Sangkhlaburi Safe House

Background

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Background

The Sangkhlaburi Safe House provides residential care for people with psychiatric and complex medical illness who are unable to care for their own daily needs. Most of these people live in border areas where public health services are not available. Thus, the Safe House provides residential care for these patients under the direction of Kwai River Christian Hospital (KRCH) under the Church of Christ of Thailand (CCT).

The Safe House was initially established in 1992 during a time when foreign workers, especially those who were ill, were frequently deported to the Thai-Burma border near the village of Huay Malai and Chong Lu in Nong Lu sub-district, Sangkhlaburi district. Seeing the number of ill patients without ability or means to care of themselves, a need was recognized by the Development and Service division of the CCT (now the Social Development Division) and a safe house was created. The national and 16thdistrict women’s councils within the CCT collaborated to start the Safe House. Once it was established management was transferred to members of the local community who continued the work for 15 years financially supported by Thai-Burma Border Consortium (TBBC) without a governance body. In 2010 the management of the Safe House suggested that the project again be overseen by the 16thDistrict of the CCT.  In June 2011, the 16thDistrict approved a resolution to adopt the Safe House Project and appointed a committee for ongoing oversight and management.

In 2014 the committee reported to the 16thDistrict of the CCT that outside donations had been decreasing steadily as Thailand continued to develop and the situation in Burma improved. However, there were still many residents who relied on the Safe House to provide their care. At that time, it was seen that KRCH was gaining financial stability and thus with the suggestion of the committee the 16thDistrict of CCT issued a proclamation to move the project under the management of KRCH. Since that time there has been increased collaboration between the Safe House and Kwai River Christian Hospital to provide appropriate care for the residents.

 

Project Information

The residents of the Safe House currently all have complex medical needs both physical and psychiatric. They are largely stateless or without any documentation of their origin. Many of the patients come from abusive situations either within the work place or within the family. They are from a variety of ethnic and religious backgrounds.

Currently there are 35 Safe House residents of which 18 are females and 17 males. They suffer from chronic illness including post-traumatic stress disorder, psychosis NOS, schizophrenia, HIV/AIDS, severe bronchiectasis, epilepsy, physical disability, and aphasia.

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The Safe House helps the residents improve their health and tries to improve their quality of life. The Safe House staff together with the hospital staff try to help the patients regain their health and maintain their stabilities by giving them medications that they needed. During their stay at the Safe House, residents are provided with food, housing and essential medications for each individual. Each of the resident is encouraged to participate in activities and learn new skills with hopes.

Some current leisure activities that the staffs are able to lead the patients with are gardening, cleaning, feeding household animals, walking/stretching exercise, simple craft, and some patients can do weaving.

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The staff and patients are working in the garden: they planted cabbage, morning glory and some other local vegetables.

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Screen-Shot-2018-12-19-at-15.10.49.pngSome people are taking care of the animals such as ducks and chickens.

Screen-Shot-2018-12-19-at-15.11.22-e1545207629371.pngThe activity that the patients enjoy the most is drawing and coloring.

 

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Currently, there are two patients who know how to weave.

 

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Screen Shot 2018-12-19 at 15.12.24Activity in the kitchen: sometimes the patients, who are able to help, would help the staffs to cook and sometimes the volunteers from outside would come cook for patients.

 

Screen-Shot-2018-12-19-at-15.12.36.pngNormally, there would be devotion time every morning for the patients and sometimes there would be fellowship time with some members of the church

Walking exercise in the morning (about 1.5 km roundtrip)

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Not all of the patients can join all activities due to their physical and mental conditions. The patients rely on the staffs for some helps, and the staffs are encouraged to help the patients as much as they could. However, the staffs try to teach the patients to help themselves with some personal daily activities and encourage them to come out to participate in leisure activities as much as they could. Beside the staff, sometimes there are volunteers or visitors from church or other organizations come to help lead the patients with activities or feeding them meals. The Safe House welcome visitors and grateful for all the helps and supports received.

Currently, there are no specific activities set as a daily schedule for the patients. However, we encouraged the staff to lead the patients to go out for a walk or exercise twice a week; do some gardening and cleaning twice a week; and do some drawing, coloring or crafting one to two times a week.

