Evaluating interventions for posttraumatic stress disorder in low and middle income countries: Narrative Exposure Therapy

This article provides a framework for evaluating randomised controlled efficacy trials for the treatment of posttraumatic stress disorder, in low and middle income countries, applied to Narrative Exposure Therapy. A list of methodological and conceptual indicators to evaluate trial data was developed and utilised to assess six trials. The efficacy of this therapy to reduce symptoms is mainly deduced from effects that were measured at long term follow-up points, and that had not been seen at relatively early follow-up points.

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Response to ‘‘Treatment compliance and effectiveness in complex PTSD patients with co-morbid personality disorder undergoing stabilizing cognitive behavioral group treatment: a preliminary study’’

Last November, the European Journal of Psychotraumatology
published an interesting paper entitled
‘‘Treatment compliance and effectiveness in
complex PTSD patients with co-morbid personality disorder
undergoing stabilizing cognitive behavioral group
treatment: a preliminary study’’ (Dorrepaal et al., 2013).
This article describes a post hoc analysis on data derived
from an analysis of a sample of complex PTSD patients
previously published in the Journal of Psychosomatics
and Psychotherapy (Dorrepaal et al., 2012). It shows the

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Decision making at the front line

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Changes in the remuneration system for general practitioners: effects on contact type and consultation length

In The Netherlands, the remuneration system for GPs changed in 2006. Before the change, GPs received a capitation fee for publicly insured patients and fee for service (FFS) for privately insured patients. In 2006, a combined system was introduced for all patients, with elements of capitation as well as FFS. This created a unique opportunity to investigate the effects of the change in the remuneration system on contact type and consultation length.

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Integrating psychosocial support into nutrition programmes in West Africa during the Sahel food crisis

For optimal physical and cognitive development to occur, a child requires adequate nutrition, but this should occur in addition to physical and emotional stimulation from a caregiver. Programmes, in which interventions for nutrition, maternal mental health and psychosocial stimulation are integrated, provide much wider benefits to a child's psychical and cognitive development than stand alone nutritional responses.

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Do humanitarian crises offer opportunities for change? A critical review of the mental health and psychosocial support post emergency in the Republic of the Congo

Violent explosions rocked the city of Brazzaville (the capital of the Republic of the Congo) on 4 March 2012, officially causing more than 280 deaths and leaving approximately 15,000 people displaced. Two months after this event, despite a large number of people suffering from considerable psychological distress, few people had called for, or had received, appropriate mental health care or any external psychosocial support.

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Art therapy for mental health workers in areas affected by violence: a rarely explored resource

Experiences with survivors of extreme violence demonstrate that treatments that focus exclusively on verbal expression are often insufficient. Furthermore, evidence has shown that art therapy, as an initially non-verbal therapy, has an important role to play in the treatment of people from a wide variety of cultural backgrounds. However, most of the evidence gathered to date is through work with refugees in the West. Therefore, this field report adds to the body of evidence through describing the application of art therapy, in daily practice, in areas affected by violence.

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Psychosocial peacebuilding in Bosnia and Herzegovina: approaches to relational and social change

Ethnic and religious divisions were primary, significant factors in the cause and escalation of war in Bosnia and Herzegovina. These issues remained highly volatile in the immediate post war process and continue to impact current social, economic and political systems and structures. Psychosocial peacebuilding theory and practices are important means to facilitate social and relational change, and help people move toward reconciliation and social action.

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Psychosocial support for children in the Republic of South Sudan: an evaluation outcome

This paper describes an exploratory outcome evaluation of War Child Holland's psychosocial support intervention I DEAL, a life skills intervention aimed at improving the ability of children and young people affected by armed conflict in the Republic of South Sudan to ‘deal’ with their daily lives. The specific objectives were to assess whether I DEAL is consistent with local perceptions of wellbeing, and to explore the outcomes, as well as the factors that influence outcomes of this intervention.

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Global mental health and how to teach it: an example from Mozambique

INTRODUCTION

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