Yousuf Raza – Telepsychiatry Pakistan X Saving9

Yousuf Raza
AI: Summary ©
Saving Nine's goal is to bring community leaders to take ownership of their mental health initiative, and their success in mental health awareness and community engagement is a result of their success in developing communities and empowering community leaders to create change. The speakers discuss challenges faced by mental health practitioners and the importance of regular professional development and training for medical students. They also mention a focus on mental health education for people who need mental health support and invest in training and education for people who cannot afford medical services.
AI: Transcript ©
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This is Yusuf Raza.

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Unfortunately, I do not have Azam with me

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today.

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He got caught up.

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In any case, we have a very special

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show planned for you today.

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As we shared, our Mental Health Awareness campaign

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is going on.

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And a lot of people object to us

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and criticize us, that the negative aspects of

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the picture are being shown quite a lot.

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It is as if there is nothing good

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going on.

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It is as if there are no good

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people around.

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It is as if there is no good

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work being done.

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So, keeping that in mind, and to share

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with our audience and anyone who cares to

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listen that there is not just a ray

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of hope, there is a lot of hope.

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There are a lot of good people doing

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a lot of good stuff out there.

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And so for that reason, we are joined

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today by two of the representatives of Saving

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Nine organization.

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I will allow for them to introduce themselves.

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I will first ask Faizan Tirmidhi, who is

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the director of development for Saving Nine, bring

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him in stream, and then he will be

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followed by Amina, and then the three of

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us will try to talk about all of

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their projects and all of the wonderful things

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that they are doing, and the experiences that

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they have from that.

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And there seems to be a technical issue.

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I think, Faizan, you're on mute.

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Now we can hear you.

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I'm sorry, I don't think I can hear

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you.

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I cannot

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hear you at all.

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And we're back.

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Is it working now?

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I don't know if it's just me or

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if that's the case with everyone.

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I can hear you, but very scrambled.

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I'm sorry, I can't catch any of that.

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Let me ask Amina to join us.

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Amina, she is the director of mental health

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operations at Saving Nine.

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Unfortunately, Faizan is having technical issues, part of

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the package.

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But now that you're here, thank you so

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much for being here.

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If you could introduce Saving Nine for us.

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Of course, assalamu alaikum to you and to

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everybody who's watching.

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My name is Amina, and I'm the director

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for the mental health initiatives at Saving Nine.

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And Saving Nine is an organization that works

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in public health, in mental health, and in

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education.

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And we basically build communities of care.

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And we basically go into schools, universities, ping,

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gaon, anywhere, anywhere who would let us in.

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And we spread literacy for first aid, and

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we spread mental health awareness.

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And our narrative is built around empathy and

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caring for each other.

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And we've been working for about three years

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now, I want to say.

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And it's been an amazing, amazing journey.

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That is wonderful.

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Any specific areas you're mainly working around Pindi,

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Islamabad, as I'm given to understand?

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Yes.

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Yes.

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So primarily, because the biggest cluster of our

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team is in Islamabad and Pindi, that's where

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a lot of our on ground operations happen.

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But we do trainings in Lahore and Karachi,

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and we have a team in the States,

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where they work in helping us kind of

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spread the word and run operations and just

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a lot of other things that they do.

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Okay, great.

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And I think Faizan is ready to join

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us.

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I have proper internet, I'm using this device.

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So my name is Faizan, as you can

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see on the screen, and I'm the director

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for development operations.

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And the pin side...

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And I think the technical difficulties have taken

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over once again.

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All right.

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So can you hear me?

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Yes, now we can.

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Let's take three.

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All right.

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I will let Amna do more.

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And that's what I would like more because

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of the technical issues.

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And I will join in in between.

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We can hear you now, by the way.

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Yes, please go ahead.

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Let's see how long this lasts.

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Please go ahead.

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Okay, I shall really speed up the process

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then.

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So Amna introduced us.

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We've been around for three years.

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We started off in Islamabad.

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Today was the first day when we actually

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expanded our operations from Union Council 7 in

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Pindugarh.

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Okay, Amna to the rescue.

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Yes.

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Faizan was trying to say something.

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He was saying that you guys expanded today,

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there was some milestone achieved today.

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I actually, I think that was something in

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his team that we've started working in other

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operations, and we're out of Union Council 7.

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We're moving forward to the next Union Council

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and basically we're growing.

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One thing that I really, really love about

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the work that we do is that we

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don't just go into a community and say,

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okay, bye, after a couple of years, we

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really, really work on developing the community itself

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and having the community take ownership of what

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they're doing.

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So for example, with Faizan's work, where he

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has, we're running an ambulance called the Women's

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Network.

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So we've trained men and women from the

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community in first aid.

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They are first responders.

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They have continuous professional development courses that they

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undertake and they're growing, right?

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So eventually when we do step out of

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this community, it will be a self-sustaining

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model where the people have taken ownership of

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it.

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A huge thing that happens is people go

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in, they have expertise, they make change.

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There is significant change that you can see

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in data that they publish.

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But over a period of time, because yeah,

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initially they were on positions that were not

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of a leadership level.

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So you lose the community leaders.

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So here we basically only are there to

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facilitate and the community takes initiative.

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And we've seen amazing things happen.

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Things like that happened.

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So the place where them seeing how ambulance

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used to stand, our EMT said that in

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between shifts, they have a lot of time.

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So they started running a garden and they

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planted vegetables and they told people who don't

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have money to eat, they can come and

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take whatever they want from the garden and

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take it to their houses.

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And it's really building this community and this

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narrative of taking care of each other, which

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is so important.

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And especially I want to bring the discussion

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slightly to the mental health side, if I

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can.

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Part of the big problem here is that

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mental health ends up taking a backseat in

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most conversations about health because you don't have

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a basic infrastructure.

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Because access to first aid, access to normal

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public health facilities is so limited that you

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cannot even start having the conversation about mental

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health yet.

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And so what we really want is for

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communities to take care of each other until

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that accessibility increases and a lot of amazing

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work is happening to bring more access to

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mental health.

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But until then, the community kind of takes

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care of each other.

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And we've had awareness campaigns about depression, about

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anxiety, about PTSD with members of the Masiha

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Ambulance who have then taken it forward into

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the community, which has been great.

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Just to share a small anecdote, a lot

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of times if somebody was having an episode

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of mania in bipolar, it would often be

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said that they are possessed by something.

