Scribd Logo
Unggah

Selamat datang di Scribd!

  • Prof Fareed's Presentation1

    Diunggah oleh

    Mahmood Ali Khan Jafri
    13 tayangan11 halaman
    The document provides guidelines on mental health and psychosocial support in emergency settings. It notes that after a disaster, the 12-month prevalence of severe disorders may increase from 2-3% to 3-4%, and mild or moderate mental disorders may increase from 10% to 15-20%. It emphasizes the need for inter-agency coordination and culturally sensitive guidelines. The guidelines propose an intervention pyramid with five layers of support - from basic services and security at the base to specialized services at the top. The core principles include human rights, participation, do no harm, building on capacities, and integrated multi-layered support systems.

    Deskripsi Asli:

    Judul Asli

    Prof fareed's Presentation1

    Hak Cipta

    © Attribution Non-Commercial (BY-NC)

    Format Tersedia

    PPTX, PDF, TXT atau baca online dari Scribd

    Apakah menurut Anda dokumen ini bermanfaat?

    Apakah konten ini tidak pantas?

    Laporkan Dokumen Ini
    The document provides guidelines on mental health and psychosocial support in emergency settings. It notes that after a disaster, the 12-month prevalence of severe disorders may increase from 2-3% to 3-4%, and mild or moderate mental disorders may increase from 10% to 15-20%. It emphasizes the need for inter-agency coordination and culturally sensitive guidelines. The guidelines propose an intervention pyramid with five layers of support - from basic services and security at the base to specialized services at the top. The core principles include human rights, participation, do no harm, building on capacities, and integrated multi-layered support systems.

    Hak Cipta:

    Attribution Non-Commercial (BY-NC)
    Unduh sebagai PPTX, PDF, TXT atau baca online dari Scribd
    Tandai sebagai konten tidak pantas
    13 tayangan11 halaman

    Prof Fareed's Presentation1

    Diunggah oleh

    Mahmood Ali Khan Jafri
    The document provides guidelines on mental health and psychosocial support in emergency settings. It notes that after a disaster, the 12-month prevalence of severe disorders may increase from 2-3% to 3-4%, and mild or moderate mental disorders may increase from 10% to 15-20%. It emphasizes the need for inter-agency coordination and culturally sensitive guidelines. The guidelines propose an intervention pyramid with five layers of support - from basic services and security at the base to specialized services at the top. The core principles include human rights, participation, do no harm, building on capacities, and integrated multi-layered support systems.

    Hak Cipta:

    Attribution Non-Commercial (BY-NC)
    Unduh sebagai PPTX, PDF, TXT atau baca online dari Scribd
    Tandai sebagai konten tidak pantas
    dari 11

    GUIDELINES ON MENTAL HEALTH &

    PSYCHOSOCIAL SUPPORT IN EMERGENCIES

    Prof Fareed Aslam Minhas

    Head Institute of Psychiatry


    National Programme Manager for WHO Collaborative Programme
    Long-term impact: Size of the Problem:
    Summary Table of Generic WHO Projections
    BEFORE DISASTER: AFTER DISASTER:
    12-month prevalence 12-month prevalence
    Severe disorder 2-3% 3-4%
    (e.g., psychosis, severe
    depression, severely disabling
    form of anxiety disorder)
    Mild or moderate mental 10% 15%-20%
    disorder
    (e.g., mild and moderate forms of
    depression and anxiety disorders)

    Moderate or severe No estimate Large percentage


    psychological / social distress
    (no disorder)

    None or mild psychological / No estimate Small percentage


    social distress, which may
    resolve over time
    Mental Health and Psychosocial Support in
    Emergency Settings
    Diverse Needs in Midst of Emergencies
    • Pre-existing social problems
    – e.g. marginalization

    • Emergency-induced social problems


    – e.g. family separations, loss of income, protection threats

    • Pre-existing psychological/psychiatric problems


    – e.g. psychosis, severe alcohol use, depression

    • Emergency-induced psychological/psychiatric problems


    – e.g. normal fear (past, present, future), depression, PTSD

    • Humanitarian aid-induced problems


    – e.g. conflict between communities, anxiety about
    lack of information on distributions,
    Planning Tool: IASC Guidelines
    "A significant gap has been
    the absence of a multi-
    sectoral, inter-agency
    framework that enables
    coordination, identifies
    useful practices, flags
    harmful practices and
    clarifies how different
    approaches to mental health
    and psychosocial support
    complement one another."
    Some typical answers to this problem are

    Inter-agency guidelines are needed but


    – Should be culturally sensitive/adaptable
    – Should take local situation, capacities and
    resources into account
    – Should cover/not cover/ go beyond posttraumatic
    stress disorder (PTSD)
    – Should cover staff welfare
    – Should give advice on how to avoid harmful
    interventions and 'parachuting' foreign clinicians
    – Should discuss coordination
    Core Principles
    • Human rights and equity
    • Participation
    • Do No Harm
    • Building on available
    resources and capacities
    • Integrated support systems
    • Multi-layered supports
    Mental Health and Psychosocial Support

    (a) protecting or promoting psychosocial well-


    being

    and/or
    PSMH

    (b) preventing or treating mental disorder.


    Matrix of Mental Health and Psychosocial
    Support: All Have Impact on Protecting Well-being
    1. Coordination
    2. Assessment, monitoring and evaluation
    3. Protection and human rights standards
    4. Human resources
    5. Community mobilisation and support
    6. Health services
    7. Education
    8. Dissemination of information
    9. Food security and nutrition
    10.Shelter and site planning
    11.Water and sanitation
    Intervention pyramid
    Mental health care by
    specialized mental health staff
    (psychiatric nurse, psychologist
    etc) Specialised
    Supports by traditional healers Services

    Basic mental health care by


    PHC workers
    Basic counselling by
    Focused (person-to-person)
    community workers
    non-specialised supports
    Psychological first aid

    Supportive child-friendly
    spaces
    Community
    Activating social networks and
    Raising family and
    community supports
    family
    (e.g. through groups) supports
    Communal traditional
    supports

    Advocacy for basic


    services that are safe, Basic services and security
    Social considerations in basic
    socially appropriate
    services and security
    and protect dignity
    Thank you

    Anda mungkin juga menyukai