Sɔntɛnde, fɔ liv wit siriɔs maynd sik kin fil lɛk se na big big lod, nɔto so? Ɔltɛm fɔ de na ɔspitul, nɔ ebul fɔ du yu wok, fil lɛk se dɛn de pul yu kɔmɔt na di sosayti... Ɔl dis de mek yu fil se yu de yu wan. Bɔku bɔku tɛm dɛn de we yu kin fil lɛk se ‘nɔbɔdi nɔ ɔndastand mi.’ Bɔt wan spɛshal tritmɛnt de we dɛn dɔn kam wit fɔ ɛp pipul dɛn lɛk dis, fɔ mek dɛn gɛt wanwɔd wit di sosayti, ɛn ɛp dɛn fɔ liv nɔmal layf. Na dat wi de tok abaut tide.
Fɔ tɔk am simpul wan, wetin na dis AKT?
Assertive Community Treatment, ɔ ACT fɔ shɔt, na wan sɛt fɔ spɛshal tritmɛnt ɛn sɔpɔt savis dɛm we dɛn kin gi to pipul dɛm we gɛt siriɔs mental sik insay di kɔmyuniti usay dɛn de.
Dis nɔ min se yu de na ɔspitul ɔ ɔda say. Bifo dat, wan tim we gɛt spɛshal pipul dɛn we de wok tranga wan fɔ ɛp yu kin kam to yu rayt usay yu de, na yu os ɛn yu kɔmyuniti, ɛn gi yu di savis dɛn we yu nid. I tan lɛk se yu gɛt wan tim we de wok tranga wan fɔ dɔktɔ dɛn we de kia fɔ yu.
Dis tim we gɛt masta sabi pipul dɛn kin gɛt:
- Sayɛnsman dɛn we de stɔdi bɔt pɔsin in maynd
- Di wan dɛn we de mɛn pipul dɛn we gɛt sayɛns
- Soshal woka dɛn
- Dual diagnosis treatment specialists (dat na, di wan dɛm wae de trit pipul dɛm wae gɛt maynd sik ɛn ɔda prɔblɛm dɛm, lɛk fɔ tek sɔm kayn mɛrɛsin) .
- Nɔs dɛn we dɛn dɔn rɛjista
- Di wan dɛn we de oba di kes
Dis tim go bil wan rili tayt padi biznɛs wit yu ɛn gi yu di pasɔnal sɔpɔt we yu nid. De men gol na fɔ ɛp yu fɔ manej yu maynd sik wae yu de mek di envayrɔmɛnt wae yu nid fɔ gɛt sakrifays na yu kɔmyuniti. Dis kin inklud tin dɛn lɛk os, ɛp fɔ fɛn wok, ɛn ivin ɛp fɔ travul.
Wan ɔda pat de pan dis sem sistɛm we dɛn kɔl Fɔrɛns ACT (FACT) . Dɛn mek am spɛshal fɔ pipul dɛn we gɛt siriɔs maynd sik ɛn di wan dɛn we dɔn gɛt prɔblɛm wit di lɔ (e.g., dɛn arɛst, put dɛn na jel). Di wɔd "Fɔrɛns" ya min "we gɛt fɔ du wit di ligal sistɛm."
Udat dis tritmɛnt fayn fɔ?
ACT tritmɛnt na fɔ pipul dɛm wae gɛt siriɔs maynd sik wae de pan denja fɔ dɛn tin ya:
- Bɔrku tɛm na ɔspitul bikɔs ɔf saykayatrik krayse.
- Fɔ gɛt fɔ put an pan lɔ biznɛs .
- Fɔ de pan denja fɔ lɛ pɔsin nɔ gɛt os .
Dis na skizofrenik-imɔshɔnal.Pipul wae de sɔfa wit sik lɛk skizofrenia kin de pan dis. Si di tebul we de dɔŋ ya.
| Ɛgzampul dɛm fɔ di kɔndishɔn dɛm wae de ɔnda di kategori wae gɛt dis sik |
|---|
| 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 |
Apat frɔm dat, ACT tritmɛnt kin fayn bak fɔ pipul dɛm wae gɛt ɔda mɛntɛl hεlth sik, lɛk bipolar disorder ɔr borderline personality disorder.
Aw ACT de wok? Us savis dɛn de?
ACT na tritmɛnt we dɛn kin kɔstɔmayz ɛn we dɛn mek fɔ ɛnibɔdi. Bɔt in jɔnal, in men prinsipul dɛn na:
- Kam na yu os , asɛs di tin we de apin, ɛn gi yu di trenin ɛn sɔpɔt we yu nid.
- Fɔ gɛt wan tim we gɛt masta sabi pipul dɛn we de 24 awa insay di de, 7 dez insay di wik fɔ ɛp we ɛnitin apin we nɔ izi fɔ yu .
- Sɔpɔt yu indipɛndɛns, rihabiliteshɔn ɛn ri-intagreshɔn insay sosayti .
- We yu de disayd bɔt tritmɛnt , tink bɔt wetin yu tink ɛn disayd togɛda.
- Fɔ gi ɔl di savis dɛn na wan ples insay di kɔmyuniti.