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And instead of taking the proper help or

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getting medicines or going to a psychiatrist or

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the hospital, they would end up being taken

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to somebody who would claim to be able

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to rid them of this possession and in

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the process traumatize them further with physical aggression.

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So things like that have somewhat gone down

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in this region at least.

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And it's really such a powerful thing to

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witness communities kind of change mindsets.

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That's wonderful.

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Amika, if you can walk us through when,

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and we have Faizan back with us, thank

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you for joining us.

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Let's just continue our conversation on this, your

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mental health awareness campaigns that you led within

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the community.

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And of course, you're going really into the

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suburban areas, the rural population.

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How were you received?

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How was the whole campaign received?

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Okay.

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So I think a lot of it, I'm

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not going to take a lot of responsibility

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for how we did something amazing.

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A lot of it was this organic growth.

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We started with doing first aid courses in

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a couple of the schools in Penn-Bigval.

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And then what happened after that was that

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we saw the need for an ambulance there.

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And then our ambulance started functioning.

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And then we were in contact with local

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influencers, people who had thought leadership in the

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area and being seen with those people kind

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of got us this rapport built between the

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two communities.

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And we were able to kind of gain

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a certain amount of trust with them.

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And then after that intervention, when we said,

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hey, you know, depression is one thing, anxiety

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is one thing, people are not just lazy,

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people are not just useless, you know.

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And that was kind of like, okay, tell

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me, what are you doing?

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You know, like to go in directly and

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tell somebody, no, this is wrong, it would

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have been a little more difficult, definitely.

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But I think because we had that rapport

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with the community, and we bonded on different

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levels as well, right.

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And then whatever interventions we were doing, they

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were saving lives in the community.

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So there was a lot of back and

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forth between the kind of trust we built

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over the years.

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And then what happened after that was that

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we took to the some of the five

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of the schools in the region.

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It's a small village.

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And we went to five schools in the

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area.

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And we kind of had conversations about corporal

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punishment, right.

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And we talked to the teachers about the

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kind of impact and the effect that that

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has on a student's or a child's mental

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health, you know.

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And the most famous Bandura bobo doll experiment

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tells us that aggressive behavior is internalized, and

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then children in turn, manipulate that aggression and,

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you know, manifest it in different ways in

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their lives.

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And that was kind of the thought that

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we started with.

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And we started the safe school spaces project

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in the PIND.

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And we kind of did interventions on empathy.

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And one of the biggest things we saw

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there was, it's not just that there's a

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lot of policy that says, okay, you know,

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corporal punishment is wrong, it's prohibited, it's banned.

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But I feel like the teachers who themselves

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have been taught the same way that they

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teach now, don't know any other way.

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So when you give them the tools, when

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you kind of give them access to teaching

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strategies that could move away from that, you

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know, and they start seeing that, okay, there

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is another way to go about it.

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And you start telling them from their own

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experience that, you know, let's take you back

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to when you were a child and you

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were hit in school, or you were treated

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so badly.

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How did that make you feel?

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And how do you think that impacts your

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life now?

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So coming in and telling somebody you're wrong

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is something that didn't really either like speak

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to us in any way, but I think

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it's also not the right approach, right?

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Changing mindsets is about introspection.

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It's about having them come to a realization

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that you facilitate, that perhaps there is another

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way to go about it.

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And I think one thing that we were

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very mindful of was to respect the fact

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that there is a certain culture that we

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don't want to go in and disrupt and

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say, we know better than you.

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It was a joint learning.

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I learned so much in those training sessions

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with those teachers, with community people, part of

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it being I've learned so much Punjabi over

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the last three years, and my Urdu has

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gotten so much better.

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But, you know, on a more serious note,

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there's a lot of give and take between

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the kind of learning we share.

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And it's just, it's wonderful, because then you

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see that there are initiatives that these people

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take.

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So for example, after we were done with

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the Safe School Spaces trainings, we saw that

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new teachers went into the community.

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And the Puran teachers, or tutors, they started

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sharing all of their learning with those teachers.

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And this is what I was talking about

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initially, you know, when you empower the community,

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and you give them leadership roles, they really

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take on that mindset, and they want to

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create change as well.

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So it's been, I think, humne itna kuch

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nahi kiya, in logon nahi zyada kiya, and

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it's just been so exciting to watch this

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whole thing.

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That's, that's, that's so inspirational.

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I think the critical point, jo hum log

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nahi karte as psychiatrists, or as campaigners for

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the cause of mental health, jo aap logon

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ne, the way you said, ke wo organic

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growth uski hui thi, or before you went

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in to teach, aapka ek, aapki presence waha

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pe established thi, community leaders saw you, they

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interacted with you, they saw what you had

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come with, in terms of you were actually

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saving lives, wo first aid trainings, wo ambulance

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service, all of that, having been, they could

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see that, and they could trust you.

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And so, wo jo ek alien feeling of

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being invaded by people, yeh shayar ke log

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aagey hain, apne aapko pata nahi kya samajhte

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hain, kapde bhi humare jaisa nahi pehnte, zabaan

00:16:51 --> 00:16:54

bhi humare jaisi nahi bolte, aur yeh, bas

00:16:54 --> 00:16:58

ab hume koi, humari brainwashing karenge, aur hume

00:16:58 --> 00:17:01

koi, ajeeb-ajeeb kisam ki cheezain sikhayenge, you

00:17:01 --> 00:17:05

were able to ensure that you bypassed all

00:17:05 --> 00:17:07

of that, that you did not come across

00:17:07 --> 00:17:10

those obstacles, kyunke aap logon ek trust gain

00:17:10 --> 00:17:12

kiya tha, che yeh toh humein sikhanein hain,

00:17:12 --> 00:17:15

yeh toh humein, wo cheezain jo humare logon

00:17:15 --> 00:17:17

ki zindagiyaan bachaari hain, aur na sirf yeh,

00:17:17 --> 00:17:20

and they didn't seem to see any vested

00:17:20 --> 00:17:20

interests either.

00:17:21 --> 00:17:23

It's not like you were charging them an

00:17:23 --> 00:17:25

arm and a leg, and looking to, you

00:17:25 --> 00:17:28

know, run for political office from that particular

00:17:28 --> 00:17:31

area, that probably came as something very surprising

00:17:31 --> 00:17:34

to them as well, ke yeh log karne

00:17:34 --> 00:17:36

kya aaye hain, and I'm sure that contributed

00:17:36 --> 00:17:39

to the trust, I'm sure that contributed to

00:17:39 --> 00:17:39

the trust.

