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Project Plan for the Development of a

Psychosocial Programme

Compiled by

Michael R. Montgomery

DRAFT v7th Dec 2007


CONTENTS

I. INTRODUCTION: 1

II. GENERAL PSYCHOSOCIAL INTERVENTION METHODOLOGY: 5

III. GENERAL FIELD MANUAL FOR PSYCHOSOCIAL INTERVENTIONS: 9

IV. INITIAL TRAINING PROGRAMME FOR STAFF: 10

V. RECRUITMENT OF VOLUNTEERS: 11

VI. SCREENING SYSTEM FOR VOLUNTEERS: 13

VII. FOCUSED TRAINING FOR VOLUNTEERS: 14

VIII. TRAINING OF TRAINERS (TOTs): 15

IX. FURTHER READING: 16

X. APPENDIX: 18

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I. INTRODUCTION

What is psychosocial?
The term psychosocial is used by many agencies and individuals to mean many things. In
its simplest form the concept points to the psychological and social aspects of an
individual’s interaction with family, friends and society. It can be seen as more holistic
approach to mental well-being and it incorporates a range of models of mental ill health
in addition to the biological-medical model.

Environmental Resources Physical


Resources

Economic
Resources

Psychosocial in the context of this document is used to refer to the interventions that
may improve an individual or community’s mental well-being, endeavouring to reduce
prolonged distress caused by the response to a disaster situation.

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What is mental health?
The concept of mental health carries with it a heavy burden due to stigma,
misinformation and some superstition. Mental health is inseparable from political,
social and economic issues and therefore is heavily dependent on context.

The more subjective elements of mental health including the actual causes can be made
more objective when witnessing the psychological response to an emergency. It is clear
that increased stress through the hardships faced by disaster, coupled with the distress
caused by witnessing extreme events, and assimilating loss and bereavement, can
contribute to issues with mental ill health in some people.

Some of these issues can include insomnia, anxiety, depression, loss of appetite,
lethargy, lack of motivation, aggression, irritability, despair, intrusive thoughts,
hopelessness, unpleasant dreams, somatic conditions and severe mental distress or
mental ‘illness’.

Whilst many of these initial issues can be seen initially as a natural or appropriate
response to disaster, prolonged occurrence can indicate that individuals and
communities need additional support.

What is the usual presentation for someone who has lost their home, livelihood, friends,
and loved ones? Whilst avoiding the medicalization of human misery Mercy Malaysia is
committed to developing its psychosocial programme empowering communities to
reduce distress and enhance recovery.

Background
Mercy has previously provided a broad spectrum of psychosocial interventions, on a
self-contained basis, in varying contexts. These have included (see Appendix):

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The review and recommendation from these interventions has highlighted the need to
create a focused and sustainable psychosocial intervention programme.

It is understood that different cultures have their own ways of dealing with terrible
traumas. Therefore it is important to avoid the medicalization of human misery and
suffering by avoiding focusing, where possible, on trauma and pathology, and keeping
community, culture, spirituality, and resilience front of mind. The objective of Mercy’s
psychosocial programme is to use a strengths-focused, community-based
empowerment model, targeting those who are most vulnerable with a clear focus on
recovery.

The challenge will be to optimise resource to the maximum benefit to all beneficiaries.

The target outputs are: General Psychosocial Intervention Methodology, General Field
Manual For Psychosocial Interventions, Initial Training Programme for Staff, Screening
System for Volunteers, Focused Training Programme for Volunteers and Development Of
Training Of Trainers.

