Ngaba ngamanye amaxesha uziva ngathi uwedwa? Olu luvo luyinyani ngakumbi kumntu ojamelene nesifo sengqondo esinzulu. Ukulaliswa esibhedlele rhoqo, amayeza amaninzi, kunye noloyiko lokuzahlula... Konke oku, ukuphila ubomi obuqhelekileyo kunokubonakala ngathi liphupha. "Kutheni oku kusenzeka kum?" Kukho amaxesha amaninzi apho uzibuza khona. Kodwa ubusazi ukuba kukho inkqubo yonyango ekhethekileyo enceda abantu kwezi meko zinzima, emakhayeni abo nakuluntu abahlala kulo? Yiloo nto siyibiza ngokuba yi-Assertive Community Treatment, okanye i-ACT ngamafutshane.
Kalula nje, yintoni le ACT?
I-ACT yindlela enika unyango nenkxaso kubantu abanezifo zengqondo ezinzulu kuluntu abahlala kulo, oko kukuthi, ekhaya, emsebenzini, okanye kwindawo abahlala kuyo, kunokuba basebenze esibhedlele okanye kwenye indawo.
Cinga ngale ndlela. Uneqela elincinci loogqirha abazinikeleyo kuwe, benyamekela iimfuno zakho ezithile. Endaweni yokuba uze ekliniki ukuze ubabone, eli qela liza kuwe lize likuncede apho ukhoyo. Kufana neqela lezempilo lomntu ngamnye. Eli qela liquka iingcali kwiinkalo ezahlukeneyo.
- Iingcali zengqondo: Zihlola imeko yakho yengqondo kwaye zikunika amayeza afunekayo.
- Iingcali zengqondo: Nika unyango lwengqondo kwaye uncede ukuphucula impilo yakho yengqondo.
- Abasebenzi bezentlalo: Bakunceda ufumane izisombululo kwiingxaki zakho zentlalo, ezifana neengxaki zezindlu kunye neengxaki zoqoqosho.
- Abahlengikazi ababhalisiweyo: Jonga impilo yakho yomzimba kwaye uqiniseke ukuba uwathatha ngokufanelekileyo amayeza akho.
- Iingcali zonyango lokuxilongwa kabini: Ngamanye amaxesha isifo sengqondo sinokuhambelana nomlutha weziyobisi okanye utywala. Baqeqeshwe ngokukodwa ukunyanga zombini ezi meko ngaxeshanye.
- Abaphathi bamatyala: Baququzelela isicwangciso sakho sonyango kwaye baqinisekisa ukuba yonke into ihamba kakuhle.
Injongo ephambili yale qela ayikokukunika amayeza nje kuphela, kodwa kukukunika lonke uncedo oludingayo ukuze uphile ubomi obunempumelelo nolonwabo eluntwini. Oku kungabandakanya ukukunceda ufumane umsebenzi, ukunceda ngemisebenzi yasekhaya, kunye nokukuqhelanisa nokukhwela ibhasi.
Okubaluleke kakhulu, eli qela lakha ubudlelwane obusondeleyo nawe. Enye yeenjongo zabo eziphambili kukwenza uzive ngathi awuwedwa.
Kukho enye inkalo yale nto , iForensic Assertive Community Treatment (FACT).Yenzelwe ngokukodwa ukunceda abantu ababanjwe, abavalelwe entolongweni, okanye abavalelwe entolongweni ngenxa yezifo zengqondo ezinzulu.
Ngubani olu nyango lwe-ACT olufaneleke kakhulu kuye?
Olu nyango alulungelanga wonke umntu. Lwenzelwe ngokukodwa abo basengozini enkulu yokugula ngengqondo. Oko kukuthi:
- Kwabo baneengxaki zempilo yengqondo rhoqo kwaye kufuneka bangeniswe esibhedlele: Kukho abantu abaziva bebhetele okwethutyana, kodwa emva koko bafanele bangeniswe esibhedlele kwakhona. I-ACT inokuba luncedo olukhulu ekuphuhliseni olu mjikelo.
- Kwabo bajongene nemiba yezomthetho: Kwabo bangazi ukuba babandakanyeka kwimisebenzi engekho mthethweni baze babanjwe ngenxa yokugula ngengqondo.
