Building an evidence base on mental health interventions for children affected by armed conflict

This paper reviews what is currently known from research about the effectiveness of interventions to address mental health problems in children and adolescents affected by armed conflict. The focus will be on interventions delivered in conflict affected countries either during active humanitarian emergencies or during the post conflict period. The paper will discuss two main paradigms of intervention dominating the field: psychosocial approaches and clinical/psychiatric approaches.

Development of evaluation indicators in psychosocial projects: balance between a creative challenge and research rigor

Evaluation of psychosocial and community oriented projects includes a series of procedures to determine if project outcomes are achieved by an activity planned to help reach an individual or socially relevant goal. Typically, various stakeholders have an interest in evaluation of psychosocial projects. These may include project staff and manager, donors,    authorities, beneficiaries and the

Evaluating community based psychosocial programmes: why, what & how?

Evaluation of psychosocial programmes can be carried out for a variety reasons. It is the nature of these reasons that determines what is exactly is evaluated, what criteria and which methods are used. In this article, the focus is on evaluation as a pathway to learn from experience and develop expertise. Some evaluation criteria are discussed, and a step-by-step plan is described.

Keywords: effectiveness, evaluation criteria, impact, indicators

 

Recommendations on evaluating community based psychosocial programmes

This article reports the 25 recommendations made by a NATO Advanced Research Workshop on Evaluation of Community based Psychosocial Programmes in Areas Affected by War and Terrorism that took place in April 2007. It summarises the workshop’s agreements on how evaluators should combine values, evidence and their experience, and that of programme providers, when they design and conduct their work.

 

Introduction

Issues arising in the development of UNICEF guidance on the evaluation of psychosocial programmes in emergencies

This paper describes the development of a guide on evaluation, commissioned by UNICEF for their field officers in 2006. The consultation process in developing the content of the guide is discussed, revealing varying perceptions of what is known and practiced in the field in relation to evaluation. Broader findings about evaluation design and methods are also discussed, based on a review by the Mailman School of Public Health. The paper then focuses on specific aspects of evaluation of psychosocial programmes that seem to generate particular difficulties in practice.

Prioritizing Care During the Acute Phase: The Prominent Role of Basic Psychosocial Life Support

TAP REPORT

Abstract

The issue of basic psychosocial life support during and after disasters is important. People who are affected by disasters can experience severe distress and may need psychosocial support. However, there still are many questions about service design and effectiveness of psychosocial support.

Treatment of Complicated Grief : A Comparison Between Cognitive-Behavioral Therapy and Supportive Counseling

Few studies have examined treatments for complicated grief—a debilitating condition that can develop after the loss of a loved one. This study compared the effectiveness of cognitive-behavioral therapy with a nonspecific treatment with supportive counseling (SC).

Psychobiology of posttraumatic stress disorder in pediatric injury patients : A review of the literature

Research suggests that about a quarter to a third of children with traffic-related injuries develop posttraumatic stress disorder (PTSD). Early symptoms of PTSD have been found to predict poor mental and physical outcome in studies of medically injured children. However, these symptoms are rarely recognized by physicians who provide emergency care for these children. In addition, there is insufficient knowledge about predictors of posttraumatic stress symptoms in this specific pediatric population.

Parental Posttraumatic Stress Symptoms as a Moderator of Child’s Acute Biological Response and Subsequent Posttraumatic Stress Symptoms in Pediatric Injury Patients

Objective:  To examine how parental responses following pediatric injury may influence their child’s posttraumatic stress symptoms (PTSS).

Methods: Heart rate (HR) from 82 pediatric injury patients was measured during emergency medical services (EMSs) transport and following hospital admission. Twelve-hour urinary cortisol levels were assessed upon admission. Child PTSS and parental PTSS and general distress were assessed 6 weeks and 6 months after trauma.

From War to the Rule of Law : Peace Building after Violent Conflicts

War, civil war and other political violence often revisit countries after brief periods of ‘peace’ or armistice. Some countries are ravaged by multifarious violent conflict during two to four decades. Many cease-fires and peace agreements do not cure the underlying social pathology which led to the bloodshed in the first place. I started this study to explore how a country which has gone through civil war might be helped to avoid the next war.

 

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