Developing Mental Health and Psychosocial Care Ideas
Explore the current development of mental health and psychosocial care ideas being shaped by ITM and HealthNet-TPO. Learn from past experiences in 33 countries and discover key lessons on integrating psychiatry and psychosocial support. Delve into alternative perspectives on MHPSS programming, including a focus on community action and crisis intervention. Consider the importance of integrating mental health into broader health systems and addressing MHPSS aspects across various sectors for sustainable services.
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Presentation Transcript
Mental Health and Psychosocial Care IDEAS CURRENTLY BEING DEVELOPED IN ITM Partly based on the experience of HealthNet-TPO
Previous experience in Mental Health and Psychosocial Services (MHPSS) - since 1992, projects in emergency relief and/or integrating psychiatry in 33 countries Afghanistan Algeria Angola Bosnia Burundi Cambodja Costa Rica DR Congo Djibouti Ethiopia Eritrea Georgia Ha ti Honduras Indonesia Kenya Kosovo Lesotho Mozambique Netherlands Namibia Nicaraqua Oost-Timor Pakistan Palestine Peru Rumania Uganda Rwanda Sri Lanka South Sudan Suriname Iraq
Most important lessons learned: It is helpful to clearly separate (basic) psychiatry from psychosocial support, and divide tasks over different sectors. Providing relevant support in terms of cultural differences remains a challenge Integrating psychiatry in a low-income health system has not lead to sustainable quality services Legitimacy and Required support (salaried staff, training, drugs, governance) was never extended beyond project funding.
The current paradigm The pyramid was designed by the IASC working group (2010). The challenge was to bring some coordination and logic in a myriad of interventions that came up after psychosocial was discovered in early 1990s. The perspective remains focused on servicesto address illness
An alternative look on MHPSS programming The mental health condition of individuals and the community is still mostly ignored in aid and development programmes. At the community level, local action and change is more important than introducing new services. Legitimacy and Integration of mental health services 2. MHPSS in crisis Adding mental health perspective in relevant areas. 1. To understand the MHPSS field, we propose 3 different angles, ranging from humanitarian relief to social work. 3.
1. Integrate Mental Health in Health System 2. MHPSS in crisis 3. MHPSS aspects across sectors
1. Integrate Mental Health in Health System Building up sustainable services requires the right resources, connection with the population, and institutional support Legitimacy and Local report to be relevant and effective Resulting in sustainable quality services Health Systems approach
conflict settings 3. MH and psychosocial aspects across sectors NCDs and chronic conditions SRHR Social breakdown Relate to other sectors Collective trauma
MH and psychosocial aspects across sectors (examples) GBV, FGM TB, Aids, Cancer Fear, exclusion Transgenerational, lack of trust Education, economy, religion
Anchored in health system Area of work Clinical MH integration health system Psychiatry & Psychology Psychosocial outreach (social psychiatry) RMM Consequences violence, war, disaster referral Social Work Social determinants of well-being Anchoredin economic, social, educational, communalsystem
Examples of interventions MH Gap, Basic Psychiatry Anchored in health system Area of work Clinical MH integration health system PHC coverage, referral, follow-up, group therapy Psychiatry & Psychology Psychosocial outreach (social psychiatry) RMM Group- and sociotherapy, CTP, (collective trauma) Consequences violence, war, disaster referral Social Work Social determinants of well-being Behaviour change Anchoredin economic, social, educational, communal system
Community versus Health interventions Integrated in the formal health sector Integrated in health system (salaries, staff, drugs, etc) Epilepsy/ psychosis medication Psycho- education for caretakers MH in primary care SETTING FOCUS People with distress Individual counselling People with disorders Everybody Life skills Socio therapy Support groups Collaboration with/referral to NGOs and other resources Awarenes raising/ Psycho- education Rehabilitation after schizophrenia/ psychosis Advocacy Implemented in the community
Thank you for your attention! Willem van de Put +31622908419 wvandeput@itg.be
