Transition into employment

 Quality of life (an ongoing project).  

 Effect of duration of stay (an ongoing project).    

A study on the community perception about mental health

 (An ongoing   project).    

An Appraisal of Nalla samarayan ashram

Demographic data analysis and its implications

We Care Centre has a research team. Three projects have been completed. Another 3 are in progress. Currently we are searching the possibilities of getting partnership with other research institutes. We have all resources to take up projects in the areas we have expertise.   

 Transition into Employment of Persons with Intellectual Disability: Demonstration of a Model for Kerala

 Relevance of the project

Ashanilayam special school, Aswhas farm school and vocational training centre are functioning under We Care Centre. The school had around 200 special children in 2018. Half of the students were above 15 years of age. A great need was felt to initiate transition from school to work program. Not only in Ashanilayam, is the same condition seen in all our special schools, bud schools and inclusive schools in Kerala.

Transition from school to work service is mandatory in almost all the countries.  Every student above 14 years with disabilities need to have a vocational transition plan. Parents can sue the teachers in the court of law if the transition plan is not implemented. They found the system helps students in learning employable skills and gradually getting in to an employment setting. The project initiated for preparing such a model in Kerala.

 Project Objectives

This project was aiming at the very important interconnected three aspects of a comprehensive vocational rehabilitation program: vocational skills training leading to transition from school to successful placement and independent living of persons with intellectual disability.

Vocational rehabilitation is a very individualized, goal-oriented process with the ultimate objective of employing its clients. The delivery of this service is comprised of several steps, including diagnosis, functional vocational assessment, selection of suitable trade, individualized vocational curriculum, training, evaluation of placement and follow up services.

The specific objectives were:

  1. To design barrier free workstations for nearly selected 100 non-agricultural and agricultural trades suitable for persons with intellectual disability
  2. To prepare the curriculum for the selected trades to train the selected 70 persons with intellectual disability and print it in a book form which is not available
  3. To train the trainers to use the curriculum to train the persons with intellectual disability selected for this project
  4. To select the trainees and the suitable trade for each one of them and train at the specially prepared workstations by the trained trainers
  5. To evaluate their performance levels and certify
  6. To organize training programmes for parents and siblings to equip them with skills and attitudes to cope up with the situation
  7. To organize workshops/ seminars/ conferences to disseminate information and promote advocacy
  8. To develop action research and impact studies in the area of vocational rehabilitation of persons intellectual disability

Phase- wise Action plan: activities

Phase: June –December 2018:

  1. Staff selection, appointment and training of staff
  2. Preparation of barrier free workstations for training
  3. Developing curriculum for selected trades and validation

Phase.2 December 2018 June–March 2020

  • Training the selected persons with intellectual disability in the suitable trades by using the prepared curriculum, Evaluation, certification

 Phase. 3 July 2020 on wards

  1. Parent training programmes To equip them with skills and attitudes to cope up with the situation
  2. workshops/ seminars/ conferences To disseminate information and promote advocacy
  3. developing action research and impact studies in the area of vocational rehabilitation of persons with intellectual disability

After submitting the project proposal to the Govt. of Kerala for the approval and financial assistance, we started implementing the project. As per the phase wise plan. The first 2 phases have been completed.

Outcome of the project

Employable skills for persons with Intellectual disability 

             ‘With     appropriate personalized supports over a sustained period, the life functioning of the persons with intellectual disability generally will improve.’(AAIDD 10) It has been observed that where appropriate services are available, these may not extend beyond childhood. Gains made through childhood interventions and early supports need to be followed through adolescence and adulthood. ‘After school, what?’ It is a serious question before us. Age appropriate services should be designed and implemented after schooling. The special education students need to have a transition plan and the preparation for employable skills training needs to be initiated early at the age of 15 during the final years of schooling.

Employable skills can be defined as the transferable skills needed by an individual to make him/her employable. Along with good technical understanding and subject knowledge, employers often outline a set of skills they want from an employee. The employable skills in the area of agro faming have been identified and curriculum for agro based occupations have been prepared and put together for implementation and certification. They are:

  • Special Curriculum for Agro- based farming
  • Special Curriculum for Animal farming
  • Special Curriculum for non-agro based Indoor Activities

 Other benefits:

The project provided direct services initially to 70 persons with ID: Currently centre-based, gradually it will be spread to home based and community based.

  • Demonstration of model services for persons with ID which can be replicated with/ without modification
  • Training and awareness materials
  • Greater awareness on ID and acceptance of persons with ID
  • Trained personnel to work for the cause of rehabilitation of persons with ID

During COVID 19, most of the trained persons with ID were helping their family in agricultural activities. Many parents reported it.

(One video clip is attached folder)

Project Sustainability

            If the curriculum is approved by the state, the project will continue by training the trainers state-wide by conducting training programs, workshops and seminars. The project will continue by the agency initiated it.

