AN INTRODUCTION TO MENTAL HEALTH - The Nossal Institute for ...

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• • Use words that the person will understand. Remember that too many questions can make a person feel confused or defensive. Observation: helps you to understand how the person is feeling by watching their non verbal behaviour such as eye contact, facial expression and body language. Reflecting feelings: this uses other skills such as observation and summarising and helps the person to recognise the feelings associated with events. This skill involves reflecting back the feeling content of what is being said to the person e.g. ‘it sounds like you’re feeling very frightened just now’, or reflecting back to a past situation ‘that must have made you feel quite angry’. Step 2 Cut up the (translated) counselling skills cards (found in Appendix H) and put them in a container before the participants arrive. Arrange the participants in pairs and ask each pair to select one counselling skills card from the container (these include Active Listening, Openended Questions, Probing Questions, Reflecting Feelings, Attending Behaviour, Encouragement). Ask each pair of participants to develop a very brief role play that demonstrates that particular skill in action. They can ask the facilitator for clarification of the skill if they do not fully understand how to implement it in practice. Allow 5 minutes for preparing the role play, and then ask each pair to firstly describe the counselling skill on their card to the rest of the group, and then act out the role play. This final step should take 10-15 minutes. If there is time, this process can be repeated to consolidate the learning. Activity 20 : Counselling in action Time : 1 hour Purpose : To provide CHWs with an opportunity to practice basic counselling skills to help people solve problems Materials : Paper and pens Directions : Step 1 Give a presentation based on the ‘Information for Presentation’ box below. AN INTRODUCTION TO MENTAL HEALTH 79
INFORMATION FOR PRESENTATION Counselling as a treatment CHWs can use their counselling skills to help people with mental disorders in a number of ways. The specific steps of a counselling treatment include 2 : • give reassurance • provide explanations • teach relaxation and breathing exercises • offer advice for specific situations like panic or sleeping problems • teach problem solving skills. Problem solving People with mental disorders sometimes feel overwhelmed by everyday problems. Unresolved problems can get bigger and bigger and lead to more stress (see the figure below). Diagram 3. The problem cycle Problems seem harder to solve Unresolved problems Low mood Feel stuck, can’t do anything about it Low self esteem “I’m useless” 80 AN INTRODUCTION TO MENTAL HEALTH
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AN INTRODUCTION TO MENTAL HEALTH Fa
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The development of this manual was
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T A B L E O F C O N T E N T S DAY T
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Contributors BasicNeeds: www.basicn
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Introduction Mental health is vital
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CHWs make a significant contributio
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Including representation of people
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Day Two Session 4 - Mental Health F
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Day Four Session 10 - Mental Health
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1 DAY Session 1: Introduction to me
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To be a healthy person we need to h
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Appropriate treatment can help impr
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India. 8 These types of beliefs can
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Activity 4 : Symptoms of mental dis
Page 29 and 30: Symptoms of mental disorders table
Page 31 and 32: 7. Heart pounding 8. Muscle tension
Page 33 and 34: 19. Aggression 20. Believing others
Page 35 and 36: In this session we are going to dis
Page 37 and 38: Step 2 Divide participants into two
Page 39 and 40: INFORMATION FOR PRESENTATION Common
Page 41 and 42: ecome a disorder when the alcohol o
Page 43 and 44: Figure 2 - Some Common and Severe M
Page 45 and 46: 2. Mental disorders are a common pr
Page 47 and 48: have an important role to play in p
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Page 51 and 52: Step 2 - Case study and group work:
Page 53 and 54: Reasons why a person with a mental
Page 55 and 56: 2 DAY Session 5: Mental Health Firs
Page 57 and 58: “I hope they don’t ask me a que
Page 59 and 60: 6. Gently hold your breath and coun
Page 61 and 62: • If the person is thinking about
Page 63 and 64: Ask each group in turn to call out
Page 65 and 66: Tiredness and fatigue may lead to o
Page 67 and 68: Poor sleeping is a common symptom o
Page 69 and 70: • • • that they have great we
Page 71 and 72: 3 DAY Session 7: Mental Health Firs
Page 73 and 74: 9. Describe a good way to approach
Page 75 and 76: Provide the person with information
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Page 79: • Empathetic - this means being
Page 83 and 84: Diagram 4. The problem treatment cy
Page 85 and 86: Step 2 Ask participants to divide i
Page 87 and 88: • What type of problems might occ
Page 89 and 90: Step 2 Give a presentation based on
Page 91 and 92: • Like medications for physical i
Page 93 and 94: • • • Nausea or vomiting Slur
Page 95 and 96: 3. Name two skills required for cou
Page 97 and 98: INFORMATION FOR PRESENTATION As we
Page 99 and 100: How does stigma and discrimination
Page 101 and 102: Step 2 Invite participants to comme
Page 103 and 104: Step 2 - How does gender relate to
Page 105 and 106: 4 DAY Session 12: Presentation of g
Page 107 and 108: References 1. Herrman H, Saxena S,
Page 109 and 110: Appendix A : Introducing your other
Page 111 and 112: Appendix B : Factors affecting ment
Page 113 and 114: 3. Hearing voices 4. Fear 112 AN IN
Page 115 and 116: 7. Heart pounding 8. Muscle tension
Page 117 and 118: 11. Mood swings 12. Lack of energy
Page 119 and 120: 15. Thinking about suicide 16. Poor
Page 121 and 122: 19. Aggression 20. Believing others
Page 123 and 124: Appendix D: Common and Severe Menta
Page 125 and 126: Case study E Ahanti is a 25 year ol
Page 127 and 128: Appendix F : Role plays Role Play 1
Page 129 and 130: and you say they are trying to harm
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Appendix H Counselling Skills Cards
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132 AN INTRODUCTION TO MENTAL HEALT
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BasicNeeds 158A, Parade, Leamington
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