SERVICES OFFERED BY SANJIVINI

CRISIS INTERVENTION

We run two centers, for anyone wanting to talk about a problem. At both our units, men and women of varying ages and backgrounds, walk in, telephone, or write, feeling stressed, confused, distressed, helpless and hopeless; full of guilt, shame or fear due to their problems. Some are lonely, but unable to talk to a family member. Yet, the need to share their feelings and talk to someone who would understand and help them find a solution that brings them to Sanjivini. Here, volunteers listen, befriend and provide support and reassurance, and most importantly, empowerment.

Volunteers at Sanjivini are special in that they are warm, sensitive and genuinely concerned about the person they are trying to help. This concern is communicated to the distressed person and creates a comfortable atmosphere encouraging the person to give vent to his pent-up feelings and emotions. By being alert and sensitive to these feelings and emotions, the volunteer shows acceptance and understanding. Having given vent to his feelings, the person becomes calmer, and is able to look at his problem more objectively. Having regained objectivity, the client, with facilitation from his counsellor, explores the various options available to him and decides for himself which option to choose in order to resolve his problem. Once the client has found his own solution, with a little facilitation, his inherent strength is revived and reinforced.

This process of self-help strengthens the personís ability to face his current crisis and empowers him to confront and overcome difficulties in the future with hope, and greater faith and belief in himself. There is no fixed time frame for a person to become capable of coping with his life situation independent of Sanjivini. This process varies greatly on the self-awareness of the client and his personal motivation.

TRAINING PROGRAMME

Every year Sanjivini holds an in-house training programme to train counsellors for the crisis intervention unit. These volunteers are chosen very carefully through a strict stringent screening procedure, as they are required to deal with delicate and significant issues concerning another person's life.

REFERRAL SERVICES

Some of the people who visit Sanjivini need more specialized help than we can offer. They may need a psychiatrist or a psychologist, a lawyer or a de-addiction centre, an old age home or another NGO. Such people are referred to the appropriate professional agency/individual. If required, we continue to see them in Sanjivini to support them through the emotional issues their situation may evoke. We have quite an extensive database of such facilities, which we update and refresh regularly.

COMMUNITY OUT-REACH PROGRAMMES

Sanjivini has played a major role in building up societal acceptance towards counselling. It has done this through years of awareness building and outreach programmes. Sanjivini has also been concerned with the preventive aspects of mental health and its programmes have aimed at dispelling ignorance and negative attitudes towards emotional problems; giving information on how such problems can be identified, prevented and on when and where to seek help. With the aid of our literature, slide shows, plays and lectures we have been reaching out to various groups. These include social organizations, other NGOs, corporate houses, schools, colleges, hospitals, field workers, students, and various groups.

Some of the Community Outreach Programmes Sanjivini has done recently are for Air Force Wives Association, VIMHANS, Motherís International School, Delhi Public School, Crime Against Womenís Cell, Delhi University, Modern School, Delhi Social Welfare Board, Inner Wheel Club, Manas, NCERT, Loyala College, Air Force (Allahabad), Lady Shri Ram College, TARSHI, Aman Biradari & NAZ Foundation.

BASIC COUNSELLING SKILLS WORKSHOP

In response to an overwhelming demand Sanjivini started this workshop in 2003. Immensely popular, it is a three week long programme consisting of modules systematically designed to facilitate self growth. It helps participants gain a better insight into themselves as well as learn basic helping skills that can be used to enhance the quality of people related work they are already doing - like teaching, leading teams, conducting workshops or being a parent. It is held in the month of August every year.

REHABILITATION CENTRE

The Rehabilitation Centre provides services for those whose mental illness has effected their functioning in the world around them but who are not beyond hope. The objective of the Rehabilitation Centre is to help persons with schizophrenia regain their social skills and enhance their psychological resources, so that they can cope with the world outside. The Centre offers a comprehensive rehabilitation programme to help them integrate with society. Over the years the rehab centre has enabled thousands of people with mental illness across social & economic barriers lead a life of dignity.

Intake

When a client is referred to us, our in-house psychiatrist assesses several aspects, which help in deciding whether the person will benefit from the programme. Once the client is selected to join, the family and the client are informed in detail about the programme. At this stage, based on the age, current level of psychopathology and the social circumstances of the client, a treatment plan is drawn out. The treatment process is started in a calm, reassuring and consistent environment.