00:17:40 --> 00:17:43

Faizan, thank you for coming back, I hope

00:17:43 --> 00:17:45

your * image is going to move now.

00:18:07 --> 00:18:11

Okay, as somebody in our comments is suggesting,

00:18:12 --> 00:18:14

there's like a digital jinn that seems to

00:18:14 --> 00:18:18

be taking over, we don't have the technical

00:18:18 --> 00:18:19

exorcism available to us.

00:18:19 --> 00:18:27

Okay, chale, we continue then.

00:18:31 --> 00:18:41

All right, so, Faizan,

00:18:41 --> 00:18:45

we can't hear you, we can't hear you,

00:18:45 --> 00:18:51

there's a scramble, and your image is blurred.

00:18:51 --> 00:18:55

Chale, coming right back to you, Amna, as

00:18:55 --> 00:18:58

I understand it, aap log, okay, now I've

00:18:58 --> 00:19:01

lost both of them, and it just leaves

00:19:01 --> 00:19:05

me here, so I will wait for either

00:19:05 --> 00:19:07

one of them to come back, maybe it's

00:19:07 --> 00:19:10

the internet on my end, but thank you

00:19:10 --> 00:19:13

all for being here, quite a happening episode

00:19:13 --> 00:19:17

already, and Amna is back, you're back, all

00:19:17 --> 00:19:21

right, yes, so, as I understand it, aap

00:19:21 --> 00:19:26

logon ki jo interventions thi, they started happening

00:19:26 --> 00:19:31

as the need was assessed, jaise jaise aapko

00:19:31 --> 00:19:35

laga ki yeh area bhi addressal maangta hai,

00:19:35 --> 00:19:37

is cheez ki bhi kami hai, toh saath

00:19:37 --> 00:19:43

hi saath, you developed the resources, and the

00:19:43 --> 00:19:46

human resource in particular, to be able to

00:19:46 --> 00:19:49

deliver, and the strategy, however, remained the same,

00:19:49 --> 00:19:52

ki humne empower karna hai, humne community ko

00:19:52 --> 00:19:54

saath leke chalna hai, humne unke trust pe

00:19:54 --> 00:19:58

develop karna hai, and so when we have

00:19:58 --> 00:20:01

to leave from here, the community is self

00:20:01 --> 00:20:02

-sufficient in these services.

00:20:03 --> 00:20:05

Right, so somewhat, yes, I think it was

00:20:05 --> 00:20:06

a balance of the two things, we always

00:20:06 --> 00:20:10

had a vision of what areas of interventions

00:20:10 --> 00:20:13

we wanted to do, right, so first aid

00:20:13 --> 00:20:17

being the first and foremost primary thing that

00:20:17 --> 00:20:20

we wanted to achieve, because, you know, it's

00:20:20 --> 00:20:25

something that is relatively simple, not to mitigate

00:20:25 --> 00:20:27

or, you know, tone down the work or

00:20:27 --> 00:20:29

the importance of it, but it's a relatively

00:20:29 --> 00:20:33

easy skill to acquire and learn and administer,

00:20:34 --> 00:20:38

and it's shocking that while it is something

00:20:38 --> 00:20:40

that can be so simple, there are so

00:20:40 --> 00:20:44

many lives that are lost, because of the

00:20:44 --> 00:20:46

fact that people don't have access to the

00:20:46 --> 00:20:49

knowledge, or they don't know what to do

00:20:49 --> 00:20:51

in case of an emergency, right, so that,

00:20:52 --> 00:20:54

I think, going forward was the first thing

00:20:54 --> 00:20:55

that we wanted to do.

00:20:55 --> 00:20:58

It just so happened that our core team

00:20:58 --> 00:21:00

that we started with was a bunch of

00:21:00 --> 00:21:04

teachers, you know, so Sama, the CEO, he

00:21:04 --> 00:21:08

has a degree in teaching from Columbia, Saima

00:21:08 --> 00:21:10

Syed, the head of training, has, you know,

00:21:10 --> 00:21:12

taught for so many years of her life,

00:21:13 --> 00:21:14

and I was just, I had just graduated

00:21:14 --> 00:21:18

and Fizan had been teaching for the past

00:21:18 --> 00:21:20

two years, ever since he had graduated, I

00:21:20 --> 00:21:21

also became a teacher.

00:21:21 --> 00:21:24

So we really wanted to focus on, you

00:21:24 --> 00:21:26

know, the accessibility of first aid.

00:21:27 --> 00:21:29

So people and how we were teaching, right,

00:21:29 --> 00:21:31

we were very mindful of that.

00:21:31 --> 00:21:33

So the course was designed in a way

00:21:33 --> 00:21:37

that anybody, you know, regardless of their level

00:21:37 --> 00:21:40

of literacy could learn first aid.

00:21:40 --> 00:21:43

And then we also had, and in our

00:21:43 --> 00:21:45

courses, during the classes and everything, we were

00:21:45 --> 00:21:49

very mindful of making sure that the course

00:21:49 --> 00:21:50

isn't boring, right.

00:21:50 --> 00:21:52

So one thing that we, we, you know,

00:21:52 --> 00:21:53

sat down and thought, why don't people do

00:21:53 --> 00:21:56

first aid, you know, and it's because it's

00:21:56 --> 00:21:58

a little boring, you go, you sit, and

00:21:58 --> 00:22:02

then we like integrated role play and, and

00:22:02 --> 00:22:06

scenario based learning, and the trainings are crazy.

00:22:06 --> 00:22:08

I really recommend anybody who is listening to

00:22:08 --> 00:22:09

enroll in one of the trainings, it is

00:22:09 --> 00:22:12

one of the most, I mean, it's a

00:22:12 --> 00:22:13

really fun experience.

00:22:15 --> 00:22:18

Whoever wants to enroll in these trainings, they

00:22:18 --> 00:22:21

don't have to go to union councils to

00:22:21 --> 00:22:24

get it, you have something to deliver within

00:22:24 --> 00:22:25

Pindi Islamabad as well.

00:22:25 --> 00:22:26

Yes.

00:22:26 --> 00:22:28

So we, well, right now, because of COVID,

00:22:28 --> 00:22:31

things are a bit, you know, toxic, to

00:22:31 --> 00:22:32

put it lightly.

