According to the National Library of Medicine - National Institutes of Health, the majority of mental healthcare is provided in hospital settings and there are underdeveloped community mental health services. There is 1 doctor for every 80,000 Filipinos (WHO & Department of Health, 2012); the emigration of trained specialists to other countries, particularly English-speaking countries, contributes to this scarcity.
Once in jail, many individuals do not receive the treatment they need and end up getting worse, not better, in most instances. They can stay longer than their counterparts without mental illness. They are at risk of victimization and often their mental health conditions get worse. Jails can be scary, the unfamiliar surroundings, the loud noises, undetermined movements, and, what else? One has no idea, who they are with.
Many individuals, especially without access to mental health services and support, wind up homeless, in emergency rooms and often re-arrested. Jailing people with mental illness creates huge burdens on law enforcement, corrections, and state and local budgets. It does not protect public safety. And people who could be helped are being ignored.
Nog (not his true name), a former-PDL who has been released from the Manila City Jail through the help of the FRED (Focused Reintegration of Ex-Detainees) program of HLAF is one. Nog has been in jail for 15 years, he has been identified to have mental health concerns, according to the National Center for Mental Health and Manila City Jail.
On the other hand, Manila City Jail does not want to release Nog yet even though he should be already be out, since his family is unidentified, and he doesn’t know where to go. They are also anxious of the possibilities that Nog might just be rearrested again.
Nog spent 15 years in jail because his family is nowhere to be identified and located. This is where HLAF decided to help him get back to his family. Through HLAF’s partnership with the different municipalities and its barangays, the program has been able to identify his family in Malabon City, Metro Manila.
Nog’s time in jail has been adventurous, he said. “Okay naman ako ‘dun” in a pleasant tone. He had been helping in cleaning their cell and wiping the floor. He also said that he has a particular duty, he was among the people who had been guards whenever the other PDLs have to go to sleep since Manila City jail is among the over-congested jails in the Philippines, “naglilinis lang ako nun sa kulungan, nagbabantay ng mga tulog kasi may oras din yung pagtulog, pero masaya”.
Meanwhile, his family were extremely merry since Nog’s return. His Mom said that when he came home Nog lost a lot of weight, although he was thin on the first hand. She was dazed that through those years, Nog’s mental state improved, he became mindful of his thoughts, and were easily understood. His Mom, as a tinapa (smoked-fish) vendor said that they were coping through life even with this circumstances, while his step-father is a truck-helper.
It is not only the Family who is thankful, but the community as well. This includes the Manila City Jail, his friends, and other people concerned of him.
Since Nog’s release, he has not been doing much. He is currently on a hard time finding a good job. “Ngayon, ang binabantayan ko na lang ay ang bahay, tapos minsan lumalabas ako tapos kwentuhan lang, pero mas masaya na ako ngayon”, he said. “Sa tingin ko, 100% na ako ngayon”, he ended.
Although their gratitude was in silent mode that time, their eyes were our witness that them being together again shows how HLAF works, for its advocacies.
Currently, Nog is under the FRED program of HLAF.