The outputs are not static and have an interdependent relationship:

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II. GENERAL PSYCHOSOCIAL INTERVENTION METHODOLOGY

A. PROJECT PLAN
Purpose:

Compiled by:
Resources:
Interdependencies:

Sustainability:

Risks:
LO
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To consolidate psychosocial initiatives into a structured
programme, ensuring a focused, ethical and community
empowerment strategy, offering beneficiaries a degree of
consistency and professionalism whilst reducing the potential for
further trauma, abandonment, loss or oppression
Michael Montgomery
Access to wide research base
 Meetings with Mercy staff to discuss logistics
 Contact with previous volunteers to gain feedback on
missions and insight into their experience
 All training materials will be systematised and archived for
future use
 An approved Methodology will be converted into a field
manual for consistence adherence to strategy
 That by creating a methodology volunteers fails to embrace
the nuances of each new situation including the depth of
cultural difference and context including new strengths or
potential threats
 People get confused over breadth of psychosocial offering

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from Mercy Malaysia for example non-clinical issues such as
housing and financial support
Timeline: Initial research, scoping and Project Plan: Dec 2007
Further research and considerations: Jan 2008
Begin to develop core principles: Feb 2008
Further development and review: Mar 2008

B. INITIAL RESEARCH, REFLECTIONS AND CONSIDERATIONS:

1. An initial literature review has produced detailed and unified research and policy
on psychosocial best practice in disaster environments
2. A decision will have to be made as to what depth Mercy Malaysia intends to
provide a psychosocial programme or whether it wishes to develop a
methodology and filter available resource through this to develop consistency
3. Psychosocial Intervention may be effective in a different sequence than other
medical and humanitarian interventions for example interventions in early
trauma counselling for those beneficiaries who have not recovered at the same
rate may prevent the more serious development of PTSD or other mental
distress at a later date. Therefore intervention including assessments and
referrals in the post-disaster stage could be seen as preventative work
4. By using support from local volunteers/staff to test and amend the concepts it
will be possible to create a methodology with maximum local cultural relevance,
beneficiary appropriateness, and international best practice for psychosocial
interventions

Key Considerations in the Providing of a Psychosocial Intervention Programme


Considerations Tasks
1. How best to make or obtain  Explore previous missions to establish on what
assessment information in basis the mission was set-up
order to provide services  Establish the type of assessment and whether,
following a review, it was deemed effective
 Consider the development of an assessment
tool adaptable to each new situation
2. How to offer a psychosocial  Emphasise the importance of community
programme with limited involvement and ownership
resources  Select missions with maximum sustainability
from community
 Explore the unitary focus on TOTs
3. How to ensure consistency in  Explore the appropriateness of brief-solution
intervention whilst avoiding focused interventions and how it relates to
exasperating a situation empathy and psychologically holding

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 Ensure the field manual is adhered to and
amended if deemed necessary
4. How to retain a knowledge and  Ensure that the overall methodology and
skill base that will ensure the developing knowledge base is systemically
programme is developing in recorded to be eventually collated to form the
accordance with best practice basis of a field manual
5. To what level of response is  Emergency preparedness and prevention
required and deliverable  Minimum Response
 Comprehensive Response
6. At what stage of the disaster is  Psychosocial Education: Prevention/Mitigation
the optimum intervention (pre-disaster)
 Psychosocial Education: Preparedness (pre)
 Shadowed Psychosocial First Aid (PSF):
Response (post-disaster)
 Early Assessment and Referral:
Rehabilitation/Reconstruction (post)
7. Ensuring the programme is  Ensure quantitative data is recorded from
quantifiable inception
 Follow-up with qualitative evaluation

Strategic and Ethical Priorities


Priority Delivery
Cultural Awareness, Sensitivities and  UN/Malaysian Embassy
Utilisation  Assessments
Gender Sensitivities Ensuring that where possible interventions
are gender sensitive
Awareness of Increased Vulnerability Focus on unaccompanied children,
women, elderly and those with an existing
disability
Psychosocial Commitment  Strengths and community focused
 Comprehensive Assessments
 Mission leader not necessarily a
psychiatrist
 Responsible prescribing
Existing Strengths  Resources
 Coping mechanisms
Vulnerability/Resilience  Environment Resources
 Physical Resources
 Economic Resources
 Human Capacity
 Social Ecology
 Culture and Values
Interventions All available research should be reviewed
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in order to define the optimum timing for
specific clinical interventions
Medication Mercy should have a commitment not to
medicalised human behaviour. Where
distress is serious enough to warrant a
pharmacological intervention only generic
drugs available in the affected country
should be used unless prescribed for a
specific short-term period such as to
reduce acute over arousal that poses a risk
to beneficiaries. The widespread use of
benzodiazepines should be avoided due to
the risk of dependence

