Viewing item 1 to 20 (of 38 items)
New beginning refugee integration in Europe
This is a very interesting and comprehensive UNHCR’s research on trends in the development of policy and practices relevant to refugee integration. This report provides a review of already-used measurable integration indicators and the methods of evaluating integration, and highlight factors that influence integration outcomes for refugees in Europe (Austria, France, Ireland, Sweden, Germany, United Kingdom).
The aim of this study is to identify the presence or absence of refugee-specific knowledge and statistical data on integration through a review of literature, and to explore refugee-specific barriers or facilitators to integration through consultation with refugees and stakeholders whose work relates to refugees.
Operational Guidance Mental Health & Psychosocial Support Programming for Refugee Operations
An operational guidance on Mental Health and Psychosocial Support (MHPSS) which provides a practical orientation and tools, aimed at UNHCR country operations. It covers specific points of good practice to consider when developing MHPSS programming and offers advice on priority issues and practical difficulties, while also providing some background information and definitions.
Very recent publication as it was published on the 14th October 2013.
Lacent review: Mental health of displaced and refugee children resettled in low-income and middle-income countries: risk and protective factors
Children and adolescents who are forcibly displaced represent almost half the world’s internally displaced and refugee populations. This study undertook a two-part systematic search and review of the evidence-base for individual, family, community, and societal risk and protective factors for the mental health outcomes of children and adolescents. Drawing together the main findings from reports focused on many different context to identify important issues and establish recommendations for intervention in low-income and middle-income settings.
Child Protection Monitoring and Evaluation Reference Group (CP MERG) June 2013 quarterly newsletter
The Child Protection Monitoring and Evaluation Reference Group (CP MERG) June 2013 quarterly newsletter highlights recent child protection monitoring and evaluation and research publications, initiatives, news, events, jobs and calls for proposals. The CP MERG is a global forum for collaboration and coordination on child protection monitoring, evaluation and research. For more information and read all CP MERG newsletters visit: www.cpmerg.org. To sign up for the newsletter, please contact the CP MERG ([email protected]).
Child Protection Monitoring and Evaluation Reference Group (CP MERG) Newsletter - September 2013 Issue
The Child Protection Monitoring and Evaluation Reference Group (CP MERG) September 2013 quarterly newsletter highlights recent child protection monitoring and evaluation and research publications, initiatives, news, events, jobs and calls for proposals. The CP MERG is a global forum for collaboration and coordination on child protection monitoring, evaluation and research. For more information visit: www.cpmerg.org. To sign up for the newsletter, please contact the CP MERG ([email protected]).
Counselling in humanitarian settings: a retrospective analysis of 18 individual-focused non-specialised counselling programmes
Médecins Sans Frontières (MSF) provides individual counselling interventions in medical humanitarian programmes in contexts affected by conflict and violence. This study is a retrospective analysis of routine programme data to determine who accessed MSF counselling services and why, and the individual and programmatic risk factors for poor outcomes
BUILDING BACK BETTER Sustainable mental health care after emergencies
Emergencies, in spite of their tragic nature and adverse effects on mental health, are unparalleled opportunities to build better mental health systems for all people in need. This WHO publication shows how this was done in 10 diverse emergency-affected areas.
The report provides guidance for strengthening mental health systems after emergencies and examples from Afghanistan, Burundi, Indonesia (Aceh Province), Iraq, Jordan, Kosovo, Somalia, Sri Lanka, Timor-Leste, and West Bank and Gaza Strip.
Contributors from each area report not only their major achievements, but also their most difficult challenges and how they were overcome. Key overlapping practices emerging from these experiences are summarized.
To be well at heart: Conflict Affected Women's Perceptions of Psychosocial Well-Being
This is a participatory study in Burundi, Nepal and Northern Uganda, sponsored by CARE Austria.
The severity of conflict-affected womens' suffering has been increasingly well known and documented leading to the establishment of psychosocial programs for their benefit. However evidence of the effectiveness of these programs remains thin. In part this may be due to the fact that up till now women are rarely asked to define and operationalize "psychosocial well-being" in their own context. The result of this lack can inadvertantly lead to a view of conflict-affected women solely as victims, leaving out their asprirations and thepsychological and social supports they require to achieve them. It also makes it difficult to measure program effectiveness, The study discusses a method for working with women to define and operationalize psychosocial well-being in local context, and discusses similarities differences and initial learning from the findings. Looking forward to lots more discussion on this subject.
