In a comprehensive analysis of the current state of mental health in Aruba, an urgent need has emerged to change the approach model currently being used. Experts point out that dependence on structured Dutch models is not producing the desired results, because they often overlook the cultural and spiritual identity of the Aruban patient.
The Barrier of Language and Culture
One of the most critical issues in the current system is the lack of connection between specialists and patients. In many cases, care is provided by specialists who communicate only in Dutch. This situation is considered an “illogical” failure, given that psychology is a field based on emotions and on a person’s ability to express themselves in their native language.
For effective recovery, it is essential that the care system be “dressed” in the local culture and language, allowing the patient to feel fully understood.
Beyond the Colonial Model
The criticism goes further, focusing on the need for a “decolonization” of mental health models. While in Europe there is a strong tendency toward materialist approaches, the population in Aruba has a strong foundation of beliefs and spiritual traditions.
The President of the Aruban United Psychologists Association (PAU), Dimitri Halley, indicates that Aruban psychology must build a closer alliance with Caribbean and Latin realities. This includes integrating aspects such as:
- Spiritual: Recognizing the importance of faith in the healing process
- Holistic: Viewing the human being as a whole
- Energetic: Elements that are often dismissed in traditional European schools of thought
Concerning Data and Systemic Gaps
The data presented are worrying: according to the analysis, 90% of people who visit a general practitioner in Aruba do so for reasons that have a psychological origin. However, the system is failing to provide appropriate direction for these patients.
Instead of receiving adequate psychological guidance, many patients are referred directly to psychiatric services or are treated medically for physical symptoms without addressing the emotional root of the problem.
Medication vs. Real Solutions
The consequence of this approach is excessive medication use. There is serious concern that medications are being used simply to “cover up” deeper problems. Rather than resolving the crisis, this practice can create a cycle in which patients become dependent on substances without ever achieving genuine healing, placing additional pressure on Aruba’s public health system.