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Community mental health: Theory, practices and perspectives

WYNGAERDEN, Francois
May 2018

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Mental health problems are commonplace and affect more than one in four people worldwide. They are responsible for a quarter of all disabilities. This document aims to provide a basis for exploring these concepts as part of more in-depth work, including an update of the 2011 mental health framework document.

 

A seminar was held in Kigali, Rwanda on 7 - 9 December 2017. It brought together 45 participants from 12 countries to think about and discuss community mental health concepts and practices. The objectives of this document are twofold:

• Set out analysis by an external expert, with a focus on community mental health at HI, in light of the literature and concepts and practices within the sector

• Undertake preliminary work to identify new concepts for implementation, based on the aspects covered in the seminar, as part of ongoing in-depth work in this area, including the updating of the 2011 mental health framework document.

 

Case histories from Rwanda, Lebanon and Madascagar are given. There is an extensive bibliography in the Annex

 

This document is intended for HI and partner staff members who work in the mental health and psychosocial support sector. It is also intended for HI staff working on mental health strategy. It can also be used to feed into the work of field staff developing, implementing and assessing mental health and psychsocial support programmes

Evaluating the impact of a community–based parent training programme for children with cerebral palsy in Ghana

ZUURMOND, Maria
et al
January 2017

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"Cerebral palsy is the most common cause of physical disability in children worldwide, and yet in most low resource settings there are few services available to support children with cerebral palsy or their families. Research is required to understand the effectiveness of community and/or home based programmes to address this gap. This 2-year study aimed to evaluate a participatory caregiver training programme called ‘Getting to know cerebral palsy’ in Ghana. The training programme consisted of a monthly half-day support group with training, and a home visit, delivered across eight sites in Ghana over 10 months. A total of 76 families and children were included at baseline and 64 families followed up one year later at endline. Children were aged between 18months and 12 years with a mean of 3.8 years and a range of severity of cerebral palsy. Nearly all (97%) the caregivers were female and the father was absent in 51% of families. The study was a pre-post intervention design using mixed methods to evaluate the impact. A baseline and endline quantitative survey was conducted to assess caregiver quality of life (QoL) and knowledge about cerebral palsy and child feeding, health, and nutrition outcomes. Qualitative data was collected to explore the impact and experiences of the training programme in more depth".

Report of the Special Rapporteur on the rights of persons with disabilities (theme: access to rights-based support for persons with disabilities)

DEVANDAS, Catalina
December 2016

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In her report, the Special Rapporteur provides an overview of the activities undertaken in 2016, as well as a thematic study on access to support by persons with disabilities. The study includes guidance for States on how to ensure the provision of different forms of rights-based support and assistance for persons with disabilities, in consultation with them. In preparing the study, the Special Rapporteur convened a regional expert consultation in Addis Ababa in September 2016 and analysed the responses to a questionnaire sent to Member States, national human rights institutions, agencies of the United Nations system, civil society organisations and persons with disabilities and their representative organisations. As at 5 December 2016, she had received 114 responses. 

Inclusive disaster risk management : a framework and toolkit

FERRETTI, Silva
KHAMIS, Marion
2014

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This framework and toolkit have been designed to support practitioners in challenging and deepening inclusiveness in their work. They have been designed in simple language, so the resource should be easy to adapt for the use of field staff as a complement to existing manuals and operational resources on DRM. The practical framework contains the following sections:introduction, framework for inclusive DRM, levels of achievements, and assessing inclusiveness, using the framework for,  annexes and Q&A. Throughout the resource, related resources and checklists are provided and the toolbox features cartoons, tools catalogue, learning pills, case studies, poster and 4D lenses. These resources are useful for practitioners who want to develop an understanding of inclusive DRM framework and to learn how to practically assess inclusiveness in in ongoing DRM situations

Linking CBR, disability and rehabilitation

MUSOKE, Grace
GEISER, Priscille
Eds
2013

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This 4th book in the series can be used as a basis for future action throughout the African continent. The content provides an overview of present day CBR knowledge, and also details how this information has been interpreted and implemented in the African context. The writers are predominantly of African origin and provide insightful views of the dynamic nature of CBR and its capacity to respond to contextually different challenges. Examples are provided from their own CBR experiences and case studies of their programmes, highlighting the problems they face and how they were overcome

The content of this book has been developed from conference presentations and discussions, and some chapters have been reinforced with additional information from discussions or relevant literature. The end of each chapter provides references to the academic literature used by the authors

4th CBR Africa Conference

Abuja, Nigeria

26th-29th October 2010

Water, sanitation and disability in rural West Africa : enhancing access and use of wash facilities|A summary report of the Mali water and disabilities study

NORMAN, Ray
Ed
March 2010

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"This report provides a summary of activities and findings of the study. It is also intended to serve as a practical guide for WASH practitioners who seek to develop community WASH programs that are inclusive of disabled people in the West African region. The report provides a review of specific issues facing the disabled, details of the design and development of low-cost assistive technologies, as well as guidelines for engaging the disabled and the communities where they live"

Supporting persons living with trauma by rebuilding social and community links : an example of a community-based mental health approach after the Rwandan genocide of the Tutsis

PHAN, Xuan
November 2009

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This report provides an overview of the lessons learned from a Handicap International community-based mental health project for children and adolescents experiencing psychological suffering after the Rwandan genocide of the Tutsis. It highlights successes and limitations of the project, as well as recommendations for the project’s continuation. This report would be of interest to mental health practitioners, mental health service providers and community mental health organisations

