A perspective from experiences in post conflict Timor Leste: the IASC Guidelines on Mental Health and Psychosocial Support in Emergency Settings

In this paper, several lessons are shared based on experiences in post conflict Timor Leste. In order to provide care to patients with mental disorders in their home settings, a specialist community based clinical service was developed as an alternative to using the (already) heavily dysfunctional primary health care system. We found that mental disorder accounted for a disproportionate amount of the disability in the community. Symptoms of post-traumatic stress were widespread and often represented a normative survival reaction to threat to life. Treatment is only warranted or the minority whose traumatic stress reactions result in lasting, severe psychosocial dysfunction. Finally, we discuss the need to identify the community’s own concepts of mental suffering and their expressions of these experiences.

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Reference: 
Derrick Silove, Susan Rees | 2008
In: Intervention: the international journal of mental health, psychosocial work and counselling in areas of armed conflict, ISSN 1571-8883 | 6 | 3-4 | 232-235
http://www.interventionjournal.com/sites/default/files/6.3_05_Silove%26Rees.pdf