Kei te whakaaro koe kei te mokemoke koe i ētahi wā? He pono rawa tēnei kare ā-roto mō te tangata e raru ana i te mate hinengaro nui. Ko te maha o ngā whakaurunga ki te hōhipera, te maha o ngā rongoā, me te wehi kei noho mokemoke koe... I runga i ēnei mea katoa, ka rite te noho noa ki te moemoeā. "He aha ahau i pēnei ai?" He maha ngā wā ka whakaaro koe. Engari i mōhio koe he kaupapa maimoatanga motuhake kei reira hei āwhina i te hunga e pāngia ana e ēnei āhuatanga uaua, i roto i ō rātou ake kāinga me te hapori e noho ana rātou? Koinei te mea e kiia nei e mātou ko te Maimoatanga Hapori Whakaū, ko te ACT rānei hei whakarapopototanga.
He kupu ngāwari noa iho, he aha tēnei ACT?
He tikanga a ACT e whakarato ana i te maimoatanga me te tautoko ki te hunga whai mate hinengaro kino i roto i te hapori e noho ana rātou, arā, i te kāinga, i te mahi, i te taiao rānei e noho ana rātou, kaua i roto i te hōhipera, i tētahi atu whare wānanga rānei.
Whakaarohia pēnei. He iti noa iho tō rōpū tākuta e aro nui ana ki a koe, e tiaki ana i ō hiahia. Engari ko te haere mai i tētahi whare hauora ki te kite i a rātou, ka haere mai tēnei rōpū ki a koe, ka āwhina i a koe i tō wāhi kei reira koe. He rite ki tētahi rōpū hauora whaiaro. Kei roto i tēnei rōpū ngā tohunga i roto i ngā momo mara.
- Ngā Tākuta Hinengaro: Ka aromatawaihia e rātou tō āhua hinengaro, ā, ka tohua hoki te rongoā e tika ana.
- Ngā Kaimātai Hinengaro: Hoatu he rongoā hinengaro, hei āwhina i te whakapai ake i tō hauora hinengaro.
- Ngā kaimahi hapori: Āwhina i a koe ki te kimi otinga mō ō raruraru pāpori, pēnei i ngā raruraru whare me ngā raruraru ōhanga.
- Ngā nēhi rēhita: Tirohia tō hauora tinana, kia tika hoki te tango i ō rongoā.
- Ngā tohunga maimoatanga tātaritanga takirua: I ētahi wā ka taea e te mate hinengaro te noho tahi me te waranga tarukino, waipiro rānei. He mea whakangungu motuhake rātou ki te rongoā i ngā āhuatanga e rua i te wā kotahi.
- Ngā kaiwhakahaere take: Mā rātou tō mahere maimoatanga e whakarite, e whakarite hoki kei te pai te haere o ngā mea katoa.
Ehara i te mea ko te hoatu rongoā anake te whāinga matua o tēnei rōpū. Engari ko te whakarato i ngā tautoko katoa e hiahiatia ana e koe kia ora angitu ai, kia harikoa ai hoki koe i roto i te hapori. Kei roto pea i tēnei ko te āwhina i a koe ki te kimi mahi, te āwhina i ngā mahi o te whare, me te whakamātau i a koe ki te eke pahi.
Ko te mea nui, ka hangaia e tēnei rōpū he whanaungatanga tino tata ki a koe. Ko tētahi o ā rātou whāinga matua he mea kia rongo koe kāore koe i te mokemoke.
Tērā tētahi atu āhuatanga o tēnei , arā, ko te Maimoatanga Hapori Whakahē Tūpāpaku (FACT).He mea hanga motuhake tēnei hei āwhina i te hunga kua hopukina, kua mauheretia, kua mauheretia rānei nā te mate hinengaro kino.
Mā wai tēnei maimoatanga ACT e tino tika?
Ehara tēnei maimoatanga i te mea mā te katoa. He mea hanga motuhake mō te hunga e tino mōrearea ana ki te mate hinengaro kino. Arā:
- Mō te hunga e pāngia ana e ngā raruraru hauora hinengaro maha, ā, me kawe ki te hōhipera: Tērā ētahi tāngata e pai ake ana te āhua mō tētahi wā, engari me kawe anō ki te hōhipera. He āwhina nui te ACT ki te wawahi i tēnei huringa.
- Mō te hunga e pāngia ana e ngā take ture: Mō te hunga e uru ana ki ngā mahi ture kore, ā, ka hopukina nā te mate hinengaro.
