Sɔntɛnde, yu kin fil lɛk se na yu wangren de? Dis filin kin bi mɔ fɔ pɔrsin wae de sɔfa wit siriɔs maynd sik. Fɔ go na ɔspitul ɔltɛm, fɔ tek bɔku mɛrɛsin, ɛn fɔ fred fɔ lɛ pɔsin nɔ de nia ɔda pipul dɛn... Wit ɔl dis, fɔ liv nɔmal layf kin tan lɛk drim. "Wetin mek dis de apin to mi?" Bɔku bɔku tɛm dɛn de we yu kin wɔnda. Bɔt yu no se spɛshal tritmɛnt program de we de ɛp pipul dɛn we gɛt dɛn kayn prɔblɛm ya, na dɛn yon os ɛn na di kɔmyuniti we dɛn de? Na dat wi kin kɔl Assertive Community Treatment, ɔ ACT fɔ shɔt.
Fɔ tɔk am simpul wan, wetin na dis AKT?
ACT na wan we we de gi tritmɛnt ɛn sɔpɔt to pipul dɛn we gɛt siriɔs maynd sik na di kɔmyuniti usay dɛn de, dat na, na os, na wokples, ɔ na di say we dɛn de, pas fɔ de na ɔspitul ɔ ɔda institiushɔn.
Tink bɔt am dis we. Yu gɛt smɔl tim fɔ dɔktɔ dɛn we de wok tranga wan fɔ yu, we de kia fɔ yu patikyula nid dɛn. Bifo yu kam na klinik fɔ si dɛn, dis tim kin kam to yu ɛn ɛp yu usay yu de. I tan lɛk pɔsin in yon wɛlbɔdi tim. Dis tim gɛt spɛshal pipul dɛn we sabi du difrɛn tin dɛn.
- Saykayatrist dɛm: Dɛn kin asɛs yu maynd ɛn gi yu di mɛrɛsin we yu nid.
- Saikɔlɔjis dɛm: Gi saykotɛrapi ɛn ɛp fɔ mek yu maynd gɛt wɛlbɔdi.
- Soshal woka dɛm: Ɛp yu fɔ fɛn sɔlv fɔ yu soshal prɔblɛm dɛm, lɛk haus prɔblɛm ɛn ikɔnomi prɔblɛm.
- Nɔs dɛn we rɛjista: Chek yu bɔdi wɛlbɔdi ɛn mek shɔ se yu de tek yu mɛrɛsin dɛn fayn fayn wan.
- Dual diagnosis treatment specialists: Sɔntɛnde, mɛntɛl sik kin de togɛda wit drɔg ɔr rɔm adikshɔn. Dɛn tren dɛn spɛshal wan fɔ trit dɛn tu sik ya di sem tɛm.
- Di wan dɛn we de oba di kes: Dɛn kin kɔdinɛt yu tritmɛnt plan ɛn mek shɔ se ɔltin de go fayn.
Di men gol fɔ dis grup nɔto fɔ jɔs gi yu mɛrɛsin. Na fɔ gi yu ɔl di sɔpɔt we yu nid fɔ liv fayn ɛn gladi na sosayti. Dis kin min fɔ ɛp yu fɔ fɛn wok, fɔ ɛp yu fɔ du wok na os, ɛn fɔ mek yu yus fɔ rayd bɔs.
Di tin we impɔtant pas ɔl na dat, dis grup de mek yu gɛt tayt padi biznɛs wit yu. Wan pan dɛn men gol na fɔ mek yu fil lɛk se nɔto yu wangren de.
Wan ɔda tin de fɔ dis , Fɔrɛns Asɛtiv Kɔmyuniti Tritmɛnt (FACT).Dɛn mek am spɛshal fɔ ɛp pipul dɛn we dɛn dɔn arɛst, put na jel, ɔ put na jel bikɔs ɔf siriɔs maynd sik.
Udat dis ACT tritmɛnt fit fɔ pas ɔl?
Dis tritmɛnt nɔto fɔ ɔlman. Dɛn mek am spɛshal fɔ di wan dɛn we gɛt di ay risk fɔ gɛt siriɔs maynd sik. Dat na:
- Fɔ di wan dɛn we kin gɛt prɔblɛm wit dɛn maynd ɔltɛm ɛn we nid fɔ go na ɔspitul: Sɔm pipul dɛn de we kin fil fayn fɔ sɔm tɛm, bɔt afta dat dɛn kin gɛt fɔ go na ɔspitul bak. ACT kin bi big ɛp fɔ brok dis saykl.
- Fɔ di wan dɛn we de gɛt prɔblɛm wit lɔ: Fɔ di wan dɛn we nɔ no se dɛn de put an pan tin dɛn we nɔ rayt ɛn dɛn arɛst dɛn bikɔs dɛn gɛt maynd sik.