00:22:33 --> 00:22:35

But we do have sessions that we do

00:22:35 --> 00:22:36

on a rolling basis.

00:22:37 --> 00:22:41

We go directly to organizations and schools, if

00:22:41 --> 00:22:43

they have, you know, our minimum number of

00:22:43 --> 00:22:46

participants who want to take the thing.

00:22:46 --> 00:22:49

If you're in Karachi, if you're in Lahore,

00:22:49 --> 00:22:52

Pindi, you know, anything that's accessible.

00:22:53 --> 00:22:54

I mean, I know, there's a lot of

00:22:54 --> 00:22:55

other places that are accessible.

00:22:55 --> 00:22:59

If you're anywhere where we can reach, just

00:22:59 --> 00:23:01

drop us a message on our Facebook page,

00:23:01 --> 00:23:03

or send us an email, and we can

00:23:03 --> 00:23:04

have that conversation.

00:23:05 --> 00:23:07

We're really like, right now, what we're offering

00:23:07 --> 00:23:09

to schools is, is the first aid training

00:23:09 --> 00:23:13

in collaboration with the mindfulness and empathy training

00:23:13 --> 00:23:14

for the teachers.

00:23:14 --> 00:23:18

Because it's not just the corporal punishment, right?

00:23:19 --> 00:23:24

There's a subsection or an economic divide in

00:23:24 --> 00:23:27

this particular kind of behavior.

00:23:27 --> 00:23:32

But even in private schools, students are stressed,

00:23:33 --> 00:23:36

they are anxious, the teachers don't know how

00:23:36 --> 00:23:37

to help them.

00:23:37 --> 00:23:40

And being a teacher myself, teachers want to

00:23:40 --> 00:23:41

help, right?

00:23:41 --> 00:23:43

They want to know what they could possibly

00:23:43 --> 00:23:46

do to help their students, or what they're

00:23:46 --> 00:23:48

saying, because children are so sensitive now.

00:23:48 --> 00:23:52

And they're also so, so aware of nuances

00:23:52 --> 00:23:57

in communication, in language, and the layers that

00:23:57 --> 00:23:58

an interaction has.

00:23:58 --> 00:24:03

And the mindfulness training is basically just, just

00:24:03 --> 00:24:08

about understanding that the interaction that you have

00:24:08 --> 00:24:10

with your students can no longer be like

00:24:10 --> 00:24:13

a power dynamic that looks like this, right?

00:24:13 --> 00:24:16

There is, you need to connect with your

00:24:16 --> 00:24:18

students, because they need a sense of belonging

00:24:18 --> 00:24:19

as well.

00:24:20 --> 00:24:23

And it's so important for their mental health.

00:24:23 --> 00:24:25

I mean, it's a very fundamental part, which

00:24:25 --> 00:24:27

Maslow pyramid out there.

00:24:38 --> 00:24:41

And so that training really focuses on that.

00:24:41 --> 00:24:43

So it's not just about the PIND.

00:24:44 --> 00:24:46

The PIND work is there in the gaon

00:24:46 --> 00:24:49

and in the rural areas, because we wanted

00:24:49 --> 00:24:52

to bridge that gap of accessibility, right?

00:24:52 --> 00:24:54

I feel like as we were going into

00:24:54 --> 00:24:57

these private schools, and people who can actually

00:24:57 --> 00:24:57

connect with their students, we wanted to bridge

00:24:57 --> 00:24:57

that gap of accessibility, right?

00:24:57 --> 00:24:57

So we wanted to be able to actually

00:24:57 --> 00:24:59

pay for these trainings and receive it and,

00:24:59 --> 00:25:00

and benefit for them.

00:25:02 --> 00:25:05

It was a little unfair that people who

00:25:05 --> 00:25:07

could not afford it, we're not getting it.

00:25:07 --> 00:25:10

So we made sure that that kind of

00:25:10 --> 00:25:13

balances out and we do both things in

00:25:13 --> 00:25:13

parallel.

00:25:13 --> 00:25:16

Okay, okay, great.

00:25:16 --> 00:25:20

So let's come back to how mental health

00:25:20 --> 00:25:22

got added into the mix.

00:25:23 --> 00:25:26

Was that part of the initial vision?

00:25:26 --> 00:25:29

Or you sensed the need for it?

00:25:30 --> 00:25:34

So I think, the initial vision, no.

00:25:35 --> 00:25:38

But I having I had a degree in

00:25:38 --> 00:25:41

psychology, and I was very excited to kind

00:25:41 --> 00:25:43

of do something with it.

00:25:44 --> 00:25:46

And and the clinic and sitting in one

00:25:46 --> 00:25:49

room, talking to somebody somehow didn't appeal to

00:25:49 --> 00:25:49

me.

00:25:49 --> 00:25:52

And then you know, we wondered about what

00:25:52 --> 00:25:52

else we could do.

00:25:53 --> 00:25:55

And yes, the need for it also arose

00:25:55 --> 00:25:58

because we saw that it started off with

00:25:58 --> 00:25:59

the discussion of, you know, how can we

00:25:59 --> 00:25:59

make this more accessible for the students, and

00:25:59 --> 00:25:59

how can we make this more accessible for

00:25:59 --> 00:25:59

the students, and how can we make this

00:25:59 --> 00:25:59

more accessible for the students, and how can

00:25:59 --> 00:25:59

we make this more accessible for the students,

00:25:59 --> 00:25:59

and how can we make this more accessible

00:25:59 --> 00:25:59

for the students, and how can we make

00:25:59 --> 00:25:59

this more accessible for the students, and how

00:25:59 --> 00:26:00

can we make this more accessible for the

00:26:00 --> 00:26:00

students, and how can we make this more

00:26:00 --> 00:26:00

accessible for the students, and how can we

00:26:00 --> 00:26:00

make this more accessible for the students, and

00:26:00 --> 00:26:00

how can we make this more accessible for

00:26:00 --> 00:26:00

the students, and how can we make this

00:26:00 --> 00:26:02

more accessible for the students on inclusion and

00:26:02 --> 00:26:03

differentiated learning.

00:26:19 --> 00:26:24

Which then brought the concept of inclusivity, which

00:26:24 --> 00:26:27

then brought the concept of, you know, integrating

00:26:27 --> 00:26:33

people with other disabilities, integrating people with struggles

00:26:33 --> 00:26:38

who perhaps cannot do everyday normal things like

00:26:38 --> 00:26:39

other people can.

