Help a homeless women with mental illness on World Mental Health Day . | Milaap
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Help a homeless women with mental illness on World Mental Health Day .

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 Help us to reunite a homeless woman with  mental illness back to her family with dignity….!!!
Homelessness amongst persons with mental illness is a common sight in developing societies like ours where psychiatrist/population ratio is one for every million and poverty looms large over majority of the overall population. Vulnerability within this populace is two-fold in case of homeless women with mental illness whose number have always  been increasing. In 2005, Ashadeep initiated project ‘Navachetana’ for rehabilitation of Homeless women with Mental Illness. The prime objective of this project – ‘Navachetana’ is to provide care, treatment and rehabilitation measures to these women and to eventually re-integrate them with their families. Psychiatric, and other medical treatment as may be necessary for admitted women and care; Psychological and other social rehabilitation services are provided at the ‘Navachetana’ residential facilities by a team of qualified personnel including psychiatrists, psychologists, counselors, social workers, and trained health care staff.
For the last 10 years, Ashadeep has been rescuing and providing rehabilitation services to an average of 65-70 such women each year. A total of 610 homeless women with mental illness have been provided intervention since Ashadeep started working with this marginalized group  and 565 of them have been reintegrated with their families spread across North Eastern states,Bihar, Uttar Pradesh, Madhya Pradesh, West Bengal, Andhra Pradesh, Karnataka, Gujarat, Rajasthan to Bangladesh and Nepal.
Ashadeep was initiated in the year 1996 , with the vision of achieving a life of better quality for persons with mental disorders and their families by initiating and strengthening mental health interventions in the Northeastern states of India. Ashadeep has always consistently strived to reach out to persons with mental disorder in all context and has been a major service provider in mental health interventions for one and all in the community.
 
 
Families are often at a loss of words when they are reunited with their loved ones whom they had lost due to the illness. Each family and each reintegration has a unique story to tell!


Our success story.......


Certain sights linger in our memories long after they have been witnessed. For many of us in Assam it was the graphic visual of that of a woman breast feeding a puppy which was unmindfully and repeatedly being telecasted on our TV screens. The woman on the screen seemed to be unperturbed by the swarm of people gathered around her. It was being reported that she had recently given birth to a girl child who was taken away by local people of the area where she had been wandering for many a months. A few days after this incident was captured by the media and the ensuing hue and cry on talk shows had subsided the woman was brought to Ashadeep by the Police (of Rowta Police Station).
  At the time of admission she was displaying symptoms like self muttering, self smiling, uncooperative, and hallucinatory behavior. After she was bought to Navachetana, she was given the anti-rabies injection and attended by a Gynecologist as she was having post delivery related issues. She was diagnosed as having Schizophrenia by the Psychiatrist. Soon thereafter her treatment begun and she was provided with psychosocial inputs. She was called as Munni  by fellow residents and staff members. 
After recovering substantially and spending nearly about 18 months at Ashadeep, Munni started recollecting names of few of the landmarks near her residence. Her home was traced to an interior village in Udalguri District (BTAD). On reaching her village it was found that that her mother had passed away a couple of months ago and she was survived by two elder brothers and a sister-in-law. She developed symptoms of mental illness when she was around 16 years old. She was under treatment and medication under the consultation of the LGBRIMH at Tezpur. During this period she eloped with a man from her village who had approached her family for her hand in marriage. Post marriage she discontinued her medication which led to a relapse of the illness. Few months later her brother found her sitting near the Tangla Market where he learnt that she was pregnant and has been wandering there on the streets. He brought her to home where she gave birth to a healthy boy child. Her husband contacted her family and took her back to his home along with the boy child. Her situation deteriorated in the absence of any treatment and few weeks later she wandered away from home and started living on the streets. It had been 8 years of wandering in the streets before she found her way to Navachetana and was able to regain her former healthy self. Presently she is leading a normal life with her brothers and continues to receive treatment at Ashadeep’s OPD every month.
Your Support Will……..
Ensure that these people do not remain edifices in the footpaths of the roads which you daily pass by. Otherwise neglected and looked at with disgust for no fault of their own, homeless persons with mental illness will get an opportunity to pursue a life of dignity and secure their basic rights of good health and well being. They will continue to receive interventions by a team of qualified personnel including psychiatrists, psychologists, counselors, social workers, and trained residential health care staff at Ashadeep. With the ultimate goal of reuniting them back to their family.
Therefore, the  break up of the required budget is given below:
Expenditure  for 50 inmates at Navachetna-Rehabilitation Home for Homeless Mentally Ill Women for one- year. 
Head
Per month per woman
Yearly for 50 women
Food Expenses
1400
8,40,000
Medicine expenses(Anti-Psychotic drugs)
450
2,70,000
Medicine expenses(general)
100
60,000
Daily needs: Toileteries( sanitary napkin,soap, Shampoo and detergent), (daily wear clothes ,undergarments, bedsheet, towel)
250
1,50,000




