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| OZMA - The National Forum of Families of People with Mental Illness
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Basic information and support
Helplines: Information and Support ( both function in English)
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OZMA - the national forum of families of people with mental illness - is a non-profit organization with groups active in Jerusalem, the Tel Aviv and central area, Haifa and the north, and the Beersheva area. We represent the families of people affected by mental illness nationwide in a variety of spheres.
All of our members are close family members of people with mental illness and participate on a strictly voluntary basis.
The chairman of the organization is Professor Eli Shamir.
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IN THE NEWS
Mental health services in dire state
By
Dan Even
Public mental health services are in a dire state,
the annual state comptroller's report warned yesterday. The report found
extensive waiting lists for psychiatric hospitals and clinics and said
psychiatric hospitals suffered from neglect.
Moreover, a reform meant to transfer responsibility
for mental health to the health maintenance organizations has been on hold for
a decade - but meanwhile, the Health Ministry has made minimal investments in
the clinics under its responsibility. The ministry received NIS 100 million to
boost service at these clinics, but only used NIS 27.7 million.
In May, Deputy Health Minister Yaakov Litzman is
slated to tell the High Court of Justice what he has decided to do about the
reform, which his office is now studying.
The report quotes directors of government hospitals
as saying that Israel never mapped communities' mental health needs, and in
some locales, treatment is provided for only the most urgent and serious
conditions, like schizophrenia.
As an example of the neglect of Israel's
psychiatric hospitals, comptroller Micha Lindenstrauss described the moldy
walls of Jerusalem's Kfar Shaul facility, which he termed unfit for patients
to live in.
The report also slammed rehabilitation services for
psychiatric patients who are released to the community. "Hundreds of patients
who deserve this service cannot receive it because no appropriate framework
was set up," the comptroller wrote.
The Health Ministry responded that the planned
reform has been delayed by the HMOs. "But at this stage, there is no
ministerial-level decision on how to proceed," the statement added.
The ministry denied that it used funds intended to
beef up mental health services to cover deficits at government psychiatric
hospitals. "The problem is not that the budget for mental health has fallen,
but that the increase has not kept up with demand," it added.
One HMO, Leumit, said the reform has been
discussed for 15 years now, but meanwhile, the ministry is still responsible
for mental health care. "Nevertheless, Leumit recruited scores of psychiatric
specialists for community clinics beginning in 2009, and today does not have
any waiting list problems," its statement said.
The National Health Insurance Law defines the
entitlements and the basket of health services available to all residents
suffering from physical maladies. But mental disorders are provided for
separately and ambiguously - mainly by direct government budget and services
(including hospitalizations in psychiatric hospitals) and partly by the health
funds (through their medications basket), with no clear responsibility
delegated for ambulatory services.
After years of attempts to reform the system, a
government-sponsored mental health insurance reform act mandating complete
integration of mental and physical health services is now on the Knesset
agenda. It was approved for its first reading in July 2007 and is now being
processed in the Knesset Labor, Social Affairs and Health Committee
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It is essential to acknowledge the existence of the disorder and to understand that you, the family, can receive help too – separately from the person with the disorder.
Don't look for blame. Just as in diabetes, sclerosis and other diseases no-one is to blame for a mental disorder. It can arise as a result of a combination of genetic, biological, developmental, and environmental factors. Many parents tend, unjustifiably, to blame themselves for their child's illness. There is no known single cause of mental illness.
Be involved in your family member's treatment. As in other illnesses, the atmosphere in the family can affect outcomes. Many studies show that people whose families received support, advice and guidance had fewer re-hospitalizations ( up to 50% fewer) than those whose families did not. The attitude of the family and their support are very important to the person with the disorder. Learn about the disorder and its symptoms. Help your loved one to find proper treatment, and encourage him or her to stick to it.
Accept your limitations. Don't take upon yourself the entire responsibility for your family member. You cannot cure the disorder. You are not a mental health professional and your loved one is in no need of an additional "expert". Try to work with the professionals on things that seem important to you, while making sure that you keep to your role as parent, brother, sister, or child.
Try to get help - don't try to deal with things alone.. Coping with a chronic mental disorder can cause great distress. Every member of the family experiences this, and without support and advice they themselves can pay a heavy price in their own lives. Many people find that joining a support group is a turning point in their struggle to understand the illness and to help themselves and their loved ones. There are many support groups run by various the organizations connected with mental health. Alternativley, you can join a family self-help group or you can set up your own.
If your loved one lives in the community in a hostel or sheltered housing, check the Standards and Procedures of the Ministry of Health relating to the service. This document give information on requirements regarding such things as the accommodation itself, its maintenance, staffing, and activities. Knowledge of these requirements can help you to obtain the best conditions for your family member. Hostels Sheltered housing Note: The documents are in Hebrew only.
If your family member also has a physical illness and has to take medication or undergo an operation – make sure that the doctor in charge is given details of the psychiatric medication ( pills or injection) in order to avoid any complications or risks.
Keep a detailed list of all medications. This can avoid mistakes and prevent unnecessary problems. The list should include the names of the medications, the dates when they were taken and their effects. This information is useful when a doctor suggests a medication which was previously beneficial or harmful.
Make a list of the names and telephone numbers of all the members of the medical/ rehab team and keep it handy so that you can ask for help, advice or support when you need it. . |
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