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

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.