Answering the Call: A mission for the mentally ill

Fr. Avent Saur, SVD never anticipated becoming a leading advocate for the mentally ill. Yet, a harrowing experience in 2014 profoundly shaped his calling and ignited a ministry that continues to transform lives in Indonesia. 

Shortly after celebrating Mass in Ende, Flores, a community leader requested that Fr. Avent visit a sick individual. Upon entering the home, he was overwhelmed by a foul smell and startled by cries of “help me” from a nearby room. Fr. Avent discovered a man who had been confined for three months. His legs were trapped in wooden blocks, and his ankles bore ulcerated wounds infested with worms. The man’s hands, bound by iron chains, were similarly injured. The man’s father, too, was unwell, suffering from asthma. 

“In my opinion, this situation should not be allowed. It’s totally inhumane,” Fr. Avent recalled.

This heart-wrenching encounter became the catalyst for a mission to advocate for those with mental illnesses. Fr. Avent recognized the urgent need to educate the public about brain health, increase access to treatment, and combat widespread discrimination against the mentally ill in Indonesia. However, the journey was fraught with challenges. The village leaders initially refused to release the man. Undeterred, Fr. Avent sought help from regional and church authorities but no help was offered. Four months later, the man’s condition worsened and he nearly died. Fr. Avent continued to urge the government and the Church to release him and this time, he succeeded. The man was released from his restraints and hospitalized.

A Lifeline for the Mentally Ill

Since that pivotal moment, Fr. Avent has become a lifeline for countless individuals struggling with mental disorders. Community members frequently report cases of shackling, vagrancy, and untreated mental illnesses to him.

“Based on reports from local people, I started registering cases of mental disorders and visiting mentally ill individuals in Ende and the surrounding areas. There are around 10,000 people with mental disorders in the East Nusa Tenggra Province,” he explained. “I also met mentally ill people wandering the streets, offering them food and drink. In collaboration with their families, I started helping them return home.”

In 2016, Fr. Avent founded the Human Love Group (Kelompok Kasih Insanis or KKI), a volunteer social organization dedicated to improving the lives of the mentally ill. By enlisting the help of doctors specializing in mental health who offered to volunteer their services, the organization expanded its reach across the East Nusa Tenggara Province.

Dismantling Social Stigma

One of the greatest obstacles Fr. Avent faces is combating the deep-seated stigma surrounding mental health. Mental health issues are sometimes interpreted not as medical or psychological conditions but as having spiritual, moral, or ancestral causes. Many people believe mental disorders are caused by evil spirits, God's curse, violations of cultural traditions, sins committed by their ancestors or the wrongdoing of the patient. 

To address these misconceptions, the Human Love Group organized a mental health seminar featuring leading psychiatrists from the country’s capital, Jakarta. The event targeted young people, healthcare workers, government officials, religious leaders, and students, promoting awareness and education.

Securing Access to Treatment

Fr. Avent’s work highlighted the systemic challenges in ensuring consistent access to mental health treatment across Indonesia. Medications are frequently scarce in both government-run and private facilities, creating significant barriers to care. In response, the Human Love Group began advocating for improved medical services in hospitals and community health centers. While government efforts to address mental health have increased, they remain inadequate to meet the growing demand.

Indonesia’s vast geography, with over 17,000 islands, adds another layer of complexity. Mental health and rehabilitation facilities are limited and unevenly distributed, leaving remote regions like East Nusa Tenggara (NTT) particularly underserved. In NTT, only five of the 22 public hospitals provide mental health services. Nationwide, there are just three government-owned mental rehabilitation homes and a handful of privately-run facilities, all with limited capacity. Community health centers also play a role in providing mental health services, but their quality is inconsistent, and frequent medication shortages disrupt treatment, slowing recovery for many patients. 

To address these gaps, Fr. Avent’s organization empowers families to care for their mentally ill relatives at home. However, limited budgets and medicine shortages remain significant hurdles. “We often access private health facilities, but at high costs,” Fr. Avent said. “We can help some patients, but the majority cannot be helped because of limited medicines and budget constraints.”

Ending Discrimination

Discrimination against the mentally ill remains rampant. Many face shackling, homelessness, exclusion from essential services, and even neglect by their families. For Fr. Avent, advocating for their dignity is a direct reflection of his vocation as a Divine Word Missionary Priest.

The Society of the Divine Word (SVD) emphasizes service to the poor, sick, and marginalized through its four characteristic dimensions: Mission Animation, Biblical Apostolate, Communication, and Justice, Peace, and Integrity of Creation (JPIC).

Fr. Avent’s work has gained the full support of SVD leadership, and in 2016, he received provincial approval to seek funding for his ministry. Two years later, his mission was presented at the General Chapter meeting as a unique mission of the SVD Ende Province.

Proof of Progress

For those who receive support from the Human Love Group, the impact is life-changing. Volunteers work to empower patients so they can return to their daily activities. “This really helps restore their self-confidence after being neglected for so long by their family and society,” Fr. Avent said. 

One such individual is Patrisius, a resident of Ende, Flores who suffered from mental illness for nearly two decades. When Fr. Avent discovered him in 2017, he was living in a hut that didn’t have walls or a roof and had been shackled for 20 years. His family told Fr. Avent that he was aggressive and made violent threats toward them. The Human Love Group provided Patrisius with food, medicine, and consistent care. In time, his condition improved and he was admitted to a mental rehabilitation center where he received intensive treatment for a full year.

Today, Patrisius has reclaimed his life. He works as a bus broker, owns livestock, and continues to receive medical therapy.

A Collective Struggle

Fr. Avent’s work underscores the dignity and worth of every human being, regardless of their circumstances. “Human dignity must be respected to the utmost,” he said. “Sick people should receive medical services. They need to be freed from social stigma and discrimination. And that requires a long and collective struggle.”

For Fr. Avent, this mission is more than a response to an urgent need; it is a testament to his calling as a Divine Word Missionary, serving those who are often unseen and unheard.
 

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