Oluusi owulira ng’oli wekka? Enneewulira eno ebeera nnyo naddala eri omuntu alwanagana n’obulwadde obw’amaanyi obw’omutwe. Okutera okujjanjabibwa mu ddwaaliro, okumira eddagala eringi, n’okutya okwekutula ku bantu... Nga bino byonna bibaawo, okubeera n’obulamu obwa bulijjo kiyinza okulabika ng’ekirooto. "Lwaki kino kintuukako?" Waliwo emirundi egitabalika gy’obuuza. Naye obadde okimanyi nti waliwo enteekateeka ey’enjawulo ey’obujjanjabi eyamba abantu abalina embeera zino ezisomooza, mu maka gaabwe ne mu kitundu mwe babeera? Ekyo kye tuyita Assertive Community Treatment, oba ACT mu bufunze.
Mu ngeri ennyangu, kino ACT kye ki?
ACT nkola egaba obujjanjabi n‟obuyambi eri abantu abalina endwadde z‟obwongo ez‟amaanyi mu kitundu gye babeera, kwe kugamba, awaka, ku mulimu, oba mu mbeera gye babeera, okusinga mu ddwaaliro oba mu kitongole ekirala.
Kilowoozeeko bw’otyo. Olina ttiimu entono ey’abasawo abeewaddeyo gy’oli, nga balabirira ebyetaago byo ebitongole. Mu kifo ky’okukujja mu ddwaaliro okubalaba, ttiimu eno ejja gy’oli n’ekuyamba w’oli. Kiringa ttiimu y'ebyobulamu ey'obuntu. Ttiimu eno erimu abakugu mu bintu eby’enjawulo.
- Abasawo b’eby’omutwe: Bakebera embeera y’obwongo bwo ne bakuwa eddagala eryetaagisa.
- Abakugu mu by’empisa: Muwe obujjanjabi bw’eby’omutwe era muyambe okutumbula obulamu bwo obw’omutwe.
- Abakola ku nsonga z‟abantu: Bakuyamba okufuna eby‟okugonjoola ebizibu byo mu mbeera z‟abantu, gamba ng‟ebizibu by‟amayumba n‟ebizibu by‟ebyenfuna.
- Ba nurse abawandiisiddwa: Kebera obulamu bwo obw’omubiri era okakasizza nti eddagala lyo omira bulungi.
- Abakugu mu kujjanjaba obulwadde bubiri: Oluusi obulwadde bw’obwongo busobola okubeera awamu n’omuze gw’okukozesa ebiragalalagala oba omwenge. Batendekeddwa mu ngeri ey’enjawulo okujjanjaba embeera zombi mu kiseera kye kimu.
- Abaddukanya emisango: Bakwasaganya enteekateeka yo ey’obujjanjabi era bakakasa nti buli kimu kitambula bulungi.
Ekigendererwa ekikulu eky’ekibiina kino si kukuwa ddagala lyokka. Kwe kukuwa obuwagizi bwonna bwe weetaaga okusobola okubeera obulungi n’essanyu mu bantu. Kino kiyinza okuzingiramu okukuyamba okufuna omulimu, okuyamba ku mirimu gy’awaka, n’okukumanyiira okutambulira mu bbaasi.
Ekisinga obukulu, ekibiina kino kizimba enkolagana ey’oku lusegere ennyo naawe. Ekimu ku bigendererwa byabwe ebikulu kwe kukuleetera okuwulira ng’oli wekka.
Waliwo ensonga endala ku kino , Forensic Assertive Community Treatment (FACT).Kikoleddwa mu ngeri ey’enjawulo okuyamba abantu abakwatiddwa, abasibiddwa, oba abasibiddwa olw’endwadde z’obwongo ez’amaanyi.
Obujjanjabi buno obwa ACT bwe businga okusaanira?
Obujjanjabi buno si bwa buli muntu. Kikoleddwa nnyo eri abo abali mu bulabe obw’amaanyi obw’okulwala obulwadde obw’amaanyi obw’omutwe. Ekyo kili:
- Ku abo abatera okufuna ebizibu by’obwongo era nga beetaaga okuweebwa ekitanda: Waliwo abantu abamu abawulira obulungi okumala akaseera, kyokka oluvannyuma ne baddamu okuweebwa ekitanda. ACT esobola okuyamba nnyo mu kumenya enzirukanya eno.
- Ku abo aboolekedde ensonga z’amateeka: Eri abo abenyigira mu bikolwa ebimenya amateeka mu butamanya ne bakwatibwa olw’obulwadde bw’obwongo.
