Yala tuma dɔw la, i b’a miiri ko i kelenpe de bɛ yen wa? O dusukunnata bɛ kɛ kɛrɛnkɛrɛnnenya la mɔgɔ la min bɛ ka kɛlɛ kɛ ni hakilibana jugumanba dɔ ye. Dɔgɔtɔrɔso ladonni tuma caman, fura caman tali, ani siran min bɛ mɔgɔ la ka bɔ mɔgɔw la... Nin bɛɛ la, ɲɛnamaya kɛcogo ɲuman bɛ se ka kɛ i n’a fɔ sugo. "Mun na nin bɛ ka kɛ ne la?" Waati jatebaliya bɛ yen i bɛ i yɛrɛ ɲininka waati minnu na. Nka yala i b’a dɔn ko furakɛli porogaramu kɛrɛnkɛrɛnnen dɔ bɛ yen min bɛ mɔgɔw dɛmɛ ni nin bana gɛlɛnw ye, u yɛrɛ ka so ani u sigilen bɛ sigida la wa? An bɛ o de wele ko Assertive Community Treatment, walima ACT ni kuma surun ye.
N’an y’a fɔ cogo nɔgɔman na, nin ACT ye mun ye?
ACT ye fɛɛrɛ ye min bɛ furakɛli ni dɛmɛ di hakilibana jugumanba bɛ mɔgɔ minnu na, u sigilen bɛ sigida la, o kɔrɔ ye ko u ka so, u ka baarakɛyɔrɔ la, walima u sigiyɔrɔ la, sanni u ka kɛ dɔgɔtɔrɔso la walima baarada wɛrɛ la.
Miiri o la nin cogo la. Dɔgɔtɔrɔw ka kulu fitinin dɔ b’aw bolo minnu y’u yɛrɛ di aw ma, k’aw mago kɛrɛnkɛrɛnnenw lajɛ. Sani i ka na dɔgɔtɔrɔso dɔ la k’u lajɛ, nin jɛkulu in bɛ na i fɛ k’i dɛmɛ i bɛ yɔrɔ min na. A bɛ iko mɔgɔ yɛrɛ ka kɛnɛyako jɛkulu. O kulu in kɔnɔ, mɔgɔ kɛrɛnkɛrɛnnenw bɛ yen minnu bɛ baara suguya caman na.
- Hakilila-dɔgɔtɔrɔw: U bɛ i hakili cogoya jateminɛ ani ka fura wajibiyalenw di i ma.
- Hakilila-dɔnbagaw: Aw bɛ hakili-la-furakɛli kɛ ani ka dɛmɛ don ka aw hakili kɛnɛya sabati.
- Sosiyete baarakɛlaw: U b’aw dɛmɛ ka fɛɛrɛ sɔrɔ aw ka sigida gɛlɛyaw la, i n’a fɔ sow gɛlɛyaw ani sɔrɔko gɛlɛyaw.
- Sɔgɔsɔgɔninjɛ minnu tɔgɔ sɛbɛnna: Aw ye aw farikolo kɛnɛya lajɛ ani ka a lajɛ ni aw bɛ aw ka furaw ta ka ɲɛ.
- Furakɛli kɛrɛnkɛrɛnnen minnu bɛ bana fila sɛgɛsɛgɛ: Tuma dɔw la, hakilibana bɛ se ka kɛ ɲɔgɔn fɛ ni dɔrɔgu walima dɔlɔmin ye. U dege kɛrɛnkɛrɛnnenya la walasa ka bana fila bɛɛ furakɛ waati kelen na.
- Ko ɲɛnabɔbagaw: U bɛ aw ka furakɛli bolodacogo ɲɛnabɔ ani ka a lajɛ ni fɛn bɛɛ bɛ taa ɲɛ.
Nin kulu in kuntilenna kunba tɛ ka fura di aw ma dɔrɔn. O ye ka dɛmɛ bɛɛ di i ma i mago bɛ min na walasa ka ɲɛnamaya kɛ ka ɲɛ ani ka nisɔndiya sɔrɔ jamana kɔnɔ. O bɛ se ka kɛ k’i dɛmɛ ka baara sɔrɔ, ka dɛmɛ don du kɔnɔ baara la, ani k’i dege bisi boli la.