00:26:39 --> 00:26:42

And so we started, you know, seeing how

00:26:42 --> 00:26:45

we could integrate mental health into our overall

00:26:45 --> 00:26:49

work and image, and that tied it into,

00:26:49 --> 00:26:53

you know, the emergency health care intervention, the

00:26:53 --> 00:26:54

first aid intervention.

00:26:54 --> 00:26:57

So right now, we are also working on,

00:26:57 --> 00:27:00

well, you know, it's still in the initial

00:27:00 --> 00:27:03

stages, but we're trying to launch the first

00:27:03 --> 00:27:08

mental health ambulance in Asia and the second

00:27:08 --> 00:27:09

in the world, yes.

00:27:09 --> 00:27:11

And we're going to start off with like

00:27:11 --> 00:27:14

a little more of a pilot in a

00:27:14 --> 00:27:17

more academic manner to kind of see what

00:27:17 --> 00:27:17

we can do.

00:27:18 --> 00:27:21

We want to base it in main Islamabad,

00:27:21 --> 00:27:25

just a small, small prelim study slash intervention

00:27:25 --> 00:27:26

and see what happens.

00:27:27 --> 00:27:30

Because what happens is that our first responders

00:27:30 --> 00:27:35

are not trained in mental health intervention.

00:27:35 --> 00:27:39

You know, if somebody is having a severe

00:27:39 --> 00:27:42

manic episode, a schizophrenic episode, a psychotic break,

00:27:42 --> 00:27:46

if somebody has, you know, tried to commit

00:27:46 --> 00:27:49

suicide, how do you go in and help

00:27:49 --> 00:27:52

those people beyond the physical injuries that they

00:27:52 --> 00:27:54

have on the way to the hospital?

00:27:55 --> 00:27:56

Where do you take them?

00:27:57 --> 00:28:00

You know, are you doing anything to re

00:28:00 --> 00:28:01

-traumatize them?

00:28:01 --> 00:28:03

Are you doing anything to help them or

00:28:03 --> 00:28:03

not?

00:28:04 --> 00:28:06

So those were all conversations that we wanted

00:28:06 --> 00:28:08

to have, you know, if somebody is addicted

00:28:08 --> 00:28:11

to some kind of drugs or, you know,

00:28:12 --> 00:28:15

has problems with addiction of any kind and

00:28:15 --> 00:28:17

they have a relapse and they need to

00:28:17 --> 00:28:20

be taken to a hospital, how do you

00:28:20 --> 00:28:23

encourage them to go rather than stuff them

00:28:23 --> 00:28:25

in an ambulance and take them, you know?

00:28:25 --> 00:28:27

Those are all things that, and there's not

00:28:27 --> 00:28:31

a lot of literature available here that takes

00:28:31 --> 00:28:33

into account the cultural context.

00:28:33 --> 00:28:36

So we're trying to base it on the

00:28:36 --> 00:28:40

model of the mental health ambulance in Sweden.

00:28:42 --> 00:28:45

Yeah, but obviously we want to make it

00:28:45 --> 00:28:46

culturally relevant.

00:28:46 --> 00:28:48

One thing that we've really learned is over

00:28:48 --> 00:28:51

the past three years is that bringing things

00:28:51 --> 00:28:54

from outside does not necessarily work.

00:28:55 --> 00:28:57

So there's like still, we're still in the

00:28:57 --> 00:29:00

planning phases of how this can happen, but

00:29:00 --> 00:29:02

we're really excited about this.

00:29:02 --> 00:29:04

We're trying to get it rolling as soon

00:29:04 --> 00:29:05

as possible as well.

00:29:06 --> 00:29:08

That is wonderful to hear.

00:29:08 --> 00:29:11

Not only is there going to be, there's

00:29:11 --> 00:29:15

teaching, workshops, empowering, all of that going on,

00:29:15 --> 00:29:18

but there's going to be an actual mental

00:29:18 --> 00:29:19

health ambulance.

00:29:22 --> 00:29:24

We know that there's a need.

00:29:24 --> 00:29:27

We know that there is a need and

00:29:27 --> 00:29:31

for sure there is going to be the

00:29:31 --> 00:29:32

response that you're looking for.

00:29:32 --> 00:29:33

That's incredible.

00:29:34 --> 00:29:38

Okay, so again, if we get back to,

00:29:38 --> 00:29:41

there's a question that was popped in.

00:29:41 --> 00:29:42

Why saving nine?

00:29:42 --> 00:29:44

How did that name come about?

00:29:44 --> 00:29:48

It comes from the statement, the phrase, a

00:29:48 --> 00:29:50

stitch in time saves nine.

00:29:54 --> 00:29:57

And so we thought it was great because

00:29:57 --> 00:30:01

it really got the whole ethos of what

00:30:01 --> 00:30:03

we were trying to do, which is early

00:30:03 --> 00:30:07

intervention in an emergency situation.

00:30:08 --> 00:30:08

Okay.

00:30:09 --> 00:30:09

Okay.

00:30:09 --> 00:30:11

Fezzan is here with us and his internet

00:30:11 --> 00:30:12

is working.

00:39:24 --> 00:39:27

And, but actually what happened was that this

00:39:27 --> 00:39:29

lady was the first one to get her

00:39:29 --> 00:39:30

license.

00:39:32 --> 00:39:35

She started off on a really rocky start.

00:39:35 --> 00:39:36

This was her first lesson and she got

00:39:36 --> 00:39:39

spooked, but we really, we told her, you

00:39:39 --> 00:39:40

know, you can do it.

00:39:43 --> 00:39:46

We made it into a thing and that

00:39:46 --> 00:39:47

really encouraged her.

00:39:48 --> 00:39:49

And she was the first one out of

00:39:49 --> 00:39:50

all of them to get her license.

00:39:50 --> 00:39:52

And we were so proud of her.

00:39:53 --> 00:39:55

And, and yeah, so, so it's been, it's

00:39:55 --> 00:39:55

been really fun.

00:39:56 --> 00:40:02

And it's, you know, sometimes it's not just

00:40:02 --> 00:40:03

first day training.

00:40:03 --> 00:40:05

You're also a driving school.

00:40:12 --> 00:40:14

That's incredible.

00:40:14 --> 00:40:15

That is incredible.

00:40:17 --> 00:40:21

I'm very curious to know most of the

00:40:21 --> 00:40:23

team members that you've mentioned, they're non-medical

00:40:23 --> 00:40:24

people.

