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Egal Shidad: Mental Health
English Language Learning Actiities

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EGAL SHIDAD: Meal Healh | II
Egal Shidad:
StoriES of Somali hEalth for radio, tV and ClaSSroom USE
Susan Bockrath, MPH, CHES
ELL Consultant to the Egal Shidad Project
http://ellhealth.blogspot.com
Kara Gall, MA
Inkstage Design
http://www.inkstage.com
Conederation o Somali Community
o Minnesota
420 15th Avenue South
Minneapolis, MN 55454
612-338-5282
http://cscmn.org
ECHO Minnesota (Emergency, Community and
Health Outreach)
125 Charles Ave.
St. Paul, MN 55103
651-789-4342
http://echominnesota.org
KFAI Community Radio 90.3 FM
1808 Riverside Avenue
Minneapolis, MN 55454
612-341-3144
www.kfai.org
Saint Paul Neighborhood Network (SPNN)
375 Jackson Street
St. Paul, MN 55101
651-298-8900
http://spnn.org
English Language Learning Materials developed by:
With special thanks to the Minnesota Literacy Council
and the sta and students at the Lake Street Learning Center.
December 2010
The Egal Shidad Project is a partnership between:

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EGAL SHIDAD: Meal Healh | III
Table o Contents
Irdi to the Egal Shidad Materials V-VI
About the Materials . . . . . . . . . . . . . . . . . . . . . V
Get Ready to Use These Lessons . . . . . . . . . . . . . . . VI
ActIvItIES
Smms of Depression 1
Beginning Vocabulary . . . . . . . . . . . . . . . . . . . . .2
Intermediate Vocabulary . . . . . . . . . . . . . . . . . . .3
Advanced Vocabulary . . . . . . . . . . . . . . . . . . . . .4
Liseig to Mental Health Providers 5
Segment 1: D epression . . . . . . . . . . . . . . . . . . . .6
Segment 2: PTSD . . . . . . . . . . . . . . . . . . . . . . .7
Segment 3: Schizophrenia . . . . . . . . . . . . . . . . . . .8
Segment 4: General Symptoms . . . . . . . . . . . . . . . .9
Segment 5: Experiencing . . . . . . . . . . . . . . . . . . 10
Segment 6: Chemical Imbalance. . . . . . . . . . . . . . . 11
Segment7: Resources & Specialists . . . . . . . . . . . . . 12
Meal Health Dialogs 13
Beginning Dialog . . . . . . . . . . . . . . . . . . . . . . 14
Intermediate Dialog . . . . . . . . . . . . . . . . . . . . . 15
Advanced Dialog. . . . . . . . . . . . . . . . . . . . . . . 16
Fidig Help 17
Whse Advice?
Beginning Worksheet . . . . . . . . . . . . . . . . . . . . 20
Advanced Worksheet . . . . . . . . . . . . . . . . . . . . 21
Advanced Key for Teachers . . . . . . . . . . . . . . . . . . 22
Readig Comprehension 23
Reading Activity Worksheet . . . . . . . . . . . . . . . . . 24
valar in Context 25
Vocabulary Worksheet . . . . . . . . . . . . . . . . . . . . 26
clsig Activity (front) 2
Closing Activity (front) . . . . . . . . . . . . . . . . . . . 27
Closing Activity (back) . . . . . . . . . . . . . . . . . . . . 28
RESouRcES 29
Free Resources for ELL Instructors Addressing Mental Health 29
Meal Health Providers in the Minneapolis-St. Paul Area 30
Sde Assessment
Sde Feedback 32

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EGAL SHIDAD: Meal Healh | Iv
Goal The goals o the English Language Learning
lessons o the Egal Shidad Project are to
(1) develop adult Somalis’ knowledge related to
important health topics and
(2) develop their English language
communication skills specic to those topics.
All language acquisition activities in these
lessons rely on students viewing and reviewing
key segments o the Egal Shidad Mental Health
or Raising Our Children videos. Students
increase their exposure to the content while
building the vocabulary and other language
skills needed to discuss these topics in English.
All Egal Shidad maerials ad ides are
aailale a egalshidad.rg.
Sensitive Subjects in an EnglishClass?Some o the topics included in the Egal Shidad
Mental Health or Raising Our Children videos
may be uncomortable or students and
instructors. To avoid uneasy situations, beore
starting on any o the activities described here
instructors should view the entire program, in
Somali, with their students to help establish
the given video as the “expert” source o
inormation. English instructors are not
expected to act as mental health educators
or amily counselors beyond assisting ELL
students with the language and inormation
within the videos.
Using These ActivitiesWhile these videos and materials were created
specically or use with adult, Somali, English
Language Learners (ELLs), many o the
activities can be easily adapted or use with
other adult ELLs.
Instructors are encouraged to pick and choose
specic activities and program segments
based upon their students’ abilities and upon
their own preerence. Ideally, instructors will
incorporate one or two activities into several
class meetings.
Instructors will need to allow time to both view
the video in Somali and to engage students in
the activities they select.
Some instructors may use these activities and
broadcast resources as a starting point romwhich they build other lesson activities.
About the MAteriAls

