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Manual on community-based mental health and psychosocial support in emergencies and displacement

SCHININA, Guglielmo
Ed
July 2019

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This manual aims to facilitate mental health and psychosocial support (MHPSS) experts and managers in designing, implementing and evaluating community-based MHPSS (CB MHPSS) programmes, projects and activities for emergency-affected and displaced populations in humanitarian settings. It is specifically designed to support managers and experts hired by the International Organization for Migration (IOM). However, it can also be used, in its entirety or in some of its components, by MHPSS experts and managers working for IOM’s partners, including international and national governmental organizations, non-governmental organizations (NGOs), countries, donors and civil society groups.

 

The first chapter introduces concepts, models and principles of CB MHPSS work; the other chapters are operational and programmatic. These chapters are of two types: •

 

Those that have to do with the process of a CB MHPSS programme: 

Engaging with communities; - Assessing and mapping; - Psychosocial mobile teams; - Technical supervision and training; - Monitoring and evaluation; - Plus two annexes on coordination and ethical considerations. •

 

Those that introduce specific CB MHPSS activities: - Sociorelational and cultural activities; - Creative and art-based activities; - Rituals and celebrations; - Sport and play; - Non-formal education and informal learning; - Integration of mental health and psychosocial support in conflict transformation and mediation; - Integrated mental health and psychosocial support, and livelihood support; - Strengthening mental health and psychosocial support in the framework of protection; - Counselling; - Community-based support for people with severe mental disorders.

Challenges and priorities for global mental health in the Sustainable Development Goals (SDG) era

ACADEMY OF MEDICAL SCIENCES
June 2018

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Published in 2011, the Grand Challenges in Global Mental Health initiative provided a framework to guide the research needed to improve treatment and prevention of mental health disorders and expand access to mental health services. At the Academy’s workshop on global mental health participants reflected on progress since 2011, focusing on specific life-course stages, and identified priorities for research in treatment and prevention, as well as enduring challenges and emerging opportunities

Community mental health: Theory, practices and perspectives

WYNGAERDEN, Francois
May 2018

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Mental health problems are commonplace and affect more than one in four people worldwide. They are responsible for a quarter of all disabilities. This document aims to provide a basis for exploring these concepts as part of more in-depth work, including an update of the 2011 mental health framework document.

 

A seminar was held in Kigali, Rwanda on 7 - 9 December 2017. It brought together 45 participants from 12 countries to think about and discuss community mental health concepts and practices. The objectives of this document are twofold:

• Set out analysis by an external expert, with a focus on community mental health at HI, in light of the literature and concepts and practices within the sector

• Undertake preliminary work to identify new concepts for implementation, based on the aspects covered in the seminar, as part of ongoing in-depth work in this area, including the updating of the 2011 mental health framework document.

 

Case histories from Rwanda, Lebanon and Madascagar are given. There is an extensive bibliography in the Annex

 

This document is intended for HI and partner staff members who work in the mental health and psychosocial support sector. It is also intended for HI staff working on mental health strategy. It can also be used to feed into the work of field staff developing, implementing and assessing mental health and psychsocial support programmes

Problem Management Plus (PM+) Individual psychological help for adults impaired by distress in communities exposed to adversity

WORLD HEALTH ORGANIZATION
2016

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With this manual, the World Health Organization (WHO) is responding to requests from colleagues around the world who seek guidance on psychological interventions for people exposed to adversity.

The manual describes a scalable psychological intervention called Problem Management Plus (PM+) for adults impaired by distress in communities who are exposed to adversity. Aspects of Cognitive Behavioural Therapy (CBT) have been changed to make them feasible in communities that do not have many specialists. To ensure maximum use, the intervention is developed in such a way that it can help people with depression, anxiety and stress, whether or not exposure to adversity has caused these problems. It can be applied to improve aspects of mental health and psychosocial well-being no matter how severe people’s problems are.

Being a refugee in Turkey and western Europe: how it affects mental health and psychosocial wellbeing

JOURNAL OF MENTAL AND PSYCHOSOCIAL SUPPORT IN CONFLICT AFFECTED AREAS
September 2016

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"In this personal reflection, the author is a Syrian refugee who describes his experiences as a psychosocial worker in Syria and with refugees in Turkey and Greece. He highlights how women and children lack safety in the camps. The second section discusses how he became a refugee himself. Due to his experiences in Syria, he now finds himself in a difficult situation in the Netherlands, the county where he applied for asylum and has received a permit, but his ‘cry for help’ remains unheard and unrecognised by the (health) workers in the asylum centre."

Mental health funding and the SDGs What now and who pays?

MACKENZIE, Jessica
KESNER, Christie
May 2016

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"This report provides an overview of who is currently funding mental health and who isn’t, but could be. It is a synthesis of research previously conducted in this field and analyses both existing and new funders. It highlights how little information there is on what donors are spending on mental health globally, what types of activities are funded and why funding mental health delivers a variety of benefits, and it suggests how to frame the issue to encourage more investment".