Psychosocial Assessments
Offline Assessment and Preparation: Online Assessment:
 Awareness of cultural context and  What agencies are involved and are
background including values there any assessments live
 Establishing if there are traditional  Ensure organic causes are eliminated
coping mechanisms for distress such as head injury or toxic effects
 Confirming if groups or one-to-one  Strengths assessment
interventions are appropriate and  Cultural and community focused
exploring the most appropriate setting  Building resilience and coping
conducive to engagement mechanisms
 Amendment of assessment tool to  Early Referral System
incorporate the above

Spectrum of Activities in Partnership with Local Community


Potential Activities Deployment Phase Facilitator Level
Psychosocial First Aid (PDA) Emergency All
Early Referral System All All
Emotional Support: Holding and All All
Witnessing
Psychosocial Education Emergency/Recovery All
Anxiety Management Emergency/Recovery All
Art Therapy Emergency/Recovery All

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Play Therapy Emergency/Recovery All
Activities for women and children All All
Basic Counselling Recovery/Development All
Depth Counselling/Psychotherapy Recovery/Development Counsellors and Clinical
Professionals
Extended Grief Work Recovery/Development Counsellors and Clinical
Professionals
Group Work Recovery/Development Clinical Professionals
Cognitive Behaviour Recovery/Development Trained
Therapy (CBT)
EMDR Recovery/Development Trained
Identified enduring mental health All Clinical professionals
issues
Medication Recovery/Development Psychiatrists

*Clinical professionals are professionals with clinical experience and training including: Clinical
Psychologists, Psychiatrists, Psychiatric Social Workers, Psychiatric Nurses, Occupational Therapists,
Psychotherapists and Psychiatrists
All= Psychosocial Assistants (PSAs), Counsellors and Clinical Professionals

III. GENERAL FIELD MANUAL FOR PSYCHOSOCIAL INTERVENTIONS

A. PROJECT PLAN
Purpose: To provide a hardcopy outlining the psychosocial programme
Compiled by: Michael Montgomery
Resources: Access to wide research base including the potential purchase of
psychosocial interventions in disasters materials
Interdependencies:  Budget for design and printing
 Corporate sponsorship
Sustainability: A online version should be considered for immediate update,
accessibility and reproduction
Risks:  People may rely too heavily on the manual and not be flexible
enough to shifting situation and demands
 The manual does not get periodically reviewed and updated
therefore becomes a liability to best practice
Timeline: Initial research, scoping and Project Plan: Dec 2007
Further research and considerations: Jan 2008
Start to compile in line with methodology: Feb 2008
Continue to compile with methodology to date: Mar 2008

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B. INITIAL RESEARCH, REFLECTIONS AND CONSIDERATIONS:

1. The scope of the field manual will need further definition including proposed length,
content and final medium
2. Initial sections could be commenced including facts sheets on core issues for
example ethics and Post Traumatic Stress Disorder (PTSD)

IV. INITIAL TRAINING PROGRAMME FOR STAFF

A. PROJECT PLAN
Purpose: To raise awareness within the existing team of mental health
issues and psychosocial interventions. The proposed training will
be modular in order to offer a chance to review and amend the
inputs to optimise learning experience.
Facilitated by: Michael Montgomery and Potential Specialist Volunteers
Resources:  Use of training facility
 Refreshments
Interdependencies:  Process for inviting staff
 Staff time
Sustainability: The programme will be created in PowerPoint with
accompanying notes in order to provide future trainers with all
the necessary material to complete the training
Risks: Turnover/accessibility of staff may mean non-attendance
therefore making new modules less relevant or more challenging
Timeline: Initial research, scoping and Project Plan: Dec 2007
Further research and considerations: Jan 2008
Initial awareness training day: Feb 2008
Review training and explore the need for more days: Mar 2008

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B. INITIAL RESEARCH, REFLECTIONS AND CONSIDERATIONS:

