Ingabe ngezinye izikhathi uzizwa sengathi uwedwa? Lo muzwa uyiqiniso ikakhulukazi kumuntu obhekene nesifo sengqondo esingathi sína. Ukulaliswa esibhedlela njalo, imithi eminingi, kanye nokwesaba ukuhlukaniswa nabantu... Ngakho konke lokhu, ukuphila impilo evamile kungabonakala njengephupho. "Kungani lokhu kwenzeka kimi?" Kunezikhathi eziningi lapho uzibuza khona. Kodwa bewazi ukuthi kukhona uhlelo lokwelapha olukhethekile olusiza abantu ngalezi zimo ezinzima, emakhaya abo nasemphakathini abahlala kuwo? Yilokho esikubiza ngokuthi i-Assertive Community Treatment, noma i-ACT ngamafuphi.
Kalula nje, iyini le ACT?
I-ACT iyindlela enikeza ukwelashwa nokusekelwa kubantu abanezifo zengqondo ezingathi sína emphakathini abahlala kuwo, okungukuthi, ekhaya, emsebenzini, noma endaweni abahlala kuyo, kunokuba esibhedlela noma kwesinye isikhungo.
Cabanga ngale ndlela. Uneqembu elincane lodokotela abazinikele kuwe, abanakekela izidingo zakho ezithile. Esikhundleni sokuthi uze emtholampilo ukuzobabona, leli qembu liza kuwe futhi likusize lapho ukhona. Kufana neqembu lezempilo lomuntu siqu. Leli qembu lihlanganisa ochwepheshe emikhakheni eyahlukene.
- Odokotela Bengqondo: Bahlola isimo sakho sengqondo bese bekunikeza imithi edingekayo.
- Ochwepheshe bezengqondo: Nikeza ukwelashwa kwengqondo futhi usize ekuthuthukiseni impilo yakho yengqondo.
- Izisebenzi zezenhlalakahle: Zikusiza ukuthola izixazululo zezinkinga zakho zomphakathi, njengezinkinga zezindlu nezinkinga zomnotho.
- Abahlengikazi ababhalisiwe: Hlola impilo yakho yomzimba futhi uqiniseke ukuthi uthatha imithi yakho ngendlela efanele.
- Ochwepheshe bezokwelapha izifo ezimbili: Ngezinye izikhathi ukugula kwengqondo kungahambisana nomlutha wezidakamizwa noma utshwala. Baqeqeshwe ngokukhethekile ukwelapha zombili lezi zimo ngesikhathi esisodwa.
- Abaphathi bamacala: Bahlela uhlelo lwakho lokwelashwa futhi baqinisekise ukuthi konke kuhamba kahle.
Umgomo oyinhloko waleli qembu akukhona nje ukukunikeza imithi. Ukunikeza lonke usizo oludingayo ukuze uphile ngempumelelo nangenjabulo emphakathini. Lokhu kungafaka phakathi ukukusiza ekutholeni umsebenzi, ukusiza ngemisebenzi yasekhaya, kanye nokukujwayela ukugibela ibhasi.
Okubaluleke kakhulu, leli qembu lakha ubudlelwano obuseduze kakhulu nawe. Omunye wemigomo yabo eyinhloko ukukwenza uzizwe sengathi awuwedwa.
Kukhona esinye isici salokhu , i-Forensic Assertive Community Treatment (FACT).Yenzelwe ngqo ukusiza abantu ababoshiwe, ababoshiwe, noma ababoshiwe ngenxa yezifo zengqondo ezingathi sína.
Ubani lokwelashwa kwe-ACT okufanelekela kakhulu?
Lokhu kwelashwa akulona elawo wonke umuntu. Kwenzelwe ngqo labo abasengozini enkulu yokugula ngengqondo okukhulu. Okungukuthi:
- Kulabo abanezinkinga zempilo yengqondo njalo futhi abadinga ukulaliswa esibhedlela: Kukhona abanye abantu abazizwa bengcono isikhashana, kodwa bese kudingeka baphinde balaliswe esibhedlela. I-ACT ingaba usizo olukhulu ekuqedeni lo mjikelezo.
- Kulabo ababhekene nezinkinga zomthetho: Kulabo abazibandakanya emisebenzini engekho emthethweni futhi baboshwe ngenxa yokugula ngengqondo.
