Assessment of the Forms of Peer Counselling Providing Psychosocial Support for Mental Wellness of Students in Public Boarding Secondary Schools in Kericho County, Kenya

There is a widespread concern among stakeholders and the ministry about the mental wellness of learners in secondary schools. The role of peer counselling in the helping processes of their fellow students cannot be under rated in the modern life for their proper growth and development. The study therefore focused on Assessment of the Forms of Peer Counselling in Providing Psychosocial Support to Students in Public Boarding Secondary Schools in Kericho County, Kenya. The study objective was to explore the forms of peer counselling providing psychosocial support for mental wellness of students in boarding secondary schools. Social Cognitive theory by Albert Bandura and Social Development theory by Lev Vygotsky guided the study. Data was generated from 12 schools, among 398 students and 48 peer counsellors selected by simple random sampling. Additionally, 12 heads of guidance and counselling and principals were included. The study adopted pragmatic paradigm, used mixed method research approach. The data was collected using questionnaires, interview schedules and focus group discussion. The results of the study revealed that the forms of peer counselling in boarding secondary schools use the roles of befriending (74.0%), mediation (72.8%), mentoring (72.8%), tutoring (72.6%) and educators (72.3%) in their helping process. The study concludes that the forms of peer counselling in public boarding secondary schools has a positive influence in providing psychosocial support to the students. The study therefore recommended that schools should use peer counselling for the psychosocial support of the learners. Sensitization of principals, teachers and heads of guidance and counselling on the benefits of Peer counselling on students’ psychosocial support is essential.</jats:p

CLINICAL DIAGNOSIS AND CONSERVATIVE TREATMENT OF RETICULAR AND EROSIVE ORAL LICHEN PLANUS: CLINICAL CASE REPORT

O líquen plano oral é uma patologia autoimune com predileção entre a quarta e a sexta décadas de vida, por indivíduos do sexo feminino e leucodermas. A patogênese do mesmo é incerta, pode estar relacionada com hepatopatias crônicas, estresse, distúrbios hormonais, etc. Suas principais formas de apresentação são: reticular e erosivo. O objetivo desse artigo é relatar o caso de um paciente com líquen plano reticular e erosivo em cavidade oral cuja história e aspectos clínicos foram determinantespara o diagnóstico e tratamento. Trata-se de um relato de caso de um indivíduo masculino, 60 anos, leucoderma, procurou atendimento referindo queimação na bochecha e gengiva ao beber vinho e usar vinagre, já havia passado por diversos profissionais e múltiplos tratamentos sem diagnóstico ou melhora dos sintomas. Na história médica relatou hepatopatia e plaquetopenia crônica. Ao exame físico, notou-se mucosa jugal atrófica, com áreas de ulceração e erosão bilateral, com presença de estrias brancas de aspecto reticular, placas esbranquiçadas no dorso lingual e áreas estriadas em crosta em mucosa labial superior. Diante do quadro clínico foi prescrito propionato de clobetasol 0,05% e solicitados exames complementares (hemograma, glicemia, VSG, ácido fólico, B12, ferro sérico, TSH e anti-HCV). Após 14 dias, observou-se remissão completa das lesões e da sintomatologia dolorosa, não foram observadas alterações dignas de nota nos exames complementares. Assim, o paciente, seguirá em acompanhamento periódico e mediante a recidivas retomará a corticoterapia, e, diante da ocorrência de novos achados clínicos anormais, a biópsia incisional será indicada</jats:p