1. There is often a gap in most emergencies between psychosocial supports and


general health care. The way in which health care is provided often affects the
psychosocial well-being of people living through a disaster
2. Raising awareness of psychosocial issues can create a strong foundation from
which to build the programme
3. This programme will be broad in nature and core objective will be to raise
awareness of psychosocial issues including:
 What is psychosocial?
 Mental Health and Mental Ill Health
 Psychosocial First Aid?
 Protecting oneself and Boundaries
 Grief Work and Trauma
 Assessment
 Basic Counselling

V. RECRUITMENT OF VOLUNTEERS

A. PROJECT PLAN
Purpose: To recruit an new bank of psychosocial assistants and specialists
who will be trained in the new psychosocial programme
Compiled by: Michael Montgomery
Resources: Adapting of existing screening models and best practice
Interdependencies: Support from recruitment personnel to develop a recruitment
policy for psychosocial assistants and specialists
Sustainability: The recruitment department will observe the process of
recruitment from the initial intake in addition to institutions and
partners being educated in what the requirements are
Risks:  Alienating some specialists due to the need for some
retraining
 Alienating volunteers due to the nature of the recruitment
policy
 Attract a large number of unusable individuals wishing to get
psychosocial experience
Timeline: Initial research, scoping and Project Plan: Dec 2007
Review previous volunteers and explore new recruitment
streams: Jan 2008
Interview new candidates: Feb 2008

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a Prepare volunteers for training: Mar 2008

B. INITIAL RESEARCH, REFLECTIONS AND CONSIDERATIONS:

1. The Screening System will be used to ensure the optimum selection of


volunteers
2. Although there is a core need for specialists, it is vital that the commitment to
psychosocial interventions is of paramount concern. It is therefore advisable
that only a professional who can fulfil the strategy of the programme will lead
the team. This may result in psychiatrist not being the lead professional.
3. If cultural hierarchy permits it would be productive to have the team multi-
disciplinary in content and focus

Multidisciplinary Working:

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VI. SCREENING SYSTEM FOR PSYCHOSOCIAL VOLUNTEERS

A. PROJECT PLAN
Purpose: To ensure that consideration is given to the current suitability of
volunteers to psychosocial interventions in disaster environment.
This is to safeguard against the stress and trauma for the
volunteer and to ensure solid and equipped volunteers for the
beneficiaries
Compiled by: Michael Montgomery
Resources: Adapting of existing screening models and best practice
Interdependencies: Support from recruitment personnel to incorporate the screening
into their existing recruitment process
Sustainability: The system will be compiled and implemented and reviewed after
implementation and post filed debrief. Once reviewed it will be
become a ongoing component of the recruitment process
Risks:  If integrated with general recruitment it may take more time
in the interview process
 The nature of the screening may put some people off
volunteering
Timeline: Initial research, scoping and Project Plan: Dec 2007
System integration: Jan 2008
Implementation: Feb 2008

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Review and amend: Mar 2008

B. INITIAL RESEARCH, REFLECTIONS AND CONSIDERATIONS:

1. It is imperative that the individuals involved in psychosocial intervention are in


good health and of sound mind. To support this objective it is recommended
that a screening programme be put in place to explore:
 Personality suitability including emotional maturity
 Experience of personal loss
 Pre-health scale including existing life stress
 Levels of self-awareness including competencies and weaknesses
2. Quality of interpersonal communication

VII. FOCUSED TRAINING FOR VOLUNTEERS

A. PROJECT PLAN
Purpose: To train Specialists, Counsellors and Psychosocial Assistants
(PSAs) on core competencies of psychosocial programme and
Specialists in strategy for intervention to reduce role ambiguity,
reduce role conflicts and explore role position and limitations.
Facilitated by: Michael Montgomery and Selected Specialists
Resources:  Use of Training Facility
 Refreshments
Interdependencies: Staff Time
Sustainability: The programme will be created in PowerPoint with
accompanying notes in order to provide future trainers with all
the necessary material to complete the training.
Risks: May give false sense of ability
Timeline: Initial research, scoping and Project Plan: Dec 2007
Further research of previous training including feedback from
participants: Jan 2008
Development of training modules: Feb 2008
Delivery of first wave of training for volunteers: Mar 2008

