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

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• What type of mental disorder is the person in the case study experiencing? • Does this person need to be referred to another health care provider? • Who would you refer this person to and why? Ask participants to return to the large group and discuss their responses to the different case studies – did they refer to the right person? Step 4 - Accessing other community resources Form three groups based on geographical locations of the participants. Ask each group to draw a picture of their village and surrounding area. Ask them to indicate all the community resources (places & people) in their area that they feel would be useful for people with mental disorders and/or their families. For example; hospital, PHC centre, community hall, clinic, temple and/or traditional healer etc. Instruct participants to use green colour for those resources that they think are useful to people with mental disorders or their families directly or indirectly. Ask each group to present their drawing to the rest of the class. Discuss the usefulness of the identified facilities. Supplement this information with any other facilities you are aware of. Activity 24 : Understanding drug treatments Time : 30 minutes Purpose : To introduce the CHWs to medications used in the treatment of people with mental disorders, and to make them aware of potential benefits and side effects. Materials : Paper and pens for participants. Directions : Step 1 Give a presentation based on the ‘Information for Presentation’ box below. INFORMATION FOR PRESENTATION Understanding drug treatments • There are many effective ways of treating mental disorders. • Once a doctor has decided what type of mental disorder the person has and prescribed the appropriate medication, the CHW can help to monitor treatment in most cases. AN INTRODUCTION TO MENTAL HEALTH 89
• Like medications for physical illness, medications for mental disorders only work when taken in the right dose, for the right period of time. • Some medications need to be taken for weeks before the person begins to improve. • Treating different physical symptoms with different medications (such as sleeping tablets for sleep problems, vitamins/tonics for tiredness, and pain killers for aches and pains) is often the least helpful treatment in the long term. Some helpful medications include drugs to treat: • unusually sad mood (anti-depressant medication) • excessive fear and worry (anti-anxiety medication) • odd behaviour and hearing voices (anti-psychotic medication) • the side effects of some of the above drugs. Drug treatments for mental disorders have benefits for the affected person as well as some negative side effects. Step 2 – The benefits of drug treatments Ask participants to divide into groups of five and discuss what they see as the benefits of drug treatment for people with mental disorders. After 5 minutes ask each group to call out the identified benefits of drug treatments and write these on the white/black board. Present the main benefits of drug treatments from the ‘Information for Presentation’ box below and add them to participants’ suggestions. INFORMATION FOR PRESENTATION The benefits of drug treatments for mental disorders • A reduction in the severity of distressing symptoms such as hearing frightening voices. • Improvement in mood. • Making it possible for the person to function more effectively within the family and community. • Regular and long term drug treatment can help to stop the person from becoming ill again. 90 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
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Symptoms of mental disorders table
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7. Heart pounding 8. Muscle tension
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19. Aggression 20. Believing others
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In this session we are going to dis
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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
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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
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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
Page 77 and 78: • • • • • • • Stay ca
Page 79 and 80: • Empathetic - this means being
Page 81 and 82: INFORMATION FOR PRESENTATION Counse
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: Step 2 Give a presentation based on
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
Page 131 and 132: Appendix H Counselling Skills Cards
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BasicNeeds 158A, Parade, Leamington
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