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Everyone knows that mental health is just as important as physical health. That does not change the fact that mental health encounters neglect concerning overall health and well-being. Antigua and Barbuda, similar to other small Caribbean island nations, faces unique challenges in conversations focusing on mental health due to limited resources, stigma and lack of awareness. However, the government and various organizations, such as the World Health Organization (WHO) and the Antigua and Barbuda Association of Mental Health Counsellors Inc. (ABAMHC), have created public awareness campaigns and taken the steps necessary toward improving mental health in Antigua and Barbuda.
The majority of people with mental health challenges in Antigua and Barbuda are diagnosed with schizophrenia, schizoaffective disorder and depression. In 2007, only three male patients and one female patient made any visits to one mental hospital for psychiatric treatment, meaning a large number of Antigua and Barbuda citizens lived untreated. Data collected presents assessments and treatments for 174 outpatients through primary health care centers. Out of 174 patients, 114 (66%) carry schizophrenia and other related disorders, 23 (13%) mood (affective) disorders, and 8 (5%) other mental illnesses. In addition, people with mental disabilities are more likely to experience poverty. Social support groups, health care, jobs and education are not easily accessible to impoverished families to provide for the members, specifically children and adolescents, who require extra care.
Health Institutions
Care for mental health in Antigua and Barbuda is severely underdeveloped and primarily focused on confinement rather than treatment. The placement of individuals diagnosed as neurodivergent, someone whose brain processes information differently, in improperly trained health institutions, unfortunately, led to a crisis across the region, where mental health conditions proceed without formal examination, resulting in several people living without necessary care.
In addition to undertrained health institutions, there is one mental health hospital named Clarevue Psychiatric Hospital. Surprisingly, the Clarevue Psychiatric Hospital is the “sole mental health care facility in Antigua and Barbuda,” with enough space for 130 patients who are 18 years old or older. Similar to other health facilities, Clarevue Psychiatric Hospital was “ill-equipped to satisfy the mental health needs of the country.”
Authorities and mental health specialists, like Health Minister Sir Molwyn Joseph, are stepping up to create a supportive environment for Antigua and Barbuda residents. Plans and programs are underway to construct new mental hospitals and provide appropriate training for mental health professionals. Thankfully, local leaders are passionate and persistent about positively changing other people’s lives by providing support and resources.
“When I reflected, back in 1998, I made [an] appeal…, so you can see the level of urgency,” Joseph said.
Effects of Poverty on Mental Health
Studies indicate that poverty significantly impacts mental well-being economically. Poverty and mental health in Antigua and Barbuda are intertwined as poverty leads to social stresses and trauma, and mental health can lead to impoverishment resulting in a cycle of hardships to access basic needs such as food, housing and healthcare. According to the United Nations Children’s Fund (UNICEF), 18% of Antigua and Barbuda citizens lived in poverty, and 5% were indigent in 2016. Compared to the remainder of the Eastern Caribbean, Antigua and Barbuda has a lower poverty rate than the average of 23%.
Economic hardships disproportionately affect children and adolescents. The poverty rate for children between the ages of zero and 17 is 24%, and for adolescents, it is 25%, which is higher than the rate of 16% for adults ages 18 years or older and the overall rate of 18.4%. The higher percentage among the younger population signifies an urgent call for social and economic policies to improve living conditions for vulnerable groups.
Mental Health Crisis Among the Youth
Experienced psychiatrists have expressed concerns about the mental health among the youth. “In a 2021 report showing that nearly 20 percent of teenagers in Antigua and Barbuda between the ages 13 and 15 had seriously considered taking their lives.”
Dr. Chenelle Joseph, a psychiatrist who has worked with the mental health challenges of the younger generation, has witnessed a growing mental health crisis in Antigua and Barbuda, with increasing reports of suicide idealization and mental health disruptions like depression, bullying and anxiety.
To lower the percentage of teens idealizing taking their lives, a new initiative to amplify community stability and address ascending suicide rates will launch in Antigua and Barbuda. Antiguan-born psychotherapist and former United Nations official Jamion Knight will introduce the Mango Bucket Project, the country’s first suicide prevention hotline to relieve the pressures of modern life of individuals in the Caribbean islands.
“If persons and communities across the country could make a small contribution to improving the mental fitness and resilience of the nation, we can collectively transform the lives of thousands of people who are facing significant and crushing pressures daily,” Knight said.
Mental Treatment Act of 1957
On February 7, 2025, the National Youth Parliament Association of Antigua and Barbuda (NYPAAB) hosted a debate to tackle the Mental Treatment Act of 1957, a 70-year-old piece of legislation that was enacted in various countries, including Antigua and Barbuda, to regulate the treatment and care of people with mental health conditions.
Several government officials have voiced their opinions on the Mental Treatment Act of 1957 and criticized it as insufficient for managing modern questions in mental health care services. Prime Minister Marver Woodley, Attorney General Christal Percival, and Speaker of the House Jessica Zouetr reconsidered the context of current comprehension of mental health and utilized their voices to lead some countries to call for reforms that better align with mental health care practices and rights.
Mental Health Awareness
While the challenges to improving mental health in Antigua and Barbuda still exist, the collective efforts of the community, government and organizations signal a positive shift toward a more supportive mental health landscape. The nation’s ability to shine through as it navigates these difficulties together reminds everyone that they are not alone in their struggles.
As Antigua and Barbuda pushes forward, the need remains to maintain an environment where mental health is prioritized and celebrated. The road toward healing is bumpy, but the community strides toward a healthier, happier future with every development. The story of the mental health crisis in Antigua and Barbuda is one of hope, compassion and unwavering strength of the human spirit from which all beings should learn.
– Makayla Johnson
Makayla is based in Clayton, NC, USA and focuses on Good News and Technology for The Borgen Project.
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