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CHT Opportunities&Responsibilities modified
- 1. CHT Equipping Seminar UB Psych Clinic PHO – MHO ; Benguet Province Syngenta Philippines
- 2. Rationale of the Project… An offshoot of the community advocacy talk “Aywanan ti Salun-at Ti Komunidad” Focus: Basic information about Valuing Life, First Aid and Judicious Use of Pesticide Post Evaluation Wider scope & support for our advocacy regarding Benguet social issues to key change agents (LGU’s ), health workers (BHW’s, Midwife, CHT) and academe ... Sustainable Social Change Discourse that will equip concerned sectors like local government officials, health workers, teachers, parents, adolescents and others.
- 3. Biological Genes, Drug Abuse Cognitive Limitations, MentalDisorders, Seasonal Affective etc. Psychological Maturity, Resiliency, Sense of Isolation Stressors , Faulty Thinking Hopelessness or Lack of Vision Social Media,Culture Peer Norms Public Discourse ..Family&Friends.. FinancialLoss SES, Education ,
- 4. Vision : Positive Community Mental Health Community PHO - MHO PFA ready mental health facilitators Active CHT monitoring LGUs Resource Sharing PFA ready officials Continuous Social Change Seminars (ex: parenting seminars, positive adolescence) Schools Basic Guidance Program Revitalized Information Service PFA ready school personnel Other Private Agencies: Functional Referral System
- 5. Projected Schedule of Activities Months PHO – MHO – LGU Dep-Ed Program June CHT-PFA Training 14 Municipalities .. Establish Referral System .. Networking for Collaborative Programs PFA – Guidance Seminar for School Admin .. Referral System .. Networking July – August Monitor PFA Re-Echo Activities Community Seminars sponsored by LGU PFA Interventions Referrals if any Deliver 4 Talks to High School Students ; one each month PFA Interventions Referrals if any September – October November – December Feedback & Evaluation Documentation Vision : Positive Community Mental Health
- 6. Life’s most persistent and urgent question is – What are you doing for others?
- 7. Community Health Team Opportunities & Responsibilities Dr. Liberty L. Catbagan Registered Psychologist in cooperation with Provincial Health Office and Syngenta Philippines
- 8. Community Health Team October 11, 2011 .. The DOH, with the DILG, DSWD, and DepEd launched the Community Health Team (CHT) Mobilization campaign to guarantee that every family in the community is periodically visited and attended by health providers as part of ‘Kalusugan Pangkalahatan’ or Universal Health Care. Noble Endeavor : CHT Mobilization aims to link families to social service providers, provide critical social services when needed, and deliver key health messages. Guidebook: Help families recognize their health risks and needs, develop customized health plans to address those needs, use their Philhealth benefits and find appropriate accessible health providers.
- 9. Community Health Team Guidebook: Help families recognize their health risks and needs, develop customized health plans to address those needs, use their Philhealth benefits and find appropriate accesible health providers.
- 10. Community Health Team .. to guarantee that every family in the community is periodically visited by health providers as part of ‘Kalusugan Pangkalahatan’ HEALTH - state of complete physical, mental and social well-being & not mere absence of disease.. CHT .. Ensure physical, mental & social well-being!
- 11. Community Health Team noble endeavor : Ensure physical, mental and social well-being!
- 12. CHT Noble Responsibility .. Ensure physical, mental and social well-being! .. Herculean Task.. You were chosen for this!
- 13. Benguet Situationer Feb. 6, 2013 Philstar .. 71 incest rape cases Jan 2011 – May 2012 Trinidad – 18 rape, 8 incest Tuba – 10 , Kibungan – 9 Itogon – 6 , Tublay – 2, Atok 1 Kapangan&Mankayan – 5 each, Buguias & Sablan – 3 each Benguet Child Abuse: Rape – 39% Physical Abuse – 28% Incest Rape – 22 % (5y/o↓) 117 child abuse cases, 53% were committed inside the victim’s house. Benguet Highest Pregnancy Rate among 15-19 y/o from Young Adult Fertility & Sexuality Study Sunstar 9/12/2013 Benguet Suicide Cases exceed WHO statistics Out of school youths aged 15-25 Suicide committed within their home or compound. Explore programs that will strengthen marital & family relations.
- 14. Community Health Team CHT .. Ensure physical, mental and social well-being! CHT envisioned to evolve into do-it-all community health organizations assuming expanded tasks and functions on health programs.. Tasks may include community health education and promotion, poverty reduction, reproductive health advocacy, child health, Adolescent & Youth health and/or other relevant women’s health issues.. Basically , CHT implies Health in the hands of the Community
- 15. Community Health Team .. Ensure physical, mental and social well-being! Preventive vs Responsive Programs for Child, Adolescent and/or other relevant women’s health issues..
