Oluusi okubeera n’obulwadde obw’amaanyi obw’omutwe kiwulira ng’omugugu munene nnyo, si bwe kiri? Bulijjo okubeera mu ddwaaliro, obutasobola kukola mulimu gwo, okuwulira ng’ogobwa mu bantu... Bino byonna bikuleetera okuwulira ng’oli wekka nnyo. Waliwo emirundi egitabalika gy’owulira nga ‘tewali antegeera.’ Naye waliwo obujjanjabi obw’enjawulo obuleeteddwa okuyamba abantu nga bano, okubagatta mu bantu, n’okubayamba okubeera n’obulamu obwa bulijjo. Ekyo kye twogerako leero.
Mu ngeri ennyangu, kino ACT kye ki?
Assertive Community Treatment, oba ACT mu bufunze, ye nsengeka y‟obujjanjabi obw‟enjawulo n‟obuyambi obuweebwa abantu abalina endwadde z‟obwongo ez‟amaanyi mu kitundu gye babeera.
Kino tekitegeeza nti osibirwa mu ddwaaliro oba mu kifo ekirala. Wabula, ttiimu y’abakugu abeewaddeyo okukuyamba ejja gy’oli wennyini, mu maka go ne mu kitundu kyo, era n’ekuwa obuweereza bwe weetaaga. Kiringa okuba ne ttiimu y’abasawo eyeewaddeyo abakulabirira.
Ttiimu eno ey’abakugu mu bujjuvu erimu:
- Abakugu mu by’empisa
- Abasawo b’eby’omutwe
- Abakola ku nsonga z’abantu
- Abakugu mu bujjanjabi obw’emirundi ebiri (kwe kugamba, abo abajjanjaba abantu abalina obulwadde bw’obwongo awamu n’ebizibu ebirala, gamba ng’okukozesa ebiragalalagala) .
- Ba nurse abawandiisiddwa
- Abaddukanya emisango
Ttiimu eno ejja kuzimba enkolagana ey’oku lusegere ennyo naawe era ekuwe obuyambi obw’obuntu bwe weetaaga. Ebigendererwa ebikulu kwe kukuyamba okuddukanya obulwadde bwo obw’omutwe ate ng’okola embeera gy’olina okusobola okutuuka ku buwanguzi mu kitundu kyo. Kino kiyinza okuzingiramu ebintu ng’amayumba, okuyamba mu kunoonya omulimu, n’okuyamba n’okutambula.
Waliwo ekitundu ekirala eky’enkola eno y’emu ekiyitibwa Forensic ACT (FACT) . Kikoleddwa nnyo eri abantu abalina obulwadde obw’amaanyi obw’omutwe n’abo ababadde mu buzibu n’amateeka (e.g., abakwatibwa, abasibe). Ekigambo "Forensic" wano kitegeeza "ekikwatagana n'enkola y'amateeka."
Obujjanjabi buno businga kugwanira ani?
Obujjanjabi bwa ACT butegekeddwa nnyo eri abantu abali mu bulabe bw’embeera zino wammanga olw’obulwadde obw’amaanyi obw’omutwe:
- Okujjanjabibwa ennyo mu ddwaaliro olw’ebizibu by’eby’omutwe.
- Okubeera n'okuyingira mu nsonga z'amateeka .
- Okubeera mu bulabe bw'obutaba na maka .
Kino kibeera kya schizophrenic-emotional.Abantu abatawaanyizibwa embeera nga schizophrenia bayinza okuzingirwamu. Laba ekipande wansi.
| Eby’okulabirako by’embeera ezigwa mu kiti ky’obulwadde bw’okutabuka emitwe |
|---|
| 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). |
Okugatta ku ekyo, obujjanjabi bwa ACT era buyinza okuba obw’omugaso eri abantu abalina embeera endala ez’obulamu bw’obwongo, gamba ng’obuzibu bw’okuwuguka oba obuzibu bw’obuntu obw’ensalo.
ACT ekola etya? Mpeereza ki eziriwo?
ACT bujjanjabi obusobola okulongoosebwamu nga buli muntu yenna. Naye okutwalira awamu, emisingi gyayo emikulu gye gino:
- Jjangu mu maka go , weekenneenye embeera, era owe okutendekebwa n’obuyambi obwetaagisa.
- Okubeera ne ttiimu y’abakugu nga baliwo essaawa 24 buli lunaku, ennaku 7 mu wiiki okuyamba mu mbeera ey’amangu .
- Okuwagira obwetwaze bwo, okuddaabiriza n'okuddamu okuyingira mu bantu .
- Bw’oba osalawo ku bujjanjabi , lowooza ku ndowooza zammwe era musalewo wamu.
- Okuwa obuweereza bwonna mu kifo kimu mu kitundu.