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EGAL SHIDAD: Meal Healh | v
The Mental Health activities willhelp students…1. Know common English terms related to
mental illness and its symptoms.
2. Identiy local sources o support and
treatment related to mental illness.
3. Apply English vocabulary related to mental
illness in discussion and/or dialog exercises.
The Raising our Children activitieswill help students…1. Know common English terms related to
communicating with youth.
2. Practice introductions and conversations
with other parents.
3. Apply English vocabulary related to
communicating with youth in discussion and/
or dialog exercises.
About the MAteriAls

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EGAL SHIDAD: Meal Healh | vI
Checklist Before You Start
� Order the Egal Shidad Project DVD at egalshidad.org or by calling ECHO Minnesotaat (651) 789-4342.
� Beore you use the lesson materials, view the entire corresponding Egal Shidadvideo in Somali with English subtitles so that you are amiliar with the inormationthat is covered in the program.
� Pick the lesson activities appropriate or your students.
� Prepare appropriate lesson materials prior to class.
� Investigate mental health resources and/or youth support resources in your localarea beore beginning to work with these materials so that you are prepared todirect students to appropriate help i and when questions come up. A list o mentalhealth resources in the Minneapolis-St. Paul area is included, ollowing those
lessons. For youth support resources, try contacting organizations such as localsecondary schools, Boys & Girls Clubs, YMCAs, or Somali community organizationsor inormation on services in your area.
I you are using the Egal Shidad Mental Health ideo:
� Identiy the English language interview segments on the DVD that you will use ininstruction.
� Print bookmarks on cardstock to distribute to students at the end o the lesson.
Get reAdy to use these lessons

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EGAL SHIDAD: Meal Healh | 1
During the discussion, constructa corresponding vocabulary listo common symptoms associated
with Egal’s behavior. erms may
include…
• sadness• low energy • atigue• diculty sleeping• poor appetite• change in appetite• weight problems• worries• body aches
ExtendoptIon 1:
Use the artwork rom the video ordiscussion. Who is in the picture?
What do dierent characters think about Egal’s behavior? What dothey think he should do?
optIon 2:
Have students use the symptom vocabulary to construct sentencesthat describe symptoms o
depression.
ClosingSend students home withinormation about local resources.Complete the bookmark activity on pages 27 and 28.
ActivityView the Egal Shidal-Mental Health video with students. Atintervals appropriate or yourgroup, stop the video and solicitanswers to questions such as, “Inthe program, what were Egal
Shidad’s symptoms o mentalillness?” or “What were the cluesthat Egal Shidad had mentalillness?”
Write the answers or students tosee.
poSSIbLE AnSWERS:
Sleeps day and night at his ownhome.
Can not sleep at his mother’shouse.
Eats everything in hisrerigerator.
Says that all people are againsthim.
Accuses his brother-in-law o discrediting him on thecomputer.
Is araid o his nephew’s stuedanimal toy.
Tinks that women at the wedding are insulting him, when they are not.
Is araid o the garbage canbecause he thinks that it is asecurity guard.
ObjectiveStudents discuss the meaning o symptom and related vocabulary.
Students review symptoms o mental illness depicted in theprogram.
Prepare � View the Egal Shidad-Mental
Health video.
� Review the Vocabulary on theollowing pages.
� Print copies o the artwork inthe Egal Shidad-Mental Health
video.
Pre-TeachReview the meaning o the word“symptom”…
• a sign• a warning• a clue
alk about symptoms o a coldor other illness (runny nose, sore
throat, etc.).
Ask students or examples o symptoms o the u or othercommon ailments.
syMptoMs of depression T I P : T h i s a c t i v i t y
c a n b e a s pe a k i n g o r w r i t i n g a c t i v i t y , d e pe n d i n g o n w h a t y o u r s t u d e n t s a r e r e a d y f o r .

