I ētahi wā, he rite te noho me te mate hinengaro kino ki te taumaha, kāore? Ko te noho tonu ki te hōhipera, te kore e taea te mahi i tāu mahi, te whakaaro kei te peia koe i te hapori... Ka tino mokemoke koe i ēnei mea katoa. He maha ngā wā ka whakaaro koe 'kāore tetahi e mārama ki ahau.' Engari he maimoatanga motuhake kua whakaurua mai hei āwhina i te hunga pēnei, hei whakauru i a rātou ki te hapori, hei āwhina i a rātou kia ora noa. Koinā te mea e kōrerohia ana i tēnei rā.
He kupu ngāwari noa iho, he aha tēnei ACT?
Ko te Assertive Community Treatment, arā, ACT, he huinga maimoatanga motuhake me ngā ratonga tautoko e whakaratohia ana ki te hunga whai mate hinengaro kino i roto i te hapori e noho ana rātou.
Ehara tēnei i te kī kei te noho noa koe i roto i tētahi hōhipera, i tētahi atu whare hauora rānei. Engari, ka tae atu tētahi rōpū tohunga e whakapau kaha ana ki te āwhina i a koe ki te wāhi tonu e noho ana koe, i roto i tō kāinga me tō hapori, ā, ka whakarato i ngā ratonga e hiahiatia ana e koe. He rite ki te whai i tētahi rōpū tākuta e tiaki ana i a koe.
Ko tēnei tīma tohunga te tikanga kei roto i ēnei:
- Ngā tohunga hinengaro
- Ngā Tākuta Hinengaro
- Ngā kaimahi hapori
- Ngā tohunga maimoatanga tātaritanga takirua (arā, ko te hunga e rongoā ana i te hunga he mate hinengaro me ētahi atu raruraru, pērā i te whakamahi kino i ngā matū)
- Ngā nēhi rēhita
- Ngā kaiwhakahaere take
Ka hanga e tēnei tīma he whanaungatanga tino tata ki a koe, ā, ka whakaratohia hoki e ia te tautoko whaiaro e hiahiatia ana e koe. Ko ngā whāinga matua he āwhina i a koe ki te whakahaere i tō mate hinengaro me te waihanga i te taiao e hiahiatia ana e koe kia angitu ai koe i roto i tō hapori. Kei roto pea i tēnei ko ngā mea pēnei i te whare, te āwhina ki te kimi mahi, tae atu ki te āwhina i te haereere.
Tērā tētahi atu wāhanga o tēnei pūnaha e kiia nei ko te Ture Tūkino (FACT) . He mea hanga motuhake mō te hunga e pāngia ana e te mate hinengaro kino me te hunga kua raru ki te ture (hei tauira, kua hopukina, kua mauheretia). Ko te tikanga o te kupu "Tūkino" i konei ko "e pā ana ki te pūnaha ture."
Mā wai tēnei maimoatanga e tino tika?
Kua hangaia te maimoatanga ACT mō te hunga e pāngia ana e ngā āhuatanga e whai ake nei nā te mate hinengaro kino:
- Te maha o ngā whakaurunga ki te hōhipera nā te mea he maha ngā raruraru hinengaro.
- Me wawao ki ngā take ture .
- Te noho mōrearea ki te kore kāinga .
He mate hinengaro-wairua tēnei.Tērā pea kei roto i tēnei rōpū ko te hunga e pāngia ana e ngā āhuatanga pēnei i te schizophrenia. Tirohia te ripanga i raro nei.
| Ngā tauira o ngā āhuatanga e taka ana ki raro i te wāhanga o te schizophrenia |
|---|
| Te mate hinengaro |
| Mate tuakiri schizotypal |
| Mate pōrangi |
| Mate hinengaro-kore |
| Mate hinengaro-ā-hinengaro |
Hei tāpiri, he pai anō hoki te rongoā ACT mō te hunga whai mate hinengaro kē atu, pērā i te mate hinengaro rua, te mate hinengaro rohe rānei.
Me pēhea te mahi a ACT? He aha ngā ratonga e wātea ana?
He maimoatanga whakarite-ā-ringa te ACT, he mea whakarite ki ia tangata. Engari i te nuinga o te wā, ko ōna mātāpono matua ko:
- Haere mai ki tō kāinga , arotakehia te āhuatanga, ka whakarato i te whakangungu me te tautoko e tika ana.
- Te whai i tētahi tīma tohunga e wātea ana mō ngā hāora 24 o te rā, mō ngā rā e whitu o te wiki hei āwhina i roto i tētahi āhuatanga ohorere .
- Te tautoko i tō tū motuhake, tō whakaoranga me tō whakaurunga anō ki te hapori whānui .
- I te wā e whakatau ana koe mō te maimoatanga , whakaarohia ō whakaaro, ā, me whakatau tahi hoki.
