The impact of psychosocial support on well-being and agency within an inclusive livelihood programme

After 7 years of a multifaceted conflict, effective humanitarian assistance for people living in Syria is vital. This action research exploresthe extentto which psychosocial support (PSS) impacts the well-being and agency of Syrian farmers benefitting from livelihood. Our methodology used a baseline and endline surveytowards a target population of households receiving agricultural inputs, with both an experimental and control group. Five dimensions of well-being were considered: emotional, social, economic, skills and knowledge and overall feeling. The key findings are:

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Geographies of adolescent distress : A need for a community-based psychosocial care system in Nepal

This paper presents the findings of an ethnographic study conducted among high school students in Nepal. Participant observations, in-depth interviews and focused group discussions were conducted among 35 students (20 girls and 15 boys). The findings suggest three geographies (home, school and community), where adolescents experience distress. Common experiences of adolescent distress included discrimination, domestic violence, heavy workload, poverty, bullying, physical punishment, unsupportive behaviour of the parents and teachers and a lack of basic materials.

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The Prioritization of Island Nations as Refuges from Extreme Pandemics

In this conceptual article with illustrative data, we suggest that it is useful to rank island na-tions as potential refuges for ensuring long-term human survival in the face of catastrophicpandemics (or other relevant existential threats). Prioritization could identify the several is-land nations that are most suitable for targeting social and political preparations and furtherinvestment in resiliency.

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Before my time? Addressing the intergenerational legacies of the genocide against the Tutsi in Rwanda

This study aims to (i) understand how the legacies of the 1994 genocide against the Tutsi and its aftermath are transmitted to the next generation within Rwandan families and (ii) explore how institutional support plays a role in the pathways of intergenerational transmission. Through an in-depth analysis of qualitative interviews with 41 mothers and one of their adolescent children, we identified direct and indirect pathways through which the legacies of the genocide are transmitted to the second generation.

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Trauma alleviation treatment for unaccompanied children after the Rwandan Genocide : a cautionary tale

Tens of thousands of children were orphaned or separated from their parents by the 1994 Rwandan Genocide. Following an all too familiar practice in post-conflict societies, these children were placed in unaccompanied children’s centres (UCCs) referred to as orphanages. Staff in a proportion of these centres received training in simple trauma alleviation methods as part of a program instituted by the United Nations Children’s Fund (UNICEF) with Rwandan governmental ministries.

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Capturing the essential : Revising the mental health categories in UNHCR’s Refugee Health Information System

The Refugee Health Information System (RHIS) for humanitarian settings was developed by the United Nations High Commissioner for Refugees (UNHCR) in 2004. As of 2009, it contained seven categories related to mental, neurological and substance use (MNS) conditions: epilepsy/seizure, alcohol/substance use disorder, mental retardation/intellectual disability, psychotic disorder, severe emotional disorder, medically unexplained somatic complaint and other psychological complaint. During a recent overhaul of the RHIS, the MNS categories were revisited.

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Collective trauma among displaced populations in Northern Iraq : A case study evaluating the therapeutic interventions of the Free Yezidi Foundation

Yezidism arguably remains one of the most oppressed religions in Iraq, with the population historically confronted by many attempts at genocide. These atrocities haveleft many survivors displaced and affected by trauma, yet little research has been conducted on experiences of trauma among this population.

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Expert medico-legal reports: The relationship between levels of consistency and judicial outcomes in asylum seekers in the Netherlands

Introduction: If asylum applicants need to prove that they have been persecuted in their home country, expert judgment of the psychological and physical consequences of torture may support the judicial process. Expert medico-legal reports can be used to assess whether the medical complaints of the asylum seeker are consistent with their asylum account. It is unclear which factors influence medical expert judgement about the consistency between an asylum seeker’s symptoms and story, and to what extent expert medico-legal reports are associated with judicial outcomes.

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The Moderating Role of Individual Resilience in Refugee and Dutch Adolescents After Trauma

Objective: Exposure to potentially traumatic events (PTEs) has been identified as a risk factor for various psychological problems in adolescents generally and in young refugees. The aim of this study was to examine whether individual resilience (assessed as a personality characteristic) can protect adolescents in diverse contexts from negative effects of trauma exposure.

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The effectiveness of narrative exposure therapy : a review, meta-analysis and meta-regression analysis

Background: Narrative exposure therapy (NET) is a short-term psychological treatment for post-traumatic stress disorder (PTSD) that has been investigated in various contexts among traumatized refugees and other trauma survivors. Sustained treatment results have been reported, but the methodological quality of the trials needs a more thorough examination.

Objective: To evaluate the effectiveness of NET for survivors of trauma, using a quality assessment, an updated meta-analysis, and a meta-regression analysis.

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