Interventions for children affected by armed conflict: a systematic review of mental health and psychosocial support in low- and middle-income countries

JORDANS, Mark. J. D.
PIGOTT, Hugo
TOL, Wietse A
January 2016

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Over one billion children under the age of 18 live in countries affected by armed conflict. This systematic review replicates an earlier study, aiming to provide a comprehensive update of the most current developments in interventions for children affected by armed conflict. For the period 2009– 2015, a total of 1538 records were collected. Twenty-four studies met the inclusion criteria, and the included interventions involve data from 4858 children. Two types of analysis were conducted. First, for an account of intervention descriptions, thematic analysis was used to summarise themes, with a specific focus on cultural adaptations. Second, all evaluation studies reporting quantitative data were categorised into level of evidence (1 = randomized controlled trials, all types; 2 = quasi-experimental design and controlled studies; 3 = non-controlled design; 4 = case studies) 

Current Psychiatry Reports, vol 18 (9), doi:10.1007/s11920-015-0648-z

mhGAP Humanitarian Intervention Guide (mhGAP-HIG) Clinical Management of Mental, Neurological and Substance Use Conditions in Humanitarian Emergencies

WORLD HEALTH ORGANIZATION
2015

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"The mhGAP Humanitarian Intervention Guide contains first-line management recommendations for mental, neurological and substance use conditions for non-specialist health-care providers in humanitarian emergencies where access to specialists and treatment options is limited. It is a simple, practical tool that aims to support general health facilities in areas affected by humanitarian emergencies in assessing and managing acute stress, grief, depression, post-traumatic stress disorder, psychosis, epilepsy, intellectual disability, harmful substance use and risk of suicide....This new tool is an adaptation of WHO’s mhGAP Intervention Guide, a widely-used evidence-based manual for the management of these conditions in non-specialized health settings."

Globalising mental health or pathologising the global south? : mapping the ethics, theory and practice of global mental health

MILLS, China
FERNANDO, Suman
Eds
2014

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In response to moves from the World Health Organisation (WHO) and the Movement for Global Mental Health (MGMH) to redress the unequal access to mental health care in low and middle-income countries (LMIC) compared to high-income countries (HICs), the papers in this special issue of Disability and the Global South seek to highlight the issues of simply exporting a system developed in the global North irrespective of social and cultural context and lay the ground for (re)imagining and practising healing and support differently in LMICs and in HICs. The issue is a collection of 14 articles, including voices from the field

Disability and the Global South, Vol. 1, No.2

WHO QualityRights tool kit : assessing and improving quality and human rights in mental health and social care facilities

WORLD HEALTH ORGANIZATION (WHO)
2012

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The WHO QualityRights tool kit has been developed to support countries in assessing and improving the quality and human rights of their mental health and social care facilities. The tool kit is based on an extensive international review by people with mental disabilities and their organizations. It has been pilot-tested in low-, middle- and high-income countries and is designed to be applied in all of these resource settings

Field based training for mental health workers, community workers, psychosocial workers and counselors : a participant-oriented approach

VAN DER VEER, Guus
FRANCIS, Felician Thayalara
July 2011

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"This article discusses the training of mental health workers whose basic job is with clients that have been seriously affected by armed conflict and/or natural disasters by using ‘helping through talking’, and who have had little education that is relevant to this work. It sums up the characteristics required of the workers, their learning needs, the messages that the training needs to convey, and the characteristics and potential contents of a tailor made, participants-oriented programme"
Intervention, Vol 9, Issue 2

Mental health atlas

WORLD HEALTH ORGANISATION (WHO)
2011

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This report "represents the latest estimate of global mental health resources available to prevent and treat mental disorders and help protect the human rights of people living with these conditions. It presents data from 184 WHO Member States, covering 98% of the world’s population. Facts and figures presented in Atlas indicate that resources for mental health remain inadequate. The distribution of resources across regions and income groups is substantially uneven and in many countries resources are extremely scarce. Results from Atlas reinforce the urgent need to scale up resources and care for mental health within countries"

Implementation completion and results report on a trust fund grant in the amount of US$5 million to the Islamic Republic of Pakistan for a earthquake disability project

WORLD BANK (WB) Social Protection Sector, Human Development Unit
June 2010

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This paper reports on the implementation and the results of a earthquake disability project in Pakistan that aimed to improve the quality of life of people with disabilities and their families in areas affected by the October 8, 2005 earthquake, by ensuring better mobility, improved physical and mental health, increased participation in social and economic life and strengthened empowerment. This study was designed to assess the key factors affecting the implementation and outcomes of this project, the outcomes, the risk to development outcome as well as the bank and borrower performance

Report No ICR00001584

Packages of care for epilepsy in low- and middle-income countries

MBUBA, Caroline K
NEWTON, Charles R
October 2009

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This article focuses on the management of epilepsy in low- and middle-income countries and recommends a package of care - a combination of interventions aimed at improving the recognition and management of conditions to achieve optimal outcomes - for epilepsy, that is sustainable

Mental health aspects of women’s reproductive health : a global review of the literature

WORLD HEALTH ORGANIZATION (WHO)
UNITED NATIONS POPULATIONS FUND (UNFPA)
2009

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This report presents information outlining "the ways in which mental health concerns intersect with women’s reproductive health. It includes a discussion of the bio-psycho-social factors that increase vulnerability to poor mental health, those that might be protective and the types of programmes that could mitigate adverse effects and promote mental health." This review is useful for public health professionals, planners, policy makers and programme managers to raise awareness of mental health aspects of women’s reproductive health

Implementation manual for the United Nations convention on the rights of persons with disabilities

WORLD NETWORK OF USERS AND SURVIVORS OF PSYCHIATRY (WNUSP)
February 2008

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This manual was created for users and survivors of psychiatry, and user/survivor organisations, as an information guide and reference for working with the Convention on the Rights of Persons with Disabilities. It specifically highlights aspects of the Convention that pertain to the human rights abuses of users and survivors of psychiatry. This tool is designed to advocate for the implementation of legislation in line with the Convention

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