- Ku abo abatalina mwasirizi oba abali mu bulabe bw’obutaba na maka: Enkola eno eyamba nnyo abo abatalina mwasirizi era abali mu mbeera etaliimu buyambi.
ACT etera okuganyula abantu abalina endwadde ez’amaanyi ez’obwongo, gamba nga zino wammanga:
- Embeera eziringa ez‟obulwadde bw‟ okwewuunya (Schizophrenia spectrum disorders) . Obulwadde bw’okutabuka emitwe Obuzibu bw’obuntu obuyitibwa Schizotypal personality disorder
- Obuzibu bw’okulowooza (delusional disorder). Obuzibu bw’okutabuka emitwe Obuzibu bw’okutabuka emitwe (Schizoaffective disorder).
- Obuzibu bw’okuwuguka
- Obuzibu bw’Omuntu ku nsalo
Omuntu alina obulwadde buno n’ab’omu maka ge bokka be bamanyi engeri gye kizibu okubeera nabwo. ACT kitangaala kinene gye bali.
Okay, program eno eya ACT ekola etya?
Enteekateeka ya ACT esobola okwawukana okusinziira ku muntu, kubanga etuukira ddala ku byetaago byo ssekinnoomu n’ebiruubirirwa byo mu bulamu. Naye okutwaliza awamu, omusingi gwakyo kwe kujja gy’oli w’oli n’okukuyamba mu ngeri gy’okyetaaga.
Katutunuulire empeereza ki gy'osobola okufuna okuva mu kibiina kino. Kino kijja kukuwa endowooza ennungi ku nkola eno ky’ekola.
| Ekika ky’empeereza | Ennyinyonnyola ennyangu ku buwagizi obufunibwa |
|---|---|
| Obujjanjabi bw’obulamu bw’obwongo | Tukakasa nti ofuna eddagala lye weetaaga mu budde era ne tukebera oba temuli buzibu. Tukuwa n’obujjanjabi bw’eby’omwoyo mu kifo ekirungi gy’oli. |
| Obujjanjabi bw’eddagala/omwenge | Omuntu bw’aba n’obulwadde bw’obwongo n’ekizibu ky’okukozesa ebiragalalagala, embeera zombi zijjanjabibwa wamu. Kino kiyitibwa obujjanjabi obw’okuzuula obulwadde emirundi ebiri. |
| Obulamu bw’omubiri | Bw’oba olina endwadde endala nga sukaali oba puleesa, tujja kukuyamba okufuna obujjanjabi n’olaba omusawo. |
| Obuwagizi eri amaka | Tuwa famire yo okutegeera embeera yo (psychoeducation) era tubayamba ku nsonga zonna ze bayinza okuba nga boolekedde. |
| Omulimu gw’obulamu obwa bulijjo | Bayamba ku bintu ng’okuddukanya ssente, okugenda mu dduuka okunona eby’okulya, n’okukozesa entambula ey’olukale. |
| Amayumba n’emirimu | Tukuwa obuyambi bwe weetaaga okufuna obutuuze obw’enkalakkalira, okufuna omulimu, n’okusigala mu mulimu ogwo. |
Ekisinga obukulu kiri nti ttiimu eno eya ACT ekkiriza abalwadde abatono ennyo omulundi gumu. Ensonga lwaki kino kiri bwe kityo eri nti olwo basobola okukuwa okufaayo okusinga ku muntu ku bubwe. Ne bw’oba olina embeera ey’amangu, osobola okwogera n’omuntu okuva mu ttiimu eno essaawa 24 buli lunaku.
Ddala enkola eno eya ACT ekola bulungi?
Yee. Okunoonyereza kungi kulaga nti ACT bujjanjabi bukola nnyo. Okusingira ddala, kiyamba okutuuka ku bivaamu bino wammanga:
- Okukendeera kw’okuweebwa ebitanda mu malwaliro: Abantu abafuna obujjanjabi bwa ACT baba n’omuwendo gw’abalwadde abaddibwamu mu malwaliro gukendedde nnyo.
- Okukendeeza ku kusula mu ddwaaliro: Ne bw’oba olina okuweebwa ekitanda mu ddwaaliro mu ngeri emu oba endala, ennaku z’omala mu ddwaaliro zijja kukendeera.
- Okwongera ku mutindo gw’obulamu: Okusobola okubeera mu mbeera gy’alimu, okufaananako n’abalala, kyongera okumatizibwa n’essanyu mu bulamu.