Min nafa ka bon kosɛbɛ, o ye ko nin kulu in bɛ jɛɲɔgɔnya gɛlɛnba don aw ni ɲɔgɔn cɛ. U ka laɲini fɔlɔ dɔ ye k’a to i k’a miiri ko i kelen tɛ.
O fan wɛrɛ bɛ yen , n’o ye Forensic Assertive Community Treatment (FACT) ye.A dabɔra kɛrɛnkɛrɛnnenya la ka mɔgɔw dɛmɛ minnu minɛna, minnu bilala kaso la, walima minnu bilala kaso la hakilibana juguw kosɔn.
Nin ACT furakɛli in bɛnnen don jɔn ma kosɛbɛ?
Nin furakɛli in tɛ bɛɛ ta ye. A dabɔra kɛrɛnkɛrɛnnenya la mɔgɔ minnu kama hakilibana jugumanba bɛ minnu na. Nin don:
- Mɔgɔ minnu ka to ka hakili kɛnɛya gɛlɛyaw sɔrɔ, wa u ka kan ka don dɔgɔtɔrɔso la: Mɔgɔ dɔw bɛ yen minnu bɛ kɛnɛya waati dɔ kɔnɔ, nka o kɔfɛ, u ka kan ka don dɔgɔtɔrɔso la tuguni. ACT bɛ se ka kɛ dɛmɛba ye walasa ka nin sɛgɛsɛgɛli in tiɲɛ.
- Minnu bɛ sariyako gɛlɛyaw ɲɛ: Mɔgɔ minnu bɛ u sen don sariya tiɲɛni walew la k’a sɔrɔ u ma dɔn, ani minnu bɛ minɛ hakilibana kosɔn.
- Mɔgɔ minnu tɛ so sɔrɔ walima minnu bɛ farati la ka kɛ siyɔrɔ ye: Nin fɛɛrɛ in bɛ dɛmɛba lase mɔgɔ ma minnu tɛ so sɔrɔ ani minnu bɛ dɛmɛnbaliya la.
Tuma caman na, ACT bɛ nafa don hakilibana jugumanba bɛ mɔgɔ minnu na, i n’a fɔ ninnu:
- Bana minnu bɛ i n’a fɔ hakiliɲagami bana (Schizophrénie spectrum disorders) . Sizofreni (Schizophrénie) bana Mɔgɔya bana min bɛ kɛ ni hakiliɲagami ye
- Delusional disorder (hakilila-jɔ-bana). Schizophréniforme bana (Schizophréniforme ) bana Schizoaffective bana (Schizoaffective bana) min bɛ mɔgɔ bila ka miiri
- Bipolar Disorder (bana min bɛ mɔgɔ bila ka miiri
- Dankan na, mɔgɔya bana (Borderline Personality Disorder).
Nin bana in bɛ mɔgɔ min na, ani a somɔgɔw dɔrɔn de b’a dɔn a ka gɛlɛn ka ɲɛnamaya kɛ n’a ye cogo min na. ACT ye yeelenba ye u bolo.
O bɛ ɲɛ, nin ACT porogaramu in bɛ baara kɛ cogo di?
ACT porogaramu bɛ se ka ɲɔgɔn ta mɔgɔ kelen-kelen bɛɛ la, bawo a bɛ bɛn i kelen-kelen bɛɛ magow ma ani i ka ɲɛnamaya kuntilenna ma pewu. Nka a bɛɛ lajɛlen na, a kunba ye ka na i fɛ i bɛ yɔrɔ min na, k’i dɛmɛ i mago bɛ a la cogo min na.
An k’a lajɛ i bɛ se ka baara minnu sɔrɔ nin kulu in fɛ. O bɛna hakilina ɲuman di aw ma nin sigida in bɛ min kan.