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EGAL SHIDAD: Meal Healh | 2
BEGINNING TERM DEFINITION/TERM OPPOSITE EXTENDED DEFINITION
Sad Unhappy Happy
Pain Hurt
Sleep Awake
Tired Energetic
Worry To be troubled or
afraid
Stress Constant worry Relaxed
Poor
(poor appetite)
Little, bad Weak
beGinninG VocAbulAry

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EGAL SHIDAD: Meal Healh | 3
INTERMEDIATE TERM DEFINITION/TERM OPPOSITE EXTENDED DEFINITION
Trauma A very bad experience
that causes emotional
pain
Traumatic
Energy Ability or power to do
what you need to do
during the day
Interest in activities
Depressed Unhappy Happy Hopeless
Fatigue Tired Energetic
Appetite HungryWeight Heaviness of someone
Resource A source of help A reserve supply
interMediAte VocAbulAry

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EGAL SHIDAD: Meal Healh | 4
ADVANCED TERM DEFINITION/TERM OPPOSITE EXTENDED DEFINITION
Irritable Easy to bother or upset
Guilty Feeling something bad
happened because of something you did
Innocent Being responsible for
something bad thathappened
Memories What you remember
Trauma A very bad experience that
causes emotional pain
An extremely distressing
experience that causes
severe emotional shock
and may lead to mental
illness
Stress Something that causes you
to worry
Relax Anxiety
Experiencing To have something happen
to you
Imbalance Uneven
Specialist Expert
AdVAnced VocAbulAry

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EGAL SHIDAD: Meal Healh | 5
Use segments or reading activitiesalong with listening activities:
Print the segment transcriptionsand distribute them to students.
Have students circle the vocabulary words you choose to work on asthey come to them.
ExtendAsk students to say or write theirown sentences using words they selected or each segment.
ClosingSend students home withinormation about local resources.Complete the bookmark activity on pages 27 and 28.
ObjectivesStudents understand and use
vocabulary related to mental health
symptoms.
Students identiy at least 5mental health-related vocabulary
words rom an English languageinterview segment.
Students demonstrate correctunderstanding o each word’sdefnition (either orally or in
writing).
Students relate newly studied words to previous vocabulary knowledge.
Prepare � Select the English languageinterview segment(s) students
will listen to. ranscripts o these segments are included onthe ollowing pages.
� Based upon your students’English ability and previous
vocabulary work, select at leastfve vocabulary terms rom thesegment (see Vocabulary pagesin the Symptoms Lesson).
� Create ashcards o yourselected terms ahead o time oror prepare materials needed orstudents to make ash cards inclass. Each student will needhis or her own set o ash cards.
Pre-teachIntroduce the selected vocabulary to your students.
Say each word and have studentsrepeat, then defne the word orally or write it out.
--Or--
Give each student a ash cardand have them read and then actout the symptom on the card.NOE: It is not a good ideato have students act out specifcmental illnesses per se. Stick to thesymptoms.
ActvitiesView the selected segments o the original English-languageinterview with the English-speaking mental health provider.
Using vocabulary cards, havestudents select the vocabulary
words they hear while they watcheach segment.
Ater each segment, ask students what words they selected and whatthose words mean. Make any corrections/clarifcations.
--Or--
listeninG to MentAl
heAlth proViders
T I P : W i t h d i r e c t i o n , t h i s c a n b e
a n o ppo r t u n i t y t o r e v i e w o r i n t r o d u c e g r a m m a r a n d s e n t e n c e s t r u c t u r e w o r k a ppr o pr i a t e f o r y o u r c l a s s .

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EGAL SHIDAD: Meal Healh | 6
Transcript o the English Language Segments or Reading Actiities
“Well, there’s three groups o symptoms that we ound the most
common.
One is a group o symptoms that include things like sadness, low
energy, atigue, diculty sleeping, poor appetite, weight problems, sadness
and worries, and these are, this group o symptoms we call “Depression” or
“Sadness”.
seGMent 1:depression
LIStEnInG to MEntAL HEALtH pRovIDERS

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EGAL SHIDAD: Meal Healh | 7
The second group o symptoms is things like worries, irritability,
eeling guilty all the time, sometimes having memories, bad memories o
bad things that happened in their lives. And we know that many Somalis
have either had bad things happen to them or have seen bad things. So,
some o the people who have these kinds o symptoms have a hard time
just orgetting about those bad things, and sometimes the memories come
back and sometimes they even seem real to them, like they’re happening
in ront o their ace again. And these, this group o symptoms we call “Post
Traumatic Stress Disorder”. It just means that someone has had very bad
things happen to them, and that they are having a hard time dealing with
those things now.
Transcript o the English Language Segments or Reading Actiities
seGMent 2:ptsd
LIStEnInG to MEntAL HEALtH pRovIDERS

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EGAL SHIDAD: Meal Healh | 8
The third group o symptoms are things like - people having diculty
thinking, they may see or hear things that are not really there, they may
have belies o things that aren’t really true, or example, someone might
believe that the CIA is out to get them, or they might believe that they can
fy, these are people that you see with, they might be wearing heavy coats
in the summer, or they may be talking out loud to themselves or to nobody
that we can see. And these, this group o symptoms is most oten called
“Schizophrenia”.
Transcript o the English Language Segments or Reading Actiities
seGMent 3:schizophreniA
LIStEnInG to MEntAL HEALtH pRovIDERS

