If you have been following my contributions to Thursday Doors over the years, you will know that I do voluntary work as a doctor overseas. Last year I was working at Kakumbi Rural Health Centre in Eastern Province, Zambia. It was distressing to see the lack of medical care for people with severe mental illness, schizophrenia and bipolar disorder. Their families would look after them as best they could; but if the patients became violent or started destroying property, this support could end. Patients would roam around the village, clearly very disturbed, behaving inappropriately (throwing stones at vehicles, wandering about naked).