| Baara suguya min bɛ kɛ | Dɛmɛ min sɔrɔla, o ɲɛfɔli nɔgɔman |
|---|---|
| Hakilila kɛnɛya furakɛli | Aw bɛ aw jija aw mago bɛ fura minnu na, aw bɛ olu sɔrɔ a waati la ani ka a kɔlɔlɔw lajɛ. An bɛ hakiliɲagami furakɛli fana kɛ yɔrɔ la min bɛnnen don aw ma. |
| Dɔrɔgu/dɔlɔ furakɛli | Ni hakilibana ni dɔrɔguta gɛlɛya bɛ mɔgɔ dɔ la, o bana fila bɛɛ bɛ furakɛ ɲɔgɔn fɛ. O bɛ wele ko bana fila furakɛli. |
| Farikolo kɛnɛya | Ni bana wɛrɛw bɛ aw la i n’a fɔ sukarodunbana walima tansiyɔn jiginni, an bɛna aw dɛmɛ ka furakɛli kɛ ani ka taa dɔgɔtɔrɔso la. |
| Dɛmɛ don denbaya ma | An bɛ aw ka denbaya ka faamuyali di aw ka bana kan (hakilila-kalan) ani ka u dɛmɛ ni gɛlɛya o gɛlɛya ye u bɛ se ka min sɔrɔ. |
| Don o don ɲɛnamaya baara | U bɛ dɛmɛ don fɛnw na i n’a fɔ wari marali, ka taa magasa la ka dumunifɛnw ta, ani ka baara kɛ ni foroba mɔbili ye. |
| Sow ni baarakɛyɔrɔw | I mago bɛ dɛmɛ min na walasa ka sigiyɔrɔ banbali sɔrɔ, ka baara sɔrɔ, ani ka to o baara la, an b’o di i ma. |
Min nafa ka bon kosɛbɛ, o ye ko nin ACT jɛkulu in bɛ sɔn banabagatɔ hakɛ fitinin dɔrɔn ma waati kelen na. O kun ye ko o kɔfɛ, u bɛ se ka i yɛrɛ jateminɛ kosɛbɛ. Hali ni kɔrɔtɔko dɔ kɛra i la, i bɛ se ka kuma ni ekipu mɔgɔ dɔ ye sanga 24 kɔnɔ.
Yala nin ACT fɛɛrɛ in bɛ nɔ bɔ tiɲɛ na wa?
Awɔ. Kalan caman y’a jira ko ACT ye furakɛli ye min bɛ nɔ bɔ kosɛbɛ. Kɛrɛnkɛrɛnnenya la, a bɛ dɛmɛ ka nin jaabi ninnu sɔrɔ:
- Dɔgɔtɔrɔso ladonni dɔgɔyali: Mɔgɔ minnu bɛ ACT furakɛli kɛ, olu ka segin-ka-bɔnyew hakɛ bɛ dɔgɔya kosɛbɛ dɔgɔtɔrɔso la.
- Dɔgɔtɔrɔso sigili dɔgɔyali: Hali ni i ka kan ka don dɔgɔtɔrɔso la cogo dɔ la, i bɛ tile minnu kɛ dɔgɔtɔrɔso la, o bɛna dɔgɔya.
- Ka dɔ fara ɲɛnamaya kɛcogo ɲuman kan: Ka se ka sigi i yɛrɛ ka sigida la, i n’a fɔ mɔgɔ wɛrɛw, o bɛ dɔ fara wasa ni nisɔndiya kan ɲɛnamaya la.
- Furakɛli labatoli caya: Ikomi jɛkulu bɛ to ka u lajɛ, fɛn minnu bɛ i n’a fɔ fura tali waati la ani ka taa dɔgɔtɔrɔsow la, olu tɛ tɛmɛ.
- Sariya gɛlɛyaw dɔgɔyara: Mɔgɔ minnu bɛ segin ka mɔgɔ minɛ ani ka u bila kaso la, olu dɔgɔyara, kɛrɛnkɛrɛnnenya la FACT porogaramuw sababu fɛ.
N’an y’a fɔ cogo nɔgɔman na, ACT tɛ bana taamasiɲɛw kunbɛnni dɔrɔn ye. O ye ka baarakɛminɛnw di banabagatɔ ma, a mago bɛ minnu na walasa a ka se ka ɲɛnamaya kɛ i n’a fɔ mɔgɔ nafama, min yɛrɛmahɔrɔnyalen don jamana kɔnɔ.
ACT furakɛli bɛ waati joli ta? Ne bɛ se k’a sɔrɔ cogo di Sri Lanka?
Nin furakɛli in ka kan ka kɛ waati hakɛ min na, o tɛ kelen ye mɔgɔ kelen-kelen bɛɛ la. O bɛɛ bɛ bɔ i magow n’i ka ɲɛnamaya kuntilenna de la. A bɛ se ka kɛ kalo damadɔw ye, walima a bɛ se ka janya ka tɛmɛ o kan. Ani fana, aw bɛ se ka mago don nin dɛmɛ sugu la tuguni waati wɛrɛw la aw ka ɲɛnamaya kɔnɔ. O bɛɛ bɛ latigɛ aw n’aw ka ACT jɛkulu fɛ ɲɔgɔn fɛ.
