Kurapwa kumba kwechirwere chepfungwa chakakomba? Ngatidzidzei nezveAssertive Community Treatment (ACT)!

Dzimwe nguva unonzwa sekunge uri wega here? Kunzwa uku kunonyanya kuitika kune mumwe munhu ari kutambura nechirwere chepfungwa chakakomba. Kugara uchigara muchipatara, mishonga yakawanda, uye kutya kusurukirwa nevamwe... Nezvose izvi, kurarama hupenyu hwakajairika kunogona kuita sekurota. "Sei izvi zvichiitika kwandiri?" Pane nguva dzisingaverengeki dzaunoshamisika. Asi waiziva here kuti kune chirongwa chekurapa chakakosha chinobatsira vanhu nemamiriro ezvinhu akaoma aya, mudzimba dzavo uye munharaunda yavanogara? Ndizvo zvatinodaidza kuti Assertive Community Treatment, kana kuti ACT muchidimbu.

Zvichitaurwa zviri nyore, chii chinonzi ACT ichi?

ACT inzira inopa kurapa nekutsigira vanhu vane zvirwere zvepfungwa zvakakomba munharaunda mavanogara, kureva, kumba, kubasa, kana munzvimbo yavanogara, kwete muchipatara kana kune imwe nzvimbo.

Funga nezvazvo nenzira iyi. Une timu diki yevanachiremba vakazvipira kwauri, vachitarisira zvaunoda chaizvo. Pane kuti uuye kukiriniki kuzovaona, timu iyi inouya kwauri uye inokubatsira pauri. Zvakafanana nechikwata chehutano hwemunhu. Chikwata ichi chine nyanzvi muzvikamu zvakasiyana-siyana.

• Vanachiremba vepfungwa: Vanoongorora mamiriro epfungwa dzako vobva vakupa mishonga inodiwa.
• Nyanzvi dzepfungwa: Ipa rubatsiro rwekurapa kwepfungwa uye batsira kuvandudza hutano hwepfungwa dzako.
• Vashandi vezvemagariro evanhu: Vanokubatsira kuwana mhinduro dzematambudziko ako emagariro evanhu, akadai sematambudziko edzimba nematambudziko ehupfumi.
• Vanamukoti vakanyoreswa: Tarisa hutano hwako uye iva nechokwadi chekuti uri kutora mishonga yako nemazvo.
• Nyanzvi dzekurapa zvirwere zviviri: Dzimwe nguva chirwere chepfungwa chinogona kuenderana nekupindwa muropa nezvinodhaka kana doro. Vakanyatsodzidziswa kurapa zvirwere zvese panguva imwe chete.
• Vatariri venyaya: Ndivo vanoronga hurongwa hwenyu hwekurapa uye vanoona kuti zvese zviri kufamba zvakanaka.

Chinangwa chikuru cheboka iri hachisi chekukupa mishonga chete. Chinonyanya kukosha ndechekuti uwane rutsigiro rwese rwaunoda kuti urarame zvakanaka uye uchifara munharaunda. Izvi zvinogona kusanganisira kukubatsira kuwana basa, kubatsira mabasa epamba, uye kujaira kukwira bhazi.

Pane chimwe chikamu cheizvi , Forensic Assertive Community Treatment (FACT).Yakagadzirirwa kubatsira vanhu vakasungwa, vakaiswa mujeri, kana kuti vakaiswa mujeri nekuda kwezvirwere zvepfungwa zvakakomba.

Ndiani mushonga uyu weACT wakakodzera zvikuru?

Kurapa uku hakusi kwemunhu wese. Kwakagadzirirwa avo vari panjodzi huru yekurwara nepfungwa zvakanyanya. Ndizvo:

• Kune avo vane matambudziko epfungwa anowanzoitika uye vanoda kuendeswa kuchipatara: Kune vamwe vanhu vanonzwa zviri nani kwenguva yakati, asi vozofanira kuendeswa kuchipatara zvakare. ACT inogona kubatsira zvikuru mukuputsa dambudziko iri.
• Kune avo vari kutarisana nenyaya dzemutemo: Kune avo vasingazivi vanoita mabasa asiri pamutemo uye vanosungwa nekuda kwechirwere chepfungwa.
• Kune avo vasina pekugara kana kuti vari panjodzi yekushaya pekugara: Sisitimu iyi inobatsira zvikuru kune avo vasina pekugara uye vari mumamiriro ezvinhu asina simba.

ACT inowanzo batsira vanhu vane zvirwere zvepfungwa zvakakomba, zvakaita sezvinotevera:

Matambudziko akafanana neSchizophrenia (Schizophrenia spectrum disorders) Schizophrenia Dambudziko rehunhu hweSchizotypal
• Dambudziko repfungwa
Chirwere cheSchizophreniform Chirwere cheSchizoaffective
• Dambudziko reBipolar
• Dambudziko reMunhu Ane Borderline

Munhu ane chirwere ichi nemhuri yake chete ndivo vanoziva kuti zvakaoma sei kurarama nacho. ACT ichiedza chikuru kwavari.

