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The following message comes on behalf of Mental Health Coalition – Sierra Leone and their project, Reaching Out to Those Affected by Mental Illness:
Today marks the start of giving and its #GivingTuesday. In line with that, the Mental Health Coalition – Sierra Leone and in collaboration with the Social Work Sierra Leone are reaching out to the #mentallyill patients, in the length and breadth of #Freetown, #Sierra Leone, with a heart of #love, #empathy and to treat them with dignity and respect.
This will create an atmosphere of trust and confidence, after long time of neglect, among the patients, their parents/guidance, the social workers and the mental health nurses, which will also lead to improved care and wellness and enables them to be reintegrated into Society and their communities for better productivity & increase wealth.
Remember the #WHO quotes state that: There is no #health without Mental Health and health (which include mental health), is #HumanRight.
Thanks for your #support.
MH Coalition Chairman
Donation towards the #feeding of the #mentallyill patients in the street of #Freetown by the social workers will kick start on the 27th November, 2018 on the Global Giving platform. Please support this worthy cause to build trust and relationship between the service providers and service users. Thanks.
Continuous Clinical Professional Development (CCPD) is a an initiative introduced by the Enabling Access to Mental Health Program in Sierra Leone – A EU funded project. CCPD was designed to provide ongoing capacity enhancement of service providers (mainly the District Mental Health Nurses) in a bid to increase evidence based service delivery at their respective districts.
The Building Back Project and other partners saw the effectiveness of such skill development for the District Mental Health Nurses and have maintained the practice over the years.
A two prong approach is being employed in conducting Continuous Clinical Professional Development for the Mental Health Nurses.
1. Regular Support Visits at the districts of operation
Evidence based care, networking skills, data collection and a stronger relationship with the district pharmacists was increased as a result of the supervision conducted by volunteers and collaborating partners (KSLP & WHO). A systematic monitoring process of the work of the MH Nurses, case management (Patient assessment) and lessons learnt from CCPD workshop are been reinforced during these visits.
2. Quarterly Meetings (CCPD)
The relevance of CCPD cannot be overemphasized as over the years it has:
– Enhanced knowledge, attitude and practice for effective service delivery.
– Empowered the mental health nurses to keep up with best practices and being up to date with changing trends (more so with community mental health service provision).
– Provided a forum where difficult cases are discussed – hence helping colleague nurses learning new approaches to care.
During the BBB Project implementation period, Regular District Support visits and CCPD were held in collaboration with Kings Sierra Leone Partnership (KSLP) and an average of 18 mental health nurses had been attending – this does not include other service providers like the Child and Adolescent Mental Health Nurses and Community Health Officers.
Continuous Clinical Professional Development (CCPD) over the years have attracted professionals in the field of Mental Health whose technical skills have helped the mental health nurses acquire new skills in doing their work. Other major highlights of the CCPD included though not limited to:
DEFINITION OF COMMUNICATION:
WHAT IS EFFECTIVE COMMUNICATION
BENEFITS OF EFFECTIVE COMMUNICATION:
Effective Communication can:
EFFECTIVE COMMUNICATION SKILLS:
There are four major effective communication skills. They are:
It is the most important aspect of effective communication. To become a successful listener, it means you don’t just understand the words or the information being communicated, but also understand how the speaker feels about what they are communicating.
Effective listening can:
Quick stress relief for effective communication
When stress strikes, you can’t always temper it by taking time out to mediate or go for a run, especially if you’re in the middle of a meeting with your boss or an argument with your spouse, for example. By learning to quickly reduce stress in the moment, though, you can safely face any strong emotions you’re experiencing, regulate your feelings, and behave appropriately. When you know how to maintain a relaxed, energized state of awareness- even when something upsetting happens- you can remain emotionally available and engaged.
When we communicate things that we care about, we do so mainly using nonverbal signals. Wordless communication, or body language, includes facial expressions, body movement and gestures, eye contact, posture, the tone of your voice, and even your muscle tension and breathing. The way you look, listen, move, and react to another person tells them more about how you’re feeling than words alone ever can.
