The easy way to understanding of Psycho-social intervention. This slide is used for Medic Training.

1. Psychosocial Intervention
(mhGAP Guideline 2.0)
DAY – 1, DR. ARKAR, CLINICAL CONSULTANT, MAE TAO CLINIC

2. MCQ
Sleep hygiene includes
A. Solve issues in daytime
B. Should not drink coffee after 4:00PM
C. Should not smoke 1:30 hours before bed
D.All of the above

3. MCQ
Psychological treatment for depression is
included
A. Behavioral Activation
B. Relaxation Training
C. Problem solving treatment
D.All of the above

4. Cat Map
C – Communication
A – Assessment
T – Treatment
M – Mobilizing social support
A – Attention to overall wellbeing
P – Protection of human rights

5. T - Treatment
 Develop treatment plan,
 psychosocial interventions
 pharmacological intervention,
 referral,
 follow-up,
 work together with carer and families,
 foster strong links,
 modify treatment plans for special populations

6. Treatment Plan
 Discuss and determine treatment goals that respect willingness and preferences
for care,
 Involve the carer after obtaining the patient’s agreement,
 Encourage self-monitoring of symptoms and
 explain when to seek care urgently

7. Psychosocial Interventions - 1
Psychoeducation
 Condition and expected course and outcome,
 available treatment and expected benefits,
 duration of treatment,
 importance of adhering to treatment,
 potential side-effects,
 potential involvement of PSW/PHW/Case Manager/Trusted members in the
community

8. Psychosocial Interventions - 2
Reduce stress and strengthen social support
 Address current stressors: Identify and discuss psychosocial issues that make stress on
the person and/or impact their life
 Assist person to manage stress (problem solving),
 Assess and manage any situation of maltreatment, abuse and neglect,
 Identify supportive family members,
 Strengthen social supports and
 try to reactive social networks,
 Social activities,
 Stress management (Relaxation techniques)

9. Psychosocial Interventions - 3
Promote functioning in daily activities
 Provide support to continue regular social, educational and occupational activities,
 Facilitate inclusion in economic activities,
 Offer life skills training, and/or social skills training

10. Psychosocial Interventions - 4
Psychological Treatment
 Behavioral activation,
 Relaxation training,
 Problem solving treatment,
 Cognitive behavioral therapy (CBT),
 Contingency Management Therapy,
 Family Counseling or Therapy,
 Interpersonal Therapy (IPT),
 Motivational Enhancement Therapy,
 Parent Skills Training

11. Tools
 Psychoeducation
 Hand technique
 Sleep Hygiene
 Suicide Risk Assessment
 Problem solving
 Stars Chart
 Motivational Interview
 Mental State Examination (MSE)
 Panic Attack Management
 Psychological First Aids
 Relaxation Exercise

12. Sleep Hygiene
 1.Regular sleep/awake time (Avoid substitute sleeping in day time/ long sleep morning)
 2.Solve issues in day time
 3.Don’t think worry in bed
 4.Don’t drink alcohol
 5.Don’t drink coffee, tea, coca-cola after 4:00PM
 6.Don’t smoke 1:30 hours before sleep
 7.Don’t use drugs for sleep
 8.Close windows to be silent environment
 9.Dim your bed room
 10. Empty bladder, avoid hunger, be warm
 11. Don’t exercise at night
 12. Facial clean and tooth brush before bed
 13. Aware any disturbs in room. E.g. Dog, cat, flash, noisy clocks

13. CBT – Cognitive Behavioral Therapy

14. CBT
 Step 1: Identify critical behaviors
 Step 2: Determine whether critical behaviors are excesses or deficits
 Step 3: Evaluate critical behaviors for frequency, duration, or intensity (obtain a
baseline)
 Step 4: If excess, attempt to decrease frequency, duration, or intensity of
behaviors; if deficits, attempt to increase behaviors.

15. CBT Group Work
 A smoker
 A drinker
 A yaba abuser
 A depressed patient
 An autism child