Home General Include mental health in school curricula – Psychiatrist suggests

Include mental health in school curricula – Psychiatrist suggests

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A former Chief Psychiatrist at the Accra Psychiatric Hospital, Professor Joseph Bediako Asare, has called on the government to include mental health in the education curriculum at all levels.

He said that would help students to overcome depression or mental health challenges

He explained that the introduction of mental health in schools would also help create the maximum awareness that the country needed.

He made the call at a panel discussion to mark this year’s World Mental Health Day in Accra dubbed: “Working together to prevent suicide: a call for national action.”­­­­­

The programme was organised by BasicNeeds Ghana, in collaboration with the Alliance for Mental Health and Development, Speak Your Mind campaign team and champions of the Time to Change, with support from the United Kingdom’s Department for International Development (DfID)

Mental Health Day, celebrated on October 10 each year, seeks to raise awareness of mental health issues around the world and to mobilise efforts to tackle issues of mental health.

Prof. Asare attributed the high number of suicide cases among students to the breakdown of the family system.

He explained that most parents did not have time for their children, hence were unaware when their children were depressed.

He added that the leading cause of suicide was depression.

Other causes, he said, were previous suicide attempts, substance abuse, mental disorders, incarceration, exposure to suicidal behaviour, taking antidepressant medications and a history of being abused or witnessing continued abuse.

Taking her turn in the discussion, a lecturer at the University of Ghana, Dr Augustina Naami, said some societal and cultural norms had given rise to stigma which had impacted negatively on the participation of people , especially persons with disability in the society.

She, therefore, called for an end to stigmatisation and cultural discrimination against mental health patients, particularly those suffering from psychosocial disorder.

“We must kill stigma or else we cannot fully pursue social inclusion.

We must rather support persons with disability so they can participate and help build their societies,” she stated.

She further advocated engagement with such persons on plans aimed at improving their lives.

“They understand their challenges better than any of us so we must include them in the planning of strategies to help them.

It is better to develop their capacity to enable them to take part in the decision-making process if they are challenged capacity-wise,” she added.

She said people living with disabilities could equally function like any other person.

The Country Representative of the World Health Organisation, Mr Owen Kaluwa, called for a comprehensive multi-sectoral approach to reduce suicide cases in the country.

The Executive Director of BasicNeeds Ghana, Mr Peter Yaro, said the government had a moral and legal obligation to safeguard the human rights of its citizens, especially those afflicted by mental health illness.

He also emphasised the need to ensure that persons who attempted suicide and survivors of those who were lost to suicide were supported with required services rather than criminalising suicide.

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Nous présenterons ainsi successivement les conditions liées au soignant (I), les exigences relatives à l’environnement où est réalisée la « roqya » (II). Nous aborderons ensuite la question de la gratuité de la prestation ou de sa contrepartie financière et enfin les conditions dans laquelle elle est réalisée (III). I- Les conditions liées au soignant Souvent la « roqya » est perçue comme une pratique dispensée par un tiers. Or, il est essentiel de rappeler et de souligner un fait important : la meilleure des « roqya » est celle que nous dispensons nous-mêmes à travers le « dhikr » et la récitation du Coran. Ainsi, pour se prémunir des maux liés au mauvais œil ou à la sorcellerie, il convient régulièrement de lire le Coran et faire des invocations notamment celles du matin et du coucher, de réciter régulièrement la sourate « La vache », de renouveler son intention, de placer la certitude dans son cœur, d’effectuer ses prières etc., et surtout de demander à Allah la meilleure des protections. Toutefois, dans certaines conditions, il est nécessaire de recourir à un soignant. C’est à ce stade qu’il convient d’être vigilant. Il ne suffit pas de se rendre auprès d’une personne qui se présente avec la qualité de cheikh ou d’imam pour accepter de lui confier cette pratique. Comme pour tout procédé et encore plus lorsque cela relève de considérations religieuses, il est important de bien choisir son soignant car ce dernier est tenu de posséder des qualités bien affirmées. La maîtrise du Coran et des traditions prophétiques en la matière est une condition sine qua none, mais insuffisante. La personne doit également avoir des notions de psychologie afin de déterminer la part de sorcellerie et celle de troubles psychologiques fréquents chez les patients. La personne doit posséder une bonne hygiène de vie, notamment spirituelle puisqu’il n’est pas inutile de rappeler que le succès de la « roqya » dépend de Dieu. Ces critères sont difficilement évaluables, surtout par une personne qui est affectée par un mal-être, quelle que soit sa source. C’est pourquoi les proches doivent accompagner la personne dans la recherche d’un soignant qualifié et reconnu comme tel par des référents religieux de la localité (imam, responsables associatifs, etc.). De manière générale, le soignant doit posséder des qualités déterminées que nous pouvons synthétiser de la manière suivante. Il doit : être en capacité de lire le Coran, croire avec certitude au Coran, être empreint de piété, connaître les pièges et les caractéristiques du diable et des djinns, connaître la méthode prophétique de la « roqya », disposer de connaissances de base en psychologie, avoir la conviction que le succès de sa thérapie dépend de Dieu. A l’exception de la première exigence, il semble difficile de vérifier les autres conditions dans le cadre d’un entretien téléphonique avec une personne que nous n’avons jamais rencontrée, même si elle se présente sous le titre de « cheikh » ou d’un imam. Par conséquent, ces conditions soulignent une première limite quant au recours à la « roqya » par téléphone. Par ailleurs, à l’instar de tout médecin, le soignant doit, avant de prodiguer des conseils ou une médication, procéder à une consultation. Ainsi, un environnement adéquat est indispensable pour la réalisation d’une « roqya ». Il est enfin inconcevable qu’un médecin puisse vous affirmer par téléphone connaître votre maladie et attester pouvoir vous guérir. Vous auriez plus que des doutes sur ce prétendu médecin. II- Un environnement propice et la réalisation d’une consultation préalable à la réalisation d’une « roqya » Il est intéressant de noter que, dans son ouvrage « Comment se protéger des djinns & satan », Wahîd ‘Abdussalâm Bâli évoque l’importance du climat pour réaliser une roqya[2]. Ainsi, il expose les points suivants : « 1. Préparer le climat adéquat en faisant par exemple sortir les images et les statues de la pièce où on va soigner le malade, pour permettre aux anges d’y entrer. 2. Débarrasser le sujet de tout ce qu’il peut porter sur lui comme talismans ou amulettes et les brûler. 3. Éteindre tout ce qui peut émettre le son de la musique et des chants. 4. 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Cette attitude vigilante du médecin traitant doit se retrouver lorsque nous envisageons le recours à une « roqya ». Pour illustrer ce propos, nous citerons l’exemple de l’anthropologue, spécialiste de l’islam européen, Farid El Asri, chercheur associé au Centre Jacques Berque, qui nous rapporte une situation alarmante suite à une « roqya » : « Une jeune femme en Belgique (…) est morte suite à une tentative d’exorcisme. Pendant les séances, les fkihs (imams) utilisent normalement de l’eau « coranisée ». Pour cette jeune femme, prétendument stérile, les exorcistes ont carrément plongé son visage dans l’eau et quand elle tentait d’en sortir pour respirer, les guérisseurs estimaient qu’il s’agissait du jinn qui l’habitait et ils replongeaient son visage dans l’eau. Pendant le procès, la famille de la défunte s’est présentée comme musulmane et a accusé ces pratiques d’être extérieures à l’islam quand les guérisseurs estimaient qu’ils avaient simplement fait ce qu’ils pouvaient. 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