Challenges in the Repatriation Processes of a Foreign Citizen With Schizophrenia: A Case Report From Tanzania

TL;DR

A foreign citizen with schizophrenia faced long delays in repatriation due to financial and logistical challenges, highlighting the need for better international protocols.

Contribution

This case report emphasizes the need for improved international repatriation protocols for schizophrenia patients.

Findings

The patient's repatriation was delayed for 160 days due to financial and support issues.

Challenges in repatriation can worsen outcomes for schizophrenia patients abroad.

International protocols should address financial, logistical, and social barriers.

Abstract

Background: Schizophrenia is a chronic mental health disorder characterized by an array of symptoms, leading to impairment of functioning. Many patients with schizophrenia tend to have long-stay hospitalizations due to several factors, one of them being the repatriation process.

Case Presentation: I report the case of a 29-year-old male foreign citizen who presented with auditory hallucinations, paranoid delusions, and aggressiveness. The patient had a history of multiple admissions due to poor drug adherence. After being admitted to the psychiatry ward, the patient was improved and ready for discharge after 4 weeks but struggled to remember his relatives' phone numbers. Due to financial constraints and poor support, the repatriation process was delayed for 160 days.

Conclusion: The present case highlights the challenges in managing schizophrenia abroad, urging international protocols to streamline the repatriation process and address financial, logistical, and social barriers for improved outcomes.