Tuesday, April 25, 2023

This Belgian Town Has Had Deinstitutionalized Mental Health Care for Centuries — And It Works

The town of Geel, Belgium, has a different approach to mental health care than most: Residents take in, or “foster,” patients from the local psychiatric hospital, and they become part of the family. Though it may sound radical, as the treatment of mental disorders is highly institutionalized in much of the world, the system works in Geel — and it has for centuries.

It goes back to at least the 1300s, when villagers built a church dedicated to the patron saint of mental illness, St. Dymphna. Geel’s people have been welcoming boarders since: Today there are about 120 in the town of 41,000, according to The New York Times.

There are some safeguards in place, of course. Only those deemed stable are matched with foster families, the homes are all pre-screened, and case workers from the nearby hospital are available 24/7.

By and large, residents view the arrangement as part of Geel’s culture, and a positive one at that. As for the boarders, they live with a level of freedom not afforded by traditional institutions. The late neurologist Oliver Sacks once wrote that Geel shows how “even those who could seem to be incurably afflicted can, potentially, live full, dignified, loved, and secure lives.”

Geel in Photos


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