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EGAL SHIDAD: Meal Healh | 9
So those are the three areas o symptoms that we see. I should just
add one thing - which is that oten we see Somalis come to us and talk
about body pains. They might say “I have a headache,” or “my neck hurts,”
or shoulder pain, leg pain...these are oten people who have gone to their
doctor, their doctor has examined them, and maybe run some tests, but
isn’t able to nd any medical problem or them. So, they might come to our
specialty clinic, and then we can oten help them, and what we’ve ound is
that people who have, sometimes have these body pains, oten that’s their
body’s way o telling them that there’s something, that they’re not happy,
that they might eel depressed, or have had some trauma in their lie or
something like that.
Transcript o the English Language Segments or Reading Actiities
seGMent 4:GenerAl syMptoMs
LIStEnInG to MEntAL HEALtH pRovIDERS

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EGAL SHIDAD: Meal Healh | 10
There are some common ways to help people who are experiencing
these kinds o problems. Research and doctors have studied this and have
shown that there’s two main things that really help people. One is that
they can have someone that they can trust that they can talk to about what
they are experiencing, and that should be someone who can speak their
language, someone who understands their culture, or maybe is rom their
culture, someone who is not going to think badly o them because they’re
having problems, and so people who are experiencing these problems
need to have someone that they can talk to and say “this is how I’m eeling,”
and sometimes just the process o talking about it can help them eel
better.
Transcript o the English Language Segments or Reading Actiities
seGMent 5:experiencinG
LIStEnInG to MEntAL HEALtH pRovIDERS

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Now, an example o how medication works is, or example, with Diabetes,
what we know is that or someone who has Diabetes there is a chemical
imbalance. What this means is that their body is creating too much sugar in
their blood, so health problems happen as a result. So, what they do is they
get certain kinds o medication that get their chemicals and their blood in their
system more in balance, so they don’t have any problems, health problems….
…with these kinds o problems, like Depression, Post Traumatic Stress Disorder
and Schizophrenia. There are, what we understand is that inside this person
there’s some chemical imbalance. So there are medications that can be given to
a person to help their system get more in balance.
Transcript o the English Language Segments or Reading Actiities
seGMent 6:cheMicAl iMbAlAnce
LIStEnInG to MEntAL HEALtH pRovIDERS

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The resources are...there’s several main places that they can go. Most people
start with their amily doctor, whoever they see or medical problems. And that makes
sense because they don’t necessarily know what the problem is, they know that they
are having a problem. So, they might go to their doctor and say that they’re having
some o these kind o symptoms, and the doctor might help them right there, or theymight send them to a specialist. There’s one clinic in Minneapolis that really specializes
in helping Somalis and other immigrants and reugees, and that’s Community
University Health Care Center in Minneapolis. And they have sta that speaks Somali
and other immigrant and reugee languages. Other than that, the larger hospitals
oten have people that can help and they use interpreters, so they have people that
can help the doctors and the patients understand each other. Unortunately, there are
some limits to how many resources there are or people with problems, but peopleshouldn’t give up. I you’re having problems you should keep asking and trying to
nd a way to get help. Another way to go is to ask other people in your community.
So, i you’re Somali and you’re having some o these problems, ask elders, ask some
community leaders, because oten those people know about some o the resources to
get some help.
Transcript o the English Language Segments or Reading Actiities
seGMent 7:resources & speciAlists
LIStEnInG to MEntAL HEALtH pRovIDERS

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EGAL SHIDAD: Meal Healh | 13
Have students work independently,in pairs, or in a large group tocreate a 5 to 6 line dialog with theresource they choose about thequestion(s) they came up with.
ClosingSend students home withinormation about local resources.Complete the bookmark activity
on pages 27 and 28.
ObjectiveStudents practice discussingsymptoms related to mental health.
Prepare � View the Egal Shidad-Mental
Health video.
� Select an appropriate dialogrom those ound on theollowing pages.
� Print copies or all students.
Activity Working in pairs, ask students toread a role rom each dialog.
When they have fnished, check or comprehension and address any conusion.
Ask students to reverse roles andread the dialog again.
Extend urn students’ specifc mentalhealth-related questions intouseul language learning activities
without putting yoursel in theposition o mental health “expert”by creating quick dialogs based
upon students’ specifc questions.
Have student say or write aquestion they have about mentalhealth that they can share with thegroup.
ogether talk about who would beappropriate to ask that questionto. A proessional? A riend? Areligious leader? All o the above?
Create a dialog with that imaginedperson about the problem.
ailor the dialog to the student’sability. From “she is sad” to moreadvanced vocabulary and sentencestructures the student might use todescribe symptoms, their duration,and their severity.
MentAl heAlth diAloGs T I P : I f y o u d o t h e “ E x t e n d ” a c t i v i t y i n t h i s l e s s o n , k e e p t r a c k o f y o u r s t u d e n t s ’ q u e s t i o n s t o u s e w i t h t h e a c t i v i t i e s i n t h e F i n d i n g H e l p Le s s o n .