- Kwabo bangenamakhaya okanye abasemngciphekweni wokungabi namakhaya: Le nkqubo iluncedo kakhulu kwabo bangenamakhaya kwaye bakwimeko yokungakwazi ukuzinceda.
I-ACT idla ngokunceda abantu abanezifo zengqondo ezinzima, ezifana nezi zilandelayo:
- Iimeko ezifana ne -Schizophrenia (iingxaki ze-Schizophrenia spectrum) I-Schizophrenia Ingxaki yobuntu beSchizotypal
- Ingxaki yokungazithembi Isifo seSchizophreniform Isifo se -Schizoaffective
- Ukuxhuzula
- Ingxaki yoBuntu obuseMda
Ngumntu ophethwe sesi sifo kunye nosapho lwakhe kuphela abaziyo ukuba kunzima kangakanani ukuphila naso. I-ACT sisibane esihle kubo.
Kulungile, isebenza njani le nkqubo ye-ACT?
Inkqubo ye-ACT inokwahluka kumntu nomntu, njengoko yenzelwe ngokupheleleyo iimfuno zakho kunye neenjongo zakho zobomi. Kodwa ngokubanzi, eyona nto iphambili kuyo kukuza kuwe apho ukhoyo kwaye akuncede ngendlela oyifunayo.
Makhe sijonge ukuba zeziphi iinkonzo onokuzifumana kweli qela. Oku kuya kukunika umbono olungileyo wento enxulumene nale nkqubo.
| Uhlobo lwenkonzo | Ingcaciso elula ngenkxaso efunyenweyo |
|---|---|
| Unyango lwempilo yengqondo | Siyaqinisekisa ukuba ufumana amayeza owadingayo ngexesha kwaye sijonga iziphumo ebezingalindelekanga. Sikwabonelela nge-psychotherapy kwindawo ekulungeleyo. |
| Unyango ngamayeza/utywala | Ukuba umntu unesifo sengqondo kunye nengxaki yokusebenzisa iziyobisi gwenxa, zombini ezi meko zinyangwa kunye. Oku kubizwa ngokuba lunyango lokuxilongwa kabini. |
| Impilo yomzimba | Ukuba unezinye izifo ezifana nesifo seswekile okanye uxinzelelo lwegazi oluphezulu, siza kukunceda ufumane unyango kwaye ubone ugqirha. |
| Inkxaso yosapho | Sinika usapho lwakho ukuqonda imeko yakho (i-psychoeducation) kwaye sibanceda ngayo nayiphi na imiba abanokuba bajongene nayo. |
| Umsebenzi wobomi bemihla ngemihla | Banceda ngezinto ezifana nokulawula imali, ukuya evenkileni ukuya kuthenga ukutya, nokusebenzisa izithuthi zikawonke-wonke. |
| Izindlu kunye nemisebenzi | Sikunika inkxaso oyifunayo ukuze ufumane indawo yokuhlala esisigxina, ufumane umsebenzi, kwaye uhlale kuloo msebenzi. |
Eyona nto ibalulekileyo kukuba eli qela le-ACT lamkele inani elincinci kakhulu lezigulana ngexesha. Isizathu soku kukuba banokukunika ingqalelo yobuqu. Nokuba kukho imeko engxamisekileyo, ungathetha nomntu kwiqela iiyure ezingama-24 ngosuku.
Ingaba le ndlela ye-ACT iyasebenza ngokwenene?
Ewe. Izifundo ezininzi zibonise ukuba i-ACT lunyango olusebenzayo kakhulu. Ngokukodwa, inceda ekufezekiseni ezi ziphumo zilandelayo:
- Ukuncipha kokulaliswa esibhedlele: Abantu abafumana unyango lwe-ACT banenani eliphantsi kakhulu lokulaliswa esibhedlele ngokuphindaphindiweyo.
- Ukuhla kwexesha lokuhlala esibhedlele: Nokuba kufuneka ulaliswe esibhedlele ngandlela thile, inani leentsuku ozichitha esibhedlele liya kuncipha.
- Umgangatho wobomi ophucukileyo: Ukukwazi ukuhlala kwindawo ohlala kuyo, njengabanye, kwandisa ulwaneliseko nolonwabo ebomini.