- Fɔ di wan dɛn we nɔ gɛt os ɔ we de pan denja fɔ lɛ dɛn nɔ gɛt os: Dis sistɛm de ɛp di wan dɛn we nɔ gɛt os ɛn we nɔ ebul fɔ ɛp dɛnsɛf.
Bɔku tɛm, ACT kin bɛnifit pipul dɛn we gɛt siriɔs maynd sik, lɛk dɛn wan ya:
- Schizophrenia- lεk kכndyushכn dεm (Schizophrenia spectrum disorders) . Skizofrenia sik we dɛn kɔl skizofrenia Schizotypal pɔrsin in pasɔnaliti disɔda
- Disɔda we de mek pɔsin fil bad Schizophreniform disɔda we de mek pɔsin gɛt sik Schizoaffective disɔda we gɛt di sik
- Bipolar Disɔda
- Bɔdalayn Pɔsin Disɔda
Na de pɔrsin wae gɛt dis sik ɛn in famili nɔmɔ no aw i nɔr kin izi fɔ liv wit am. ACT na big layt fɔ dɛn.
Okay, aw dis ACT program de wok?
Wan ACT program kin difrɛn frɔm wan pɔsin to ɔda pɔsin, bikɔs i kin rili fayn fɔ yu wan wan nid ɛn yu layf gol dɛn. Bɔt in jɔnal, di men tin na fɔ kam to yu usay yu de ɛn ɛp yu di we aw yu nid am.
Lɛ wi tek wan luk pan us savis yu kin gɛt frɔm dis grup. Dis go gi yu gud aidia bɔt wetin dis sistɛm de tɔk bɔt.
| Di kayn savis we dɛn de du | Wan simpul ɛksplen bɔt di sɔpɔt we dɛn gɛt |
|---|---|
| Mental wɛlbɔdi tritmɛnt | Wi de mek shɔ se yu gɛt di mɛrɛsin we yu nid di rayt tɛm ɛn chɛk fɔ sayd ɛfɛkt. Wi de gi yu saykotɛrapi bak na say we fayn fɔ yu. |
| Drug/alkohol tritmɛnt | If pɔrsin gɛt maynd sik ɛn prɔblɛm wit sɔm kayn mɛrɛsin, dɛn kin trit dɛn tu tin ya togɛda. Dɛn kɔl dis dual diagnosis tritmɛnt. |
| Di wɛlbɔdi we pɔsin gɛt na in bɔdi | If yu gɛt ɔda sik lɛk dayabitis ɔ ay blɔd prɛshɔn, wi go ɛp yu fɔ gɛt tritmɛnt ɛn go to dɔktɔ. |
| Sɔpɔt fɔ famili | Wi de gi yu famili ɔndastandin bɔt yu kɔndishɔn (saykoedukeshɔn) ɛn ɛp dɛn wit ɛni prɔblɛm we dɛn kin gɛt. |
| Ɛvride layf wok | Dɛn kin ɛp fɔ du tin dɛn lɛk fɔ manej mɔni, fɔ go na di stoa fɔ go tek tin dɛn fɔ it, ɛn fɔ yuz pɔblik transpɔt. |
| Haus ɛn wok dɛn | Wi de gi yu di sɔpɔt we yu nid fɔ fɛn ples fɔ de fɔ ɔltɛm, fɔ fɛn wok, ɛn fɔ de na da wok de. |
Di tin we impɔtant pas ɔl na dat dis ACT tim kin aksept wan rili smɔl nɔmba pan pasɛnt dɛn wan tɛm. Di rizin fɔ dis na bikɔs dɛn kin gi yu di mɔs pasɔnal atɛnshɔn afta dat. Ivin if yu gɛt imejensi, yu kin tɔk to pɔsin we de na di tim 24 awa ɛvride.
Dis ACT we fɔ du tin rili wok?
Yɛs. Bɔku stɔdi dɛn dɔn sho se ACT na tritmɛnt we rili fayn. Na mɔtalman, i kin ɛp fɔ gɛt dɛn tin ya:
- Ridyus ɔspitul: Pipul dɛn we de gɛt ACT tritmɛnt gɛt bɔku ridyus nɔmba fɔ ripit ɔspitul.
- Ridyus fɔ de na ɔspitul: Ivin if yu fɔ de na ɔspitul sɔm we, di nɔmba fɔ di de dɛn we yu de spɛn na ɔspitul go ridyus.
- Di kwaliti fɔ layf go ɔp: We pɔsin ebul fɔ liv na in yon say, lɛk ɔda pipul dɛn, dat kin mek i satisfay ɛn gladi mɔ wit layf.