Staffs’ Duty

The main responsibility of the staffs is to take care of the patients. Besides that, they will do some cleaning and maintaining the living accommodation. Each staff is taking care of approximately 5-6 patients. What the staffs mainly have to do is to clean the patients up, (shower, cutting nail, and cutting hair) and take care of the patients’ health in general (giving them medications on time). Some patients cannot take care of their own selves, so the staff would wash their clothes and clean their beds and living place. The daily duty for each staff is similar, but the tasks are also given out to each staff accordingly to fit their skills and abilities.

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Sairoong
  1. Sairong Saeduangchai- She has been working here for 8 years. She is currently a treasurer of the Safe House.

Her responsibilities are:

  • Taking care of all the budget of the safe house
  • Doing some paper works for the Safe House
  • Leading the coloring, drawing or other leisure activities
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Say Paw Lay
  1. Say Paw Lay- She has been working here for 11 years. She is a secretary.

Her main responsibilities are:

  • Writing down all of the patients’ information and the medications that each patient need.
  • Writing down the hospital appointments for each patient and make sure the patients go to the hospital on those dates.
  • Writing down the daily duty of each staff and make sure that the staff coming to work and do their duty.
  • Sometimes she would help clean the campus and make sure that the patients’ accommodation is neat and clean.
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Ah Mu
  1. Ah Mu- She has been working here for 10 years. She is a cook and care giver

Her responsibilities are:

  • Taking care of the female patients
  • Taking shower for some patients who cannot take care of themselves, cutting their nail, cutting their hair
  • Cleaning the campus
  • Washing clothes for the patients
  • Help Cooking
  • Sometimes she would also help in the garden and lead the patients for walking activity in the morning.

 

 

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Julia

 

  1. Julia- She has been working here for 10 years. She is a cook and stock person

Her responsibilities are:

  • Buying food and preparing food enough food for patients each week
  • Cooking and taking care of the kitchen
  • Watching out for the food and household supplies stock. For example, we store dry food and some of the household supplies like–soap, shampoo or cleaning detergent–she is the one who take care of the stock room and make sure that we have enough food or supplies for the patients each month. If there is a lack of any food or supplies she would tell us and we would get more food and supplies in stock.
  • Taking care of the female patients
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Moo Day
  1. Moo Day- He has been working here for 7 years. He is a care giver

His responsibilities are

  • Taking care of the male patients
  • Taking shower for some patients who cannot take care of themselves, cutting their nail, cutting their hair
  • Sometimes taking the patients to the hospital
  • Taking care of the garden as well as the animals
  • Leading the patients for cleaning activity and walking activity in the morning
  • Maintaining the campus and repairing any broken things
50C5D82C-BBA6-4D73-A06D-D3E52D24DECC
Bah Blu
  1. Bah Blu- He has been working here for 6 years. He is a care giver

His responsibilities are

  • Taking care of the male patients and giving medications to the patients after the meals
  • Taking shower for some patients who cannot take care of themselves, cutting their nail, cutting their hair
  • Sometimes taking the patients to the hospital
  • Cleaning the male accommodation
  • Maintaining the campus and repairing any broken things
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Tun Lwin
  1. Tun Lwin- He has been working here for 12 years. He is a care giver

His responsibilities are

  • Taking care of the male patients
  • Taking shower for some patients who cannot take care of themselves, cutting their nail, cutting their hair
  • Taking special care for one patient who is on the bed and not able to sit up or walk. (feeding him, showering or cleaning him up and watching him carefully)
  • Sometimes taking the patients to the hospital
  • Taking care of the garden as well as the animals
  • Leading the patients for cleaning activity and walking activities in the morning
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Kam Phee
  1. Kam Phee- This is his first year working at the Safe House. He is a care giver

His responsibilities are

  • Taking care of the male patients and giving medications to the patients after the meals
  • Making sure that the patients are getting the correct medications
  • Taking shower for some patients who cannot take care of themselves, cutting their nail, cutting their hair
  • Sometimes taking the patients to the hospital
  • Sometimes leading the patients for walking activity in the morning

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Thailand Tales

These are the amazing adventures of Sharon Bryant, a mission co-worker with the Presbyterian Church (USA) working in Thailand