After the client initial recovery in a hospital setting, CUMI seeks to continue the stages of care by re-educating the client into the rhythm of life and activities of daily living, such as maintenance of personal care and household chores, the routine taking of medication and attending clinic appointments. Skills training are determined by the individual capability to re-learn or adapt to a new experience. The daily group activities are designed to develop good social interactive skills and vocational rehabilitation. Without this second stage of treatment with rehabilitation, the benefits of initial care through hospitalization would quickly be lost.
For clients who are homeless and active in the rehabilitation programme, the night shelter services, operated by the Open Heart Charitable Mission (Refuge of Hope) will be available to them for a limited period, whilst efforts are made to contact and re-unite with family or re-settled in a community setting. The programme of rehabilitation enforces the importance of attending clinical follow-ups for re-assessment and the importance of taking the medication as instructed. The method of teaching will apply according to the person’s ability to relearn.
For clients who are homeless and active in the rehabilitation programme, the night shelter services, operated by the Open Heart Charitable Mission (Refuge of Hope) .will be available to them for a limited period, whilst efforts are made to contact and re-unite with family or re-settled in a community setting. The programme of rehabilitation enforces the importance of attending clinical follow-ups for re-assessment and the importance of taking the medication as instructed. The method of teaching will apply according to the person’s ability to relearn.
There are 5 main groups which access the programme:
The clients who are discharged from hospital care to family support and attend CUMI rehabilitation day centre to be involved in activities of daily living.
Homeless/mentally ill for community follow-up care and rehabilitation.
Homeless/drugs related problems –for psychologist/counselling & rehabilitation activities.
Homeless/economically poor- for counselling, job application assistance and referrals.
Homeless/HIV/AIDS – counselling and clinical referrals. Services to these groups are provided through the collaborative effort of CUMI and various agencies in the Montego Bay area. Although CUMI's services are predominately for the mentally ill, it acts as the referral agency for cases of drug addiction, the economically poor and HIV/AIDS cases. All clients, as per need, are provided with temporary services including food, clothing, shelter, medication, daily-living-skills training, community psychiatric care, psychologist sessions and job placement where possible. These services are aimed at restoring client’s back to their family supported environment or independent living. CUMI try to ensure that all eligible client’ receive their entitlement/ (government benefit), such as PATH (Poverty Alleviation Training for Health & Education) and Poor Relief aid. All efforts are made to educate families, for them to learn and understand mental illnesses along with public education extended to the communities.
Telephone request for outreach assistance to deal with persons living on the streets as homeless or with mental disorders and are creating social problems: - these are documented at CUMI with what assistance can be given. All request for responding to incidents/crisis relating to mental health issues are referred to the Psychiatric Emergency Maintenance Team (PEMT) c/o the Cornwall Regional Hospital Psychiatric department,
Telephone: 876-684–4108 or 876- 952-5100-9
The PEMT ambulance/bus with the Mental Health Officer’s (MHO team) is the health professionals who respond to community needs.
Request for assistance to address social issues are referred to the
Poor Relief Office
Tel: 876-952-2683, St. James Parish Council 876-952-5500-2
Referrals to CUMI Day Centre for rehabilitation are made by the psychiatric department or the community health centre’s mental health professional.
The CUMI Rehabilitation Day Centre: Opening hours - Monday - Friday 8:00 am - 4:00 pm, located at Rectory Drive, Brandon Hill, Montego Bay (less than one mile from the town centre).
During the day, clients are provided with two nutritious meals (breakfast and lunch) and as necessary, clothing and other essentials for personal care. The programme offer’s activities of daily living skills, social and vocational therapeutic rehabilitation which maintains stable status and prepares clients for returning to the community and in some cases to seek employment or as employed.
The St. James Mental Health Officers (MHO) and the mental health nursing aids conduct clinical services by appointment or walk-in, for all clients/patients from any of the clinics located across the St. James communities.
St. James Clinics – The Cornwall Regional Hospital psychiatric clinic, Type5 Health Centre, Adelphi, Flanker, Maroon Town, Cambridge, Mt. Pelier, Granville and Glendevon Health Centre’s.
Within the limits of available resources, CUMI also provides family and public education on mental illness issues. All eligible clients are referred to the Poor Relief department [social benefit office] of St. James, for processing in order to receive entitlements (such as Poor Relief/PATH, and application for Food for the Poor Housing units where appropriate). These services are aimed at addressing some of the social needs. The nature of the illness and the availability of resources determine the length of treatment/rehabilitation that CUMI can offer. CUMI's clients, ratio is usually - male 2/3rd female 1/3.
In 1995 CUMI commenced the CUMI/JMMB Children's Programme, with the support of Jamaica Money Market Broker’s (JMMB). The services targeted children who were abandoned as a result of parent(s) afflicted with mental illness and were unable to provide care and protection.
All the children involved benefitted from the wholistic method of parenting, with the therapeutic support.
In 2008 the children’s programme and JMMB, for 1 year established a partnership with the local Cornialdi Primary School, with an educational programme of intervention, providing psychological assessments and the environment to improve behaviour and learning.
The programme was a success and information forwarded to the ministry of education.
A special thank you letter was sent to JMMB for the partnership which provided the children’s programme with the financial support from 1995 – 2012. These children achieved successes in passing GSAT, CAPE and other high school examinations, with 1 student achieving university level [Edna Manley College of the Visual & Performing Arts] and graduated with 2 special, prestigious honours with her degree. These days, CUMI provide only limited support and make referral cases to the office of the Child Development Agency.
Thanks to the sponsors, Jamaica Money Market Brokers (JMMB) and supporters such as the Mennonite Central Committee (MCC) also the willing staff and professionals.
Committee for the Upliftment of the Mentally Ill (CUMI) located at:
Isaac Dylan Drive (Rectory Drive),
Montego Bay, St. James, Jamaica West Indies,
P.O. Box #1751, Montego Bay #2 P.O.