- Kulabo abangenamakhaya noma abasengozini yokungabi namakhaya: Lolu hlelo luwusizo olukhulu kulabo abangenamakhaya futhi abasesimweni sokungabi namandla.
I-ACT ivame ukusiza abantu abanezifo zengqondo ezinzima, njengalezi ezilandelayo:
- Izimo ezifana ne -Schizophrenia (i-Schizophrenia spectrum disorders) I-Schizophrenia Isifo sobuntu be -Schizotypal
- Isifo sokudangala Isifo se -Schizophreniform Isifo se -Schizoaffective
- Isifo se-Bipolar
- Isifo Sobuntu Esisemkhawulweni
Umuntu ophethwe yilesi sifo nomndeni wakhe kuphela abaziyo ukuthi kunzima kangakanani ukuphila naso. I-ACT iyisibani esihle kubo.
Kulungile, lolu hlelo lwe-ACT lusebenza kanjani?
Uhlelo lwe-ACT lungahluka kumuntu nomuntu, njengoba luhlelwe ngokuphelele ngokwezidingo zakho kanye nemigomo yakho yokuphila. Kodwa ngokuvamile, ingqikithi yalo ukuza kuwe lapho ukhona futhi kukusize ngendlela oyidinga ngayo.
Ake sibheke ukuthi yiziphi izinsizakalo ongazithola kuleli qembu. Lokhu kuzokunikeza umbono omuhle wokuthi lolu hlelo lumayelana nani.
| Uhlobo lwesevisi | Incazelo elula yokusekelwa okutholiwe |
|---|---|
| Ukwelashwa kwempilo yengqondo | Siyaqinisekisa ukuthi uthola imithi oyidingayo ngesikhathi futhi sihlola imiphumela emibi. Siphinde sinikeze ukwelashwa kwengqondo endaweni ekulungele. |
| Ukwelashwa ngezidakamizwa/ngotshwala | Uma umuntu enesifo sengqondo kanye nenkinga yokusebenzisa kabi izidakamizwa, zombili lezi zimo zelashwa ndawonye. Lokhu kubizwa ngokuthi ukwelashwa kokuxilongwa okubili. |
| Impilo yomzimba | Uma unezinye izifo ezifana nesifo sikashukela noma umfutho wegazi ophakeme, sizokusiza ukuthi uthole ukwelashwa futhi ubone udokotela. |
| Ukusekelwa komndeni | Sinikeza umndeni wakho ukuqonda isimo sakho (imfundo yengqondo) futhi sibasize nganoma yiziphi izinkinga abangase babhekane nazo. |
| Umsebenzi wansuku zonke | Basiza ngezinto ezifana nokuphatha imali, ukuya esitolo ukuyolanda ukudla, nokusebenzisa izinto zokuhamba zomphakathi. |
| Izindlu nemisebenzi | Sikunikeza ukwesekwa okudingayo ukuze uthole indawo yokuhlala unomphela, uthole umsebenzi, futhi uhlale kulowo msebenzi. |
Into ebaluleke kakhulu ukuthi leli thimba le-ACT lamukele inani elincane kakhulu leziguli ngesikhathi. Isizathu salokhu ukuthi lingakunikeza ukunakwa komuntu siqu kakhulu. Ngisho noma unesimo esiphuthumayo, ungakhuluma nothile eqenjini amahora angama-24 ngosuku.
Ingabe le ndlela ye-ACT iyasebenza ngempela?
Yebo. Izifundo eziningi zikhombisile ukuthi i-ACT iyindlela yokwelapha ephumelela kakhulu. Ikakhulukazi, iyasiza ekufezeni imiphumela elandelayo:
- Ukuncipha kokulaliswa esibhedlela: Abantu abathola ukwelashwa kwe-ACT banenani eliphansi kakhulu lokulaliswa esibhedlela okuphindaphindiwe.
- Ukuhlala esibhedlela okuncishisiwe: Ngisho noma kufanele ulaliswe esibhedlela ngandlela thile, inani lezinsuku ozichitha esibhedlela lizoncishiswa.
- Izinga lempilo elikhuphukile: Ukukwazi ukuhlala endaweni yakho, njengabanye, kwandisa ukwaneliseka nenjabulo ngokuphila.
- Ukwanda kokuthobela ukwelashwa: Ngenxa yokuthi ithimba lihlala lihlola, izinto ezifana nokuphuza imithi ngesikhathi kanye nokuya emitholampilo aziphuthelwa.
