In order to be able to speak about community mental health care it is necessary to make radical changes not only the form of psychiatric institutions, but also in their intrinsic characteristics. In other words, it is not only the asylum which has demonstrated its therapeutic ineffectiveness, but the entire psychiatric paradigm, said Maurizio Constantino who was the operational director and co-ordinator for the Trieste Mental Health Department in Italy during his visit with Professor Suryani. He feels the community mental health in Bali that brought up by Professor Suryani is what the developing country need when the community still play a strong rule. He also doesn’t surprise when the government try to not loose their face in front of the people by building mental health hospital as their castle.
“Let them build the castle and let the world see it, and when the government understand it’s useless it will become a rentable buiding for other purpose”, argued Maurizio. There are more than 300 people kept in chained in Bali and that’s might be the other reason the Bali government want to expand their hospital from 300 beds into 600 beds.