The fact is that if it seems right, begin exposing today, June 1, 2010 Day we had to explain at last! Our theme was centered on mental health in general and eating disorders in particular. Not to mention the group that exposed the issue of the Homeless, of course.
I decided to start the development of exhibitions today, not far from self-centeredness, but with the idea that this could be the basis or documentation for anyone who wants to look at the blog of one of those who have out today. Seeing that I will not be very useful to the documentation of previous exhibitions that have lagged due to my blog about this at least do it this way.
So here goes guys.
In looking forward to present time and we "quitásemos off" work more, so to speak, the day arrived. It's a shame to say this, but this work was one of the fat and arrived at this point of course is always a relief not having to think about it.
Well, after the transformation suffered by our class became a grill (I prefer to Seville when it rains) we moved to a more conditioned room in the building 13, where we began our class exposure, only with our group.
First, we show the class a video mode presentation. We found a creative way to introduce the subject in question and be introduced to some colleagues who already know us very well. I do not know, we wanted something different, I do not remember very well how did the idea of \u200b\u200bmaking a video with the soundtrack for Star Wars and the relevant text, which also must resemble or give the film roll. It was a motivating way to kick off something I wanted to be satisfied, the remarkable thing about this is that since we made it clear that the figure of the social educator in this field, and we who have to find that hopeful path in which we recognized, and fight for it. Let's say that would be a little symbolism history.
After the presentation of a minute and a half, handed out leaflets with a collection of work documents and filling out crossword puzzle that should go along the same exposure. Later, Miguel gave way to introduce the subject by defining the concept of Mental Health provided by the WHO: "A welfare state in which the individual is aware of their own abilities, can cope with normal stresses of life, can work productively and fruitfully and is able to make a contribution to their community. " That is, a balance between people and their socio-cultural, ensuring labor participation, intellectual and relational person.
said that and having contextualized our theme, we explain the definition of eating disorder and that illness caused by anxiety and a preoccupation with body weight and physical appearance, connected with the alteration of common eating habits. Actually, there are many types that can be found in this disease, many more than we knew. Thus, we named some of them as permanexia (being continuously on a diet), orthorexia (continued healthy eating), compulsive eating, obesity, vigorexia (concern about a muscular body) pica (eating inedible food, coal, clay, plaster, runny nose ...) and anorexia and bulimia, objects of our study. Commenting more specifically
diseases in which we focus, anorexia nervosa is a mental illness in which the patient has a distorted view of your body that makes him look "fat", however little weight, and strives to lose weight up them in some instances to death by starvation. Say you live worried about your body, and paradoxically this disease will not let him live. Within this type of disease we find the restrictive, which all associate with the word "anorexia", ie not eating and feel a tremendous guilt when is done, and we can meet the purgative, which is one in which binge eating stick (usually in secret) and then vomit or expel him from his body by diuretics or laxatives, even one's own body to expel automatically be unable to absorb nutrients so at a certain point of the disease. This became known as purging anorexia bulimia.
As risk factors for these disorders, we could say four, including having only one would be enough to succumb to this disease:
We are talking about the genetic, psychological (low self esteem, fear, insecurity .. .) sociocultural (Media, the prototype of ideal body, and superficial consumer society) and family, that is, depending on individual circumstances and environment, since the family is the cornerstone in the development of individio, either positively or negatively speaking.
On the other hand, Miguel finished explaining how these eating disorders, like other diseases, leaving a major wake the person has had: brain damage, gastro-intestinal problems, heart damage, bone damage, skin damage and psychiatric sequelae, hence the importance of work conscientiously with this group.