 Effect of systematic vocational group activities on quality of life of women with mental health problems residing at Nalla Samarayan Ashram

By research team, (NSA)

Rationale for the study

Nalla Samarayan Ashram was started 22 years back, at Kanjirapally a small town in Kottayam district, State of Kerala. Currently there are 113 ladies at different ages and ability groups belonging to various clinical groups staying at Nalla Samarayan. They are engaged in various activities such as domestic works, farm works, stitching and tailoring related works and so on as per the time schedule prepared for them. It has been observed that few women after recovery from the mental health problems are able to perform the same activities in which they were engaged prior to the illness. It is assumed that the activities are systematically organized with proper supervision by providing reinforcements and rewards, their overall life will improve further. Therefore it has been decided to conduct a study in this area,

Relapses are common in many cases with mental health problems after getting controlled from the condition due to the absence of engagement. If the study is found successful, the model can be used by the professionals engaged in the rehabilitation of women with health problems.

 Vocational Group activities:

This term refers to the vocational activities performed in a group by the selected women with mental health problems who have undergone the pilot study and residing at Nalla Samarayan Ashram. The activities are

  • Tailoring
  • Production activities
  • Agro farming,
  • Animal farming
  • Poultry farming
  • House keeping

Quality of life:

Quality of life is an umbrella concept which has different meaning to different people. It refers to all aspects of a person’s life, including physical health, psychological wellbeing, social wellbeing, financial wellbeing, family, relationships, friends, leisure and the like. In contrast, some approaches to quality of life emphasize the social and psychological aspects of quality of life and quality of care. In this study quality of life refers to the selected aspects of life of women with mental health problems.

The selected dimensions are:

  1. Life satisfaction,
  2. Psychological well being
  3. Physical health
  4. Social relations.
  5. Activities of daily living
  6. Symptoms

 

 Women with metal  health problems

113 mentally ill women who got treated and currently under medication are the permanent inmates of Nalla Samrayan Ashram. The term refers to 50 women with mental health problems age between 18 and 55 years having various clinical conditions.

Objectives of the study:

Group 1

  1. To find out the difference between overall pre and post-tests mean scores of the vocational activities of women with mental health problems.

 Objectives group.2

To find out the difference between the overall pre and post-tests mean scores of the Quality of Life of women with mental health problems engaged in the selected vocational activities.

Objective 3

To find out the relationship between vocational activities and Quality of life of women with mental health problems engaged in vocational activities at Nalla samarayan Ashram

Methodology.

Type of research:

 Single group Pre-test post-test relationship study. An Action research

Population:

The inmates of Nalla Samarayan Ashram, 113 women with mental health problems continuing strict medication are the population for the study

Sampling method:

Purposive sampling method will be used

Required sample: It has been decided to select 50 of them from the available population    as sample for this study by following the selected criteria

 

Assessment tool

We Care quality of life scale is under preparation. The scale will be used to find out the effect of vocational activities on the quality of life of persons with mental health problems. (an ongoing project).    

 The effect of duration of stay of the women with mental health disorders staying at NSA on their acceptable behaviours. (an ongoing project).  

  A study on the community perception about mental health (an ongoing project).     

  An Appraisal of Nalla samarayan Ashram – a psycho-social rehabilitation centre.

By Research team at NSA

Need for the appraisal:
The appraisal is to check its credibility as a model psychosocial rehabilitation center which follows all rules and regulations and maintain its quality in all aspects of its functioning such as:

  1. Governance level
  2. All required rules and regulations in staff appointment and its organization
  3. The experience level of NSA to run a PRC
  4. Proper financial management system
  5. Proper procurement system
  6. Proper planning, monitoring and reporting system
  7. Proper external relationship system
  8. The required land, Infrastructure and related facilities
  9. Quality rehabilitation services to the inmates
  10. A model PRC in all its aspects

 Methodology

Type of research:  Case study Appraisal of Institution

Sample: Study of only one institution, Nalla Samarayan Ashram: A psychosocial rehabilitation centre.

  1. The existing tool joint appraisal team visit formats prepared by the Government of Kerala, is used for the evaluation of the psycho social centers in Kerala. The same scale is used for this study.

Findings

Out of 9 domains 3 domains scored 100 percent  they are  nos. 3. experience,  4. financial management no.8, land., infrastructure and related facilities,

Domain.3  Experience:

The parent institute is WE Care Centre which has around 80 services all over Kerala.  The organization give various types of services like initiating programmes organising, implementing independently, in collaboration with various agencies. Based on the need, any type of human services We Care Center takes up. The experience the organization gets out of the services helps to make NSA a model psycho social centre.

5 domains scored 80 percent and above

  1. Governance
  2. Rules and regulations of staff
  3. Procurement
  4. Planning, monitoring and reporting
  5. Rehabilitation services

Conclusion

 3 domains got full score, another  5 domains scored above 80 percent where one domain got only 70  percent.

Experience, Financial management systems, land and infrastructure achieved full score.

Experience of the institute is really very high and worth appreciating as a model. The experiences of the mother institute, ‘we care centre’ helps the NSA to run it efficiently. The total score for 9 domains comes to 160 out 0f 180 is 88.7%. The results reveal that NSA has the credibility as a model psycho-social rehabilitation center which follows all rules and regulations and maintain its quality in all aspects of its functioning.

Demographic data analysis and its implications in the rehabilitation of

women with mental health disorders residing at Nalla Samarayan Ashram (NSA)–A Psycho Social Rehabilitation Centre