family.
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