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Student: My sister stays in bed all
day.
Doctor: Do you think she is sad?
Student: She is sad because her
children are in Somalia.
Doctor: Ask her to make an appointment
to see me.
Student: Thank you.
beGinninG diAloG
MEntAL HEALtH DIALoGS

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Student: My brother does not want to eat.
Mental Health Proider: Sometimes a loss o appetite can be a symptom o
depression.
Student: What is depression?
Mental Health Proider: Depression is when someone eels sad all the time.
Student: How do you know i someone is depressed?
Mental Health Proider: Let’s make an appointment or your brother to see me and
I will see i he is depressed.
Student: Thank you.
interMediAte diAloG
MEntAL HEALtH DIALoGS

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Student: My sister has lost her appetite.
Mental Health Proider: Do you think she is depressed?
Student: She could be. Leaving her children in Somalia was very traumatic.
Mental Health Proider: It might help i she talks about that experience. Ask her to make
an appointment with me.
Student: Thank you.
AdVAnced diAloG
MEntAL HEALtH DIALoGS

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to that location or practicefnding the appropriate public
transportation route and stop onemight use.
ExtendHelp students practice usingand reading tables to organizeinormation. Depending on theamount o detail you know aboutthe various local providers, youmight want to develop a checklisttable o criteria that your studentsdecide are important whenchoosing a provider.
ClosingSend students home withinormation about local resources.Complete the bookmark activity on pages 27 and 28.
ObjectivesStudents consider local accesspoints or mental health services.
Students locate mental healthservices.
Students direct others to thelocation o mental health services.
Students use directional terms.
Prepare � View the Egal Shidad video.
� Identiy mental healthproviders in your community including their location andphone numbers.
� Bring to class:
• Phone book • Maps o the city • Public transportation route
inormation• Brochures or other sources
describing mental healthservices available locally.
Pre-Teach Tis lesson can build o o theExtend activity in the DialogLesson.
Orally review vocabulary relatedto giving and ollowing directionssuch as: turn, straight, stop, go,pass, take a let, take a right, corner,and block(s).
ActivityGet your students moving by having them ollow or give eachother directions as a warm up-activity. “Go straight three steps,turn right, go straight 4 steps, turnlet.” Later, they can apply some
o those same directional words togive directions to mental healthproviders in your area. Review thequestions that came up as part o the Extend activity in the DialogLesson.
Identiy potential mental healthresources.
Using the inormation on theFinding Mental Health Services
page included in the Resourcessection or inormation yougathered about mental healthresources in your area, talk about
where the student can fnd helpthat they can communicate with(either a Somali proessional orone who works with interpretersand is experienced with the Somalicommunity).
alk about other local sources o
mental health-related support and where they are located.
Practice using a phone book, websites, and other resources youhave access to in the classroom tofnd potential resources together.
Find mental health clinics oroces on a map and then havestudents give or ollow directions
findinG help T I P : I n v e s t i g a t
e m e n t a l h e a l t h r e s o u r c e s i n y o u r l o c a l a r e a b e f o r e b e g i n n i n g t h i s u n i t .

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Extend ogether with the students, list what each speakers’ advice has in
common. Such as: all emphasizeimportant role o community,amily, and religion. All advocateseeing a medical proessional.How do they dier? What ideasdo students like? What wouldstudents suggest someone withmental illness do?
ClosingSend students home withinormation about local resources.Complete the bookmark activity on pages 27 and 28.
ActivityUsing the Whose Advice?
worksheet, work with students toread the English version o whatcharacters in the program saidabout mental illness. Identiy thespeaker.
Te instructor can read eachselection aloud and then ask students to identiy the speakersrom the program.
--Or--
Students can take turns readingeach section to themselves or aloudthen identiy the character in theprogram who made the statements.
ObjectiveStudents connect mental healthadvisors to their advice aboutaddressing mental illness.
Prepare
� View the Egal Shidad-Mental Health video or view thesegments available on the
website.
� Make a copy o the WhoseAdvice? worksheet or eachstudent.
Whose AdVice? T I P : As
k s t u d e n t s w h a t a d v i c e t h e y w o u l d g i v e . T a l k a b o u t “ s h o u l d ” v e r s u s “ c o u l d .”
IMAM SOMALI PROvIDER AMERICAN PROvIDER

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Whose Adice? Worksheet
bEGInnInG
Draw a line between the speaker and their advice.
The Prophet said to go to the doctor i you
need to.
The community should treat mentally ill
people well.
Courts in the US can help a mentally ill
person.
I you have mental problems, talk to
someone you trust.
Medication can balance chemicals in your
blood.
Doctors should work with their Somali
patient and his amily.