UNHCR MHPSS Review
Sarah Meyer, Policy Development and Evaluation Service, 2013
This evaluation reports on how well the United Nations High Commission for Refugees considers and provides for the well-being and mental health of persons of concern to the agency. Through a survey of UNHCR field staff, extensive literature and policy review, and key informant interviews with MHPSS experts from academic institutions, international agencies and non-governmental organizations, this review provides insight into how UNHCR’s current activities contribute towards improved mental health and psychosocial well-being of displaced persons and how UNHCR’s current policy frameworks relate to established practices and frameworks in the MHPSS field. Based on these findings, the review recommends how UNHCR can improve and build upon MHPSS activities, including improving understanding of and leadership on MHPSS issues within the organization. UNHCR staff widely recognize the importance of MHPSS to address core concerns of persons of concern, and that MHPSS overlaps with many of UNHCR’s key priority areas, including child protection and sexual and gender-based violence. However, the review highlights some limitations of UNHCR’s current approach to and provision of MHPSS, as well as highlighting practical steps the agency can take to further its support for and engagement with the MHPSS field.
Evaluación: instrumentos, métodos y enfoques
Documento del Banco Mundial, 2004. No es específico para aspectos psicosociales y relacionados con la salud mental, pero puede ser útil en la evaluación de proyectos.
Review of mental health and psychosocial interventions for SGBV survivors in conflict-affected areas
Systematic review of mental health and psychosocial interventions for survivors of sexual and gender-based violence in conflict-affected settings.
Supported by the WHO Department of Reproductive Health and Research through funds from UN Action.
Evaluation of psychotherapy for survivors of sexual violence in DRC
Survivors of sexual violence have high rates of depression, anxiety, and post-traumatic stress disorder (PTSD). Although treatment for symptoms related to sexual violence has been shown to be effective in high-income countries, evidence is lacking in low-income, conflict-affected countries.
In this trial in the Democratic Republic of Congo, we randomly assigned 16 villages to provide cognitive processing therapy (1 individual session and 11 group sessions) or individual support to female sexual-violence survivors with high levels of PTSD symptoms and combined depression and anxiety symptoms. One village was excluded owing to concern about the competency of the psychosocial assistant, resulting in 7 villages that
provided therapy (157 women) and 8 villages that provided individual support (248 women). Assessments of combined depression and anxiety symptoms (average score on the Hopkins Symptom Checklist [range, 0 to 3, with higher scores indicating worse symptoms]), PTSD symptoms (average score on the PTSD Checklist [range, 0 to 3, with higher scores indicating worse symptoms]), and functional impairment (average score
across 20 tasks [range, 0 to 4, with higher scores indicating greater impairment]) were performed at baseline, at the end of treatment, and 6 months after treatment ended.
A total of 65% of participants in the therapy group and 52% of participants in the individual-support group completed all three assessments. Mean scores for combined depression and anxiety improved in the individual-support group (2.2 at baseline, 1.7 at the end of treatment, and 1.5 at 6 months after treatment), but improvements were significantly greater in the therapy group (2.0 at baseline, 0.8 at the end of treatment, and 0.7 at 6 months after treatment) (P<0.001 for all comparisons). Similar patterns were observed for PTSD and functional impairment. At 6 months after treatment, 9% of participants in the therapy group and 42% of participants in the individual-support group met criteria for probable depression or anxiety (P<0.001), with similar results for PTSD.
In this study of sexual-violence survivors in a low-income, conflict-affected country, group psychotherapy reduced PTSD symptoms and combined depression and anxiety symptoms and improved functioning. (Funded by the U.S. Agency for International Development Victims of Torture Fund and the World Bank; ClinicalTrials.gov number, NCT01385163.)
Well Being and Perceived Stress Scale
Dr Boris Budosan, Cordaid, 2010
This is the Scale that has been used in the project 'Earthquake Relief: Community-based Integrated Mental Health / Psychosocial Support Program in the earthquake-affected areas and areas of displacement of the earthquake-affected population in Haiti', to measure the wellbeing of the target populations.
Annex A - 7-point Likert scale of well-being and example on how calculation of well-being of beneficiaries has been performed.
Annex B - Perceived Stress Scale - 7 Items
Community-based Integrated MHPSS for earthquake-affected population in Haiti - Log Frame
Dr Boris Budosan, Cordaid, 2010
This is the log frame of the project 'Earthquake Relief: Community-based
Integrated Mental Health / Psychosocial Support Program in the earthquake-affected areas and areas of displacement of the earthquake-affected population in Haiti'.