Ɲininkali min nafa ka bon kosɛbɛ sisan, o ye ko yala nin ɲɔgɔnna porogaramuw bɛ Sri Lanka, wa an b’u sɔrɔ cogo di?
Ni an b’a fɛ ka tiɲɛ fɔ, porogaramu minnu bɛ wele ko "Assertive Community Treatment (ACT)" olu man ca Sri Lanka i n’a fɔ u bɛ kɛ cogo min na tilebin jamanaw na. Nka, o t’a jira ko o baara suguw tɛ Sri Lanka jamana na fewu.
Ni aw walima aw dɔnbaga dɔ mago bɛ nin dɛmɛba sugu la, a ka fisa ka kuma o kan kɛnɛ kan ni aw ka dɔgɔtɔrɔ ye , kɛrɛnkɛrɛnnenya la hakililabaarakɛla dɔ .
Aw bɛ se ka ɲininkali kɛ ko:
"Dɔgɔtɔrɔ, ne/ne ka kanubaganci ka kan ka don dɔgɔtɔrɔso la tuma caman. A ka gɛlɛn ka ɲɛnamaya kɛ cogo la min bɛ bɛn so kɔnɔ. Yala kɛnɛyaso walima porogaramu dɔ bɛ yen min bɛ se ka na ne ka so, ka dɛmɛ don don o don ɲɛnamaya la, ka furakɛliw lajɛ wa?
Tuma dɔw la, sigida hakili kɛnɛya baarakɛlaw bɛ se ka kɛ minnu bɛ baara kɛ hakili kɛnɛya yɔrɔw fɛ gɔfɛrɛnaman ka dɔgɔtɔrɔsow kɔnɔ. A bɛ se ka kɛ ko dɔgɔtɔrɔso baarakɛlaw ni sigida baarakɛlaw bɛ yen minnu bɛ na aw ka so u sababu fɛ. Ani fana, mɔgɔ kelen-kelen ka baarada dɔw bɛ se ka o baara suguw kɛ. Min nafa ka bon kosɛbɛ, o ye ka dɔgɔtɔrɔ ɲininka o ko la k’a sɔrɔ siran walima maloya tɛ.
Ka ɲɛnamaya kɛ ni hakilibana jugumanba ye, o man nɔgɔ. A bɛ se ka kɛ i n’a fɔ ka kurun boli i kelen na fɔɲɔba kɔnɔ. Nka, i hakili to a la ko i kelen tɛ. Furakɛli minnu bɛ i n’a fɔ ACT, olu b’a jira ko sisan furakɛli bɛ ka bɔ bana taamasiɲɛw dɔrɔn furakɛli la ka taa mɔgɔ bɛɛ furakɛli la ani k’u dɛmɛ u ka ɲɛnamaya kɛ cogo ɲuman na.
Take-Home cikan
- Sigida furakɛli (ACT) ye hakilibana jugumanba bɛ mɔgɔ minnu na, olu furakɛcogo ye, a tɛ kɛ dɔgɔtɔrɔso la, nka u sigilen bɛ sigida la, ni dɔgɔtɔrɔ kɛrɛnkɛrɛnnenw ka jɛkulu dɔ ka dɛmɛ ye.
- Laɲini min bɛ yan, o tɛ fura dɔrɔn ye, nka ka dɛmɛ don fana ɲɛnamaya fan wɛrɛw la, i n’a fɔ baara, so, ani wariko ɲɛnabɔli, ani ka mɔgɔw dɛmɛ u ka ɲɛnamaya kɛ u yɛrɛma.
- Sɛgɛsɛgɛliw y’a jira ko nin fɛɛrɛ in bɛ dɔ bɔ dɔgɔtɔrɔso ladonni na ani ka ɲɛnamaya kɛcogo ɲɛ.
- Hali ni nin tɔgɔ in porogaramuw man ca Sri Lanka, aw ye aw jija ka kuma aw hakililabaarakɛla walima dɔgɔtɔrɔ fɛ walasa ka sigida baara suguya wɛrɛw dɔn. Aw kana sigasiga abada ka dɛmɛ ɲini.
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