Group Therapy

This therapy works as the most powerful technique in the recovery process. After many years of isolation, for the first time, the clients come to the realization that their problem is not peculiar, thus creating a strong sense of belongingness. Behaviour Therapy techniques like Shaping and Modeling are extensively used to wipe out disruptive behavior and to replace it with more appropriate ones. As they progress, the clients are guided to consolidate the new perspectives and through techniques like Reinforcement and Role-plays, encouraged to transfer them to the family and to the outside world.

Individual Therapy

The programme lays great emphasis on building and establishing a collaborative therapeutic relationship between the client and the therapist. Held at least once a week, the interventions are based on the structured and time limited approach of Cognitive Behaviour Therapy. With this therapy, the client usually regains insight and is able to lead at least a somewhat, meaningful life.

Family therapy

This forms an important part of the programme. Most of the families of a mentally ill person suffer from guilt, shame, despair, fear, isolation and confusion. Most of them have either incorrect or inadequate information about the illness, its causes, treatment, its limitation and the prognosis. This gap is bridged by family sessions, which are held several times in a month. During the course of the programme, families are also trained in skills which prepare them to handle their sick relative in the long run, like providing appropriate care, effective communication, monitoring medication, identifying relapses etc.

SUPPORT GROUP

Sanjivini offers support to the primary caregivers of people with psychiatric disabilities as a part of the rehabilitation centre programme. Families are encouraged to meet, bond, ventilate and seek support from one another.

ACTIVITY PROGRAMME

In order to encourage further bonding and give more structure, a wide range of both indoor and outdoor activities have been included in the programme.

While vocational skills such as clay modeling, candle making and cooking have been there for more than a decade, new skills like learning to work on computers, photography and making paper bags have been added on recently to make learning more creative, fun filled and relevant to the present times.

An annual out station trip is also an integral part of the programme it targets learning certain basic skills such as taking responsibility for themselves, sharing space with someone else, working in a team, money management skills, maintain personal hygiene, self-dressing, grooming and meal time etiquettes to name of few them.

 
 

Cookery session in progress

Strengthening the Mind & Body

Dancing away
 

Learning to surf

Therapy through creativity

Learning to paint
 

Keeping fit

Sanjiviniís stall at Diwali Mela at JNU

Gwalior Trip
 

Here we are viewing the photographs critically

Walk organized by Ram Manohar Lohia Hospitalís
on occasion of World Mental Health Day

RC Diwali Function - 2012
OLD CLIENTS MEET

Twice, every month an old client meet is also organized where clients who have been discharged spend an entire day at Sanjivini. Through this, Sanjivini provides continuous support to them. Old clients are also encouraged to come for individual sessions with counsellors on Saturdays to help them with the challenges they face in their daily life.

While aiming to minimize the disabilities and enhancing capabilities, these activities also provide clients with a routine, to inculcate a work habit and allow them an opportunity to pick up useful skills and develop confidence in themselves as constructive and independent human beings. The programme is dynamic and depending on the composition of the group, new activities are routinely added.

Evaluation and Assessment

To ensure that the recovery programme is comprehensive, each case is systematically discussed, assessed and evaluated at each step with the entire working team. Whenever necessary, the therapist communicates with the clientís treating psychiatrist and seeks his recommendations. Each observation and discussion is carefully documented.

Outcome

The programme is a highly successful one. The comprehensive and individualized intervention module tailored for each client has shown a multiplicity of positive effects. A regular and consistent routine, insight and an increased ability to cope with the illness have been reported by several satisfied clients and their families. The scientifically planned interventions reduce their cognitive impairments and enhance attention, concentration, decision-making and problem solving skills. Social skills training helps the clients regain their lost confidence and enable them to resume social interaction to a large degree. The significant change in all of them has been that they stop disruptive behaviour, comply with medication and lead a reasonably independent and meaningful life both within the family and the society.



Counselling session in progress
Training Session in Progress
Orientation of prospective volunteers for the intake programme 2012
Presenting the sanjivini perspective on occasion of the mental health awareness week 2012 organised by IBHAS
Session on Work Stress with Employees of Punjab National Bank
Spreading Awareness on Mental Health at Trade Fair 2011
A BCS Session In Progress
Mrs. Namita Gautam, Managing Trustee, Sleepwell Foundation, handing over the certificate to a participant
A BCS Group Celebrating their Moment Of Pride And Achievement
Counsellors in case discussion with Psychiatrist
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