A chang chuan nangmah chauh ang maiin i inhria em? Hetiang rilru natna hi rilru natna khirh tak tuar tu tan chuan a dik hle. Damdawi ina awm fo te, damdawi tam tak ei te, leh social isolation hlauhna te... Heng zawng zawng nen hian nun pangngai nun chu mumang ang maiin a lang thei. "Engvangin nge hetiang hi ka chungah a lo thlen?" I ngaihtuah hun hi chhiar sen loh a awm. Mahse, heng dinhmun harsa tak takah te, anmahni in leh an chenna khawtlang nunah te tanpui thei tur special treatment program a awm tih i hria em? Chu chu Assertive Community Treatment, a tawi zawngin ACT kan tih chu a ni.
A awlsam zawngin, he ACT hi eng nge ni?
ACT hi damdawi in emaw institution dang emaw aiin an chenna khawtlang, chu chu in lamah emaw, hnathawhna hmunah emaw, an chenna hmunah emaw rilru lam natna khirh tak nei te enkawlna leh puihna pekna hmanrua a ni.
Hetiang hian han ngaihtuah teh. I tana inpe, i mamawh bikte enkawltu doctor team tlemte i nei a. Clinic-a anmahni hmu tura lo kal tir che ai chuan he team hian i hnenah an rawn kal a, i awmna hmunah an pui che a ni. Mimal hriselna team ang mai a ni. He team-ah hian field hrang hranga specialist te an tel a ni.
- Psychiatrist: I rilru dinhmun an zirchiang a, damdawi mamawh an pe thin.
- Psychologists: Psychotherapy pe la, i rilru hriselna tihchangtlunna kawngah tanpui rawh.
- Social worker: I khawtlang harsatna, in lama harsatna leh sum leh pai lama harsatna te chinfel dan tur zawng turin an pui che a ni.
- Registered nurse: I taksa hriselna enfiah la, i damdawi i ei tha em tih enfiah rawh.
- Dual diagnosis treatment specialist: A châng chuan rilru lam natna chu ruihhlo emaw zu emaw addiction nen a awm dun thei a. An natna pahnih hi a ruala enkawl turin a bik takin an zirtir a ni.
- Case manager: I enkawlna tur ruahmanna chu an inrualrem a, engkim a kal tha em tih an enfiah thin.
He group thil tum ber chu damdawi pek mai mai a ni lo. Khawtlang nunah hlawhtling leh hlim taka nun theihna tura i mamawh tanpuina zawng zawng pek che a ni. Chutah chuan hna zawnga ṭanpui che te, inchhung hna thawhpui te, leh bus-a khalh thiamna te pawh a tel thei a ni.
A pawimawh ber chu he pawl hian nangmah nen hian inzawmna nghet tak a siam a ni. An thil tum ber pakhat chu nangmah chauh ni lo ang maia inhriat tir hi a ni.
Hemi chungchangah hian thil dang pakhat a awm a , chu chu Forensic Assertive Community Treatment (FACT) a ni.Rilru natna khirh tak avanga man, hren, emaw lung ina tangte tanpui nan a bik takin ruahman a ni.
He ACT enkawlna hi tute tan nge a tha ber?
He enkawlna hi mi zawng zawng tan a ni lo. Rilru natna khirh tak vei theihna sang berte tan bik a siam a ni. Chu chu:
- Rilru lam harsatna nei fo leh damdawi ina awm ngai te tan: Mi thenkhat chu hun engemaw chen chu an dam tha a, mahse damdawi inah dah leh a ngai thin. ACT hian he cycle hi titawp turin a pui thei hle.
- Dan lama harsatna tawkte tan: Hriat loh vanga dan bawhchhiaa inhnamhnawih leh rilru lam natna avanga man an nih te tan.
- In leh lo nei lo emaw, chenna nei lo emaw tan: He system hian chenna nei lo leh tanpui ngai lo dinhmuna dingte tan nasa takin a pui a ni.
ACT hian rilru lam natna khirh tak nei te tan hlawkna a thlen fo thin a, chungte chu a hnuaia mi ang hi a ni:
- Schizophrenia- ang chi natna (Schizophrenia spectrum disorders) . Schizophrenia natna (Schizophrenia) natna a ni Schizotype mize natna (Schizotype personality disorder) a ni
- Delusional disorder a ni Schizophreniform natna (Schizophreniform) natna a ni Schizoaffective natna (Schizoaffective disorder) a ni
- Bipolar Disorder a ni
- Borderline Personality Disorder a ni a, a rilru a buai em em bawk
He natna veitu leh an chhungte chauh hian a nunpui a harsat zia an hria. ACT hi an tan chuan eng ropui tak a ni.
Okay, he ACT program hi engtin nge a thawh?
ACT program hi mi hrang hrangah a inang lo thei a, i mimal mamawh leh nun tum ang zela siam vek a nih avangin. Mahse a tlangpuiin a bulpui ber chu i awmna hmuna i hnena lo kal a, i mamawh danah tanpui che hi a ni.