- Te whakarato i ngā ratonga katoa i te wāhi kotahi i roto i te hapori.
Kei runga i ō hiahia me ō whāinga, he maha ngā ratonga e tukuna ana e tēnei tīma tohunga. Me titiro tātou ki ēnei.
| Momo ratonga | Te tautoko i whiwhi |
|---|---|
| Te maimoatanga hauora hinengaro | Te rongoā me te kōrero whakaora (Te rongoā hinengaro). |
| Te maimoatanga mō te whakamahi kino i ngā raau taero | Te maimoatanga me te aro nui ki te tautuhi takirua. |
| Ētahi atu raruraru hauora | Āwhina ki te whakahaere i ētahi atu mate pēnei i te mate huka me te toto toto tiketike. |
| Tautoko mō te whānau | Te whakarato i te māramatanga ki te whānau mō te mate (te hinengaro-mātauranga), me te rapu āwhina mō te tiaki tamariki. |
| Tautoko pūtea | Āwhina ki te tono inihua, āwhina kai, me te whakahaere pūtea. |
| Tautoko oranga | Āwhina ki te whare, te mahi, te āwhina mātauranga, te hokohoko, me te whakamahi i ngā ratonga kawe tangata. |
Ko te mea nui, he iti noa ngā tūroro e whakaaetia ana e ēnei tīma ACT i te wā kotahi, kia taea ai e rātou te aro katoa ki a koe .
He tino whai hua te rongoā ACT?
Āe. He maha ngā rangahau kua whakaatu he tino whai hua te rongoā ACT, inā koa i ngā wāhanga e whai ake nei:
- Te whakaiti i ngā whakaurunga hōhipera.
- Kua whakaitihia te wā e noho ana i te hōhipera.
- Te whakapai ake i te kounga o te oranga.
- Te whakanui ake i te piripono ki te maimoatanga.
- Te whakaiti i ngā wawaotanga anō me te mauheretanga i roto i ngā take ture (ina koa i roto i ngā kaupapa FACT).
Kia pēhea te roa o tēnei maimoatanga?
Kāore tēnei e rite mō te katoa. Ka rerekē te roa o te maimoatanga i runga i ō hiahia me ō whāinga. Engari he torutoru marama te roa o te maimoatanga. Tērā pea ka hiahiatia tēnei ratonga neke atu i te kotahi i roto i tō oranga. Ka mahi tahi tō tīma ACT me koe ki te whakarite i tēnei.
Me pēhea taku kimi i tētahi kaupapa ACT?
He uaua pea te kī kei ngā wāhi katoa o Sri Lanka ēnei kaupapa ACT, engari tera pea ētahi pokapū hauora hinengaro kāwanatanga, tūmataiti rānei e whakahaere ana i ēnei momo ratonga hapori.
Ko te mea nui, ki te hiahia koe ki tēnei, ki te whakaaro rānei koe he hiahia tēnei momo āwhina ki tētahi e mōhio ana koe, kōrero ki tō tākuta hinengaro, ki tō tākuta whānau rānei. Ka taea e rātou te tuku i a koe ki tētahi wāhi e taea ai e koe te tiki i te āwhina e tika ana māu.
He arai nui te pāngia e te mate hinengaro kino ki te noho i te oranga e hiahiatia ana e koe. Ina whakaaro koe kāore he tangata e mārama ana ki a koe, ina whakaaro koe kāore he tangata hei rapu āwhina, ka tino mokemoke koe. Engari kia maumahara, kua whakamātauhia ngā maimoatanga pēnei i te ACT he whai hua ki te āwhina i te hunga e pāngia ana e ēnei wero. Mā tēnei rōpū tohunga koe e āwhina kia tata atu ki te oranga e hiahiatia ana e koe.
Karere Tangohia ki te Kāinga
- Ko te ACT (Assertive Community Treatment) he tikanga maimoatanga motuhake e whakarato ana i te maimoatanga ki te hunga whai mate hinengaro kino i roto i te hapori e noho ana rātou, kaua i roto i te hōhipera.
- Ka haere mai tētahi rōpū tohunga, tae atu ki ngā tākuta hinengaro, ngā tohunga hinengaro, me ngā kaimahi hapori, ki tō kāinga, ki te tautoko i a koe.
- Ko te whāinga he āwhina i a koe ki te whakahaere i tō mate, me te āwhina anō hoki i a koe kia angitu i roto i tō koiora mā roto i ngā mea pēnei i te whare me te mahi.
- Kua whakamātauhia tēnei tikanga hei whakaiti i ngā whakaurunga hōhipera, hei whakapai ake hoki i te kounga o te oranga.
- Ki te whakaaro koe he tika tēnei maimoatanga māu, mā tētahi atu rānei e mōhio ana koe, me kōrero koe ki tō tākuta, ki tētahi tohunga hauora hinengaro rānei mō tēnei mea.
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