Developing the ability to understand and use nonverbal communication can help you connect with others, express what you really mean, navigate challenging situations, and build better relationships at home and work.
In small groups, stress can help you perform under pressure. However, when stress becomes constant and overwhelming, it can hamper effective communication by disrupting your capacity to think clearly, creatively, and act appropriately. When you’re stressed, you’re more likely to misread other people, thus sending confusing messages. When you find yourself in that situation:
If you are out of touch with your feelings, and don’t understand how you feel or why you feel that way, you’ll have a hard time communicating your feelings and needs to others.
Emotional awareness provides you the tools needed for understanding both yourself and other people, and the real messages they are communicating to you. Although knowing your own feelings may seem simple, many people ignore or try to sedate strong emotions like anger, sadness, and fear. But your ability to communicate depends on being connected to these feelings. If you’re afraid of strong emotions or if you insists on communicating only on a rational level, it will impair your ability to fully understand others, creatively problem solve, resolve conflicts, or build an affectionate connection with someone.
Interpersonal relationships are those relationships you have with persons that have the same interests and ideals as you have. It is very important for care workers/caregivers to have these skills so that their clients do not feel like a burden
A person with good interpersonal skills is one who:
INTERPERSONAL RELATIONSHIP SKILLS
ARE PEOPLE BORN WITH INTERPERSONAL SKILLS?
No, since they are not born with the understanding that there are other people. However, people are born with the capacity to learn interpersonal skills through observation and emulation which they must do when they are quite young. Children growing without other people around them, cannot be born with this because they are too old.
VARIOUS TYPES OF INTERPERSONAL RELATIONSHIPS
When two individuals feel comfortable in each other’s company and decide to be with each other, they enter into a relationship.
Individuals who are compatible with each other enter into an interpersonal relationship. People must get well for a strong and healthy/positive relationship (positive/healthy)
Friendship is an unconditional interpersonal relationship where individuals enter into any of their own sweet will and choice.
Friendship is a relationship where there are no formalities and individuals enjoy each other’s presence. Friendship can be between:
Must have in friendship:
An interpersonal relationship characterized by passion, intimacy, trust and respect is called love.
Individuals in a romantic relationship are deeply attached to each other and share a special bond.
Must have in a Romantic Relationship:
Partners must reciprocate each other’s feeling for the charm to stay in the relationship for a longer period of time.
Case – 1
Marriage happens when two individuals in love decide to take their relationship to the next level.
Marriage is a kind of formalized relationship where two individuals after knowing each other well decide to enter the wedlock and stay together life- long through thick and thin.
A relationship between two individuals without any feelings or sexual desire for each other is called a platonic relationship.
In such a relationship might end in romantic relationship with both the partners developing mutual love and falling for each other.
Individuals related by blood or marriage are said to form a family.
PROFESSIONAL RELATIONSHIP (WORK RELATIONSHIP)
Individuals working together for the same organization are said to share a professional relationship.
Individuals sharing a professional relationship are called colleagues. Colleagues may or may not like each other.
CHARACTERISTICS OF INTERPERSONAL RELATIONSHIP
There are different characteristics of interpersonal relationships. These characteristics range from brief to long lasting. They are based on love, friendship, family, kinship, work related, marriage, mutual agreements, neighbourhoods, places of worship and social groups.
WHAT ARE THE IMPORTANCE OF INTERPERSONAL RELATIONSHIP
Interpersonal relationship helps to maintain your ability to- successfully communicate, interact and socialise in public. If you- always live alone, you’d get more and more…… (MORE)
HOW DOES ONE BECOME ASSERTIVE?
One is assertive for the following key points:
1. Assertive as an individual:
2. Assertive in a group:
3. Assertive on a one-to-one relationship
Benefits of Assertiveness
Outcomes of Assertiveness:
DIFFERENCES BETWEEN ASSERTIVENESS, PASSIVENESS AND AGGRESSIVENESS
1. Assertive Person:
2. Passive Person:
3. Aggressive Person:
Being empathetic has two components:
DISTINCTION BETWEEN EMPATHY AND SYMPATHY
What is Life Skills?