- Mō te hunga kāinga kore, mō te hunga rānei e tūpono ana ki te kore kāinga: He tino āwhina tēnei pūnaha mō te hunga kāinga kore, me te hunga e noho pōrearea ana.
He maha ngā wā ka whai hua a ACT ki te hunga e pāngia ana e ngā mate hinengaro kino, pērā i ēnei e whai ake nei:
- Ngā āhuatanga rite ki te schizophrenia (ngā mate schizophrenia spectrum disorders) Te mate hinengaro Mate tuakiri schizotypal
- Mate pōrangi Mate hinengaro- kore Mate hinengaro-ā-hinengaro
- Mate Pūrua
- Mate Tūākiri Rohe
Ko te tangata e pāngia ana e tēnei mate me tōna whānau anake e mōhio ana ki te uaua o te noho tahi me tēnei mate. He māramatanga nui a ACT mō rātou.
Āe, me pēhea te mahi a tēnei kaupapa ACT?
Ka rerekē pea te kaupapa ACT i ia tangata, i ia tangata, nā te mea he mea whakarite katoa kia rite ki ō hiahia me ō whāinga oranga. Engari i te nuinga o te wā, ko te kaupapa matua ko te haere mai ki a koe i tō wāhi noho me te āwhina i a koe i te huarahi e hiahiatia ana e koe.
Me titiro tātou ki ngā ratonga ka taea e koe te tiki mai i tēnei rōpū. Mā tēnei ka hoatu he whakaaro pai ki a koe mō te kaupapa o tēnei pūnaha.
| Momo ratonga | He whakamārama māmā mō te tautoko i whiwhihia |
|---|---|
| Te maimoatanga hauora hinengaro | Ka whakarite mātou kia whiwhi koe i te rongoā e hiahiatia ana e koe i te wā tika, ā, ka tirohia hoki mēnā he pānga taha. Ka whakaratohia hoki e mātou he rongoā hinengaro ki tētahi wāhi e pai ana mōu. |
| Te maimoatanga tarukino/waipiro | Mena he mate hinengaro tō te tangata, he raruraru whakamahi matū rānei, ka rongoatia ngātahitia ngā āhuatanga e rua. Ka kiia tēnei he maimoatanga tātaritanga takirua. |
| Hauora tinana | Mena kei a koe ētahi atu mate pēnei i te mate huka, te toto toto tiketike rānei, ka āwhina mātou i a koe ki te whiwhi maimoatanga me te kite i tētahi tākuta. |
| Tautoko mō te whānau | Ka whakaratohia e mātou he māramatanga ki tō whānau mō tō āhua (mātauranga hinengaro) ā, ka āwhina i a rātou ki ngā raruraru e pā ana ki a rātou. |
| Ngā mahi o ia rā | Ka āwhina rātou ki ngā mea pēnei i te whakahaere moni, te haere ki te toa ki te tiki kai, me te whakamahi i ngā waka a te iwi. |
| Whare noho me ngā mahi | Ka tautoko mātou i a koe kia kitea ai he wāhi noho tuturu, kia kitea ai he mahi, kia mau tonu ai ki taua mahi. |
Ko te mea nui ko te iti o ngā tūroro e whakaaetia ana e tēnei tīma ACT i te wā kotahi. Ko te take o tēnei, kia taea ai e rātou te tuku atu i te aro nui ki a koe. Ahakoa he āhuatanga ohorere tāu, ka taea e koe te kōrero ki tētahi o te tīma i ngā hāora 24 o te rā.
He tino whai hua tēnei tikanga ACT?
Āe. He maha ngā rangahau kua whakaatu he tino whai hua te ACT. Ina koa, ka āwhina i te whakatutuki i ngā hua e whai ake nei:
- Te whakaiti i te whakaurunga ki te hōhipera: Ko te hunga e whiwhi ana i te maimoatanga ACT he tino whakaiti i te maha o ngā whakaurunga anō ki te hōhipera.
- Te whakaiti i te noho hōhipera: Ahakoa me noho koe ki te hōhipera i tētahi ara, ka whakaitihia te maha o ngā rā e noho ana koe i te hōhipera.
- Te kounga o te oranga kua piki ake: Mā te āheinga ki te noho i roto i tōna ake taiao, pērā i ētahi atu, ka piki ake te ngākau māhaki me te harikoa ki te ao.
