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Activities
"Promotion
of alternatives" is the
only organization in the Kyrgyz Republic
engaged in the creation
and development of the Daily
outpatient psychosocial Rehabilitation center for
people with severe mental disorders.
Description of organization
Our mission is to
promote the rights of people with mental disorders, as well as to
provide them with equal opportunities in society, through the
creation and development of new forms of outpatient community
care as an alternative to putting people into
closed psychiatric institutions.
The
organization's purpose:
to promote the integration of people
with mental disorders,
psychosocial problems or chemical
dependency into the
community and
the protection of their
rights and freedoms.
Our objectives are:
·
Promoting
humanization of mental
health care;
·
Formation of
tolerance towards persons with
mental disorders, persons with intellectual
peculiarities and with chemical dependency
;
·
Confronting violence as social factors that influence mental health;
·
Promoting the integration of professionals involved in mental health
sector into interdisciplinary and international professional
community;
·
Promoting the integration into society of people with psychosocial
problems;
·
Providing legal support for people with psychosocial problems, their
families and other concerned citizens;
·
Attracting the attention of state and public structures to the
problems of these individuals;
·
Promotion of psychosocial rehabilitation of this category of
citizens;
·
Providing legal and Informational support for professionals working
in mental health sector;
·
Participation in the development and implementation of prevention,
treatment and rehabilitation programs for people with psychosocial
problems;
·
Establishing the professional and other ties with similar
associations in other countries
3.
Types of Activities
We
provide the following services to the mental health service users
and their relatives:
A.
Consultations of psychiatrists, social workers and a clinical
psychologist.
These consultations can be one-time and multiple in line with
customer needs. Client has the right to choose a doctor and a social
worker.
This
assistance includes:
• Facilitation of conflicts resolutions between family members and
clients
• Consultations for people with mental disorders
• Consultations for their relatives
• Providing psychosocial support services
B.
Case
management
(providing crisis intervention plan to prevent acute state of
disorder for the clients of the Center).
Case
management
means establishing a
long
contract
and
trust
with the client,
drafting
a joint plan
to phase
overcoming
problems voiced
by the client.
Case management
involves working
with the consent
of
socially significant
human
environment:
family members,
neighbors and
others.
Specifically:
• Assistance
in planning
crisis intervention
•
Individual control learning
over one’s mental state
• Assistance to
users
in resolving
social problems
• Liaison
with lawyers
to
provide legal
support
and
advocacy
•
Liaison
with social service agencies
to
provide social support
(help in
getting financial support from the
government,
obtaining personal documents,
pensions, employment)
• Assistance
in resolving conflicts
with
family
members.
C.
Training
Programs:
Two
types of trainings are conducted for clients and for their families.
The trainings are conducted by psychiatrists and psychologists.
a.
Psycho – education gives:
• Information about the nature of mental disorders and their
symptoms.
• Information on the impact of medication on mental health.
• Understanding of the individual acute state
• Understanding of what is remission and exacerbation.
b.
Resolution of interpersonal problems gives:
• Development of communication skills
• Acquisition of skills to hear and listen
• Developing skills to express one’s point of view
• Gaining experience of constructive conflict resolution
• Developing an understanding of one’s feelings.
D.
Secure working place program
The
program assumes that users of mental health services can work at the
Center as social workers assistants for one year after completion of
all rehabilitation programs. Social workers assistants are selected
from the active and enterprising clients who in turn prepare a
replacement after a year of work. This will enable more clients to
gain experience in rehabilitation, and employees can base their work
on the needs of the clients.
E.
Labor
Skills Program
Goal
of
this program
is
not so much
to
teach
high-quality
cleaning,
but to
socialize the
users
in
the community.
To teach them punctuality,
responsibility,
teamwork
and
communication skills.
After the client
learns these
skills
s/he
is
more likely to
be
able
to
maintain
employment
at
the
workplace
in
the future.
We
also cooperate with organizations that
provide free
training courses for
computer skills,
sewing,
carpentry
and
others.
F.
Kitchen
Program
This
program helps clients to recover their budget planning skills,
purchasing and cooking skills. Kitchen program is an important part
of rehabilitation, since many clients of the Centre need such
knowledge.
Also this program
helps our clients to socialize.
G.
Art
therapy
This
therapy is based on arts and crafts, creative expression of
emotions. Participants can attend any sessions because each session
of art therapy is completed.
H.
Group
psychotherapy
This
type of therapy is a comprehensive
verbal and nonverbal
therapeutic
method that works with emotions,
judgments,
and
self-consciousness
in
many
mental
disorders.
The
goal of
psychotherapy
is
to change
the
broken
system of relationships between
the
client and the surroundings. The advantage of
psychotherapeutic
group work
is
that the
group
reflects the
society in miniature,
which makes
evident
the
underlying factors
such
as
pressure
of
partners,
social influence
and
conformity. This gives
them
the opportunity to
see
and analyze
psychological patterns
of
communicational
behavior of others
and
themselves.
I.
Bode - oriented therapy
Body-oriented psychotherapy is a complex of movement exercises
related to the identification and improvement of habitual physical
postures, as well as the knowledge and the development of physical
energy, various types of motor and dance therapy, including an
analysis of movements and techniques of acting.
From
simple bodily sensations therapist helps the client to go to the
emotionally charged bodily experiences. Often, this makes it
possible to understand their history, back to the time when these
sensations first appeared (regression), to live them again and
thereby get rid of them (catharsis). Thus, one gets a stronger
contact with reality (grounding), which includes both physical
support and stability with respect to living conditions and close
contact with their own emotions and relationships with family and
friends.
J.
Capacity
building of self help groups for users of mental health
services
During the work of the organization there were created several
self-help groups, which broke up and started up again. However there
is one particular self-help group that operates separately as an
independent organization, “New look on Mental Health”. Self Help
groups help to develop the skills of constructive communication and
a clear vision of the purposes of the meetings, to develop their own
priorities, identify leadership qualities. Currently in the Center
there is running one self help group “Rodnik”.
Target group
Our
target group
consists of people with severe chronic
mental disorder,
in
remission.
4.
Publications (brochures,
leaflets, articles in
newspapers or
magazines)
There are
brochures,
newspaper articles,
interviews
with
employees,
a
press
release
on
the site
FSK
and
videos.
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