After it was the turn to Marco, who synthesized a bit (I see that I will be a macroentrada as seed mixtures of the casinadaptada Jessica) said that there is no exclusive legislation of eating disorders, it is collected within the mental health legislation because it is a social pathology forms part of mental illness. Otherwise we did not expect the truth, so this would be an example that we do not consider this group in the same term than others, such as drug addiction, for instance. After
would enter and in resources. Health care for mental health problems is through a network of specialized centers distributed all over Andalusia, integrated in the Andalusian Public Health System. We have teams of District Mental Health (ESMD), Units of Child and Adolescent Mental Health (USMIJ) Area Rehabilitation Units (URA), Day Hospitals (HD), Mental Health Units of General Hospital (USM- HG) and Therapeutic Community (TC). Of course, we must bear in mind that these resources are devoted to mental health as a whole, but if we talk about eating disorders at stud, this is much smaller, ie health care in hospitals as a of the few resources of public institutions, face a greater number of private resources (many detention centers), but yet are very limited and insufficient number of places. Highlights in specialized social services FAISEM association that offers services such as flats, shops, homes, occupational centers, social enterprises and social clubs. In short, although we have a number of resources to this group, in proportion to the number of potential users affected, obviously does not meet the needs required cuestón disease, nor is there a wide range of services to ensure a complete treatment.
Commenting on the move sociat, and entering the section of Jessi, we could differentiate between the movement and healthy unhealthy. Within the first we find a stunning series of moves and who understand and defend the eating disorder as a right and an alternative lifestyle. Through the web pages that we can run this collective protest mobilize defense of disease as a lifestyle: Proano (for anorexia) and Promi (for bulimia). In both cases there are many tricks to deceive parents, calorie tables, its own commandments, tips of all kinds, including support given to continue with their disease and even have Identification bracelets: roses (anorexic), purple (bulimia). Something that, when discovered, let impacted. Here you have links pages to be delighted with this motion sick, literally. Yourselves be surprised, because it is real!
http://pro-anaymia.blogspot.com/
http://ana-princess-love.blogspot.com/
Well, seeing the other side of the coin we can find healthy movement , ie a series of partnerships and communities working in prevention and health promotion, such as the IMA Foundation. Once appointed
this, Jessica was responsible to explain the importance of preventing adopted in this collective role should be played by a social educator, fully competent to do so. To prevent the occurrence, development or spread of this complex mental illness, should work this prevention especially through the media, school and family (making it ever more emphasis on young people and those with a higher risk of falling into this disorder .) We have to differentiate and take into account different levels of prevention:
- Primary Prevention: It is intended to prevent the onset of the disorder through the promotion of both health professionals and citizens (Health education) and through specific protection d ela directed to those sectors of the population at greatest risk. That is, would be trying, to give the person of abilities to scan their environment disparaging messages about body image and this prevents him from falling into the disease.
- Secondary Prevention: Trails are reducing the duration of the disorder and the early diagnosis and treatment of disease. All this through Mental Health services and professionals with an active position and an adequate level of mental health education in schools with diagnostics. Say it is meant to prevent chronicity through adequate facilities, adequate, effective and accessible.
- Tertiary Prevention: It is intended to reduce or avoid the consequences and the consequent inability to prevent the disease and the number of relapses. In short, work full reinstatement of the person in the community through the recovery of personal and social autonomy. To this end, the problems should not be limited to the patient, but the entire social context, as well as continuously assess all levels of prevention to check the effectiveness of rehabilitation measures.
After that, we posted a video showing the disease, and especially the experiences of women and girls who suffer from this disease and they are given treatment at a private placement of Barcelona. We thought it would be interesting for us to see the comparison with the treatment of public institutions (like hospitals), which then explains Anita. They themselves are saying that there is no exact set of guidelines to overcome the disease, much less the solution to this is in a manual, and it is very easy to say that both do and put it into practice. Important to why we saw a tailored intervention to each patient taking into account their characteristics, support that account, causes of the disease fell into ... It is clear that we should not work with them mechanically, but delve into their needs and find the most appropriate methodology according to each one of @ ell @ s .
came the treatment. Complex. First, to carry out appropriate treatment the patient must recognize their own illness. If not, the diagnosis would be more complicated. On the other hand, the family has an important role in the diagnosis of the disease, because as I said earlier, is the cornerstone in the development of young (group most vulnerable and prone to falls and relapse), and must observe and identify different behaviors that may be indicative of a possible risk to the disease. On the role of the professional (in this case is not the educator who performs it),
runs a differential diagnosis for patenting if this is a case of anorexia or bulimia or why the patient is a case of excessive thinness has nothing to do for this disease, ie, can be caused by other diseases and physical disorders such as Crohn's disease, a common consequence of a constitutional thinness, or derived from another type of psychiatric disorder.