- 16. Community Health Team .. Ensure physical, mental and social well-being! What kind of evil do we need to Prevent in our community? Alcoholism, Child Neglect, Materialism, Superficiality, Gangs, Suicide..
- 17. Qian Hongyan who was forced to use half a basketball as her prosthetic body has inspired millions with her ambition to compete as a swimmer in the 2012 Paralympics in London. Resilience! In 2000 she was tragically injured in a car accident when she was only 3 years old. Considering severe injury, the doctors were forced to amputate her legs. Her family in Zhuangxia China used half a basketball to get around on. Once on the ball, she uses two wooden props to help her move around. She struggled but practiced hard to live her life with a basketball as an underprop, ‘walking’ between school and home by herself. Based on October 2014 article..
- 18. Community Health Team CHT .. Ensure physical, mental and social well-being! Preventive vs Responsive Programs for Children.. Improve child health through Injury Prevention • help preclude parent alcohol intake • Childhoood Home Visitation Program • Risk Assessment, Counseling & Remediation People ask, “How can a person abuse a child?” I ask, “How can so many good people not do anything?”
- 19. Girl was kept in this closet soaked with urine & feces for years. When she was found in 2001, Lauren weighed 25.6 pounds, the size of an average 2y/o when she is actually 8y/o. She was potbellied with malnutrition. She had been so deprived of nutrition that her bloated stomach lacked the enzymes it needed to digest food and introducing the wrong food can lead to an electrolyte imbalance & heart attack so doctors had to feed her using a method used on Holocaust victims. When she was found, her legs were red raw & peeling from sitting in her urine & feces. She also had traces of feces in her mouth.
- 20. Doctors testified that Lauren stopped growing at about age 2 ½ . She developed lactose intolerance as a toddler but her mother continued to give her milk. The resulting vomiting & diarrhea frustrated the young mother, left Lauren undernourished & led to a dysfunctional spiral. The more Lauren cried & spit up, the harder mom’s feelings became. Mom had 6 children w/ 4 different men but Lauren was singled out for the abuse explaining simply “The girl was bad”. The other children said they knew the abuse & would sneak food but were terrified of mom & scared of reporting.
- 21. Her mom & stepdad starved, confined, & handed her over to other men for sexual abuse that she had rectovaginal fistula, a severe tearing from sexual abuse. She did not have a separate vagina and anus. They came out together as one opening. When she was adopted, Lauren would sleep in her closet & gorge on food in the night. She was always worried someone would take her food. She exhibited fits of rage, fights at school, self- harming suicide attempts, & seizures when her body sought to block out the painful memories, specially the rapes. Healing came when she was put in an alternative school & residential therapy, she met other abuse survivors & learned she wasn’t alone.
- 22. Lauren graduated from High School 2013 & has enrolled in college. She is no longer taking medication for depression or bipolar disorder. But she still stashes food in her room. At first, she was not social, was chronically depressed & suicidal. Now, she seems to be thriving.
- 23. Life’s: Developmental Stages Childhood Infancy – birth to 18 mos. - Trust vs Mistrust Early Childhood – 2 to 3 y/o – Autonomy vs Shame & Doubt Preschool – 3 to 5 y/o – Initiative vs Guilt School Age – 6 to 11 y/o - Industry vs Inferiority Adolescence ... 12 to 18 y/o – Identity vs Role Confusion Adulthood Young Adulthood – 19 to 40 y/o – Intimacy vs Isolation Middle Adulthood – 40 – 65 y/o – Generativity vs Stagnation Maturity – 66 to death – Ego Integrity vs Despair
- 24. Community Health Team CHT .. Ensure physical, mental and social well-being! Preventive vs Responsive Programs for Child , Adolescent and/or other relevant women’s health issues.. Person-to-Person Intervention Improve Parenting Skills Early Psych Assessment Education Adolescent Health Behavior Alcohol & Drug Use Injury & Violence (w/ Self-Harm) Tobacco Use Nutrition Physical Activity Sexual Behaviors
- 25. Adolescence is a Stage of Changes.. - Limited Cognitive Reasoning - Egoistic Thinking - Present Time Orientation
- 27. Adolescent Health Program Mission.. address most important health challenges among the youth like intentional & unintentional injury, violence, substance abuse.. community-based teen pregnancy prevention projects implement programs that reduce risk-taking behaviors (casual sex, suicide, substance abuse, alcoholism, truancy etc.)