Total amount
13,20,000/-



Salary for health support staff  for 5 workers @9000/- = 5,40,000
                            TOTAL AMOUNT                           18,60,000
 



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21st August 2020
Dear Supporters,


Greetings from entire Ashadeep family!

We would like to express a heartfelt gratitude for showing your continuous support to our campaign. In last couple of months the women of Ashadeep’s Navachetana project has shown a tremendous amount of improvement in every way of life; and we at  Ashadeep has never stopped  in supporting these women to gain back their full potential .
 During this period a total of 23 women has been admitted to Navachetana taking  the total number of admission to 742 till August 2020. The sources of admission is a mixed bag- through police, other voluntary organisation, concerned denizens, etc. Similarly the total number of women being reintegrated back to their families is 704 till August 2020. These women have been taken back to places as far as Tamil Nadu, Jammu, Gujarat…and to  some of the most interior parts of North east .And to much of our relief almost all of them  were accepted by their families with warm hearts and open hand …!
The regular activities of Navachetana continues to focus on improving the daily living skills, social skills and vocational skills of these women residents  with constant support of  psychological interventions. Whenever the need arises the residents are also taken for medical intervention s like X-Rays, ultra sound and other pathological tests.
Recently arrays of activities were introduced under vocational activities like gardening , knitting , kitchen work and handicrafts. These activities are incentive based and has proved very beneficial to empower and motivate them.
                                                   
                                  Residents busy with their regular routine work.                                                              At the Gym Unit.



Keeping in mind the fitness and wellbeing of the residents a multi gym unit has been set up in the campus where all the residents can be seen doing their bit of physical exercises religiously. Regular yoga and meditation sessions and indoor and outdoor gamings are also a part of their regular routine.At Ashadeep we have gathered and experienced innumerable real instances of the fighting spirit and ‘a never give up’ attitude of these courageous women and we would be delighted to share one such story with our well wishes….
  • Mitanjali aged 17  is  one of the youngest resident of Ashadeep. She was diagnosed with  Intellectual Disability along with Schizophrenia. She had to undergo treatment for four years to reach a functional state and  was reintegrated with her family. Although she continued her medication and visited the OPD of Ashadeep regularly but there were hardly any support from her family. With frequent episodes of relapses ,  she was back in the streets of Guwahati. She was rescued by police and admitted to Ashadeep once again. After getting psychosocial intervention she recovered quickly. After her recovery she showed signs of significant improvement in the areas self-care, social and vocational skills. She expressed her willingness to become self –reliant so that she does not have to depend on her family. She was determined and very soon she was selected to work in a Packaging Unit named “Atma Nirbhar”. Meanwhile, her family was traced and finally she was reintegrated with her family. But this time  with a good amount of savings and a newly found identity she was more confident to face the  challenges of her life…!
Dear Supporters,


Greetings from entire Ashadeep family!