- Izinkinga zomthetho ezincishisiwe: Ukuboshwa kabusha kanye nokuboshwa kuncishisiwe, ikakhulukazi ngezinhlelo ze-FACT.
Kalula nje, i-ACT ayikona nje ukulawula izimpawu, kodwa imayelana nokunikeza isiguli amathuluzi esiwadingayo ukuze siphile njengomuntu obalulekile nozimele emphakathini.
Kuthatha isikhathi esingakanani ukwelashwa kwe-ACT? Ngingakuthola kanjani eSri Lanka?
Ukuthi lokhu kwelashwa kuyadingeka isikhathi esingakanani kuyahlukahluka kuye ngomuntu nomuntu. Kuncike ngokuphelele ezidingweni zakho kanye nemigomo yakho yokuphila. Kungaba izinyanga ezimbalwa, noma kungaba isikhathi eside. Futhi, ungase udinge lolu hlobo lokusekelwa futhi ngezikhathi ezahlukene empilweni yakho. Konke lokho kunqunywa nguwe kanye nethimba lakho le-ACT ndawonye.
Umbuzo obaluleke kakhulu manje uthi, ingabe zikhona izinhlelo ezinjengalezi eSri Lanka, futhi sizithola kanjani?
Uma ngikhuluma iqiniso, izinhlelo ezibizwa ngokuthi "i-Assertive Community Treatment (ACT)" azivamile eSri Lanka njengoba zivamile emazweni aseNtshonalanga. Kodwa-ke, lokho akusho ukuthi izinsizakalo ezinjalo azikho nhlobo eSri Lanka.
Uma wena noma othile omaziyo edinga lolu hlobo lokusekelwa okunamandla, into engcono kakhulu ongayenza ukukhuluma ngokukhululekile ngalokhu nodokotela wakho, ikakhulukazi udokotela wezifo zengqondo .
Ungabuza:
"Dokotela, mina/othandekayo wami kufanele ngilaliswe esibhedlela njalo. Kunzima ukuphila impilo evamile ekhaya. Ingabe ikhona insizakalo yezempilo noma uhlelo olungafika ekhaya lami, lusize ngempilo yansuku zonke, futhi lubheke izindlela zokwelapha?"
Ngezinye izikhathi kungase kube nezinsizakalo Zempilo Yengqondo Yomphakathi ezisebenza ngamayunithi ezempilo yengqondo ezibhedlela zikahulumeni. Kungase kube nabahlengikazi kanye nezisebenzi zezenhlalakahle eziza ekhaya lakho ngazo. Futhi, ezinye izikhungo ezizimele zingase zinikeze izinsizakalo ezinjalo. Into ebaluleke kakhulu ukubuza udokotela wakho ngalokhu ngaphandle kokwesaba noma amahloni.
Ukuphila nesifo sengqondo esingathi sína akulula. Kungaba njengokugwedla wedwa esivunguvungwini. Kodwa khumbula, awuwedwa. Ukwelashwa okufana ne-ACT kubonisa ukuthi imithi manje isishintsha kusukela ekwelapheni izimpawu kuya ekwelapheni wonke umuntu nokubasiza baphile impilo engcono.
Umlayezo Wokuya Nawe Ekhaya
- Ukwelashwa Komphakathi Oqinile (ACT) kuyindlela yokwelapha abantu abanezifo zengqondo ezinzima, hhayi esibhedlela, kodwa emphakathini abahlala kuwo, ngokusekelwa yithimba lochwepheshe.
- Umgomo lapha akukhona nje ukuhlinzeka ngemithi, kodwa futhi nokusiza ngezinye izici zokuphila, njengomsebenzi, izindlu, kanye nokuphathwa kwezezimali, kanye nokusiza abantu baphile impilo yokuzimela.
- Ucwaningo luye lwafakazela ukuthi le ndlela inciphisa ukulaliswa esibhedlela futhi ithuthukisa ikhwalithi yokuphila.
- Nakuba izinhlelo ezibizwa ngaleli gama zingavamile eSri Lanka, qiniseka ukuthi ukhuluma nodokotela wakho wezifo zengqondo noma udokotela ukuze ufunde ngezinsizakalo ezifanayo ezisekelwe emphakathini. Ungalokothi unqikaze ukucela usizo.
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