The general procedure that normally runs diagnosis is an initial assessment, tests and physical examinations and a psychiatric analysis (medical questionnaire is called). Once diagnosed the disease, if indeed this is a case of anorexia or bulimia, we would step in treating the disease. First, it must be multifactorial, and is provided psychotherapeutic support aimed at improving self-esteem.
addition, it provides adequate nutrition education to normalize eating habits, is necessary in many cases the drug treatment (do not forget that this is a mental disorder.) And last and only in cases of extreme gravity, is appropriate to hospitalization of the patient.
This treatment is carried out by a psychiatrist and jointly by endocrinologists, nutritionists, psychologists and nurses.
social workers and educators should provide assistance to family members to overcome this situation and the intervention will be more successful with your help. They explain how to avoid confrontations on issues related to food, the treatment approach to be carried out in each particular stage of the disease, inform them that the evolution of these disorders can be slowly and with frequent relapses and emphasize how important is your support.
But what we find in reality? In the public hospital Macarena something happens, unfortunately, is present in many hospitals in the country. When you have a patient with this disorder, given the minimally high when your weight has stabilized, with no psychological treatment. First mistake. If you give them discharged without having changed anything in your mind or Having been referred to a specialist, will almost certainly fall, because it will leave the hospital the same or worse as he entered psychologically speaking. So why fix it? Nothing, just slow down even more serious relapse and prevent death from malnutrition or another generated a series of diseases because of this disease. But do not fix the root, not even delve into it, say that only throw dirt on the matter. No worker or educator who works there, and the professional that spends more time with them are nurses, not even a psychologist or psychiatrist. The latter is passed in the morning to ask what this and provide appropriate medication. Point and purpose. You do not work with them or delve into psychological and emotional level, it does not matter. They are only stabilizes the weight, the controls on food, fat and if you let them go out temporarily (100 grams, one hour, two hours 200 grams, 400 grams may one day ...) and always come back worse. Obvious. Even women themselves have to weigh more tricks. As the weights only in panties, they get coins or heavy items within the packs to gain a few grams, it is intended that this be done by surprise. Although we are against girls or boys with a wide range of strategies to fool the staff are really smart people whose problem is his obsessive preoccupation with food. By and for this they invent a lot of tricks. And we that we make it easy, apparently seen ...
And what about the teacher? I came here to comment that there are no professionals in the field of social education involving with this group of anorexia and bulimia. We rely for saying that in that neither the visits nor the Comprehensive Mental Health Plan reviewed by Marco referred to this figure, although we operating under the teacher as an important pillar in the prevention, intervention, rehabilitation and reintegration of the patient in context near you. And this is why? Since other professions "treading" our functions (psychologists, psychotherapists, psychiatrists or nurses), and sometimes not cover all the needs required by the collective. Given this vacuum of professional assistance, we detail a series of tasks and responsibilities that we should play educator:
- To undertake projects and programs for prevention of diseases related to eating disorders: teaching good health habits in particular eating habits (working for the Health Education).
- prevention campaigns through the media. Given that these are one of the agents of the dissemination of prototype "ideal body" would be interesting to work in collaboration with these preventive projects.
- Since the most vulnerable and most at risk to fall into this mental disease are young, should be carried out awareness days and awareness within schools.
- Focus prevention programs also the family as the fundamental agent for the diagnosis, prevention, treatment and rehabilitation of the affected.
- Ability to detect and diagnose any cases of anorexia and bulimia. This would be related to differential diagnosis. We'll be working cone ste collective, we must be aware of it and know to detect a possible case of disorder.
- Teaching families a series of guidelines to address the disease. That is, address the levels of "expressed emotion" (rducción to criticism and to not fret sobrecompromiso).
