Pakistan - List of Projects

 


We have a number of projects in Pakistan, please click the tabs below to find out more about each project.

Sir CJ Institute of Psychiatry in Hyderabad Sindh, Pakistan

Ailing Institutions: our aim is to provide consultation, help and  change the culture for delivery of care.

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The red building, in -patient facility has been lovingly restored by CFMH. We have 20 in- patients, capacity for 44. We plan to incorporate the rest of the hospital in our treatment approach.

Sir JCIP is a psychiatric hospital with 300 inpatient beds. It was commissioned the 1847 by Sir Cowasjee Jahangir, Civil Engineer and Master Constructor of Bombay, on land donated by the Gidwaney Family, with care and sincere intentions. It serves most of rural Sindh. Unfortunately, the nature of mental illness, its chronicity leading to poverty evolved into the hospital becoming a place to abandon sick relatives, hope was ebbing, and newer approaches in treatment of mental illness were not adopted, they were using chains and incarceration to manage difficult patients.


Concern for Mental Health adopted the Institution, we have updated and provide a modern approach to psychiatric treatment in a dedicated portion of the hospital. Day care, involvement of family, rehabilitation, de-stigmatization, awareness of patient's rights, have been at the core of our efforts. We are delighted this year to collaborate with Aman Foundation and Basic Needs to develop and update the services offered, and implement our vision. We hope to incorporate the rest of the hospital in our offer of modern treatment, helping Sir JCIP to be progressive and join in 21st Century care approaches, optimism and hope being at the core of our philosophy. The executive expertise, the organizational skills, hands-on presence of our new partners shall make for a great partnership, to help Sir JCIP to provide an ace service to the clients suffering from mental illness.


 

Concern for mental health signed a memorandum of agreement with the Government of Sindh to upgrade the care of the patients at the institution .

The focus was on :

  • Changing the culture of how the chronic mental illness sufferers were treated.
  • A move away from families abandoning their sick relatives in the hospital( (jama karana)  
  • Using medications, not chains to manage the acute stages of mental illness
  • To move a patient from acute to mid-level care open wards for recovery
  • Offer day hospital rehabilitation and incorporation back in the community
  • Develop skills to find employment in the community  through training and rehabilitation
  • Those abandoned but recovered, are  retrained and employed in our Volunteers program within the hospital. They would be provided hostel facilities and honorarium to give them self-confidence and independence. They would no longer have to live in a locked ward with acutely ill patients.
  • We achieve/ed  our goals through providing an updated in patient ward and day hospital /rehabilitation  facility , with our input into structural changes , providing trained staff , and adding what the Government hospital did not provide  in resources , facilities , medical advances, ideology.

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Executive Committee in Hyderabad                    The new  in-patient ward                      Medical check-ups Integral part of treatment

Then

The old ward

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Now

The new  in-patient ward,  inside the room

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Dr Ansari , Dr Sara Sheikh and Chief Admin Officer Nadeem


The Treatment Program

Sir Jahangir Cowasjee Institute of Psychiatry /CFMH Rehabilitation & Day Care, Hyderabad

The program is providing new hope and self-esteem for the patients, helping them to learn and progress to ultimately live in their community.

The patients come from other in-patient wards, and out-patients. They learn basic self-care skills, participate in activities to enable them to stay busy, recover and learn to start living life constructively outside the hospital, with their families, in their communities.

A Self-help Group, named “Humdard” has been formed in the rehabilitation Centre to include the patients in day to dayactivities. Subcommittees were created; each committee has a patient chairing it i.e. sports committee, washing committee, general cleanliness committee, chair-knitting focal person. The attendants and nurses provide back-up
support to these committees and individuals in executing the activities assigned to them .

Gardening Activities

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Gardening and Horticultural work has proven therapeutic benefits for physical, mental and emotional well being. We have involved our patients, especially people from a rural setting, in gardening activities to ensure interaction with nature and the out-door. The patients water plants, plant grass and support the gardener in his work. They cultivate plants which are receptive to khara salty water, as sweet water is not accessible.
    
