Introduction
Given full support, the below mentioned are the programs set to be run by cmhatp. Some of the programs will require the final construction and the rest will start up with the availability of the first grant. The Chiedza Outreach& motivational team
This team’s main objective is to explore, develop and implement various strategies in giving motivation or a sense of self to everyone acro
ss the nation. Emphasis is going to be on the very young and school going ages. This is based on the psychosexual theory and the psychosocial theories in the causation of behavioural problems as well as mental illness. These theories emphasise on behaviour being a learnt process of which a great deal of this learning takes place during the child hood ages. I believe that the greatest weapon the nation can use to address behavioural problems which in turn lead to a countless number of problems, is to ensure positive leaning in children. This is achievable through goal directed motivational health education. The Chiedza team of will come up with instruments which will ensure this is achievable and follow up audits will be done regularly. Team members
Health education officers
Social workers psychologists
Art therapists
Psychologists
Medical doctors
Occupational therapists
Advertising agent
Theatre therapist
Music therapist
Chiedza Adult substance abuse services
Chiedza Mental health centre will work with some of the Countries’ leading addictionologists and certified chemical dependency counsellors to deliver the most effective and dynamic treatments. Program philosophy
Chiedza Behavioural Health Services will offer a full range of treatment options for adults over the age of 18 who are struggling with chemical dependency issues. Our programs are designed to address individual needs to minimize relapse and maximize one's ability to live without the use of addicting drugs. We will use addictionologists and certified chemical dependency counsellors who are trained in the newest treatment techniques. We believe that behaviour is a learnt process therefore it can be unlearnt and recovery begins with the desire to change along with the provision of an appropriate environment. Our philosophy is that anyone who wants to change can change with an appropriate recovery program. Through a comprehensive assessment, we will have clinicians who can match the person's needs and level of motivation with an effective treatment intervention. We will place patients in the most appropriate level of care. Inpatient services are often used to initiate recovery when medical detoxification is warranted. Partial hospital programming and other outpatient services will offer intensive treatment alternatives that enable individuals to remain active in their lives. Our residential program will also provide additional structure for patients who are having difficulty achieving abstinence. Levels of care
• Inpatient detoxification and rehab
• Residential services
• Day treatment:
o Partial hospitalization
o Intensive outpatient
o Women's recovery group
• Evening treatment:
o Intensive outpatient
o Pre-contemplative groups
o Relapse prevention group
o Early recovery group
o Complete outpatient services
Treatment
Our programs will utilize various approaches to treatment including:
• cognitive restructuring
• relapse prevention training
• affect regulation
• wellness concepts
• 12-step principles
The treatment plan addresses the following issues:
• Withdrawal and biomedical conditions
• Emotional and behavioural health syndromes
• Co-existing psychiatric disorders
• Family, work and community systems
Treatment modalities
• Assessment
• Art therapies
• Individual therapy
• Group therapy
• Family therapy and education
• Workshops and homework assignments
• Medical supervision
• Urine screens and breathalyzer tests
• Support groups
Additional services
Child and Adolescent Day Treatment Program
This is an important program which will provide patients, ages 4-14, with a safe, supportive and therapeutic environment designed to address their individual and family needs, utilizing comprehensive treatment modalities. Our goal is to help children and adolescents to:
• Stabilize moods and address problems at home, school and in the community
• Learn and practice a variety of skills in exploring and understanding emotions, feelings and choices
• Address the needs of family through education, crisis intervention and aftercare support
• Assume responsibility for personal choices, decisions and consequences to their choices
Treatment
This program will be designed to treat patients experiencing a wide range of psychiatric symptoms, behavioural difficulties and diagnosis including:
• Depression
• ADHD
• Oppositional/defiant behaviours
• Conduct disorders
• Anxiety
• Self-harming behaviours
• Post Traumatic Stress Disorders
Most children who will be admitted to the program will be enrolled for 2-12 weeks. Treatment modalities
• Assessment/psychiatric evaluation
• Multi-disciplinary treatment planning
• Group therapy
• Skill-building groups
• Art therapy
• Individual therapy
• Family therapy
• Medication evaluation and management
• Discharge planning and referral
Treatment team
• Board-certified child psychiatrist
• Psychologist
• Art therapist
• Master's level therapist
• Registered Nurse
• Occupational therapist
• School liaison
Treatment schedule
The Child and Adolescent Day Treatment Program meets daily, with sessions offered either mornings or afternoons. Contact is maintained on a regular basis with the patient's outpatient providers and school. Individual therapy will be provided on a weekly basis with the patient's program therapist. The program requires that the patient's parent or primary caregiver is actively involved in their child's treatment by attending weekly family therapy sessions. Patients meet on a monthly basis with our program psychiatrist for medication management evaluations. Transportation
Transportation will not be provided through the program, but a list of transportation companies can be provided as a courtesy to families. Meals
