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Community Mental Health as Part of a CBR Programme

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CBR for people with disabilities (sensorial, physical, intellectual) in the highlands of Peru ... Build on indigenous traditions like minka. New Needs come up ... – PowerPoint PPT presentation

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Title: Community Mental Health as Part of a CBR Programme


1
Community Mental Health as Part of a CBR Programme
2
Characteristics of the CBR Programme
  • CBR for people with disabilities (sensorial,
    physical, intellectual) in the highlands of Peru
  • 6 NGOs with focus on community development work
    in 60 rural indigenous communities in provinces
    of Puno and Cusco
  • Regional OPDs participate in planning,
    monitoring, evaluation and the steering committee
    of the programme.

3
Special characteristics of the CBR Programme
  • Partner organisations have a focus on development
    work, but not on disabilities.
  • Need for intensive training on disability issues
    for staff and community volunteers
  • Advantage build on well established roots,
    respect and trust in the community
  • Build on indigenous traditions like minka

4
New Needs come up …
  • CBR programme focused on children and people with
    the classical disabilities.
  • 2 years ago families and communities approached
    the programme with other needs.

5
Needs Analysis
  • People with epilepsy lacked access to quality
    health care and supply with antiepileptic drugs.
  • People with severe mental health problems lacked
    access to mental health services. Communities and
    families worried about disruptive behaviour and
    disrespect of traditional norms.
  • Needs for prevention of mental illnesses and
    promotion of MH high level of domestic violence,
    alcohol abuse, physical and sexual abuse of
    children

6
Context
  • Centuries of oppression, racism, structural
    violence and extreme poverty
  • Loss of lands, soil erosion
  • Migration of young adults to urban areas leaving
    behind children and elderly people
  • Armed conflict area (military and Sendero
    luminoso)

7
Strategies
  • Networking with PHC, training of health workers,
    provision of psychotropic and antiepileptic drugs
  • Networking with NGOs and public agencies to raise
    awareness about MH issues, reduce stigma and
    domestic violence, improve agricultural
    activities and foster income generation.
  • Motivate people with neuropsychiatric problems
    and their families to engage in self-help groups
    and in the organisations of PwD.

8
Outcomes (so far)
  • Quality of life improved in some people, above
    all with epilepsy
  • Alliance with PHC strengthened
  • Supply with antiepileptic drugs guaranteed
    through public health system

9
Weaknesses and Challenges
  • Changes in attitudes and practices are very slow,
    in communities as well as in the PHC. Communities
    have only survived under extremely harsh
    conditions valuing their own traditions
    (reciprocity).
  • Empowerment of people with MH problems difficult
    population dispersed, isolation, continuing
    discrimination
  • Quality of treatment?
  • Sustainability ?
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