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Whose Adice? Worksheet
ADvAncED
Draw a line between the speaker and their advice.
1) It is imperative that the sick person should not hide his illness.
2) The people have to stop stigmatizing, discriminating and avoiding the sick person.
3) Each person has to take good care o himsel as our Prophet instructed us todo.
The people don’t have to be scared about taking someone to court. It is allabout his treatment. Back home the amily or relatives used to bring the personto the hospital, while over here no one has the ability to control someone’s lie,
be it amily or relative. Every individual has his own rights to be respected andthe court has to decide on these issues. Thereore the court is the solution orthe sick person and not a problem or him….
I have seen interpreters twist statements rom patients in order to make thepatient seem normal. For example, i someone says something weird the court judge wants to hear the way it is said so that he can evaluate the situation i theperson is delusional or having hallucinations.
With Diabetes a person’s body is creating too much sugar in their blood, sohealth problems happen….Medication helps the sugar in their blood to bemore balanced, so they don’t have any more health problems. It’s the samewith Depression, Post Traumatic Stress Disorder and Schizophrenia. What we
now understand is that inside this person there’s some chemical imbalance.So there are medications that can be given to a person to help their system getmore in balance.
O course there are social problems that come with [mental illness]. The Somalicall sick people names like “Crazy Ali’ or “Crazy Asha”. The mentally ill peopleare discriminated against and that does not help at all in their recovery.
Some people are…araid o the medications…because they just don’tunderstand them…. So…people need to know…what the medication does,how it might help them, they also should understand that there might be someminor side-eects and what to do when they have side-eects…Most o thetime side-eects only happen or a short time and they go away.

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With Diabetes a person’s bodyis creating too much sugar intheir blood, so health problemshappen….Medication helps thesugar in their blood to be morebalanced, so they don’t haveany more health problems. It’sthe same with Depression, Post Traumatic Stress Disorder andSchizophrenia. What we nowunderstand is that inside thisperson there’s some chemicalimbalance. So there aremedications that can be given toa person to help their system getmore in balance.
Some people are…araid o themedications…because they justdon’t understand them…. So…people need to know…what themedication does, how it mighthelp them, they also shouldunderstand that there mightbe some minor side-eects andwhat to do when they have side-eects…Most o the time side-eects only happen or a shorttime and they go away.
The people don’t have to bescared about taking someone tocourt. It is all about his treatment.Back home the amily or relativesused to bring the person to thehospital, while over here noone has the ability to controlsomeone’s lie, be it amily orrelative. Every individual has hisown rights to be respected andthe court has to decide on theseissues. Thereore the court is thesolution or the sick person andnot a problem or him….
I have seen interpreters twiststatements rom patients in orderto make the patient seem normal.For example, i someone sayssomething weird the court judgewants to hear the way it is said sothat he can evaluate the situationi the person is delusional orhaving hallucinations.
O course there are socialproblems that come with [mentalillness]. The Somali call sick people names like “Crazy Ali’ or“Crazy Asha”. The mentally illpeople are discriminated againstand that does not help at all intheir recovery.
1) It is imperative that the sick person should not hide his illness.
2) The people have to stopstigmatizing, discriminating andavoiding the sick person.
3) Each person has to take goodcare o himsel as our Prophetinstructed us to do.
Whose Adice? Worksheet
tEAcHER’S KEy - ADvAncED
IMAM SOMALI PROvIDER AMERICAN PROvIDER

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ActivityRead the passages independently or as a group. Answer thequestions.
ClosingSend students home withinormation about local resources.Complete the bookmark activity on pages 27 and 28.
Pre-TeachPre-teach vocabulary thatcorresponds to each passage.
pASSAGE 1
• shots• pills•
complain• eect• rush
pASSAGE 2
• consult• treatment• physically • mentally • spiritually • encourages
Have students read the ReadingActivity worksheet and answerthe questions. Tis can be anindependent or group activity.
ObjectiveStudents apply new vocabulary to comprehension o writteninormation about mental health.
Prepare
� View the Egal Shidad-Mental Health video.
� Make each student a copy o the Reading Activity worksheeton the ollowing page.
reAdinG coMprehension T I P : T h i s c
a n b e a h o m e w o r k a c t i v i t y f o r a d v a n c e d s t u d e n t s .