He group atang hian eng service nge i hmuh theih tih hi han thlir ila. Hei hian he system hi eng nge a tum tih hriatna tha tak a pe ang che.
| Service chi hrang hrang | Support dawn dan sawifiahna awlsam tak |
|---|---|
| Rilru hriselna enkawlna | I mamawh damdawi chu a hun takah i dawng tih kan enfiah a, side effects a awm leh awm loh kan enfiah bawk. I tan hmun remchang takah psychotherapy kan pe bawk. |
| Ruihhlo/zu in enkawlna | Miin rilru lam natna leh ruihhlo hmansualna a neih chuan a pahnih hian enkawl dun a ni. Hei hi dual diagnosis treatment an ti a. |
| Taksa hriselna | Natna dang, zunthlum emaw, thisen sang emaw i neih chuan inenkawlna tur leh Doctor i hmuh theih nan kan pui ang che. |
| Chhungkaw tanpui | I chhungte hnenah i dinhmun (psychoeducation) hriatthiamna kan pe a, an harsatna tawh apiangah kan pui bawk. |
| Nitin nun hnathawh | Sum enkawl dan te, dawr lama thil lei tur te, vantlang lirthei hman te ang chi thilah te an pui thin. |
| In leh hnathawhna hmun | Permanent residence zawng tur, hna zawng tur leh chu hnaa awm reng tur chuan i mamawh tanpuina kan pe che a ni. |
A pawimawh ber chu he ACT team hian vawi khatah damlo tlemte chauh an pawm a ni. Chutianga an tih chhan chu chutah chuan mimal ngaihsakna ber an pe thei che a ni. Emergency i neih pawhin darkar 24 chhungin team atanga mi pakhat i biak theih a ni.
He ACT method hi a hlawk tak tak em?
Awle. Zirna tam takah chuan ACT hi enkawlna tha tak a ni tih hmuhchhuah a ni. A bik takin, a hnuaia result te hi a thlen theih nan a pui thin:
- Damdawi ina dah tlem: ACT enkawlna dawngtu te chu damdawi ina enkawl nawn leh an tlem hle.
- Damdawi ina awm tlem: Engti kawng emawa damdawi ina awm a ngai a nih pawhin damdawi ina i awm ni zat chu a tlem phah dawn a ni.
- Nunphung tihpun: Mi dangte ang bawka mahni awmna hmuna awm theihna hian nun lungawina leh hlimna a tipung a ni.
- Enkawlna zawm tam: Team-in an check in reng avangin damdawi ei hun taka ei leh clinic-a kal ang chi thilte chu a tlachham lo.
- Dan lama harsatna tihziaawmna: Man leh lung ina tantir leh tihtlem a ni a, a bik takin FACT programme hmangin.
A awlsam zawngin sawi ila, ACT hi symptoms control mai mai a ni lo. Damlo chu khawtlang nunah mimal hlu tak, mahni inrintawkna nei anga nun theihna tura an mamawh hmanrua pek hi a ni.
ACT enkawlna hian eng chen nge a daih? Sri Lanka ramah engtin nge ka hmuh theih ang?
He enkawlna hi eng chen nge a mamawh tih hi mi hrang hrangah a inang lo. I mamawh leh i nun tumnaah a innghat vek a ni. Thla engemaw zat a ni thei a, a rei zawk pawh a ni thei. Tin, i nunah hun hrang hrangah hetiang puihna hi i mamawh leh thei bawk. Chu zawng zawng chu nang leh i ACT team te hian in rel vek a ni.
Tuna zawhna pawimawh ber chu, Sri Lanka-ah hian hetiang programme hi a awm em, engtin nge kan hmuh ang?
Dik tak chuan "Assertive Community Treatment (ACT)" tih programme hi khawthlang ramte angin Sri Lanka-ah hian a awm lo. Mahse, chutiang service chu Sri Lanka-ah hian a awm lo tihna erawh a ni lo.
Nangmah emaw, i hriat tu emaw chuan hetiang ang puihna nasa tak hi a mamawh a nih chuan, a tha ber chu i doctor , a bik takin rilru lam doctor nen he thu hi zalen taka sawipui hi a ni.
I zawt thei ang:
"Doctor, kei/ka hmangaih tak hi damdawi inah kan awm fo a ngai a. In lama nun pangngaia nun chu a harsa khawp mai. Ka inah lo kal thei, nitin nunah tanpui thei tur, leh enkawlna tur ngaihtuah thei tur health service emaw program emaw a awm em?"
A châng chuan sorkar damdawi inah mental health unit kaltlangin Community Mental Health Services kalpui a awm thei bawk. An kaltlangin i inah nurse leh social worker lo kal an awm thei. Tin, private institution thenkhat chuan chutiang service chu an pe thei bawk. A pawimawh ber chu hlauhna leh zak lova doctor hnenah he thu hi zawt la.
Rilru natna khirh tak nena khawsak hi thil awlsam a ni lo. Thlipui tleh kara mahni chauha lawng khalh ang mai a ni thei. Mahse, nangmah chauh i ni lo tih hre reng ang che. ACT ang enkawlna hian tunah chuan damdawi lam chu a natna lan chhuah dan chauh enkawl a\angin mi pum enkawl leh nun \ha zawka nunpui tura puih a ni ta tih a tarlang.
Take-Home Thuchah a ni
- Assertive Community Treatment (ACT) hi rilru lam natna khirh tak nei te chu damdawi inah ni lovin, an awmna khawtlangah, specialist team te puihnaa enkawl dan a ni.
- Hetah hian thil tum ber chu damdawi pek mai ni lovin, nun kawng dang, hnathawhna, in leh lo, leh sum leh pai enkawl danah te tanpui a, miten mahni inrintawkna neia nunpui tura tanpui hi a ni.
- Research atanga a lan dan chuan he method hian damdawi ina dah a tihtlem bakah nunphung a ti tha hle.
- Sri Lanka ramah hian he hming pu programme hi a awm lo nain, khawtlang tana rawngbawlna ang chi te hriat duh chuan i rilru lam doctor emaw doctor emaw nen inbiakna neihpui ngei ang che. Ṭanpuina dil hreh ngai suh.
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