If he continues to refuse to come to hospital, we will have to pick him up and give him a shot to make him fall asleep." This was the ultimate scenario provided by the medical team from the Soeharto Heerdjan Mental Hospital in Grogol, West Jakarta, for a 16-year-old patient. For the entire four months of medical consultation and therapy, each time only the parents turned up for consultation. The patient continued to lock himself up at his home in