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Read the following paragraphs and answer the questions that follow:
Somalis believe that shots have a better eect than pills, which is
not always true….some medications need up to 4 weeks to take
eect. Sometimes patients come back in 7 days and complain
about the medication not having any eect. One has to ollow the
doctor’s instructions and don’t rush it.
WRItE “tRuE” oR “FALSE” on tHE LInE nExt to EAcH StAtEMEnt:
1. Medicine or mental illness always works quickly. _________
2. Pills are always better than shots._________
Islam believes one has to be healthy physically, mentally and
spiritually. Islam treats [mental illness] in two dierent ways: the
rst one is physical treatment, one has to be consulted with by
physicians. Some o the Prophet’s ollowers came to him and askedhim i they could seek treatment. The Prophet, may peace and the
blessing o God be upon him, told them that every sick person has
to seek treatment….Thereore Islam encourages anyone who has
mental or other medical problems to consult their doctors. And particularly the mentally
sick people have to consult scholars, mosques, and should establish a good relationship
with Allah and their aith; read the Koran or have the Koran read to them.
WRItE “tRuE” oR “FALSE” on tHE LInE nExt to EAcH StAtEMEnt:
3. The Sheik said that people with mental illness should get help rom a doctor. _______
4. The Sheik said that going to mosque and praying helps with mental illness. ______
READInG coMpREHEnSIon
Reading Actiity Worksheet

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ExtendAsk students: Did the speakerdo a good job o using words thatsomeone who is learning Englishcan understand?
ogether, rewrite each sentencereplacing the vocabulary terms
with other, more common wordsthe students are amiliar with.
ClosingSend students home withinormation about local resources.Complete the bookmark activity on pages 27 and 28.
ObjectiveStudents connect their new mentalhealth-related vocabulary toexisting knowledge.
Students substitute dicult terms with more common language.
Prepare � View the Egal Shidad-Mental
Health video.
� Copy the appropriate numbero the Vocabulary in Context
worksheet on the ollowingpage or your students.
Pre-TeachIntroduce the vocabulary to yourstudents.
• examined• ran some tests• experiencing•
chemical imbalances• resources• specializes• trauma
Activity Tis paragraph comes rom thetranscript o the English-speakingprovider’s interview. Have studentscomplete the sentences on theVocabulary in Context worksheeteither as independent work or asgroup work, aloud.
VocAbulAry in context T I P : T h i s a c t i v i t y i s a ppr o pr i a t e f o r m o r e a d v a n c e d l a n g u a g e l e a r n e r s . T h i s c a n b e a g r o u p a c t i v i t y o r c a n b e a s s i g n e d a s h o m e w o r k .

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Complete the sentences using the words in this list:
examined ran some tests experiencing
resources chemical imbalances specializes trauma 1. The doctor ___________________________________ the patient, checking his heart beat,
blood pressure, and temperature.
2. The doctor took some blood and _______________________, but isn’t able to nd any medical
problem.
3. People who are _________________________symptoms o mental illness need to hae
someone that they can talk to and say “this is how I’m eeling”.
4. Sometimes, medications can help with the ________________________ that cause mental
illness.
5. I you’re Somali and you’re haing mental health problems, ask elders, ask some community leaders
about some o the __________________ in the community to help you.
6. There’s a clinic in Minneapolis that really ______________________ in helping Somalis and
other immigrants and reugees, and that’s Community Uniersity Health Care Center.
7. Some people in the Somali community beliee that mental illness is the result o the
_________________o iolent wars and long sufering o displacement and the scattering o
Somalis in strange and distant lands.
vocabulary Worksheet
vocAbuLARy In contExt

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cLoSInG ActIvIty
Closing Actiity
WHERE cAn EGAL GEt HELpFoR MEntAL ILLnESS InyouR toWn?
nAME oF pLAcE
_________________________
pHonE nuMbER
_________________________
ADDRESS
_________________________
WEbSItE
_________________________
FRONT FRONT
WHERE cAn EGAL GEt HELpFoR MEntAL ILLnESS InyouR toWn?
nAME oF pLAcE
_________________________
pHonE nuMbER
_________________________
ADDRESS
_________________________
WEbSItE
_________________________
WHERE cAn EGAL GEt HELpFoR MEntAL ILLnESS InyouR toWn?
nAME oF pLAcE
_________________________
pHonE nuMbER
_________________________
ADDRESS
_________________________
WEbSItE
_________________________
FRONT
Objective
Ensure that students end their work with these ELL materials knowing where to go or help in your community.
Instructions for teachers:Print this page and the ollowing page on cardstock as “duplex” (2-sided). Cut out bookmarks and distribute tostudents.

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cLoSInG ActIvIty
Closing Actiity
SHARE EGAL’S StoRy.
SEE MoRE About tHISpRojEct At WWW.EGALSHIDAD.oRG
xoG DHEERAAD EEMASHRuucA KA FIIRIHALKAn WWW.EGALSHIDAD.oRG
BACK BACK
SHARE EGAL’S StoRy.
SEE MoRE About tHISpRojEct At WWW.EGALSHIDAD.oRG
xoG DHEERAAD EEMASHRuucA KA FIIRIHALKAn WWW.EGALSHIDAD.oRG
SHARE EGAL’S StoRy.
SEE MoRE About tHISpRojEct At WWW.EGALSHIDAD.oRG
xoG DHEERAAD EEMASHRuucA KA FIIRIHALKAn WWW.EGALSHIDAD.oRG
BACK