- Te whakanui ake i te ngohengohe ki ngā whakaritenga maimoatanga: Nā te mea kei te tirotirohia tonutia e te tīma, kāore e mahue ngā mahi pēnei i te tango rongoā i te wā tika me te haere ki ngā wāhi rongoā.
- Te whakaiti i ngā raruraru ture: Kua whakaitihia ngā hopukanga anō me ngā mauheretanga, inā koa mā roto i ngā kaupapa FACT.
Ki te kī māmā noa, ehara i te mea ko te whakahaere i ngā tohumate anake te kaupapa o te ACT. Engari ko te hoatu ki te tūroro ngā taputapu e hiahiatia ana e rātou hei oranga mō rātou anō, hei tangata motuhake hoki i roto i te hapori.
Kia pēhea te roa o te maimoatanga ACT? Me pēhea te kimi i tēnei i Sri Lanka?
He rerekē te roa o te wā e hiahiatia ana tēnei maimoatanga i ia tangata, i ia tangata. Kei runga i ō hiahia me ō whāinga oranga. Tērā pea he torutoru marama, he roa ake rānei. Waihoki, tera pea ka hiahia anō koe ki tēnei momo tautoko i ngā wā rerekē o tō oranga. Nāu me tō rōpū ACT katoa tēnei e whakatau.
Ko te pātai nui rawa atu ināianei, kei reira ngā kaupapa pēnei i Sri Lanka, ā, me pēhea tātou e kimi ai i a rātou?
Ki te pono, kāore ngā kaupapa e kiia nei ko te "Assertive Community Treatment (ACT)" i te tino noa i Sri Lanka pērā i ngā whenua o te Hauāuru. Heoi, ehara i te mea kāore he ratonga pēnei i Sri Lanka.
Mena kei te hiahia koe, tetahi atu rānei e mōhio ana koe ki tēnei momo tautoko kaha, ko te mea pai ko te kōrero māhorahora mō tēnei mea ki tō tākuta , inā koa he tohunga hinengaro .
Ka taea e koe te pātai:
"E te tākuta, me maha tonu te wā e mau ai ahau/taku hoa aroha ki te hōhipera. He uaua ki te noho noa i te kāinga. He ratonga hauora, he kaupapa rānei kei reira ka taea te haere mai ki tōku kāinga, te āwhina i te oranga o ia rā, me te tirotiro i ngā maimoatanga?"
I ētahi wā, tera pea ka whakahaerehia ngā Ratonga Hauora Hinengaro Hapori mā roto i ngā wāhanga hauora hinengaro i roto i ngā hōhipera kāwanatanga. Tērā pea ka tae mai ngā nēhi me ngā kaimahi hapori ki tō kāinga mā roto i a rātou. Waihoki, tera pea ka whakaratohia e ētahi umanga tūmataiti ēnei ratonga. Ko te mea nui ko te pātai atu ki tō tākuta mō tēnei mea me te kore wehi, me te kore whakama.
Ehara i te mea ngāwari te noho me te mate hinengaro kino. He rite tonu ki te hoe waka ko koe anake i roto i te tupuhi. Engari kia mahara, kāore koe i te mokemoke. E whakaatu ana ngā maimoatanga pēnei i te ACT kei te neke te rongoā mai i te rongoā i ngā tohumate anake ki te rongoā i te tangata katoa me te āwhina i a rātou kia ora i te oranga pai ake.
Karere Tangohia ki te Kāinga
- Ko te Maimoatanga Hapori Whakahīhī (ACT) he tikanga rongoā mō te hunga whai mate hinengaro kino, ehara i te hōhipera, engari i te hapori e noho ana rātou, me te tautoko a tētahi tīma tohunga.
- Ko te whāinga i konei ehara i te mea ko te whakarato rongoā anake, engari ko te āwhina i ētahi atu āhuatanga o te ao, pērā i te mahi, te whare, me te whakahaere pūtea, me te āwhina i te tangata kia noho motuhake.
- Kua whakamātauhia e ngā rangahau ka whakaitihia e tēnei tikanga ngā whakaurunga hōhipera, ka whakapai ake hoki i te kounga o te oranga.
- Ahakoa kāore i te noa ngā kaupapa o tēnei ingoa i Sri Lanka, me kōrero koe ki tō tākuta hinengaro, ki tō tākuta rānei, kia mōhio ai koe ki ngā ratonga hapori rite tonu. Kaua e mangere ki te tono āwhina.
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