We would like to express a heartfelt gratitude for showing your continuous support to our campaign. In last couple of months the women of Ashadeep’s Navachetana project has shown a tremendous amount of improvement in every way of life; and we at  Ashadeep has never stopped  in supporting these women to gain back their full potential .
 During this period a total of 23 women has been admitted to Navachetana taking  the total number of admission to 742 till August 2020. The sources of admission is a mixed bag- through police, other voluntary organisation, concerned denizens, etc. Similarly the total number of women being reintegrated back to their families is 704 till August 2020. These women have been taken back to places as far as Tamil Nadu, Jammu, Gujarat…and to  some of the most interior parts of North east .And to much of our relief almost all of them  were accepted by their families with warm hearts and open hand …!
The regular activities of Navachetana continues to focus on improving the daily living skills, social skills and vocational skills of these women residents  with constant support of  psychological interventions. Whenever the need arises the residents are also taken for medical intervention s like X-Rays, ultra sound and other pathological tests.
Recently arrays of activities were introduced under vocational activities like gardening , knitting , kitchen work and handicrafts. These activities are incentive based and has proved very beneficial to empower and motivate them.
                                                   
                                  Residents busy with their regular routine work.                                                              At the Gym Unit.



Keeping in mind the fitness and wellbeing of the residents a multi gym unit has been set up in the campus where all the residents can be seen doing their bit of physical exercises religiously. Regular yoga and meditation sessions and indoor and outdoor gamings are also a part of their regular routine.At Ashadeep we have gathered and experienced innumerable real instances of the fighting spirit and ‘a never give up’ attitude of these courageous women and we would be delighted to share one such story with our well wishes….
  • Mitanjali aged 17  is  one of the youngest resident of Ashadeep. She was diagnosed with  Intellectual Disability along with Schizophrenia. She had to undergo treatment for four years to reach a functional state and  was reintegrated with her family. Although she continued her medication and visited the OPD of Ashadeep regularly but there were hardly any support from her family. With frequent episodes of relapses ,  she was back in the streets of Guwahati. She was rescued by police and admitted to Ashadeep once again. After getting psychosocial intervention she recovered quickly. After her recovery she showed signs of significant improvement in the areas self-care, social and vocational skills. She expressed her willingness to become self –reliant so that she does not have to depend on her family. She was determined and very soon she was selected to work in a Packaging Unit named “Atma Nirbhar”. Meanwhile, her family was traced and finally she was reintegrated with her family. But this time  with a good amount of savings and a newly found identity she was more confident to face the  challenges of her life…!
25th September 2018
Dear Supporters,

I am delighted with the love and support given to our campaign.

I am glad to inform you that we were able to find homes of 90% of people. The remaining residents who have completed at least one year in the Transit facilities have reduced positive symptoms related to their illness and better functional level, are being shifted to independent shared homes. Usually five women reside in these homes, and they live a life like anyone of us. Most of the residents of these shared homes are earning a livelihood through varied engagements. Few of them are employed with a packaging industry in Guwahati, two in a Private School, a few in Ashadeep’s Day Rehabilitation centre , another two in The Transit facility for women at Bamunigaon. The women do spend more of their earnings on cosmetics in addition to contributing to running their homes.

Over the time, it has been noticed that there is a  tremendous change in the functional level of most of the residents.
The major outcomes observed in these few months are
  • Residents’ interpersonal and social skills has developed and increased the level of functionality for example communication and work.
  • They developed a good bonding among themselves (sister’s relation) and also started visiting neighbors and maintain a good relation with the community people.
  • Their psychological health and the quality of life is much better than before.
  • They take part in household work and a few of them started cooking in the respective homes.
  • A few residents who never go out of the campus has started working outside.
  • Some residents are employed internally and has started earning.
Milestones achieved:
  • 8 residents have their own  bank accounts and pan cards
  • 8 residents are employed, out of which 3 residents job will become permanent and will be eligible for financial security in the form of PF.
  • Within a short span of time our Home Again project has shown a positive trend. However   support is required to set new homes to cater to new residents and also to bear the recurring expenses of the existing homes.                                                   
Thank you for the immense love and support. Please continue to share the campaign. We will keep you posted.

Below are a few pictures:




Regards,
Anjana
Dear Supporters,

I am delighted with the love and support given to our campaign.