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Picture Story: Depressed Te Center or Applied Linguistics Picture Story Depressed can be used in conjunction with the Egal ShidadMental Health Program. o download the story and instructional guide, go to http://www.cal.org/CAELA/esl_resources/Health/healthindex.html#Depress
Tips to Reduce Stress“ips to Reduce Stress,” a 2-page patient education sheet, can be accessed at https://secure.mintecommerce.com/~nch/00_ns_rc_pateduc.php. Tis National Center or Farmworker Health publication is eective readingmaterial to use with beginning students.
Medlineplus Te Medlineplus Easy to Read section (http://medlineplus.gov/) includes downloadable mental healthinormation to share and/or read with students. NOE: Easy to Read is broadly defned, so review materialsthoroughly beore deciding what to use.
Cultural Adjustment and Mental HealthSome instructors may fnd useul insights in Cultural Adjustment and Mental Health—Te Role o the ESL
eacher. Te ull text is available at:
http://www.eric.ed.gov/ERICWebPortal/Home.portal;jsessionid=HFLm7NqPvVwWP94d8wSLtGlGG1Zyz8x vRNlqrzClrhRc69CzrZR!415475911?_npb=true&_pageLabel=ERICSearchResult&_urlype=action&newSearch=true&ERICExtSearch_Searchype_0=au&ERICExtSearch_SearchValue_0=%22Adkins+Myrna+Ann%22
Additional Information on Somali Mental Health Somali Mental Health (co-written by David McGraw Schuchman—the fnal mental health provider
interviewed in the Egal Shidad broadcast). A pd o this document is available on the Egal Shidad website at
http://newroutes.org/egal_ell_1.
Somali Conceptions and Expectations Concerning Mental Health: Some guidelines for mental healthprofessionals. Full text available at http://fndarticles.com/p/articles/mi_qa3848/is_200407/ai_n9439958
When the Poetry No Longer Rhymes: Mental Health Issues Among Somali Immigrants in the USA. Fulltext available rom Sage Publications by clicking “begin manual download” at http://tps.sagepub.com/cgi/reprint/44/4/581
Free Resources or ELL Instructors Addressing Mental Health
resources

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Minneapolis:
Te Somali and East African Behavioral Health
Services Program
612-375-0700
Services and fee information: http://www.voamn.org/Services/MentalHealthServices/
SomaliEastAfricanServices/tabid/7138/Default.aspx
Community University Health Care Center
(CUHCC)
612-638-0670
Services: http://www.ahc.umn.edu/cuhcc/faq.html
and http://www.ahc.umn.edu/cuhcc/healthcareservices/
mentalhealth.html
Te Mental Health Collective
612-822-8227
Clinic Services: http://www.mentalhealthcollective.
org/2.html
Mental Health Proiders in the Minneapolis-St. Paul Area
St. Paul:
Health Partners Center for International Health
651-999-4740
http://www.healthpartners.com/locator/HPClinics/
specialty/location/detail.do?locationId=2439
Regions Hospital Outpatient Service
952-967-7992
Outpatient Mental Health: http://www.
regionshospital.com/Regions/Menu/0,1640,3783,00.
html
Fees: http://www.regionshospital.com/Regions/
Menu/0,,4090,00.html
Inpatient Mental Health: http://www.
regionshospital.com/Regions/Menu/0,1640,4303,00.
html
RESouRcES

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Name: ___________________________ Score________ /21
1. Show the table below to the student, one row at a time. Read all three words in the row. Ask the studentto tell you which word in each row is most similar to the bolded word at the ar let. Ask the student notto guess. I the student does not know the answer, instruct him/her to please say, “don’t know.” Circle thestudent ’s answer. Score one point or each correct answer.
Poor (1) Weak Awake Don’t know
Symptom (1) Clue Medicine Don’t know
Depression (1) Walk Sadness Don’t know
Post Traumatic Stress(1) Bad Memories Hard Work Don’t know
Experiencing (1) Guilty Feeling Don’t know
Hungry(1) Appetite Tired Don’t know
Energy (1) Guilty Interest Don’t know
2. Ask the student to answer each o the questions below. Score their answer accordingly.
No answer Knows a ew o the
discussed
Knows hal o the
discussed
Lists all
discussed in
class
What are some symptoms o mental illness? 0 1 2 3 4 5
Where can you go to get mental health help
in (your town)?0 1 2 3 4 5
3. Did your student participate in the activities in Mental Health Dialogs lesson?
� yes (4) � no (0)
s tudent AssessMent

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Do you agree?
Good OK Bad
I liked the Egal Shidad video.J K L
The English lesson helped me understandabout mental health. J K LI learned new words about mental health.
J K LI know where to get help with mentalhealth in my town. J K L
What would you change about the ideo?
What would you change about the English lessons?
s tudent feedbAck