Breakfast, lunch and snacks will be provided to all patients attending the program. Treatment options to meet individual needs. Weekend programming designed to meet the requirements of weekdays workers will be available at Chiedza Mental health and art therapy centre. Transportation services for individuals in the partial hospital program will also be made available. The Intensive Outpatient Program – Adult Mental Health Services
At Chiedza Mental Health Centre is being specifically designed to help individuals through times of extreme fear, severe depression and anxiety. More than just a matter of prompting people how to "weather the storm," this intense program will teach powerful, practical ways to respond effectively to any type of emotional distress, especially major crises, such as the loss of a job, health or relationship. This program intends to use "behavioural activation," a research-supported therapy that views depression as a painful, life-disrupting experience that makes sense within the context of a person's life. A major focus of behavioural activation is on educating patients about the role of avoidance in depression and the ways that people naturally resort to it to escape stressful events and depressed feelings. Common avoidance behaviours may include staying in bed and withdrawing from friends, exercise or other normal routines. Avoidance as a persistent, long-term strategy for coping with depression keeps the problem going as it tends to block addressing important life problems, limits one's contact with antidepressant experiences, and leads to additional problems, such as bill collection notices, unintended weight gain and loneliness. These, in turn, can become new sources of depression. A major goal of this treatment is to help people re-engage in their lives by breaking patterns of avoidance that are maintaining or worsening depression. Through Art Therapy we will collaborate with patients to identify personally meaningful activities, and then strategize with them to find ways to initiate engagement in those experiences regardless of their mood. We focus on what actions need to be taken to address important life problems, as well as on those activities that might provide a sense of meaning, enjoyment or accomplishment. We will emphasize what they need to do to help manage their lives more effectively, even when this means doing things that might not be enjoyable, such as paying bills, working on taxes or tending to housework – things that are frequently avoided when people feel depressed. Activation in these important areas is what puts people back into greater contact with antidepressant experiences to help them overcome depression over time. During Intensive Outpatient Program group sessions, which will meet three times a week for three hours, participants identify and share meaningful short-term goals. Making goals public within the group enhances commitment to activate oneself and creates accountability. Participants then report their progress the following session, gaining a sense of accomplishment from what they have done, as well as encouragement and motivation from the group. There is something very powerful about taking action in small and gradual ways to begin to reverse the cycle of depression and avoidance. It may sound like a simple idea, but the reality of it is that it is far from easy. I think the reader understands how difficult it is to start to become active again when you've been depressed. Therapeutic strategies are needed to make it happen. The Intensive Outpatient Program features components of other research-supported treatments, such as dialectical behaviour therapy and exposure therapy, which can be helpful in treating additional clinical conditions besides depression. For example, distress tolerance skills derived from dialectical behaviour therapy can enhance coping for those individuals who have difficulty experiencing emotional distress without responding in an impulsive or even self-destructive manner, which tends to make highly stressful situations worse. Who is the program for? The Intensive Outpatient Program will provide an alternative for individuals in need of longer and more frequent treatment sessions than can be provided with once-a-week individual outpatient therapy. The program is especially helpful for those struggling with severe depression or anxiety and who are using impulsive or avoidant coping strategies. Setting a multidisciplinary Team
This is a team of professionals who will on the ground ensuring the achievement of the set goals
The Chiedza mental health team will consist of the following:
two consultant psychiatrists
10–30 psychiatric nurses for assertive outreach nursing teams (with maximum case-load of 12 service users to one nurse)
Mental health support workers, sufficient for the numbers of service users who require such support, who can provide peer support and advocacy
Six Art Therapists
two occupational therapists
two social workers
two clinical psychologists
one cognitive–behavioural therapist/psychotherapist
one addiction counsellor
additional staff
• domestic skills trainer
• creative/recreational therapists
Project proposed cash cows
These are other projects which are outside the mental Health project but are aimed at providing financial backup for the main Project. These backup projects will also be executed in a highly professional manner as described in their subsequent Project structures. The proposed projects include;
Chiedza Pharmaceutical and Medical Distributors &Wholesalers
Chiedza diagnostic Centres
Chiedza Pre Schools
NB: These Projects will also give vacancy priority to the mentally challenged who will be qualifying for Advertised Posts. Staff Development
It is of paramount importance that our members are up rest with the current academic trends. Our main aim at this point is to source a scholarship grant with which we will sent interested scholars to go and study for a postgraduate Master of art therapy degree. We aim that is the group is sent early or mid 2013 the time they come back the construction period of the hospital and postgraduate school of therapies will be done and this group will pioneer the faculty. We are also lobbying for research grants that can attract PhD students to study and do research with us.