- 30. The RESOLUTION I DO solemnly resolve to take full responsibility for myself, my wife, and my children. I will love them, protect them, serve them, and teach them as the leader of my home. I will be faithful to my wife. I will bless my children. I will teach them to honor authority & live responsibly. I will confront evil, pursue justice, and love mercy. I will treat others with kindness, respect & compassion. I will work diligently to provide the needs of my family. I will learn from my mistakes & walk with integrity.
- 32. Twisted Cultural Definitions.. Intimacy.. In love or just scared? Happiness vs Joy.. success... Money vs Meaning.. makatapos ng pag-aaral.. angry at.. vs .. angry? Really? panganay magpa-aral ng kapatid!
- 33. Life’s: Developmental Stages Childhood Infancy – birth to 18 mos. - Trust vs Mistrust Early Childhood – 2 to 3 y/o – Autonomy vs Shame & Doubt Preschool – 3 to 5 y/o – Initiative vs Guilt School Age – 6 to 11 y/o - Industry vs Inferiority Adolescence ... 12 to 18 y/o – Identity vs Role Confusion Adulthood .. Prevent Existential Crisis! Young Adulthood – 19 to 40 y/o – Intimacy vs Isolation Middle Adulthood – 40 – 65 y/o – Generativity vs Stagnation Maturity – 66 to death – Ego Integrity vs Despair
- 35. Guidance Team There is Hope! Preventive Programs..
- 36. We can’t help everyone but we sure can help someone.
Editor's Notes
- Wider scope – from community to health workers/LGU’s and Academe .. Sustainable discourse – not one but continuous social change talks
- Bio-Psycho-Social model for social issues like suicide, teenage pregnancy, incest etc. .. Continuous social change discourse can target the social and psychological aspects.. By establishing the referral services – we may also be able to target the biological aspect..
- Our vision is a mature, resilient, & self-actualized community .. This can be achieved by redefining the norms of the school through sustainable preventive programs (continuous talk) & responsive services (PFA & referral system) from leaders, parents & community health team..
- Thus, we propose the following schedule of activities.. Syngenta will help us initiate the program.. To show you what can be achieved.. And the leaders of the community (CHT) have to meet them half-way.. After all, these social issues is everyone’s social responsibility..
- We need to wage a new kind of revolution.. The revolution of the mind – to counter poverty, suicide, teen pregnancy & other social issues.. Join us in this movement and you will find soon enough that if you help others – you end up helping yourselves..
- So now we come to.. CHT opportunities and responsibilities..
- CHT was launched for a noble endeavor – to take care of each Filipino Family.. These are your mandate.. We acknowledge such herculean task and as a thank you - we are here to do our part to help you.. Together – we can all do these..
- CHT task is very important.. Many suffer from health conditions that could’ve been prevented.. You help families... Example: health risk – fetal alcohol syndrome.. Health is wealth. It leads to happiness.. You Redeem people! You have a noble task! Child & maternal care is currently better because of CHT..
- CHT responsibility is wholistic.. Health not only physically, but mentally and socially.. That’s why you are tasked to do postnatal follow-ups with counseling if need be.. Because of the possibility of post-partum depression..
- CHT responsibility is wholistic.. It’s pointless to just take care of people’s physical health.. Most of the time, physical health depends on mental, psychological, emotional, and social health.. Otherwise, our community may face consequences.. Massacre due to frustration, infanticide, drug use, criminality, and suicide..
- CHT responsibility is Noble, Difficult, & Scary.. But.. You were chosen by the universe for this.. Do not waste this opportunity to make a difference in the lives of others.. But also in your life.. Whatever positivity and love you give out to the world comes back in your life ‘pressed down & running over’.. You can do this! the universe would not have chosen you if you weren’t
- As of late.. Benguet seems to be number one in social issues... we can be part of the solution or part of the problem.. As a guidance team member – we can do something about.. We can “guide” people – steer them in the right direction and make an impact for future generation..
- You are supposed to visit families.. CHT expanded tasks & functions.. Health includes programs for child & adolescents that target child abuse cases of rape, incest, suicide, teen-age pregnancy etc. You can make a difference.. It can be done.. If the focus in on preventive rather than responsive programs.. Kasama pa rin po sa trabaho natin ang mga ito.. Suicide often stems from depression.. We could’ve prevented this.. Have you gone to their homes lately?