I am glad to inform you that we were able to find homes of 90% of people. The remaining residents who have completed at least one year in the Transit facilities have reduced positive symptoms related to their illness and better functional level, are being shifted to independent shared homes. Usually five women reside in these homes, and they live a life like anyone of us. Most of the residents of these shared homes are earning a livelihood through varied engagements. Few of them are employed with a packaging industry in Guwahati, two in a Private School, a few in Ashadeep’s Day Rehabilitation centre , another two in The Transit facility for women at Bamunigaon. The women do spend more of their earnings on cosmetics in addition to contributing to running their homes.

Over the time, it has been noticed that there is a  tremendous change in the functional level of most of the residents.
The major outcomes observed in these few months are
  • Residents’ interpersonal and social skills has developed and increased the level of functionality for example communication and work.
  • They developed a good bonding among themselves (sister’s relation) and also started visiting neighbors and maintain a good relation with the community people.
  • Their psychological health and the quality of life is much better than before.
  • They take part in household work and a few of them started cooking in the respective homes.
  • A few residents who never go out of the campus has started working outside.
  • Some residents are employed internally and has started earning.
Milestones achieved:
  • 8 residents have their own  bank accounts and pan cards
  • 8 residents are employed, out of which 3 residents job will become permanent and will be eligible for financial security in the form of PF.
  • Within a short span of time our Home Again project has shown a positive trend. However   support is required to set new homes to cater to new residents and also to bear the recurring expenses of the existing homes.                                                   
Thank you for the immense love and support. Please continue to share the campaign. We will keep you posted.

Below are a few pictures:




Regards,
Anjana
7th October 2016
REHABILITATION OF HOMELESS WOMEN WITH MENTAL ILLNESS
Two homes are being maintained under this activity –
  • Navachetana (Transit Care) for women with 30 beds located at Rehabari, Guwahati.
  • Navachetana (Rehab) for women with 30 beds located at Bamunigaon, 60 Kms from Guwahati.
The prime objective of this activity is to provide care, treatment and rehabilitation measures to these persons and to eventually re-integrate them with their families. Psychiatric and other medical treatment and care; Psychological and other social rehabilitation services are provided at the residential facilities by a team of qualified personnel including psychiatrists, psychologists, counselors, social workers, and trained health care staff. A unique feature of these homes is the fact that scientific tools and approaches such as Growth Chart, Mental Status Examination, Positive and Negative Symptoms Scale, Indian Disability Examination and Assessment Scale and Global Assessment Functioning are used in a homely environment instead of a hospital like set up. Once the persons are reintegrated with their families, follow-up support in terms of treatment, counseling, and free medicine supply are provided to them on regular intervals. During 2015-16, 103 women (48 new admission and 9 re-admission) has been provided with these services of which 51 women have been reintegrated in various parts of India including Maharastra, West Bengal, Bihar, Bangladesh and Assam.
The sources of rescue and admission are generally categorized as under :
Rescued by Ashadeep
Brought by police
Referred from other organization
Referred from Ashadeep’s Free Psychiatric OPD
Referred from ongoing Community Mental Health Programme (CMHP) sites of Ashadeep.




53% women out of those rescued during 2015-16 have been re-integrated in the same year. The following Table shows the states where re-integrations have taken place. One woman had been re-integrated in Bangladesh.
Places of Re-integration in 2015-16

Sl. No.
State
Women
1
Assam
43
2
Bihar
2
3
Maharashtra
2
4
West Bangal
3
5
Bangladesh
1
TOTAL
51






