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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

A feeling of belonging : an example of a community mental health project in Rwanda

FINEL, Elodie
PEGON, Guillaume
Eds
November 2012

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This video documentary and accompanying booklet present Handicap International’s approaches taken since January 2007 to restore the Rwandan population’s psychological well-being and its social cohesion after the genocide. Knowledge about setting up and implementing a community mental health project is shared for the information of Handicap International team members, partners and the public. General guidelines are offered to share expertise and technical perspectives in the field of mental health and psychological support

Fighting against epilepsy in Rwanda : an efficient patient-centred experience

FINEL, Elodie
March 2012

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This document presents a learning-from-experience "capitalisation’’ process on Handicap International’s epilepsy project in Rwanda. It includes 4 parts: (1) Principles & Benchmarks which sets the framework including main concepts, definitions and intervention context (2) Intervention methods which detail the main activities monitoring the project and its tools (3) Focus which presents the community-based approach and provides a deeper look into the know-how and good practices developed through this approach (4) Results which provides the limitations and recommendations found during the capitalisation process to different stakeholders
SD/LL 04

Fighting against epilepsy in Rwanda : an efficient patient-centred experience

FINEL, Elodie
2012

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This brief provides a summary of the learning-from-experience process on Handicap International's project "Promoting access to medical care, ensuring the school, social, family and community integration of epileptic people in Rwanda." Strategy and intervention methods are highlighted along with the community-based approach
Brief SD/LL 04

Playgrounds for all children [Chapter 46]

WERNER, David
2009

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This chapter presents information about how to involve local people in building low-cost rehabilitation playgrounds that should be built for use by all children, both disabled and non-disabled. Examples of playgrounds and equipment are provided
Chapter 46 of "Disabled Village Children" by David Warner

The active community engagement continuum

RUSSELL, Nancy
et al
July 2008

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The active community engagement continuum (ACE) provides a framework for analysing community engagement in reproductive health and family planning and the role the community plays in institutionalising lasting behaviour and social change. It involves a process that includes the sharing of information with stakeholders and the local community

Growing pains : how poverty and AIDS are challenging childhood

SWIFT, Anthony
MAHER, Stan
2008

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This report looks at projects and programmes that aim to respond to the needs of very young children in southern and eastern Africa whose lives have been affected by both poverty and HIV. What is highlighted in the interventions that are examined is the effort of human beings in caring and supporting people and sharing resources

Giving voice to the voiceless : a communicating for advocacy publication

September 2007

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Using a rights-based approach, this project sought to develop the capacity of poor and marginalised groups in South and South-East Asia both to influence practice and policy, and for information exchange and skills transfer by health and development agencies. The project focused on four main themes: training, advocacy, communication and networking, and the lessons learned from it are set out in the report

Community mobilisation manual

PRIVATE AGENCIES COLLABORATING TOGETHER (PACT), TANZANIA
2007

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This is a "how-to" book, intended for community mobilisers who want to stimulate social change in a community to work towards poverty eradication, good governance, increased transparency -- in short community empowerment. This manual identifies key steps in the community mobilisation process; it stresses the role and responsibility of the community leader or coordinator of an activity, community networks and other Civil Society groups, including local citizens

Community action and the test of time : learning from community experiences and perceptions|Case studies of mobilization and capacity building to benefit vulnerable children in Malawi and Zambia

DONAHUE, Jill
MWEWA, Louis
December 2006

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This case study review seeks to identify lessons learned from community experiences and perceptions of community mobilisations initiatives in Malawi and Zambia, particularly the sense of ownership generated and where that has been able to sustain activities to benefit especially vulnerable children. It would be of interest policy makers and programme designers

Transitions in the early years : a learning opportunity [whole issue]

November 2006

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This issue of Early Childhood Matters presents a number of perspectives around children's transition from home environments to primary schooling and includes practical examples of initiatives in a number of countries, including the US, India, Uganda, Guatemala, Poland, Brazil and Israel. Articles look at transition and school readiness as a challenge and a learning opportunity rather than as a problem. In different contexts the emphasis of related early childhood programmes varies. The 'Parques Infantis' in Brazil focuses on children's rights, while in Guatemala and Uganda programmes reflect a need to promote local culture and support children learning the mainstream language. The Mississippi Delta Children's Partnership encourages interaction between pre-schools, primary schools and parents as a means to facilitate transition and supports school readiness through after-school programmes