The concept is not easy to define. Life Skills are terms that do not have one definition. However, some writers have defined Life Skills as:
What does life skills in crisis situation important?
It helps individuals to:
Importance of Life Skills:
Life Skills can help young people to:
Benefits Associated with Life Skills Education include:
Types of Life Skills
Basic life skills includes, though not limited to the following:
What other Skills are confused with Life Skills
In most situations people get confused in understanding life skills from other skills like livelihood skills. It is good to be able to know the difference between these two skills.
These are skills which prepare young people to obtain and keep satisfying job opportunities which include:
Life Stills for Psycho social competence
Psycho social competence is a person’s ability to deal effectively with the demands and challenges of everyday life. It is the person’s ability to maintain a state of mental well being and to demonstrate this in adaptive and positive behavior while interacting with others, his/her culture and environment.
Psycho social competence has an important role to play in the promotion of health in its broadest sense; in terms of physical, mental and social well-being. In particular, where health problems are related to behavior, and where the behavior is related to an inability to deal effectively with stresses and pressures in life, the enhancement of psycho social competence could make an important contribution. This is especially important for health promotion at a time when behavior is more and more implicated as the source of health and social problems due to crisis events.
The most direct interventions for the promotion of psycho social competence are those which enhance the person’s coping resources, and personal and social competencies. In school-based programs for children and adolescents, this can be done by the teaching of life skills in a supportive learning environment.
How life skills are related to Post Traumatic Stress Disorder (PTSD) or HIV prevention as a result of crisis events?
Life skills for PTSD prevention are the knowledge and skills that are transmitted to people that need to avoid potential mental health and psycho social problems and adhere to information giving to them by social, medical, mental health practitioners. If this information is put into practice, there is the likely of reducing stress and traumatic level leading to the prevention of mental health and psycho social (MHPS) problems.
Also, Life skills for prevention are the knowledge and skills needed to avoid HIV infection and maintain healthy life style. Life skills reduce the likelihood of HIV and other Sexually Transmission Infections (STIs), thus promoting people’s self-worth and identity.
In addition, Life skills provide the education to internet with others and strengthen their problem solving skills in adhering to health messages in relation crisis events.
Furthermore, we are frightened and confused because we are unsure what the future holds for us after a crisis situation.
A major example of Life Skills (Decision Making)
Decision-making is defined as:
Why decision–making is difficult?
There are good reasons why it is difficult to make decision especially with/for adolescents to make up their mind. Adolescence are children between the ages of 10- 19. With adolescence, there is agony of decision-making because:
Good decision is one of the most powerful skills that children need to learn as they progress through childhood into adulthood. But it is not a skill that is developed really on its own as children grow up.
Parents and caregivers should teach children why popular culture and technology (social media) can cause them to make poor decision and guide them in learning how to make good decision.
What are sleep problems?
These are little or no regular sleeping issues due to factors (identified or not) that is hindering you from having your usual normal sleep.
Kinds of sleeping problems:
There are different ways in which our regular sleeping problems can be affected . Some of them includes although they are not limited by any means to:
Causes of sleep problems:
Things do not happen in isolation, there are always reasons for the things that happen to us. In the case of sleep problems, some of the causes could be as a result of:
Dealing with sleep problems:
In dealing with sleep problems we should first of all look at the circle of sleep which is; preparing to go to bed, being in bed and dealing with bad dreams and/ or nightmares.
Preparing to go to bed
A lot of people just go to bed without being prepared, no wonder the challenge of sleep in crisis situations increases and becomes difficult to manage. There are specific things we need to avoid to enable us dealing with our preparing to go to bed. Most of them could be best identified with the help of a specialist but the most basic ones to avoid are:
It is mostly recommended that the following be done in readiness to go to sleep:
Being in Bed
Whilst it is great to be well prepared before going to bed, it is equally important to also plan for a fruitful stay in bed. Here is little suggestion to consider while in bed.