Zvakanaka, chirongwa ichi cheACT chinoshanda sei?

Chirongwa cheACT chinogona kusiyana kubva kumunhu nemunhu, sezvo chakagadzirirwa zvakakwana zvaunoda iwe pachako uye zvinangwa zvehupenyu hwako. Asi kazhinji, chinangwa chikuru ndechekuuya kwauri pauri uye kukubatsira nenzira yaunoda.

Ngatitarisei kuti ndeapi masevhisi amungawana kubva kuboka iri. Izvi zvichakupai pfungwa yakanaka yekuti hurongwa uhwu hunoshanda sei.

Chinhu chinonyanya kukosha ndechekuti timu iyi yeACT inogamuchira varwere vashoma panguva imwe chete. Chikonzero cheizvi ndechekuti vanogona kukupa rubatsiro rwakanyanya. Kunyangwe kana paine emergency, unogona kutaura nemumwe munhu kubva kuchikwata maawa makumi maviri nemana pazuva.

Nzira iyi yeACT inoshanda zvechokwadi here?

Ehe. Ongororo dzakawanda dzakaratidza kuti ACT mushonga unoshanda zvikuru. Kunyanya, inobatsira kuwana mhedzisiro inotevera:

• Kuderedzwa kwekugara muchipatara: Vanhu vanorapwa neACT vane huwandu hwakaderera hwekugara muchipatara kakawanda.
• Kugara muchipatara kwakaderera: Kunyangwe kana uchifanira kuendeswa kuchipatara neimwe nzira, mazuva aunopedza uri muchipatara achaderedzwa.
• Hunhu hwehupenyu huri kuwedzera: Kukwanisa kugara munzvimbo yako wega, sevamwe, kunowedzera kugutsikana nemufaro muhupenyu.
• Kuwedzera kwekutevedzera kurapwa: Nekuti timu inogara ichiongorora, zvinhu zvakaita sekutora mishonga nenguva uye kuenda kumakiriniki hazvirasikirwe.
• Matambudziko emutemo akaderera: Kusungwazve nekuiswa mujeri kwaderedzwa, kunyanya kuburikidza nezvirongwa zveFACT.

Kurapwa kweACT kunotora nguva yakareba sei? Ndingakuwana sei kuSri Lanka?

Kuti kurapwa uku kunodiwa kwenguva yakareba sei kunosiyana kubva pamunhu nemunhu. Zvinoenderana nezvaunoda uye zvinangwa zvako muhupenyu. Zvinogona kutora mwedzi mishoma, kana kuti zvinogona kutora nguva yakareba. Zvakare, ungangoda rutsigiro rwakadai zvakare panguva dzakasiyana muhupenyu hwako. Izvo zvese zvinosarudzwa newe nechikwata chako cheACT pamwe chete.

Mubvunzo unonyanya kukosha ndewekuti, kune mapurogiramu akaita seaya here muSri Lanka, uye tinoawana sei?

Kutaura chokwadi, mapurogiramu anonzi "Assertive Community Treatment (ACT)" haana kuwanda muSri Lanka sezvaanowanikwa munyika dzekuMadokero. Zvisinei, izvi hazvirevi kuti mabasa akadaro haapo muSri Lanka zvachose.

Kana iwe kana mumwe munhu waunoziva achida rubatsiro rwakadai, chinhu chakanakisa chekuita ndechekutaura pachena nezvazvo nachiremba wako, kunyanya chiremba wepfungwa .

Unogona kubvunza kuti:

"Chiremba, ini/mudiwa wangu ndinofanira kugara ndichirapwa muchipatara. Zvakaoma kurarama hupenyu hwakajairika kumba. Pane here sangano rezvehutano kana chirongwa chinogona kuuya kumba kwangu, kubatsira muhupenyu hwezuva nezuva, uye kutarisa marapirwo?"

Dzimwe nguva panogona kunge paine Community Mental Health Services inoshanda kuburikidza nezvikamu zvehutano hwepfungwa muzvipatara zvehurumende. Panogona kunge paine vanamukoti nevashandi vemagariro evanhu vanouya kumba kwako kuburikidza navo. Zvakare, mamwe masangano akazvimirira anogona kupa mabasa akadaro. Chinhu chakakosha kubvunza chiremba wako nezveizvi pasina kutya kana kunyara.

Kurarama nechirwere chepfungwa chakakomba hakusi nyore. Zvinogona kufanana nekukwasva uri wega mudutu. Asi yeuka, hausi wega. Kurapa kwakadai seACT kunoratidza kuti mushonga wava kuchinja kubva pakurapa zviratidzo kuenda pakurapa munhu wese nekuvabatsira kurarama hupenyu huri nani.