- Okwongera okugoberera obujjanjabi: Olw’okuba ttiimu buli kiseera ekebera, ebintu ng’okumira eddagala mu budde n’okugenda mu malwaliro tebisubwa.
- Ebizibu by’amateeka ebikendedde: Okuddamu okukwatibwa n’okusibwa bikendedde naddala nga bayita mu nteekateeka za FACT.
Mu ngeri ennyangu, ACT si kufuga bubonero bwokka. Kikwata ku kuwa omulwadde ebikozesebwa bye yeetaaga okubeera ng’omuntu ow’omuwendo, eyeetongodde mu bantu.
Obujjanjabi bwa ACT butwala bbanga ki? Nnyinza ntya okugisanga mu Sri Lanka?
Ebbanga obujjanjabi buno bwe lyetaagisa lyawukana okusinziira ku muntu. Kisinziira ddala ku byetaago byo n’ebiruubirirwa byo eby’obulamu. Kiyinza okumala emyezi mitono, oba okusingawo. Ate era, oyinza okuddamu okwetaaga obuyambi obw’ekika kino mu biseera eby’enjawulo mu bulamu bwo. Ebyo byonna musalwawo ggwe ne ttiimu yo eya ACT nga muli wamu.
Ekibuuzo ekisinga obukulu kati kiri nti, waliwo pulogulaamu nga zino mu Sri Lanka, era tuzisanga tutya?
Mu butuufu, pulogulaamu eziyitibwa "Assertive Community Treatment (ACT)" tezitera kubaawo mu Sri Lanka nga bwe ziri mu mawanga g'amawanga g'obugwanjuba. Kyokka ekyo tekitegeeza nti empeereza ng’ezo teziriiwo n’akatono mu Sri Lanka.
Bw’oba ggwe oba omuntu gw’omanyi yeetaaga obuwagizi obw’amaanyi obw’ekika kino, ekisinga obulungi kwe kwogera mu lwatu ku nsonga eno n’omusawo wo , naddala omusawo w’eby’omutwe .
Osobola okubuuza nti:
"Omusawo, nze/omwagalwa wange nnina okuweebwa ekitanda emirundi mingi. Kizibu okubeera n'obulamu obwa bulijjo awaka. Waliwo empeereza oba pulogulaamu y'ebyobulamu eyinza okujja mu maka gange, okuyamba mu bulamu obwa bulijjo, n'okutunuulira obujjanjabi?"
Oluusi wayinza okubaawo Community Mental Health Services ezikola nga ziyita mu bitongole by’obulamu bw’obwongo mu malwaliro ga gavumenti. Wayinza okubaawo ba nurse n’abakola ku nsonga z’abantu abajja mu maka go nga bayita mu bo. Ate era, ebitongole by’obwannannyini ebimu biyinza okuwa obuweereza obwo. Ekisinga obukulu kwe kubuuza omusawo wo ku nsonga eno nga tolina kutya wadde okuswala.
Okubeera n’obulwadde obw’amaanyi obw’omutwe si kyangu. Kiyinza okuba ng’okuvuba wekka mu kibuyaga. Naye jjukira nti toli wekka. Obujjanjabi nga ACT bulaga nti kati eddagala liva ku kujjanjaba obubonero bwokka okudda ku kujjanjaba omuntu yenna n’okumuyamba okubeera n’obulamu obulungi.
Obubaka Obutwala Awaka
- Assertive Community Treatment (ACT) nkola ya kujjanjaba bantu abalina endwadde ez’amaanyi ez’obwongo, si mu ddwaaliro, wabula mu kitundu mwe babeera, nga bawagirwa ttiimu y’abakugu.
- Ekigendererwa wano si kuwa ddagala lyokka, wabula n’okuyamba mu bintu ebirala eby’obulamu, gamba ng’emirimu, amayumba, n’enzirukanya y’ensimbi, n’okuyamba abantu okubeera n’obulamu obw’okwetongola.
- Okunoonyereza kulaga nti enkola eno ekendeeza ku kujjanjabibwa mu malwaliro n’okutumbula omutindo gw’obulamu.
- Wadde nga pulogulaamu z’erinnya lino tezitera kubaawo mu Sri Lanka, kakasa nti oyogera n’omusawo wo ow’eby’omutwe oba omusawo okuyiga ku mpeereza ezifaananako bwe zityo ezikolebwa mu kitundu. Tolonzalonza kusaba buyambi.
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