 Attendant Yaqoob is teaching how to make candles

Candle Making

The Rehabilitation Centre has involved patients in the candle making process. Patients prepare candles, ensure their packing, a written message on each candle says “Mental illnesses are treatable”. Profits will be reinvested in the candle making process.

Chair Knitting

Some of the patients have expertise in knitting chairs, they have repaired chairs from the hospital as well as taking a small commission from outside. The Rehabilitation center has set- up a chair knitting room for regular activities. Recently Charpaie knitting has been added as a skill as well.

Indoor Games

Games are a fun way to engage people with mental illnesses, they enhance the opportunities of social interaction among the patients. Indoor games are always available: Ludo, Carom board, table tennis.

Outdoor Games

Sports keep the individuals active, reduce stress, providing many benefits. Rehabilitation Center is involving patients in out-door sports which include cricket, football, and badminton.

Morning Exercise

Every inpatient participates in morning exercises. The night shift ensures attendance. The patients are improving their physical fitness.

Book reading and library, adult literacy classes

A library has been set-up for use by patients who are educated. Adult literacy classes are offered, covering basic calculation. The psychologist is taking social ethics and personal hygiene.

 

Hospital Benazir Bhutto Hospital, Rawalpindi, Pakistan

Day Hospital and Rehabilitation Services

Concern for Mental Health set up an Occupational Therapy (OT) Centre within the department of the Institute of Psychiatry (which is also a WHO collaborating Centre) at Benazir Bhutto Hospital, Rawalpindi, a tertiary level government facility, in response to the need for a rehabilitative service for psychiatric patients.

  • A spacious room with a huge terrace on the first floor was offered by Dr. Fareed Minhas, head of the Psychiatry Department.

  • CFMH furnished the space, provided the materials needed and hired the staff required to run this program. Dr. Shahida Kahn is the program manager and coordinator.

The referrals come from the Consultant Psychiatrists, through their post–graduate trainees or house officers, the community clinic, referrals by service users.

Dr Khan makes a treatment plan which is revised as needed, depending on the response of the patient. All the activities are recorded on a daily basis which help the doctor to supervise, monitor and evaluate the rehabilitation activities for each patient.

The frequent conditions treated are depression, bipolar illness, schizophrenia, drug abuse, psychoses, dissociation and personality disorder.

The OT Rehabilitation focuses on working on life skills, self-care, self-hygiene, eating, cleaning, socializing for the patients.

The patients are offered the following skills and activities:

 A spacious room with a huge terrace on the first floor was offered by Dr. Fareed Minhas, head of the Psychiatry Department.

The patients are offered the following skills and activities:

  • Arts and Craft
  • Games and Sports
  • Reading/Writing
  • TV Time
  • Embroidery and Stitching
  • Horticultural activities
  • Cooking, Carpentry
  • Music Classes

Statistics

Total number of patients 2015, 316.

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Introducing Medical and Nursing Students to Mental Illness and Health.

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Nursing students visit the Day Center

33 medical students from 4th year Islamic international Medical College visited the clinic .They asked questions about common psychiatric illnesses, especially the role of medications in treatment.

Dr. Shahida Khan briefed them about the concept of decentralization of mental health services recommended by WHO to increase the accessibility of patients to affordable mental health services. The students learnt about our work and the importance of occupational therapy in psychiatric disease.

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 Dr Shahida with medical students

Concern for Mental Health Community Clinic at Behboud Premises

The Community Service provides Clinical and Psychological services to patients suffering from mental illness, arranges appropriate referrals for them as needed, provides education about mental illness in the community, the medical clinic attendees and their families. Training opportunities for Professionals are created as part of the work.

Clinical Services

Consultation, free medicines, Counseling and Psychotherapy are provided. Psychosis is the most frequent diagnosis, other conditions seen are, in decreasing order; depression, epilepsy, headache, anxiety, OCD, Mental Retardation, substance abuse, speech problems.

Most of the patients are referred to the clinic by previous patients who have benefited and are satisfied from the care received at the clinic. This is the biggest tribute to the work we do! Medical practitioners from surrounding localities and Behboud Association also refer patients to the Mental Health Clinic.