In cases when all of the above is being tried but not much is achieved, then try the 15 minutes rule. The 15 minutes rule states that if you are not asleep within 15 minutes GET OUT of bed go and sit somewhere else and do something quiet and relaxing. Only when you feel sleepy go back to bed and if you are not asleep again in 15 minutes GET OUT of bed again.
This is important because it will help the individual to train his/her mind to associate bed with sleep and not to being awake. We should also be careful not to sleep at the wrong time – especially when you realize that there is a newly developed unusual sleeping habits that tends to creep into already established patterns of sleeping – like sleeping during the day.
Managing our Sleep:
It is best to always decide on a time you would want to wake in the morning that seems reasonable to you. This time should be your sleep anchor which you must not change. To be able to do this effectively, you could set an alarm and get up at this time even if you have had no sleep at all. Avoid taking a nap during the day even though it will be difficult for a few days but stick at it! This process could be repeated until you start to fall asleep at a reasonable time in the evening
Dealing with Bad dreams/Nightmares
Bad dreams/nightmares are best described in the following ways:
Dealing with patterns of Bad Dreams/Nightmares
Lots of people are of the opinion that these are either natural trends and cannot be managed. Others are of the view that these are either attack by evil intending to have us killed or wreck some harm on us or those connected with us. These are cultural beliefs which are subject to change. It is very possible to manage our bad dreams/nightmares. This could be best done by re-scripting/rewriting your dream life using the following approach:
If it still persists go to the mental health unit at the nearest government hospital where you are living.
There are common problem behaviours that goes side by side with crisis situations as in the case of the recent flooding and mudslide disaster or working in a crisis affected community? These are: Anger (and) Drinking
Understanding what anger is?
Things to watch out against:
Benefits and problems of Anger:
There is always a good and bad effect of problem behaviours – however, what most times could be considered as good effects are only temporal and does not have a lasting impact. Whilst anger would help the individual to unwind the tension within and at the same time makes them feel high, it damages the individual’s health, expensive to maintain, results to low feeling afterwards, affects quality of sleep as well as causes relationship problems.
The costs are very much in terms of effect than the benefits; So then preventing or dealing with it is very important – It is much more important to manage ones anger than unleash it.
If and when an individual manages his/her anger, he/she is able to facilitates better sleeping pattern, becomes more focused than distracted and conserves more energy than expels it.
Sources/Causes for Anger:
Anger comes mainly as a result of a feeling of boredom, low mood, feeling anxious, having bad memories, wanting to do the same as your friends or an habitual feelings that one may have at certain days or times of the week
Can someone be able to modify problem behaviours like Anger?
Problem behaviours especially issues of anger could be effectively modified. It mainly focuses on the causes of anger that the anger reaction itself. This could be done through the following steps/practices:
There is the traffic light rule which helps to deal with anger in another way. It states that when you are really angry (which shows the red light) it means it is dangerous to go ahead, therefore you must stop right there as is the same rule for a car. Wait for a moment until you feel the orange light is on (which requires be ready to act). In this case the orange light requires the individual get ready to calm down, breathe out – blow the anger away. And take 2 deep breaths to wait for the green light which instructs you to either go away or distract yourself until you feel calmer.
What effect does anger has on an individual?
Anger affects an individual’s body, behaviour and thoughts and when it persists and is not controlled then it becomes a serious problem and would require someone to see a mental health worker for specialized support.
Where can these supports be found?
Every government hospital has a mental health worker – you can access a free of cost care for such talking sessions. It is better to seize such opportunities than to allow it to totally destroy your valued relationships.
Witness What Happens When A Ghalib Loving Psychologist Who Doubles As A Hindi Kaviyatri And Raconteur Sits Down Over A Cup Of Coffee And Coelho By Her Side To Converse About Art, Love, Faith, Philosophy And The Journey Called Life! You're Invited!
Finding peace through expression
Retired, not expired: words from the after(work)life. And music. Lots of music!
Voice to the voiceless on mental health issue in Sierra Leone.
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