Okusinziira ku byetaago byo n’ebiruubirirwa byo, ttiimu eno ey’abakugu ekola emirimu egy’enjawulo. Ka tulabe kiki kye bali.
| Ekika ky’empeereza | Obuwagizi obufunibwa |
|---|---|
| Obujjanjabi bw’obulamu bw’obwongo | Eddagala n’obujjanjabi bw’okwogera (Psychotherapy). |
| Obujjanjabi bw’okukozesa ebiragalalagala | Obujjanjabi nga tufaayo nnyo ku kuzuula obulwadde bubiri. |
| Ebizibu ebirala eby’obulamu | Okuyamba okuddukanya endwadde endala nga sukaali ne puleesa. |
| Obuwagizi eri amaka | Okuwa amaka okutegeera obulwadde (psychoeducation), okunoonya obuyambi mu kulabirira abaana. |
| Obuwagizi bw’ensimbi | Yamba mu kusaba yinsuwa, obuyambi bw’emmere, n’okuddukanya ssente. |
| Okuwagira eby’okweyimirizaawo | Obuyambi mu by’amayumba, emirimu, obuyambi mu by’enjigiriza, okugula ebintu, n’okukozesa empeereza y’entambula ey’olukale. |
Ekisinga obukulu, ttiimu zino eza ACT zikkiriza abalwadde abatonotono bokka omulundi gumu, basobole okukuwa okufaayo kwabwe mu bujjuvu .
Ddala obujjanjabi bwa ACT bukola?
Yee. Okunoonyereza kungi kulaga nti obujjanjabi bwa ACT bukola nnyo naddala mu bintu bino wammanga:
- Okukendeera kw’abalwadde abajjanjabirwa mu malwaliro.
- Okukendeeza ku budde bw’amala mu ddwaaliro.
- Okutumbula omutindo gw’obulamu.
- Okwongera okunywerera ku bujjanjabi.
- Okukendeeza ku kuddamu okuyingira mu nsonga n’okusibwa mu nsonga z’amateeka (naddala mu pulogulaamu za FACT).
Obujjanjabi buno butwala bbanga ki?
Kino si kye kimu eri buli muntu. Obuwanvu bw’obujjanjabi bujja kwawukana okusinziira ku byetaago byo n’ebiruubirirwa byo. Naye ebiseera ebisinga buba bujjanjabi bwa myezi mitono. Oyinza okwetaaga obuweereza buno emirundi egisukka mu gumu mu bulamu bwo. Ttiimu yo eya ACT ejja kukolagana naawe okuteekateeka kino.
Nfuna ntya pulogulaamu ya ACT?
Kiyinza okuba ekizibu okugamba nti enteekateeka zino eza ACT zisangibwa buli wamu mu Sri Lanka, naye ebifo ebimu ebya gavumenti oba eby’obwannannyini eby’obulamu bw’obwongo biyinza okuddukanya empeereza ez’ekika kino ezesigamiziddwa ku bantu.
Ekisinga obukulu kiri nti, bw’oba oyagala kino, oba bw’oba olowooza nti omuntu gw’omanyi yeetaaga obuyambi obw’ekika kino, yogerako n’omusawo w’eby’omutwe oba omusawo w’amaka go. Bayinza okukusindika mu kifo w’osobola okufuna obuyambi obusinga okukusaanira.
Okubeera n’obulwadde obw’amaanyi obw’omutwe kiyinza okukulemesa ennyo okubeera mu bulamu bw’oyagala. Bw’owulira nga tewali akutegeera, bw’owulira nga tewali muntu yenna gw’oyinza kuddukira kusaba buyambi, osobola okuwulira ng’oli wekka nnyo. Naye jjukira nti obujjanjabi nga ACT bukakasiddwa nti bukola bulungi mu kuyamba abantu aboolekedde okusoomoozebwa kuno. Ttiimu eno ey’abakugu ejja kukuyamba okusemberera obulamu bw’oyagala.
Obubaka Obutwala Awaka
- ACT (Assertive Community Treatment) nkola ya bujjanjabi ey’enjawulo egaba abantu abalina endwadde z’obwongo ez’amaanyi obujjanjabi mu kitundu gye babeera, okusinga mu ddwaaliro.
- Ttiimu y’abakugu, omuli abasawo b’eby’omutwe, abakugu mu by’empisa, n’abakola ku nsonga z’abantu, bajja kujja mu maka go ne bakuwa obuyambi.
- Ekigendererwa kwe kukuyamba okuddukanya obulwadde buno ate nga n’okukuyamba okutuuka ku buwanguzi mu bulamu bwo ng’oyita mu bintu ng’amayumba n’emirimu.
- Enkola eno ekakasiddwa nti ekendeeza ku kujjanjabibwa mu malwaliro n’okutumbula omutindo gw’obulamu.
- Bw’oba olowooza nti obujjanjabi buno buyinza okukusaanira oba omuntu gw’omanyi, kakasa nti oyogera n’omusawo wo oba omukugu mu by’obulamu bw’obwongo ku nsonga eno.
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