Beneficiaries of Clinical Services, 2015
Number of patient visits
Total   1162
New   116
Follow ups & repeats 1046


Education in Mental Health


The quality and quantity of time we spend with our patients and their families in counselling has time and again been acknowledged by them as the best part of our services. It significantly improves timely follow-up visits. The team educates and motivate the attendants to the extent they continue to bring their patients for mental health care.

Quantifying beneficiaries of education and awareness services is difficult.

Individual counseling is offered during consultation. Each patient is accompanied by a minimum of one relative, so the information about mental illness and its treatability benefits the attendants as well.

Awareness Raising in Groups

We raise awareness in groups about common mental illnesses and treatment available by our team. 

Referral Services

If the patients treated at the community clinic need further psychiatric care, our liaison with the psychiatry department at Benazir Bhutto Hospital is invaluable, they are referred there for further psychiatric care, if they require rehabilitation services they are referred to the CFMH Day hospital occupational therapy Centre.

Moreover, any patients attending the clinic who need medical treatment (or any specialist service) are referred to the relevant department at the Behboud Medical Services.Thus the patient avoids losing precious time and money by going to quacks or inadequate services.

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Dr. Rubina Qudwai, Assistant professor from NUST University visited Dr. Shahida Khan at the Mental Health Clinic to explore the possibilities of internship for MS students in clinical psychology. The meeting was fruitful.

Training

Clinical internships were offered to two MS Clinical Psychology students from NUST (National University of Sciences and Technology) starting in 2015. The students screen and assess the patients for their psycho-social needs and psychological issues along with providing counselling and psychotherapy where appropriate. The CFMH Clinic receives help in providing psychological services, and the students receive hands-on training. They receive intensive weekly supervision at NUST from senior clinical psychologists.

Concern for Mental Health : Planned Parenthood Premises, Lahore.

Ms. Lubna Afzal Javaid, Project Director CFMH & Project Director & General Secretary for Pakistani Society for Planned Parenthood.

After a thirty year career in Communications and Management with Lubna Afzalmultinational organisations like The Coca Cola Company and AVari Hotels, she now manages all projects being run at the PSPP. When she joined PSPP in 2007, the organisation was very much dormant. Now PSPP runs multiple programs, prominent being mental health, family and reproductive health, vocational training, adult literacy & other outreach programs.

Concern for Mental Health (CFMH) is one of the most successful and beneficial community programs at Planned Parenthood Premises (PSPP). It offers both diagnostic as well as rehabilitative programs to the clients. Access to Psychiatrists and Psychologists is difficult for under privileged people for a number of reasons:

  • Consultants at Government hospitals are over worked, they cannot give enough time for patient assessment and treatment.
  • Consultants working privately are expensive and beyond their reach.
  • The stigma attached to mental disease discourages them to be open about their visits to a public doctor / consultant. This attitude is rampant in our educated as well as uneducated populations.

We are a paternal-based and a closed society, where physical and mental abuse is common, people suffering can't talk openly, quacks (pirs and others) who claim to treat such patients on religious grounds make things worse. Treatment for mental diseases is time consuming and expensive, it is not easily available.

Lahore.pngPSPP has been present in this urban-slum area since 1981, it has developed a cordial relationship with the thousand or so households of Jeevanhana, which made it easier to collaborate with CFMH. A perfect infrastructure was already in place to introduce mental health help: OPD clinic, a medical doctor, field workers, vocational training and adult literacy program-working hand in hand with the trained Psychologists provided by CFMH.

Concern for Mental Health with Pakistan Society for Planned Parenthood joined resources in 2009, offering a three pronged program where we create awareness, remove stigma, diagnose through psychological and psychiatric evaluation by professionals and clinically qualified consultants and provide treatment free of cost to all our clients.

Both organizations work well together for the public cause. Net- working with other NGOs has provided the necessary physical treatment and psychiatric support. This is done with complete privacy and free of cost, the strength and success of the program lies in there.

We deal with depression, anger management, anxiety, insomnia, speech problems, and learning disabilities at CFMH-PSPP. In addition, obsessive compulsive disorder, epilepsy, schizophrenia and autism are also addressed. The work is done in community