- Ukuthobela unyango ngokunyuka: Ngenxa yokuba iqela lihlala lihlola, izinto ezinje ngokuthatha amayeza ngexesha kunye nokuya kwiikliniki aziphoswa.
- Iingxaki zomthetho ezinciphileyo: Ukubanjwa kwakhona kunye nokuvalelwa entolongweni kuncitshisiwe, ngakumbi ngeenkqubo ze-FACT.
Ngamafutshane, i-ACT ayikokulawula iimpawu kuphela, kodwa imalunga nokunika isigulana izixhobo esizidingayo ukuze siphile njengomntu oxabisekileyo nozimeleyo kuluntu.
Unyango lwe-ACT luthatha ixesha elingakanani? Ndingalufumana njani eSri Lanka?
Ixesha elifunekayo lonyango liyahluka kumntu nomntu. Kuxhomekeke ngokupheleleyo kwiimfuno zakho kunye neenjongo zakho zobomi. Kungathatha iinyanga ezimbalwa, okanye kube ngaphezulu. Kwakhona, ungadinga olu hlobo lwenkxaso kwakhona ngamaxesha ahlukeneyo ebomini bakho. Konke oko kugqitywa nguwe kunye neqela lakho le-ACT kunye.
Umbuzo obaluleke kakhulu ngoku ngulo, ngaba zikhona iinkqubo ezinje eSri Lanka, kwaye sizifumana njani?
Inyaniso kukuba, iinkqubo ezibizwa ngokuba yi-"Assertive Community Treatment (ACT)" azixhaphakanga eSri Lanka njengoko zixhaphakile kumazwe aseNtshona. Nangona kunjalo, oko akuthethi ukuba ezo nkonzo azikho konke konke eSri Lanka.
Ukuba wena okanye umntu omaziyo udinga olu hlobo lwenkxaso eqatha, eyona nto ilungileyo onokuyenza kukuthetha ngokukhululekileyo ngale nto nogqirha wakho, ingakumbi ugqirha wengqondo .
Ungabuza:
"Gqirha, mna/umntu endimthandayo kufuneka ndilaliswe esibhedlele rhoqo. Kunzima ukuphila ubomi obuqhelekileyo ekhaya. Ngaba ikho inkonzo okanye inkqubo yezempilo enokuza ekhayeni lam, incede kubomi bemihla ngemihla, ize ijonge unyango?"
Ngamanye amaxesha kunokubakho iiNkonzo zezeMpilo yengqondo zoLuntu ezisebenza ngeeyunithi zempilo yengqondo kwizibhedlele zikarhulumente. Kunokubakho abahlengikazi kunye nabasebenzi bezentlalo abaza ekhayeni lakho ngabo. Kwakhona, amanye amaziko abucala anokubonelela ngeenkonzo ezinjalo. Eyona nto ibalulekileyo kukubuza ugqirha wakho ngale nto ngaphandle koloyiko okanye iintloni.
Ukuphila nesifo sengqondo esinzulu akulula. Kunokuba njengokubheqa wedwa kwisiphango. Kodwa khumbula, awuwedwa. Unyango olufana ne-ACT lubonisa ukuba amayeza ngoku atshintsha ukusuka ekunyangeni iimpawu ukuya ekunyangeni umntu wonke aze amncede aphile ubomi obungcono.
Umyalezo Wokuya Ekhaya
- Unyango loLuntu oluQinisekileyo (i-ACT) yindlela yokunyanga abantu abanezifo zengqondo ezinzima, kungekhona esibhedlele, kodwa kuluntu abahlala kulo, ngenkxaso yeqela leengcali.
- Injongo apha ayikokubonelela ngamayeza kuphela, kodwa kukuncedisa nakwezinye iinkalo zobomi, ezifana nomsebenzi, izindlu, kunye nolawulo lwezemali, kunye nokunceda abantu baphile ubomi bokuzimela.
- Uphando luye lwabonisa ukuba le ndlela inciphisa ukulaliswa esibhedlele kwaye iphucula umgangatho wobomi.
- Nangona iinkqubo ezibizwa ngeli gama zingaqhelekanga eSri Lanka, qiniseka ukuba uthetha nogqirha wakho wengqondo okanye ugqirha ukuze ufumane ulwazi ngeenkonzo ezifanayo ezisekelwe kuluntu. Ungaze ungathandabuzi ukucela uncedo.
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