Review of studies on resilience in children affected by armed conflict
Background: Researchers focused on mental health of conflict-affected children are increasingly interested in the concept of resilience. Knowledge on resilience may assist in developing interventions aimed at improving positive outcomes or reducing negative outcomes, termed promotive or protective interventions. Methods: We performed a systematic review of peer-reviewed qualitative and quantitative studies focused on resilience and mental health in children and adolescents affected by armed conflict in low- and middle-income countries. Results: Altogether 53 studies were identified: 15 qualitative and mixed methods studies and 38 quantitative, mostly cross-sectional studies focused on school-aged children and adolescents. Qualitative studies identified variation across socio-cultural settings of relevant resilience outcomes, and report contextually unique processes contributing to such outcomes. Quantitative studies focused on promotive and protective factors at different socio-ecological levels (individual, family-, peer-, school-, and community-levels). Generally, promotive and protective factors showed gender-, symptom-, and phase of conflict-specific effects on mental health outcomes. Conclusions: Although limited by its predominantly cross-sectional nature and focus on protective outcomes, this body of knowledge supports a perspective of resilience as a complex dynamic process driven by time- and context-dependent variables, rather than the balance between risk- and protective factors with known impacts on mental health. Given the complexity of findings in this population, we conclude that resilience-focused interventions will need to be highly tailored to specific contexts, rather than the application of a universal model that may be expected to have similar effects on mental health across contexts.
How can mental health and psychosocial epidemiology in conflict-affected settings be improved?
This editorial proposes a shift in emphasis in the field of mental health epidemiology in conflict-affected settings. After a brief summary of the nature of contemporary armed conflicts, we consider the current and potential roles that epidemiology can play with regard to: (1) establishing the burden of mental disorders; (2) identifying risk and protective factors; and (3) intervention research. We advocate for improved methodological rigor; more attention to mixed methods approaches and multi-level longitudinal research; inclusion of the determinants of mental health beyond conflict-related violence; and consideration of a wider array of mental health outcomes. We particularly highlight the importance of expanding interest to epidemiological research that advances prevention and promotion interventions (e.g., in the early childhood period), in order to fill the gap between epidemiology and mental health practice in conflict-affected settings.
What counts as good evidence ?
A though provoking and debate raising article challenging simple answers to the question on What counts as good evidence .
Sandra Nutley , Alison Powel and Huw Davies , Research Unit for Research Utlization , University of St Andrewes , November 2012
Mental Health Atlas
WHO 2005 (Revised)
Project Atlas was launched by WHO in 2000 in an attempt to map mental health resources in the world. These data are needed at the country level to assess the current situation and to assist in developing plans and at the regional and global levels to develop an aggregate picture of the available mental health resources and the overall needs. The project thus responds to WHO’s objectives as set out in the World Health Report 2001 (WHO, 2001) and in recent resolutions from the governing bodies of WHO on mental health (EB109.R8 on strengthening mental health and its affirmation by WHA55.10).
The analyses of the global and regional data collected in 2001 were compiled and presented in the publication – Atlas: Mental Health Resources in the World (WHO, 2001b); and individual country profiles and some further analyses were presented in Atlas: Country Profiles on Mental Health Resources in the World, 2001. Mental Health Atlas-2005 is the second set of publications from the project, and it presents aggregate results as well as individual country profiles on mental health.
This edition includes updated and revised information on themes published in Atlas 2001. Atlas 2005 also includes information on new Member States (Timor-Leste) and more Associate Member States, Areas and Territories (e.g. West Bank and Gaza Strip). The general information section has been strengthened considerably, particularly through inclusion of a subsection on epidemiology. And the qualitative information in the country profiles, particularly for low- and middle income countries is much enriched, as a result of a systematic search on mental health services. This has also led to highlighting issues particularly relevant to these countries, e.g. the issue of migration of trained manpower to high-income countries.
Rapid Assessment of Mental Health Needs of Refugees, Displaced and Other Populations Affected by Conflict and Post-Conflict Situations
A community-oriented assessment
WORLD HEALTH ORGANIZATION
This Tool for the Rapid Assessment of Mental Health Needs of Refugees, Displaced and Other Populations Affected by Conflict and Post-Conflict Situations and Available Resources (RAMH) is intended to be used by mental health professionals, non-mental health personnel, and others involved in mental and psychosocial community support. Since in any conflict or post-conflict situation, the community and health workers are among the first level of contact with forcibly displaced people, they need a basic tool to help them assess mental health needs in emergency situations.
The information collected through use of this tool will serve to set up immediate and longer-term community-based mental health programmes. Close collaboration with mental health professionals is necessary, when they are available. This will help in project design and capacity building, which will include training, establishment of services, ongoing supervision, monitoring and evaluation, care for chronic psychiatric clients, for traumatized persons, and for psychosocial rehabilitation of the community/ties concerned.
The RAMH tool can be used immediately in emergencies; at least one mental health professional should be included in the RAMH team.
Who is Where, When, doing What (4Ws) in Mental Health and Psychosocial Support
This tool for is useful for the following: providing a big picture of the size and nature of the MHPSS response; identifying gaps in the MHPSS response to enable coordinated action; enabling referral by making information available about who is where, when, doing what; informing appeal processes; improving transparency and legitimacy of MHPSS through a common language and structured documentation; and improving possibilities for reviewing patterns of practice and for drawing lessons for future response.
Inter-Agency Standing Committee (IASC) Reference Group on Mental Health and Psychosocial Support in Emergency Settings