Classroom to community and back : using culturally responsive, standards-based teaching to strengthen family and community partnerships and increase student achievement

SAIFER, Steffen
et al
December 2005

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Classroom to Community and Back describes how educators can use the knowledge and culture students bring to school in a standards-based curriculum that supports student success. This approach is called culturally responsive, standards-based (CRSB) teaching. It draws on the experiences, understandings, views, concepts, and ways of knowing of the students sitting in the classroom. Through foundational research and snapshots of real-life classroom practices the publication shows teachers and school leaders how CRSB engages all students in learning; builds relationships between the classroom and the outside world; and creates opportunities for families and community members to support student success in and out of school

Direct payments and mental health : new directions

NEWBIGGING, Karen
LOWE, Janice
2005

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Direct payments are community care monies paid directly to the people who require support, so that they can make their own choices about the support they receive. Successful implementation of direct payments in mental health relies on proactive managers who are clear about the task, knowledgable and committed practitioners, and informed service users and carers who are interested in exploring the options of direct payments. This report identifies action for these three groups as well as for national policy-making

Community capacity enhancement handbook : the answer lies within

GUEYE, Moustapha
et al
2005

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This manual draws on the experience and practice of the UNDP Community Capacity Enhancement programme, known as CCE. The programme addresses the underlying causes of HIV/AIDS, including power relations, gender issues, stigma or discrimination. The programme makes extensive use of the Community Conversations methodology - an interactive and systematic dialogue with the community - as a means to policy making participation and action. This manual is designed for CCE trainers who will train others in the Community Conversations methodology, in addition to practising it themselves. Community Conversations provide a platform for people to think through all the repercussions of a situation, and the way their individual values and behaviours, and those of their family and neighbors, affect people's lives. Community Conversations create a space for mutual learning and result in new perspectives. They help reshape relationships in line with transformed values. They are inclusive processes for enhancing the capacity of all. If successfully facilitated, Community Conversations result in a series of decisions and agreements on ways to move a community forward. The development of skilled facilitators is therefore critical to successful implementation. This is a comprehensive resource, written in a very accessible language. The methodology can be easily adapted and applied to a variety of contexts

Community capacity enhancement strategy note : the answer lies within

GUEYE, Moustapha
et al
2005

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Th is publication outlines the rationale and strategy behind the UNPD Community Capacity Enhancement (CCE) programme and provides a guide for its implementation. The programme is an integral part of UNDP's Leadership for Results programme and is based on a methodology known as Community Conversations. The CCE programme is aimed at dealing with the underlying causes of HIV/AIDS, be they power relations, gender issues, stigma or discrimination. Most community methodologies rightly focus on awareness-raising and discussion; CCE focuses heavily on interactive dialogue on the epidemic's deeper causes and, through a facilitated process, community decision-making and action. The note also contains implementation guidelines and describes key steps in facilitating Community Conversations

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

Mobilising the church : a PILLARS guide

CARTER, Isabel
2004

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Churches are often at the forefront in helping the poor and supporting communities, playing a role that goes beyond biblical teaching and spiritual support. This guide provides church members with material for discussion, designed to help churches to successfully manage their interventions, understand their role in the community, develop facilitation skills, increase confidence in their ability to carry out practical work and activities, improve relationships with other organisations and encourage openness and sharing of differing views. Drawing on key passages of the Bible, this guide consists of a brief introduction to each topic, accompanied by a set of questions designed to encourage group discussion

Upscaling Community Conversations in Ethiopia 2004 : unleashing capacities of communities for the HIV/AIDS response

UNITED NATIONS DEVELOPMENT PROGRAMME
2004

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This document focuses on the Community Conversations (CC) process - a component of UNDP's Leadership for Results Programme - in Ethiopia, and outlines both key aspects of the methodology and key results from its implementation in Alaba, SNNPR and Yabelo, Oromiya. The approach, using the expertise of skilled facilitators, aims to encourage people to talk openly to each other about the implications of HIV and AIDS in their communities, and to rethink cultural norms, community values and health behaviours in their relations to the disease. Some early results from Community Conversations include: communities taking responsibility for their own prevention; communities discontinuing traditional practices found to be harmful in the context of HIV and AIDS; communities able to influence local governments; communities using their own social resources to support children affected by AIDS, and orphans in particular; communities sharing their learning with other communities. The document outlines a strategy for upscaling community conversations, and looks in particular at issues around implementation and coordination, funding and mechanisms to address needs that may be identified during the CC process

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