- Serve as a link between professionals, patients and families. Play a mediating role for these agents are not spill but cohesive.
- Perform continuous monitoring of the patient, and after finishing it, that does not happen as the hospital of Macarena, which gives them high when they have the minimum weight but has not undergone any treatment treatment with them.
- Create networks and social contexts of support for people with these disorders. We would be talking among themselves sick, among families in turn, and promote the association in a specific context for awareness and awareness disease and facilitate the reintegration of a possible hit.
In short, we face a lack of institutional and professional resources that specifically address the collective and specific legislation exist. Not seen the figure of the social educator in this field, although necessary, despite the fact that anorexia is an eminently social phenomenon in all its aspects. We live in a consumer society that fosters the emergence of these disorders, so we are the society that we must intervene to avoid and overcome! Finally, and as we said a thousand times, the family (and peers) has a fundamental role in the process of prevention or rehabilitation of the patient.
exposure to conclude quickly (as always pressed for time), correct the puzzle (the class had worked) and finally we are satisfied with their work. =)
We must all lend a shoulder to stop this situation and this desire to be beautiful and perfect, not knowing when they cross the threshold difference by becoming slaves of our bodies from living. As we have in the video. . . Stop Anorexia.
[You are more than an image]
Bueeeeeno good, and now it was the second presentation on a topic to be had not yet played in class, on the group of the homeless. The group was composed of Ishmael, Mai, Marina, Marilo and Maria Jose, and introduced the subject with a song of Michael Jackson looking class awareness about these people.
We asked about the prevailing within the community profiles of the homeless, to which he replied that most man, adulthood and have had different circumstances that have led them to be living on the street. After this we explain some concepts related to the topic while voices got in between a kid:
- Homelessness are living temporarily in the street or in shelters because of a cruptura chains.
- Caritas is one organization that brings together 162 groups. It is the most prominent religious about this group.
- The exclusion of disadvantaged social status, profession or social policy ...
- organic or social group is the group of people who play roles.
- Perception (Marina asks me to read)
- Beggars
- Poor (read Marco)
-
Prejudice - Social Networks
- Status
subsequently clarified that the living homeless on the street or in shelters, due to a number of qe traumatic circumstances prevent them from leaving the situation. And not only do not have a house, but lacking warmth, affection ... even more important.
this situation is reached by a series of traumatic happen to (separation, divorce, family conflict, abuse, job loss, loss of economic resources, drug addiction (a priori or a posteriori). We are all vulnerable to it and we can find in the street.
are people who are, by hand, without livelihoods and resources, and on the other hand, no protection, affection and IDENTITY (have a diffuse identity not being embedded in society, they lose, they are social beings embedded in the system, it seems paradoxical, but not free.)
After this introduction, Maria José we answered the question of the profile of the homeless that we launched the eating. There is a clash between the traditional profile and the new profile by the statistical office. Let's see then:
- TRADITIONAL
PROFILES male between 41 and 60 Single
training
Little
Alcohol Health Problems
Institutionalized
Long stay in the street
- NEW PROFILES Young
problems battered women drug addicts
University Divorced
- CONCLUSION Majority
PROFILE man but increase women. Media
37.
The number of foreigners will increase: 48% of immigrants compared to 52% of English.
suffer from symptoms of health (malnutrition, depression ...)). 20% of the homeless suffer them.
As for the types of homelessness is a shame you can not point out the characteristics of each that I had time, but it looked interesting. So broadly speaking, the differentiation comment seems to be made a function of time leading into the street:
- THE ROOKIE OR INDIPIENTE
not exceeding 6 months, using shelter services.
- THE USUAL OR CHRONIC
NOVATO never use childcare
Possible causes of this situation are, among others, lack of resources that the person has the personal characteristics of the person and context. On the other hand, in terms of risk factors for this group, classify:
- Materials (homelessness, job loss).
- Affective (family problems, domestic violence, separation, conflicts ..)
- Personal (physical and mental health, abuse and addictions).
- Institutional (there are some q rather be in prison before living on the street).