CASE STUDY
Missing for a decade, memoir of a life: Bindiya
Rescue: Bidniya was rescued by the staff members of Ashadeep on 08/07/2014 after information was received from the public about a woman loitering on the streets of Birubari area and behaving in socially unacceptable manner. The team reached the said location and brought her to Navachetana’s Transit Care at Rehabari, Guwahati. When asked to get down from the car, she did, but hurriedly ran towards the exit gate and tried to run away. However the nurses and other staff members were able to catch hold of her and brought her back.
Intervention:  Bindiya was ill kempt, muttering to self and carrying a pile of garbage that she wasn’t willing to part with. She was immediately given a bath, and provided with clothing and food. The Symptom Identification Scale and Mental Status Examination provided the picture of symptoms present at the time of rescue and admission. To get a more objective depiction of the same, PANSS, IDEAS and GAF were also administered. She was diagnosed with Chronic Schizophrenia and her pharmacotherapy started thereby. In the initial days, Bindiya had blunted affect, was irritable and attempts to carry out psychotherapeutic sessions failed as she would not cooperate and present a guarded attitude, or at other times, simply walk out from the room. She remained emotionally and socially withdrawn from others and communicating with her was often challenging as she would refuse to listen to anyone. For many days she refrained from maintaining personal hygiene and lacked toilet habits. The staff had to constantly prod her to carry out activities of daily living and over time they started providing her structured training for the same. Psychosocial rehabilitation in terms of cognitive retraining and token economy was started to help sustenance of goal directed behavior and her engagement in at least a basic few activities. 
Over time as her medications and therapeutic intervention continued, her active symptoms of psychopathology were minimized, and she was shifted to Navachetna (Rehab), at P.L.Campus, Bamunigaon on 27/12/2015. She was involved in household chores that required sharing responsibilities with other in-mates so that it facilitated socialization with others. She was also taught jute work that helped in refining her fine motor skills. In the course of her stay, it was noted that her sense of work responsibility was very high and she would never leave a job unfinished. The person, who once refused to cooperate with anyone, now participated in taking care of other in-mates as well. 
Discharge: Bindiya’s remote memory was largely intact and she had reported her home to be located in Jirrah village of Bankura district, West Bengal. Once the discharge recommendation was received from the Psychiatrist, her psychosocial status was assessed that revealed appreciable growth point scores and adequate functional levels. Her disability index had subdued to minimal and so did the positive and negative symptoms of schizophrenia. A plan for her reintegration with family was initiated and accordingly she was discharged on 21/02/2016.
When the reintegration team reached Bindiya’s place, the entire community gathered to welcome her. She was home after 10 long years! Her husband and children were at a loss of words to express their emotions. Over the years they had come to believe that she must have died while wandering on the streets. She was suffering from psychiatric illness for almost 30 years and though they sought treatment, they couldn’t afford to continue the medications due to financial challenges. She had given up on any hopes of homecoming, and over the years on streets, she accepted it as her life’s dictation.
And yet a spring did await her, and now that it has arrived, the winter shall only be a memoir.
REHABILITATION OF HOMELESS WOMEN WITH MENTAL ILLNESS
Two homes are being maintained under this activity –
  • Navachetana (Transit Care) for women with 30 beds located at Rehabari, Guwahati.
  • Navachetana (Rehab) for women with 30 beds located at Bamunigaon, 60 Kms from Guwahati.
The prime objective of this activity is to provide care, treatment and rehabilitation measures to these persons and to eventually re-integrate them with their families. Psychiatric and other medical treatment and care; Psychological and other social rehabilitation services are provided at the residential facilities by a team of qualified personnel including psychiatrists, psychologists, counselors, social workers, and trained health care staff. A unique feature of these homes is the fact that scientific tools and approaches such as Growth Chart, Mental Status Examination, Positive and Negative Symptoms Scale, Indian Disability Examination and Assessment Scale and Global Assessment Functioning are used in a homely environment instead of a hospital like set up. Once the persons are reintegrated with their families, follow-up support in terms of treatment, counseling, and free medicine supply are provided to them on regular intervals. During 2015-16, 103 women (48 new admission and 9 re-admission) has been provided with these services of which 51 women have been reintegrated in various parts of India including Maharastra, West Bengal, Bihar, Bangladesh and Assam.
The sources of rescue and admission are generally categorized as under :
Rescued by Ashadeep
Brought by police
Referred from other organization
Referred from Ashadeep’s Free Psychiatric OPD
Referred from ongoing Community Mental Health Programme (CMHP) sites of Ashadeep.




