There are 19 million people in Indonesia who suffered a nervous breakdown, but only 10 percent who get medical care. That is, 90 percent of mental patients are still neglected.
Based on data Riskesdas 2007, there were 11.6 percent of Indonesia's population aged over 15 who have emotional or mental disturbances ranging from 19 million inhabitants. Of 0.46 percent of them even suffered severe mental disorder, or about 1 million inhabitants.
"The high prevalence of mental health problems (Keswa) in Indonesia was not followed by the high use of services Keswa. Keswa resources in Indonesia is also still limited. This is indicative of yet unmet needs (unmet needs) Keswa services," said Minister of Health, dr. Endang Rahayu Sedyaningsih, MPH, Dr.PH when opening activities of the National Conference on Mental Health Policy I and II National Conference of Community Psychiatry at Hotel Santika, Jakarta, Friday (10/07/2011).
Based on the results of research in 6 European countries, the need for mental health services that are not being met in health care facilities for people with major depressive disorder (30 percent), schizophrenia (40 percent), drug response (30 percent) and mental disorders in general to reach 48 percent.
While in low-income countries including Indonesia, middle, unmet needs (the needs of unserved) mental disorders as high as 90 percent.
"Improving mental health services are affordable with easy access is needed. In addition, the participation of health centers as the spearhead in the healthcare community can increase the number of people with mental disorders are underserved, thereby reducing the unmet mental health needs," said Minister of Health.
Mental health services at the health center includes a routine mental health screening in patients, psikoedukasi, and basic mental health care interventions and tiered (referral system).
However, services in primary health care facility has limitations, namely a large load with a limited number of personnel, adherence to treatment and stigma against psychotropic drugs, and lack of family support and community service providers are quite large.
"Services Keswa in basic health facilities will not succeed without the continuity of family and community empowerment programs, including cross-sector cooperation," said Minister.
Parkinson's is a neurological disorder that makes the muscle movement can not be controlled. Although difficult to walk and sometimes shaking, some people with Parkinson's did not have problems when it came to riding a bicycle.
A neurologist, Dr.. Bastiaan R. Bloem from Radboud University Nijmegen Medical Center in the Netherlands were surprised by a patient who suffered from Parkinson's but could ride a bike. No half-hearted, patient was cycling a few miles away.
Dr. Bloem of knowing exactly that Parkinson's patients have impaired his movement. However, patients aged 58 said that she exercised regularly by riding a bicycle, something that should not be possible for patients in the stage of disease.
"He told me just yesterday riding a bike as far as 10 kilometers," said Dr. Bloem as reported by the NYTimes on Friday (10/07/2011). "He rides a bike for miles every day."
While showing off its capabilities, such patients can indeed mengedarai bike. In fact he was able to bend and can control the bike perfectly, as if symptoms disappear during Parkinsonnya he sat on a bicycle saddle, but again it is difficult to move when it got off the bike.
Out of curiosity, Dr. Bloem and then ask the other 20 patients with severe to ride a bike and can do it all. Only, there is no theory that can explain why.
"This observation is very new and exciting," said Dr. Bloem. "Of course, I do not recommend that patients with Parkinson's riding a bike and go out into the street. They need help in a bike ride and can get difficult if you have to stop at traffic lights. They have to drive in a safe zone."
Experts suspect that the cycling activates different brain parts of running a not so badly affected by Parkinson's disease. Or maybe just the rhythm of a bicycle pedal pressure signals the nervous system of the patient's legs to allow movement of cycling.
"Cycling certainly do not cure patients," adds Dr. Lisa M. Shulman, professor of neurology at the University of Maryland School of Medicine. "Do most patients with severe Parkinson's disease will be able to ride a bike is a question that needs to be tested. Maybe they are not able to do one type of exercise can do other sports."
Dr. Bloem said that he hoped might be regular exercise can slow the progression of Parkinson's disease. Experiments on rats prove b ahwa that were possible. He is running a clinical trial in 600 patients to see whether exercise can also slow the progression of Parkinson's disease in humans.