- Di we aw dɛn de fala di tritmɛnt mɔ ɛn mɔ: Bikɔs di tim de chɛk insay ɔltɛm, tin dɛn lɛk fɔ tek mɛrɛsin di rayt tɛm ɛn fɔ go na klinik dɛn nɔ de mis.
- Ligal prɔblɛm dɛn we dɔn ridyus: Dɛn dɔn ridyus di pipul dɛn we dɛn kin arɛst bak ɛn put pipul dɛn na jel, mɔ tru di FACT program dɛn.
Fɔ tɔk am simpul wan, ACT nɔto jɔs fɔ kɔntrol di sayn dɛm. Na fɔ gi di pɔsin di sikman di tin dɛn we i nid fɔ liv as pɔsin we gɛt valyu, we nɔ gɛt ɛnitin fɔ du wit insɛf na di sosayti.
Aw lɔŋ ACT tritmɛnt kin tek? Aw a go fɛn am na Sri Lanka?
Aw lɔng dɛn nid dis tritmɛnt kin difrɛn frɔm wan pɔsin to ɔda pɔsin. I dipen ɔl di tin dɛn we yu nid ɛn di tin dɛn we yu want fɔ du na layf. I kin tek sɔm mɔnt, ɔ i kin lɔng pas dat. Dɔn bak, yu kin nid dis kayn sɔpɔt bak difrɛn tɛm dɛn na yu layf. Na ɔl dat na yu ɛn yu ACT tim go disayd togɛda.
Di kwɛstyɔn we impɔtant pas ɔl naw na, program dɛn de lɛk dis na Sri Lanka, ɛn aw wi go fɛn dɛn?
Fɔ tɔk tru, program dɛn we dɛn kɔl "Assertive Community Treatment (ACT)" nɔ kin bɔku na Sri Lanka lɛk aw dɛn kin du na Wɛstɛn kɔntri dɛn. Bɔt dat nɔ min se dɛn kayn savis dɛn de nɔ de na Sri Lanka atɔl.
If yu ɔ pɔsin we yu sabi nid dis kayn strɔng sɔpɔt, di bɛst tin fɔ du na fɔ tɔk opin wan bɔt dis wit yu dɔktɔ , mɔ to dɔktɔ we de mɛn pipul dɛn we gɛt sik dɛn we de ambɔg dɛn maynd .
Yu kin aks:
"Dɔkta, mi/mi pɔsin we a lɛk fɔ de na ɔspitul bɔku tɛm. I at fɔ liv nɔmal layf na os. Ɛlth savis ɔ program de we kin kam na mi os, ɛp wit ɛvride layf, ɛn luk insay tritmɛnt?"
Sɔntɛnde, Kɔmyuniti Mental Ɛlth Sɛvis kin de we de wok tru mental wɛlbɔdi yunit dɛn na gɔvmɛnt ɔspitul dɛn. Sɔntɛm nɔs ɛn soshal woka dɛn de we kin kam na yu os tru dɛn. Dɔn bak, sɔm prayvet institiushɔn dɛn kin gi dɛn kayn savis dɛn de. Di tin we impɔtant pas ɔl na fɔ aks yu dɔktɔ bɔt dis we yu nɔ fred ɔ shem.
Fɔ liv wit siriɔs maynd sik nɔ kin izi. I kin tan lɛk se yu wan de row we big big briz de blo. Bɔt mɛmba se nɔto yu wangren de. Tritmɛnt lɛk ACT sho se mɛrɛsin de muf naw frɔm fɔ trit jɔs di sik dɛn to fɔ trit di wan ol pɔsin ɛn ɛp dɛn fɔ liv bɛtɛ layf.
Mɛsej we dɛn kin kɛr go na os
- Assertive Community Treatment (ACT) na wan we fɔ trit pipul dɛm we gɛt siriɔs maynd sik, nɔto na ɔspitul, bɔt na di kɔmyuniti usay dɛn de, wit di sɔpɔt fɔ wan tim we gɛt spɛshal pipul dɛm.
- Di gol ya nɔto jɔs fɔ gi mɛrɛsin, bɔt fɔ ɛp bak wit ɔda tin dɛn na layf, lɛk wok, os, ɛn aw fɔ yuz mɔni, ɛn fɔ ɛp pipul dɛn fɔ liv dɛn layf fɔ dɛnsɛf.
- Risach dɔn pruv se dis we ya de mek pipul dɛn nɔ de na ɔspitul ɛn i de mek dɛn liv bɛtɛ layf.
- Pan ɔl we program dɛn we gɛt dis nem nɔ kin bɔku na Sri Lanka, mek shɔ se yu tɔk to yu saykayatrist ɔ dɔktɔ fɔ lan bɔt di sem kayn savis dɛn we de na di kɔmyuniti. Nɔ ɛva shem fɔ aks fɔ ɛp.
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