53% women out of those rescued during 2015-16 have been re-integrated in the same year. The following Table shows the states where re-integrations have taken place. One woman had been re-integrated in Bangladesh.
Places of Re-integration in 2015-16

Sl. No.
State
Women
1
Assam
43
2
Bihar
2
3
Maharashtra
2
4
West Bangal
3
5
Bangladesh
1
TOTAL
51






CASE STUDY
Missing for a decade, memoir of a life: Bindiya
Rescue: Bidniya was rescued by the staff members of Ashadeep on 08/07/2014 after information was received from the public about a woman loitering on the streets of Birubari area and behaving in socially unacceptable manner. The team reached the said location and brought her to Navachetana’s Transit Care at Rehabari, Guwahati. When asked to get down from the car, she did, but hurriedly ran towards the exit gate and tried to run away. However the nurses and other staff members were able to catch hold of her and brought her back.
Intervention:  Bindiya was ill kempt, muttering to self and carrying a pile of garbage that she wasn’t willing to part with. She was immediately given a bath, and provided with clothing and food. The Symptom Identification Scale and Mental Status Examination provided the picture of symptoms present at the time of rescue and admission. To get a more objective depiction of the same, PANSS, IDEAS and GAF were also administered. She was diagnosed with Chronic Schizophrenia and her pharmacotherapy started thereby. In the initial days, Bindiya had blunted affect, was irritable and attempts to carry out psychotherapeutic sessions failed as she would not cooperate and present a guarded attitude, or at other times, simply walk out from the room. She remained emotionally and socially withdrawn from others and communicating with her was often challenging as she would refuse to listen to anyone. For many days she refrained from maintaining personal hygiene and lacked toilet habits. The staff had to constantly prod her to carry out activities of daily living and over time they started providing her structured training for the same. Psychosocial rehabilitation in terms of cognitive retraining and token economy was started to help sustenance of goal directed behavior and her engagement in at least a basic few activities. 
Over time as her medications and therapeutic intervention continued, her active symptoms of psychopathology were minimized, and she was shifted to Navachetna (Rehab), at P.L.Campus, Bamunigaon on 27/12/2015. She was involved in household chores that required sharing responsibilities with other in-mates so that it facilitated socialization with others. She was also taught jute work that helped in refining her fine motor skills. In the course of her stay, it was noted that her sense of work responsibility was very high and she would never leave a job unfinished. The person, who once refused to cooperate with anyone, now participated in taking care of other in-mates as well. 
Discharge: Bindiya’s remote memory was largely intact and she had reported her home to be located in Jirrah village of Bankura district, West Bengal. Once the discharge recommendation was received from the Psychiatrist, her psychosocial status was assessed that revealed appreciable growth point scores and adequate functional levels. Her disability index had subdued to minimal and so did the positive and negative symptoms of schizophrenia. A plan for her reintegration with family was initiated and accordingly she was discharged on 21/02/2016.
When the reintegration team reached Bindiya’s place, the entire community gathered to welcome her. She was home after 10 long years! Her husband and children were at a loss of words to express their emotions. Over the years they had come to believe that she must have died while wandering on the streets. She was suffering from psychiatric illness for almost 30 years and though they sought treatment, they couldn’t afford to continue the medications due to financial challenges. She had given up on any hopes of homecoming, and over the years on streets, she accepted it as her life’s dictation.
And yet a spring did await her, and now that it has arrived, the winter shall only be a memoir.
Rs.6,200 raised

Goal: Rs.30,000

Beneficiary: 50 women reside... info_outline
80G tax benefits for INR donations

Supporters (7)

A
Anonymous donated Rs.100
A
Anonymous donated Rs.500
A
Anonymous donated Rs.1,500
Az
Amirah donated Rs.1,000
BS
Bhaskar donated Rs.500

I know it's a very small amount, but given the dire conditions of myself this is what I can afford currently. All the best to you people for such a humane effort.

A
Anonymous donated Rs.100

Kar bhala toh ho bhala