This situation is maintained because the resources that are counted handout, simply put patches the problem. The attitude of society to take this is not legally recognized rights of ateción imponiento policies of labor flexibility in precarious jobs and limited, while on the other hand professional care remains lacking.
historical approach in regard to the problem, they said something very interesting. It turns out that the type of existing resources have remained largely stagnant. So who are still stuck pulling the charity and handouts, has not evolved, and 80% is privately funded. In fact, the association more prominently involved with this group, which is Caritas, also based on charity and charity.
After this point it was the turn of our special partner, Miguel! who was asked to comment on his experience as a volunteer with this group.
This volunteer work is put into practice from Monday through Thursday. Consists of helping and supporting these homeless people who need hosting this society, we make them feel part of them and not make them feel a cabinet. It gives them chocolate or chocolate milk and now it's summer is cool. Not given blankets because it considers the very welfare association, but talk to them what is important and try to avoid creating a dependency. Most associations pursuing these activities are private, one of the few who are not should be the de Miguel, and other such private giving them blankets and are even more assistance than this. The truth is that was interesting and fun, because it's always fun to see a work colleague and tell their experiences.
regard to shelters, access criteria are tremendous and there are very few places. Go there for a very short time of time, perhaps three days, and they make off the street again. This situation must be really hard, the fact that three days sleeping in a bed and return to the streets the next day COE worse not given permission to stay longer. The truth is that it is espelucnante this situation. Related to this, they told us they witnessed a conflict between a person and a English gentleman inmigrande about 70 years, faced because Mr reproached him why he was coming from another country to take his bed.
After this we were shown a video of awareness of Caritas, the church is the one that is involved and that more resources have for these groups. Therefore, the video is obviously religious and biblical quotes such as "what free free received freely give" or "Blessed are the poor for the kingdom of God resides with them." Said like 'm a bit afraid of the truth, but it is clear that the background is good. So all the video was interesting facts as:
- Half of the homeless population seeking work.
- 46% are children.
- Homeless people live 20 years less than the rest.
- there are many experiences that can live in wing street.
- For some others there are no longer bothered by their presence when they pass next to them.
- have eyes are not blind.
- Be not undifferentiated. Caritas
why. Most are religious.
Finally, Marilo II presented the National Employment Plan for groups at risk of social exclusion (immigrants, battered, homeless ...) managed and funded by the government. The plan aims to encourage participation in employment and access to resources, acting on behalf of vulnerable groups and coordinating public and private. Have hygiene equipment, places to store your belongings ...
But the truth is that there is no specific program for the homeless and their employment, the necessity of finding work is essential to overcome the situation.
As I mentioned above, private institutions, mostly religious, and specifically the charity, is what has more power.
One of its notable projects is the project ARISE And ANDA, a Caritas social initiative through volunteering. Is a group of volunteers who come in Seville route, are given blankets, food drink as an excuse or a way of approach to them (like Miguel but more welfare). When a person says he wants out of this situation, it takes you to the church and other volunteer work that makes the social worker has been doing an interview to be aware of their motives, and were referred to a work plan for out of their situation of marginality through employment.
The strange thing is that all trabajores of the association are volunteers, not professionals, none. At most, there is some monitor to play our role, or even that. In short, if there is no professional, much less that we have educators is speaking or working with your group. Again, not to vary the tone cn exposures. Only Caritas comprehensive centers which function as rehabilitation and awareness find a professional, but as I said, monitor mostly.
In conclusion, in the areas of the Board are not homeless people gathered, plans programs and resources are shared, the few resources there are mostly private, and poor more welfare intervention that socio.
I leave you with a video on this reality, especially in Seville, that truth, makes the hair stand on end.
"He has risen a thousand times for a glass of water, the ground floor has cooled his feet more than they should, the tin cup has broken his lips without desangralo , perhaps because it was as silent, his trembling hands have stretched their hopes of living a little more, and do not leave their children alone in the vast highlands that breaks the degrees below zero and that for centuries has tanned cheekbones of his blood. "
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