Emergencies and disasters as opportunities to improve mental health systems: peruvian experience in Huancavelica

The paper describes the development of a community oriented mental health care system in the Region of Huancavelica (Peru), after a devastating earthquake in 2007. The area is also one of the most inaccessible and disadvantaged areas of Peru.

Strategy for providing integrated mental health/psychosocial support in post earthquake Haiti

The recent earthquake in Haiti exposed all the weaknesses in the mental health care system existing prior to the earthquake. This paper describes the strategy developed by the Dutch nongovernmental organisation Cordaid for providing integrated mental health and psychosocial support in Haiti after the earthquake. The strategy aimed to address mental health and psychosocial needs in the early recovery and reconsolidation phases, and to build mental health capacity of community level and primary health care providers.

Integrating mental health into primary health care settings after an emergency: lessons from Haiti

Following the 2010 Haiti earthquake, there was a need for specialist services for severely mentally ill people who were presenting to the emergency medical clinics set up for displaced people. That need was unmet. Using guidelines drawn up by the Inter Agency Standing Committee (IASC) and piloting the Health Information System (HIS) of diagnostic categories in mental health, weekly mental health clinics were begun in eight mobile clinics. A psychiatric liaison service was also started in the main casualty hospital.

Integrating mental health care into existing systems of health care: during and after complex humanitarian emergencies: an Intervention Special Issue

Complex humanitarian emergencies, whether arising from armed conflict or natural disaster, challenge the mental health system of a country in many ways. Not least because they increase the risk of mental disorder in the population, and undermine the pre-existing structures of care. They may, however, also bring new opportunities to create change. In this way, new structures and paradigms may emerge from the midst of a crisis. The probabilities for such a change to occur vary from one setting to another.

From mathematics to psychosocial work: personal reflections on a decade of psychosocial work with children in Kosovo

 The author of this field report, originally a professor in mathematics, describes in a personal report how oppression and violent conflict in Kosovo effected a change in his career, and how he became the founder and director of a local nongovernmental organisation in the field of education and psychosocial support for children. After the conflict, many psychosocial activities were organised. Unfortunately, local experience was often ignored in these projects.

The IASC Guidelines and the International Disaster Psychology Program at the University of Denver

There is a growing recognition of the significant psychological and psychosocial damage caused by natural and manmade disasters. This phenomenon has increased the demand for trained professionals with the necessary skills to address these problems, in diverse populations around the world.

Field report: peer support supervision as a procedure for learning from practical experience in a mental health setting

This field report describes a ‘minimal budget project’ aimed at developing the expertise of a mixed group of workers. This project included nurses, community workers, counsellors and psychosocial workers attached to, or connected with, the mental health units in four hospitals in east Sri Lanka. In order to develop expertise, the project included a series of basic counselling training, as well as ongoing guidance during monthly peer supervision meetings.

The transition of teenage girls and young women from ex-combatants to civilian life: a case study in Sri Lanka

This paper describes the lives of young, female former Tamil Tiger fighters, in Batticaloa, after the civil war in Sri Lanka. It shows how the kinship and solidarity found in female networks, in a matri-lineal society, has helped them survive the conflict. In Batticaloa, female-headed households bear the main burden for caring for the traumatised, and sometimes injured, returning female, former soldiers. This is done in the absence of social welfare services or specific medical or psychosocial care.

Mental health training of primary health care workers: case reports from Sri Lanka, Pakistan and Jordan

Evidence suggests that providing support to primary health care with training, assistance and supervision by available mental health professionals is the best way to extend mental health care to the population. Three cases of mental health training programmes for primary health care workers were implemented in different countries, and are described in this article. The objective was to share the lessons learnt in different settings. Relevant primary and secondary data were used to present the cases.

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