Psychosocial counselling and social work with clients and their families in the Somali context : a facilitator’s guide

OFFICE OF THE HIGH COMMISSIONER FOR HUMAN RIGHTS (UNHCR)
November 2009

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This handbook is "designed to be used as training support handbook for helping professionals in the Somali context. The focus is on psychosocial needs for the rehabilitation of persons with trauma, mental health related forms of distress and those who have experienced gender based violence and gender related abuses. The guidelines, developed within a UNHCR funded programme in Somalia, are intended to assist staffs, who are concerned with providing protection and assistance to refugees and IDP"

Family friendly! Working with deaf children and their communities worldwide

WILSON, Kirsty
MILES, Susie
KAPLAN, Ian
February 2008

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This comprehensive resource focuses on the important role that parents and families can play in the lives of their deaf child within the larger community. It is written as a guidebook for parents or anyone who wants to learn more about parental involvement in the support of deaf children, but specifically for service providers

Advocating for change: raising awareness for avian influenza

GLOBAL AVIAN INFLUENZA BEHAVIOR CHANGE AND COMMUNICATIONS SUPPORT ACTIVITY (AI.COMM), ACADEMY FOR EDUCATIONAL DEVELOPMENT (AED)
2007

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This guide is intended for individuals, communities, and organisations willing to advocate for public health awareness of avian influenza. It provides an overview of the advocacy process and its components from planning and information gathering to evaluation, and suggests strategic activities and messages that can be used to reach different audiences

Engaging faith-based organizations in HIV prevention : a training mannual for programme managers

UNITED NATIONS POPULATON FUND (UNFPA)
2007

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This manual is a capacity-building tool to help policy makers and programmers identify, design and follow up on HIV prevention programmes undertaken by faith-based organisations (FBOs). It can also be used by development practitioners partnering with FBOs to increase their understanding of the role of FBOs in HIV prevention, and to design plans for partnering with FBOs to halt the spread of the virus. The manual explores how religious values and the power of religious leaders to mobilise communities can be used to design effective and sustainable community programmes to address HIV, and it explains how to involve religious leaders in programmes to eliminate the stigma and discrimination often directed to people living with HIV and how to encourage community support and solidarity using the compassionate spirit of religion. It also outlines the key HIV prevention messages that religious leaders can promote and the skills they need to deliver them effectively. The second part of the book is a powerpoint presentation for use by trainers

STEP : an intervention to address the issue of stigma related to leprosy in southern Nepal

CROSS, Hugh
CHOUDHARY, Ramesh
December 2005

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"This paper focuses primarily on the extent to which a Stigma Elimination Programme (STEP) affected the social participation of people affected by leprosy in southern Nepal. The Participation Scale (popularly known as The P Scale) was applied to compare leprosy affected people who participated in STEP groups with a control group comprising leprosy affected people who lived in villages where STEP had not been implemented"
Leprosy Review, Vol 76, Issue 4

Voices for change : tuning in to community radio [whole issue]

INSTITUTE OF DEVELOPMENT STUDIES (IDS)
November 2005

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This issue of ID21 highlights the role of community media, and especially community radio. Through case studies and brief analytical articles, it examines some of the political, legal and regulatory challenges to the sustainability of community radio, and the difficulty of assessing the social impact of this sector

Evaluation of the UNAIDS/UNITAR AIDS competence programme

ALANDO, Chris
June 2005

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While many successful responses to HIV have begun at a local or community level, poor communication, monitoring and evaluation systems and accountability have meant a lack of resources with which people can share their experiences directly and promptly. The AIDS competence programme seeks to develop community capacity and promote community ownership through facilitation and use of innovative knowledge management assets. This evaluation measures the effectiveness and efficiency of the AIDS Competence Programme’s process and outcomes and makes a number of recommendations to the different interest groups involved

BasicNeeds review : Community my community

BASICNEEDS
2005

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BasicNeeds is an organisation focusing on mental health in Southern countries. Their annual report for 2005 deals with the community aspects of its programmes in Africa and south Asia, including work with internally displaced people

Swaziland : grassroots approach to orphan care

Integrated Regional Information Networks (IRIN)
September 2004

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This news report shows steps taken by the Swazi government and UNICEF to collect ideas for development programmes aimed at orphans and vulnerable children. Workers are canvassing the country’s 55 rural districts to find grassroots ideas and responses and also to identify responsible volunteers and authorities who can be counted on to implement them

The development, implementation and evaluation of interventions for the care of orphans and vulnerable children in Botswana, South Africa and Zimbabwe : a literature review of evidence-based interventions for home-based child-centred development

STREBEL, Anna
2004

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This short paper gives a literature review of many programmes aimed at supporting orphans and vulnerable groups in the southern Africa region. It is not an in-depth survey, but provides a compact and accessible guide to the many different community initiatives that have been undertaken. It finishes with a short section on the lessons to be learned from care programmes

The future will be better : a tracer study of CCF's Early Stimulation Programme in Honduras

DE FIGUEROA, C N
et al
2004

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When planning development programmes for children living in poor communities with few services, all aspects of their lives need to be addressed. This report illustrates the difference a comprehensive programme can make in the lives of the children, their families and even the community as a whole. By studying two villages, one with the programme and one without, this report shows far-reaching effects in many areas. The children who took part in the programme felt emotionally secure; they were well-behaved and mixed well with their peers of both sexes; their health was better than the children of the control group. But above all, the programme children had internalised values and a sense of self - and they had hopes and dreams for the future

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