Dis tim we gɛt masta sabi pipul dɛn kin du difrɛn difrɛn tin dɛn, i kin dipen pan wetin yu nid ɛn wetin yu want fɔ du. Lɛ wi tek wan luk pan wetin dɛn bi.
| Di kayn savis we dɛn de du | Di sɔpɔt we dɛn bin gɛt |
|---|---|
| Mental wɛlbɔdi tritmɛnt | Medikeshɔn ɛn tɔk tɛrapi (Saykotɛrapi). |
| Tritmɛnt fɔ yuz drɔgs | Tritmɛnt wit spɛshal atɛnshɔn to dual diagnosis. |
| Ɔda wɛlbɔdi prɔblɛm dɛn | Fɔ ɛp fɔ kɔntrol ɔda sik dɛn lɛk dayabitis ɛn ay blɔd prɛshɔn. |
| Sɔpɔt fɔ di famili | Fɔ gi famili ɔndastandin bɔt di sik (saykoedukeshɔn), fɔ fɛn ɛp fɔ kia fɔ pikin dɛn. |
| Faynanshɛl sɔpɔt | Ɛp fɔ aplay fɔ inshɔrans, ɛp fɔ it, ɛn fɔ manej mɔni. |
| Sɔpɔt fɔ liv | Ɛp fɔ gɛt os, wok, ɛp fɔ lan buk, fɔ go bay tin dɛn, ɛn fɔ yuz pɔblik transpɔt savis. |
Di tin we impɔtant pas ɔl na dat, dɛn ACT tim ya kin jɔs tek sɔm pasɛnt dɛn wan tɛm, so dɛn kin gi yu dɛn ful atɛnshɔn .
Yu tink se ACT tritmɛnt rili wok?
Yɛs. Bɔku stɔdi dɛn dɔn sho se ACT tritmɛnt kin rili wok, mɔ pan dɛn tin ya:
- Di ɔspitul we dɛn kin put na ɔspitul kin go dɔŋ.
- Ridyus di tɛm we dɛn kin spɛn na ɔspitul.
- Fɔ mek di kwaliti fɔ layf bɛtɛ.
- Inkris fɔ adherence tritmɛnt.
- Ridyushɔn fɔ ri-intavɛnshɔn ɛn fɔ put pipul dɛn na jel pan ligal tin dɛn (espɛshali na FACT program dɛn).
Aw lɔng dis tritmɛnt kin tek?
Dis nɔto di sem tin fɔ ɔlman. De lɔng tɛm fɔ tritmɛnt go difrɛn difrɛn wan bay wetin yu nid ɛn wetin yu want fɔ du. Bɔt bɔku tɛm na fɔ sɔm mɔnt tritmɛnt. Yu kin nid dis savis pas wan tɛm na yu layf. Yu ACT tim go wok wit yu fɔ plan dis.
Aw a go fɛn ACT program?
I kin tranga fɔ se dɛn ACT program ya de ɔlsay na Sri Lanka, bɔt sɔm gɔvmɛnt ɔ prayvet mental wɛlbɔdi sɛnta dɛn kin du dɛn kayn savis ya we de na di kɔmyuniti.
De tin wae impɔtant pas ɔl na, if yu intres pan dis, ɔr if yu tink se pɔrsin wae yu sabi nid dis kayn ɛp, tɔk to yu saykayatrist ɔr yu famili dɔktɔ. Dɛn kin rifer yu to ples usay yu go gɛt di ɛp we go fayn fɔ yu.
If yu gɛt siriɔs maynd sik, dat kin mek yu nɔ ebul fɔ liv di layf we yu want. We yu fil lɛk se nɔbɔdi nɔ ɔndastand yu, we yu fil se nɔbɔdi nɔ de fɔ go to fɔ ɛp, yu kin fil se yu wangren de. Bɔt mɛmba se, dɛn dɔn pruv se tritmɛnt lɛk ACT kin wok fayn fɔ ɛp pipul dɛn we de gɛt dɛn prɔblɛm ya. Dis tim we gɛt masta sabi pipul dɛn go ɛp yu fɔ kam nia di layf we yu want.
Mɛsej we dɛn kin kɛr go na os
- ACT (Assertive Community Treatment) na spɛshal tritmɛnt we de gi pipul dɛm wae gɛt siriɔs mɛntɛl sik tritmɛnt na di kɔmyuniti usay dɛn de, pas fɔ de na ɔspitul.
- Wan tim fɔ spɛshal pipul dɛm, lɛk saykayatrist dɛm, sayɛnsman dɛm, ɛn soshal woka dɛm, go kam na yu os ɛn gi sɔpɔt.
- De aim na fɔ ɛp yu fɔ manej de sik ɛn ɛp yu bak fɔ gɛt sakrifays na yu layf tru tin dɛm lɛk os ɛn wok.
- Dɛn dɔn pruv se dis we fɔ du tin kin mek pipul dɛn nɔ de na ɔspitul ɛn i kin mek dɛn liv bɛtɛ layf.
- If yu tink se dis tritmɛnt go fayn fɔ yu ɔr pɔrsin wae yu sabi, mek shɔ se yu tɔk to yu dɔktɔ ɔr pɔrsin wae sabi bɔt mɛntɛl hεlth bɔt am.
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