00:40:25 --> 00:40:27

I want you to read my book.

00:40:27 --> 00:40:31

It says you don't have to be a

00:40:31 --> 00:40:32

doctor to save lives.

00:40:33 --> 00:40:34

There you go.

00:40:34 --> 00:40:40

And actually, cause that comes as, as it's

00:40:40 --> 00:40:44

an inspiration and it's also food for thought.

00:40:44 --> 00:40:52

I mean, the cream of Pakistani schools is

00:40:52 --> 00:40:54

thought to go into medical school.

00:40:55 --> 00:40:59

And a lot of us go into medical

00:40:59 --> 00:40:59

colleges.

00:41:22 --> 00:41:27

But even here, there is so much to

00:41:27 --> 00:41:27

be said.

00:41:29 --> 00:41:35

Medical school and the way we're trained, dealt

00:41:35 --> 00:41:39

with, taught during our house jobs and trainings,

00:41:40 --> 00:41:43

somewhere along the way, we lose that empathy.

00:41:44 --> 00:41:47

Somewhere along the way, there is nothing that

00:41:47 --> 00:41:50

is done about the desensitization that sets in

00:41:50 --> 00:41:55

that this medical community should have taken that

00:41:55 --> 00:41:59

initiative in getting the * out of the

00:41:59 --> 00:42:00

hospitals.

00:42:02 --> 00:42:05

You've turned them into ivory towers.

00:42:06 --> 00:42:11

And here's me having started off looking not

00:42:11 --> 00:42:14

to talk about negative stuff and focusing on

00:42:14 --> 00:42:19

the good that takes place, but I

00:42:19 --> 00:42:30

think

00:42:30 --> 00:42:32

you have a very valid point.

00:42:32 --> 00:42:33

You're right.

00:42:33 --> 00:42:37

But I think it's also somewhat unfair what

00:42:37 --> 00:42:40

you've said, because it's a bigger part of

00:42:40 --> 00:42:44

an institutionalized norm that has been set in

00:42:44 --> 00:42:45

stone.

00:42:46 --> 00:42:50

It's not just their behavior towards the community

00:42:50 --> 00:42:53

in general, but also the community's behavior towards

00:42:53 --> 00:42:53

them.

00:42:55 --> 00:42:59

It's so interlinked and muddled, there's no cause

00:42:59 --> 00:43:00

and effect.

00:43:00 --> 00:43:02

It can't be just that if they do

00:43:02 --> 00:43:04

something, change will come or not.

00:43:06 --> 00:43:09

But I will take up the point that

00:43:09 --> 00:43:13

you said about desensitization and the loss of

00:43:13 --> 00:43:14

empathy.

00:43:15 --> 00:43:19

Being in the profession that they are, one

00:43:19 --> 00:43:21

could understand how that could happen.

00:43:22 --> 00:43:25

But there are steps needed to be taken,

00:43:26 --> 00:43:30

regular reminders, regular professional development, regular trainings that

00:43:30 --> 00:43:33

keep you in touch with that, so to

00:43:33 --> 00:43:35

say, what you were saying, that jazba for

00:43:35 --> 00:43:36

humanity.

00:43:36 --> 00:43:39

And I think with our team as well,

00:43:39 --> 00:43:45

Faizan, you would agree with me, bi-annually

00:43:45 --> 00:43:48

we sit down and we have a conversation

00:43:48 --> 00:43:51

with them, because they see so much trauma

00:43:51 --> 00:43:52

every day.

00:43:53 --> 00:43:57

It is very difficult to day in, day

00:43:57 --> 00:44:00

out, see somebody bleed, see somebody cry, see

00:44:00 --> 00:44:04

somebody scream, and to sort of sit down

00:44:04 --> 00:44:07

with them and check in, like, hey, you've

00:44:07 --> 00:44:11

been exposed to these violent images.

00:44:12 --> 00:44:14

How are you feeling?

00:44:14 --> 00:44:16

Do you need some time off?

00:44:23 --> 00:44:28

You know, so it's that they don't realize

00:44:28 --> 00:44:29

the toll that it does.

00:44:29 --> 00:44:31

And then that reflects as well.

00:44:33 --> 00:44:36

Yeah, so if you want people to care

00:44:36 --> 00:44:37

and show that kind of care, I think

00:44:37 --> 00:44:43

people who are responsible for the medical community

00:44:43 --> 00:44:45

or for people who are seeing so much

00:44:45 --> 00:44:48

death every day, need to be taken care

00:44:48 --> 00:44:49

of as well.

00:44:49 --> 00:44:53

Because these people are fighting the self-preservation.

00:45:04 --> 00:45:08

So I completely understand when something like this

00:45:08 --> 00:45:09

happens.

00:45:09 --> 00:45:12

And this then goes to conversation about a

00:45:12 --> 00:45:15

higher level, where what are they doing to

00:45:15 --> 00:45:17

secure their mental health so that they could

00:45:17 --> 00:45:18

move forward.

00:45:18 --> 00:45:45

But that does not take away as much.

00:45:48 --> 00:45:50

There's a whole lot that goes in.

00:45:54 --> 00:45:58

I'm just kind of sharing what we've learned

00:45:58 --> 00:45:59

over the past three years here.

00:46:00 --> 00:46:00

Yeah.

00:46:02 --> 00:46:05

The on-ground experience is instrumental.

00:46:05 --> 00:46:09

Farhan, if you could share with us, your

00:46:09 --> 00:46:16

interaction with the institutional bodies, the BHUs, the

00:46:16 --> 00:46:21

Union Health Council, how have they contributed or

00:46:21 --> 00:46:24

been an obstacle, I don't know, in the

00:46:24 --> 00:46:27

path of whatever it is that you're looking

00:46:27 --> 00:46:29

to develop in those particular communities?

00:46:31 --> 00:46:34

So with regards to the latter, the Union

00:46:34 --> 00:46:36

Health Council has been quite supportive.

00:46:36 --> 00:46:40

The president over there, in conjunction with us,

00:46:40 --> 00:46:42

was the Yehudi Sadash I was talking about,

00:46:43 --> 00:46:45

because the guy himself is quite progressive.

00:46:45 --> 00:46:50

He has spent most of his life in

00:46:50 --> 00:46:52

France and he just came back a few

00:46:52 --> 00:46:52

years ago.

