Mental Health Perspectives in CBR
Framework
1st Asia-Pacific CBR Congress 18-20
February, 2009 Bangkok, Thailand
Hotel Prince Palace Mahanak
Session: CBR and Psycho-social
Disabilities/Mental Health
By
Patkai I, A. Mohanraj and Reyes W.
CBM, Mental Health Advisors
Outline –A1. Introduction
2. Discussion
¾ 2.1. Empowerment of service users and
carers
¾ 2.2. Management
3. Proposed Matrix for CBR Guidelines
Outline –B-
4. Mental health perspectives
¾ 4.1. Empowerment Domain
ƒ 4.1.1. Mental health promotion, attitudes,
values, principles
ƒ 4.1.2. Packages for teambuilding, care for
the carers, manage burnout
¾ 4.2. Health Domain
ƒ 4.2.1. Old systems of care - Human rights
violations
ƒ 4.2.2. Good practices
5. Conclusions
6. References
1. Introduction
CBR strategies have constantly undergone
refinement and changes
The Helsinki mandate validated the
evolving concept in 1994
In 2004 the WHO proposed a matrix for
the guidelines of CBR work
Implementers were reminded that the
matrix is not sequential. Special focus on
key elements of the matrix will ensure a
holistic and comprehensive approach
2. Discussion
Motto
“One camel does not make fun of the
other camel’s hump” - Guinean proverb
¾ 2.1. Empowerment of service users and
carers
¾ 2.2. Management
2.1. Empowerment of service users and
carers
–ABurnout of aid workers is often overlooked,
neglected and aid workers are
demoralized
Care givers must recognize their own
fallibility; they are “wounded healers”
Objectives, values and principles are
connecting the service users and the care
givers
2.1. Empowerment of service users and
carers
-BEmpowered service users and families
work together with committed care
givers
“Wounded healers” - professionals and
lay caring persons share their dreams,
visions, core - values, principles, attitudes,
theories with service users
Work on stress theory, burnout, helping
styles, team building; internalize
principles of inclusion, accessibility,
communication, participation, etc.
Shift empowerment domain to the top of
the Matrix
CBR GUIDELINES
CBR MATRIX
Empowerment of service users and carers
- Values and principles Management
- Coordination and leadership -
Contextualization of core values/principles/management
Health
Education
Livelihood
Social
2.2. Management
-A‘The key priority for any policy framework,
planning or implementation in CBR should be to
prioritize technical, organizational, administrative,
and personnel management including strategic
leadership issues’ – Kuipers at al
Leadership to be empowered with management,
social and communication skills
Implement positive attitudes and values of care
givers and consumers in PCM strategies
2.2. Management
-BWhen we join hands we need coordination
– management as well as protection for the
service users and also for the care givers’ safety, dignity, security
Accept responsibilities in the existing legal
environment and set goals and objectives;
follow Project Cycle Management
Shift management domain to follow the
empowerment in the Matrix
CBR GUIDELINES
CBR MATRIX
Empowerment of service users and carers
- Values and principles Management
- Coordination and leadership -
Contextualization of core values/principles/management
Health
Education
Livelihood
Social
3.1. Contextualization of core
values/principles and management
ƒ
ƒ
ƒ
ƒ
Contextualize our commitment and
management skills in NGOs and
governmental organizations on the
domains of
Health
Education
Livelihood and
Social
3. CBR GUIDELINES
CBR MATRIX
Empowerment of service users and carers
- Values and principles Management
- Coordination and leadership -
Contextualization of core values/principles/management
Health
Education
Livelihood
Social
4. Mental health perspectives –A¾ 4.1. Empowerment Domain
ƒ 4.1.1. Mental health promotion,
attitudes, values, principles
ƒ 4.1.2. Packages for teambuilding, care
for the carers, manage burnout
4. Mental health perspectives –B¾ 4.2. Health Domain
ƒ 4.2.1. Old system of care - Human
rights violations
ƒ 4.2.2. Good practices
5. Conclusions
-AThe “Guidelines are living documents”,
indeed “not a prescriptive step by step
guide”, but “common principles and themes
make it comprehensive, illustrating practical
up-to-date strategies”
- CBR Guidelines
Our notes are reflections on developing a
comprehensive strategy, a logical framework
with especial emphasis on roles and place of
mental health.
5. Conclusions
-BI am about to conclude our address and I feel that it is
appropriate for me to say some inspirational words.
´I would like to have in my hands the remedy for the needs of
the service users, but often that is not the case.
As your brother, I say to you that I try to share your pain. Do
not feel alone. I prepare myself to accompany you all your life if your suffering requires that.
And to you my sisters and brothers in the various serving
ministries I would say that for the good of those who suffer, let
us live our vocation to its fullest. There is no greater vocation
than that of helping the human person to be more human.’
6. References
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