- Preventive programs make CHT tasks easier.. Help prevent evil from taking over our communities.. The only way evil or negative mental health can thrive is when good people allow it to happen.. When we engage in preventive programs – we are saying that we will not allow these to happen..
- What kind of evil do we need to prevent? Alcoholism leads to everything evil, materialism, suicide, child neglect & the idea that children should not be valued.. Lack of purpose and meaning..
- What do we want our community members to learn? Resilience.. Gratefulness.. Service to others.. Purpose in life..
- Prevention is better than cure.. For child health care.. Injury prevention, home visitation, risk assessment, counseling & remediation.. Remember that child neglect & emotional abuse is also part of CHT responsibilities.
- This is what can happen if we do not do our mandate as CHT.. The purpose of home visits is to check if everyone in the family is okay..
- Show the slide.. Finish the story and use it as avenue to share about stories from Benguet similar to this.. This story is just a cue to show the process of arriving at a maladaptive personality due to childhood trauma which can be prevented through home visits..
- So, if we don’t prevent childhood trauma – it may lead to depression, suicide or maladaptive personality.. Thus, our mandate to visit homes & ensure everyone’s physical & psychological well-being as CHT members is important..
- This is life’s developmental stages.. Notice that every stage has a lesson & goal that we need to answer.. And previous stages have an impact for the rest of our lives.. Lauren is still struggling with trust & inferiority.. We can prevent these.. CHT member now – will reach generativity & ego integrity also.. What will you hold on to then? But if you do a great job now – it will also make a difference in your life..
- Prevention is better than cure.. For adolescent health – we can do interventions, etc. & watch out for the following adolescent health behaviors..
- We can only help them if we ourselves understand what they are going through.. High school is where we need to exercise Great Faith.. That despite what we see teens doing – that they have good will & best intentions.. They are not bad, they are just misunderstood..
- Youth doesn’t have to be a period of fights & regret.. Youth can do great things!! If we know how to guide them.. Example, when you tell them ‘may gini-girlfriend at may pinakakasalan’ – it hurts but it will make them think.. If we have programs that will teach them about themselves, life and their future.. They can be great!
- The youth have so much potential.. All we have to do is redirect them.. Effective co-curricular & extra-curricular activities.. We reap what we sow.. We teach everyone & we win.. Garbage In, Garbage Out! If they have purposive adolescence, we can prevent future problems like depression, poverty, existential crisis, rape, suicide etc.
- The preventive community programs you can offer can be parenting seminars, purposeful adolescence, addiction discussion, teen-age pregnancy, psychological poverty, violence against women, male depression, teen angst.. Etc. show video of courageous..
- Example.. Our culture advocates the use of alcohol.. Teens say ‘party’ & think of alcohol.. For the boys – can’t talk without drinking session.. Its not macho..
- The movie is about men who had the courage to be different.. To love their family, to live with principles and integrity.. How about you? Are you Macho? Or Are you courageous?
- Ang tunay na lalake – may prinsipyo.. May tapang .. May pinagmamalaki – the ability to resist temptation.. Boys are different from Men.. And it’s not based on age.. Men are Courageous!
- Sometimes, we are trapped by our culture.. We equate love with making a baby together – thinking that it will get us closer to each other.. Then we have relationship problems and we harm ourselves.. But if people are guided.. Problems that may lead to self-harm are avoided..
- It takes wisdom to question beliefs handed down by people.. Let men be men is just an excuse.. Real men do not use this.. It takes courage to question popular beliefs.. Both comes only with maturity.. But, would you rather have regrets than live a worthy life.. When you look back in the future, would you feel sorry for the past? Would you then say “i Should’ve”?...
- Again.. Garbage in, Garbage out! We all introduce preventive programs continuously and consistently and we will see changes in our own minds and the minds of our neighbors.. We will start to discover resiliency (katatagan), courage, hardwork, perseverance, good values, etc... What will our conversations sound like? Small minds talk about people, average minds talk about things, big minds talk about ideas..
- With all these preventive programs – simply because we are talking about it.. We start re-creating our norms (rules & expectations).. We learn how to do positive parenting, we teach teens about volunterism, excellence, adults start to ensure the safety and togetherness of the family, we stop distracting ourselves with vices.. We start appreciating our own lives and placing an effort to find meaning & purpose for our existence.. There is hope! We are not victims.. We are victors.. The future of our community is in our hands..
- So today.. We re-dedicate ourselves.. Today, we acknowledge our opportunities & responsibilities as CHT member.. What would you personally commit to? To ensure the positive well-being or positive mental health of your community?