00:46:53 --> 00:46:56

And he's been on developing that place in

00:46:56 --> 00:46:58

terms of infrastructure, in terms of basic medical

00:46:58 --> 00:47:00

and health facilities, schools and everything.

00:47:01 --> 00:47:03

And he campaigns throughout.

00:47:04 --> 00:47:05

And his name is Raja Kassar Ghaffar.

00:47:06 --> 00:47:10

And I am very lucky to have met

00:47:10 --> 00:47:13

someone like him, because there are not many

00:47:13 --> 00:47:14

other Union Council presidents like him.

00:47:14 --> 00:47:16

So we struck gold when we met him.

00:47:17 --> 00:47:19

And when it comes to the BHU, I

00:47:19 --> 00:47:23

think that they were quite unsupportive and we

00:47:23 --> 00:47:25

had to literally carve out our niche over

00:47:25 --> 00:47:25

there.

00:47:25 --> 00:47:27

We had to beg pretty much for a

00:47:27 --> 00:47:30

room over there because the doctor wasn't coming

00:47:30 --> 00:47:31

over there.

00:47:31 --> 00:47:34

There were spider webs filled within the dorms

00:47:34 --> 00:47:35

of that doctor over there.

00:47:35 --> 00:47:37

It was empty for the longest time.

00:47:38 --> 00:47:41

And it was very hard, but we eventually,

00:47:42 --> 00:47:43

through the Union Council president, were able to

00:47:43 --> 00:47:47

get one room, which we then rebranded, painted,

00:47:47 --> 00:47:50

and just tried to make it a center

00:47:50 --> 00:47:53

of learning and compassion as well.

00:47:53 --> 00:47:58

One of the EMPs says, they send us

00:47:58 --> 00:48:01

videos of gardening in that particular area when

00:48:01 --> 00:48:02

we were over there.

00:48:02 --> 00:48:03

Now we shifted to hospitals.

00:48:05 --> 00:48:06

But they used to be gardening.

00:48:06 --> 00:48:09

And I often asked him, Arshad bhai, why

00:48:09 --> 00:48:09

are you doing this?

00:48:10 --> 00:48:11

There is no other work.

00:48:11 --> 00:48:14

So he said, we are planting fruits so

00:48:14 --> 00:48:17

that other people can come and take shade.

00:48:18 --> 00:48:21

And that just really caught me.

00:48:21 --> 00:48:26

They somehow managed to infuse this medical training,

00:48:27 --> 00:48:30

like the scientific medical training, with their personal

00:48:30 --> 00:48:32

community ethos.

00:48:32 --> 00:48:36

And that sense of ownership was just so

00:48:36 --> 00:48:38

reverberating through them.

00:48:38 --> 00:48:41

It's pretty clear because they respond, whether they're

00:48:41 --> 00:48:45

sleeping, it's just amazing how they do it.

00:48:45 --> 00:48:47

And they do it, and they are always

00:48:47 --> 00:48:48

that voice.

00:48:49 --> 00:48:53

I have not seen a single death within

00:48:53 --> 00:48:54

the ambulance.

00:48:54 --> 00:48:56

We've heard about deaths outside the ambulance.

00:48:56 --> 00:48:58

They left them in the hospital.

00:48:58 --> 00:49:02

But there's some divine force guiding them.

00:49:02 --> 00:49:04

Because these people are not literate.

00:49:05 --> 00:49:08

But the scenarios that they've been through, I

00:49:08 --> 00:49:11

mean, Osama, Amna, Saima, all of these people

00:49:11 --> 00:49:12

were the trainers.

00:49:12 --> 00:49:15

And they repetitively put them through these regimented

00:49:15 --> 00:49:18

scenarios in which something could be slightly different,

00:49:19 --> 00:49:21

just to help them to learn to improvise.

00:49:21 --> 00:49:24

So that really is something that I think

00:49:24 --> 00:49:27

they have owned up to and they're confident

00:49:27 --> 00:49:27

about.

00:49:27 --> 00:49:29

And they are now teaching, like the workshop

00:49:29 --> 00:49:32

I just told you, we are expanding in

00:49:32 --> 00:49:33

that sense.

00:49:33 --> 00:49:34

So it's like full circle.

00:49:34 --> 00:49:35

It's great.

00:49:35 --> 00:49:36

And it's great to witness that.

00:49:37 --> 00:49:41

The example you gave of the fruit planting,

00:49:42 --> 00:49:44

the gardening that they're doing, and I think

00:49:44 --> 00:49:48

it really says, it's symbolic of what you've

00:49:48 --> 00:49:49

been able to develop.

00:49:49 --> 00:49:55

When you take goodness from yourself, not with

00:49:55 --> 00:50:01

an aim to supplant or replace or dictate,

00:50:02 --> 00:50:05

but with a genuine intent to build a

00:50:05 --> 00:50:09

community and to relate, then you're able to

00:50:09 --> 00:50:13

attract towards the best that that community has

00:50:13 --> 00:50:15

to offer as well.

00:50:20 --> 00:50:25

The people themselves, regardless of their level of

00:50:25 --> 00:50:27

literacy, then they're able to share their wisdom

00:50:27 --> 00:50:31

and bring that into that beautiful relationship as

00:50:31 --> 00:50:31

well.

00:50:31 --> 00:50:37

And we see literally fruits of those trees.

00:50:42 --> 00:50:42

Okay.

00:50:43 --> 00:50:47

So very quickly, before we close, Faizan, do

00:50:47 --> 00:50:57

you remember that share?

00:50:58 --> 00:50:58

Yeah.

00:50:58 --> 00:51:22

It says, I've

00:51:22 --> 00:51:23

ruined it.

00:51:23 --> 00:51:24

I'm so sorry.

00:51:29 --> 00:51:30

I can't get the words.

00:51:38 --> 00:51:50

Okay, Faizan's happening again.

00:51:50 --> 00:51:51

Yeah, I think Faizan's internet is not working.

00:51:53 --> 00:51:54

Chale, that's okay.

00:52:00 --> 00:52:01

Okay.

00:52:04 --> 00:52:06

Chale, it was fun having you as long

00:52:06 --> 00:52:08

as you could be here with us, Faizan.

00:52:08 --> 00:52:11

We're going to have to ask you to

00:52:11 --> 00:52:16

thank you for being here, for sparing your

00:52:16 --> 00:52:19

time with us and sharing what you're doing

00:52:19 --> 00:52:19

with us.

00:52:20 --> 00:52:22

Amna, very quickly, there's people watching and there

00:52:22 --> 00:52:25

will be people hopefully watching the recording as

00:52:25 --> 00:52:25

well.

00:52:25 --> 00:52:28

They want to know how they can benefit

00:52:28 --> 00:52:30

from what you have to offer and how

00:52:30 --> 00:52:32

they can contribute to whatever it is that

00:52:32 --> 00:52:33

you're doing.

00:52:33 --> 00:52:35

How do they do that and what can

00:52:35 --> 00:52:35

they do?

00:52:36 --> 00:52:36

Okay.

00:52:36 --> 00:52:42

So the benefit you can take away from

00:52:42 --> 00:52:44

here is by investing in the trainings.

00:52:45 --> 00:52:48

Not to sound like, oh, our training is

00:52:48 --> 00:52:49

amazing, but our training is amazing.

00:52:50 --> 00:52:55

And the added bonus is that you kind

00:52:55 --> 00:52:57

of learn how to save lives.

00:52:59 --> 00:53:01

You understand what to do in case of

00:53:01 --> 00:53:01

an emergency.

00:53:08 --> 00:53:12

All of those things are included in this.

00:53:12 --> 00:53:15

And then, I mean, mental health is a

00:53:15 --> 00:53:18

really important conversation and our first aid course

00:53:18 --> 00:53:23

also has the psychological first aid intervention aspect

00:53:23 --> 00:53:23

to it as well.

00:53:24 --> 00:53:27

It has methods of communicating with other people

00:53:27 --> 00:53:31

that center around kindness and empathy, which are

00:53:31 --> 00:53:32

so important.

00:53:32 --> 00:53:34

So please do enroll in the course.

00:53:34 --> 00:53:37

You will be benefiting yourself and everybody around

00:53:37 --> 00:53:38

you.

00:53:38 --> 00:53:39

And if you do want to play a

00:53:39 --> 00:53:42

role in building Masiha Ambulance up, if you

00:53:42 --> 00:53:44

go on our website, you can donate to

00:53:44 --> 00:53:45

the ambulance.

00:53:47 --> 00:53:50

We also have a Zakat fund for people

00:53:50 --> 00:53:52

who cannot afford the services of the ambulance

00:53:54 --> 00:53:56

and utilize it.

00:53:56 --> 00:53:59

The charges of the ambulance are completely waivered

00:53:59 --> 00:54:00

off for them.

00:54:00 --> 00:54:02

And you might be helping someone by doing

00:54:02 --> 00:54:03

that.

00:54:03 --> 00:54:05

So please do donate if you can.

00:54:05 --> 00:54:06

And if you want to get involved, if

00:54:06 --> 00:54:08

you want to work, if you want an

00:54:08 --> 00:54:12

internship at the BHU, work at the ambulance

00:54:12 --> 00:54:15

with us, especially for students, we really offer

00:54:15 --> 00:54:15

this.

00:54:15 --> 00:54:18

It really works as community service hours.

00:54:18 --> 00:54:19

It's great for character building.

00:54:20 --> 00:54:22

So if any parents are listening, you want

00:54:22 --> 00:54:25

your children to come in and interact with

00:54:25 --> 00:54:28

us, with the EMPs, learn about culture in

00:54:28 --> 00:54:30

a different context, please get in touch.

00:54:30 --> 00:54:32

It would be great to have you and

00:54:32 --> 00:54:33

work with us.

00:54:34 --> 00:54:35

Thank you.

00:54:35 --> 00:54:37

Thank you so much, Amina, for sharing all

00:54:37 --> 00:54:37

of that.

00:54:37 --> 00:54:40

All of you listening, all of these wonderful

00:54:40 --> 00:54:44

trainings that you have at your disposal, really,

00:54:44 --> 00:54:49

to benefit from and then a wonderful cause

00:54:49 --> 00:54:51

to donate for.

00:54:51 --> 00:54:55

Before I forget, the reason why Saving Nine

00:54:55 --> 00:54:57

and Delhi Psychiatry met in the first place,

00:54:57 --> 00:55:00

something that we're going to be, we're very

00:55:00 --> 00:55:04

excited about, signing an MOU, a Memorandum of

00:55:04 --> 00:55:07

Understanding with Saving Nine, in order to further

00:55:07 --> 00:55:15

our services in mental health profession for, Faizan

00:55:15 --> 00:55:17

was sharing earlier, Amina se bhi amari baat

00:55:17 --> 00:55:19

hui thi ke there are a lot of

00:55:19 --> 00:55:23

emergencies, poisoning se related, self-harm, attempted suicide

00:55:23 --> 00:55:26

se related, which do need a follow-up.

00:55:28 --> 00:55:30

They need psychiatric help.

00:55:30 --> 00:55:32

They need psychological help.

00:55:32 --> 00:55:36

So whatever we can offer from the platform

00:55:36 --> 00:55:38

of Delhi Psychiatry Pakistan, we would be looking

00:55:38 --> 00:55:42

to develop this collaboration as well.

00:55:42 --> 00:55:49

And to end with the share that Faizan

00:55:49 --> 00:55:52

was alluding towards, that Amina was talking about

00:55:52 --> 00:55:55

from Mian Muhammad Baksh, not that I remember

00:55:55 --> 00:55:58

it off the top of my head, but

00:55:58 --> 00:56:00

Kuratulain was kind enough to share it in

00:56:00 --> 00:56:01

the comments.

00:56:01 --> 00:56:03

So I'm just going to read it off

00:56:03 --> 00:56:05

and sound very poetic.

00:56:10 --> 00:56:16

Thank you, Amina.

00:56:18 --> 00:56:19

Thank you, Faizan, for being with us.

00:56:21 --> 00:56:24

We will continue to try to support you

00:56:24 --> 00:56:25

as much as we can.

00:56:26 --> 00:56:29

Thank you for your support, for our cause,

00:56:29 --> 00:56:31

for whatever it is that we're doing, for

00:56:31 --> 00:56:34

coming to Psych Baitak, and really honoring our

00:56:34 --> 00:56:35

show.

00:56:35 --> 00:56:37

Thank you all for your comments, for your

00:56:37 --> 00:56:39

questions, for your participation.

00:56:39 --> 00:56:42

We will see you next week on Psych

00:56:42 --> 00:56:43

Baitak as well.

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