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B. INITIAL RESEARCH, REFLECTIONS AND CONSIDERATIONS:

1. This programme will could offer two main training programmes, ideally these
programmes would be integrated to support team building:
a. Psychosocial training for specialists
b. Training for counsellors and psychosocial assistants
2. Suggested areas covered:
 What is psychosocial
 Mental Health
 Impact of interventions
 Psychosocial first aid
 Communication skills: Listening to others and oneself, Empathy, NVC
 Counselling Skills
 Protecting oneself
 Boundaries

3. The desired level of intervention will effect the final training package

VIII. TRAINING OF TRAINERS (TOT)

A. PROJECT PLAN
Purpose: To deliver psychosocial education and training to trainers in
beneficiary community to ensure sustainable and culturally
appropriate responses to distress
Facilitated by: Michael Montgomery and Selected Specialists
Resources:  Use of Training Facility
 Refreshments
Interdependencies: Staff Time
Sustainability: The programme will be created in PowerPoint with
accompanying notes in order to provide future trainers with all
the necessary material to complete the training.
Risks: May give false sense of ability
Timeline: Initial research, scoping and Project Plan: Dec 2007
Further research of previous training including feedback from
participants: Jan 2008
Development of training modules: Feb 2008
Delivery of first wave of training for volunteers: Mar 2008

B. INITIAL RESEARCH, REFLECTIONS AND CONSIDERATIONS:

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1. This programme may become priority number one if the appraisal of resources
and potential interventions demonstrates that psychosocial education and
training are more expedient and productive to sustain long term change in
presenting beneficiaries psychosocial problems
2. Potential trainers:
a. Psychosocial training for specialists
b. Training for focused non-specialist trainers
c. General psychosocial education
3. Suggested areas covered:
 What is psychosocial
 Mental Health
 Psychosocial first aid
 Trauma
 Basics of counselling

IX. FURTHER READING

Action Without Borders (2007) ‘Recruitment and Screening Psychosocial’ [Online]


Available at:
http://www.psychosocial.org/psychosocial/resources/pre_mgr_recruitment.html

Anderson, M. (1999) Do No Harm: How Aid Can Support Peace – or War. USA: Lynne
Rienner

Asian Disaster Reduction and Response Network (ADRRN) [Online]


http://www.adrrn.net/index.asp

CSTS (2007) ‘Psychological First Aid - Psychological First Aid: How You Can Support Well-
Being in Disaster Victims’ [Online] Available at:
http://www.centerforthestudyoftraumaticstress.org/downloads/CSTS_Psych1stAid.pdf

Gauthamadas, U. (2006) ‘A Model for Crisis Intervention in Large Scale Disasters using
Lay Community Counsellors’ [Online] Available at:
http://www.adeptasia.org/publications.aspx

Gauthamadas, U. (2006) ‘Disaster Psychosocial Response - Handbook for Community


Counsellor Trainers’ [Online] Available at: http://www.adeptasia.org/publications.aspx

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Halpern, J. and Tramontin, M. (2006) Disaster Mental Health: Theory and Practice.

Humanitarian Accountability Partnership - International [Online]


http://www.hapinternational.org/

Humanitarian Reform (2007) ‘What is the Cluster Approach’ [Online] Available at:
http://www.humanitarianreform.org/humanitarianreform/Default.aspx?tabid=70

Inter-Agency Standing Committee (IASC) (2007) ‘Guidelines on Mental Health and


Psychosocial Support in Emergency Settings’ [Online] Available at:
http://www.icva.ch/doc00002363.pdf

International Council of Voluntary Agencies (ICVA) [Online] Available at:


http://www.icva.ch/

International Journal of Psychosocial Rehabilitation [Online]


http://www.psychosocial.com/

Medecins Sans Frontiers [Online] Available at:


http://www.doctorswithoutborders.org/home.cfm

Myers, D., Wee, D. (2005) Disasters in Mental Health Services: A Primer for Practitioners.
Basingstoke: Routledge

National Centre for PTSD [Online] Available at:


http://www.ncptsd.va.gov/ncmain/index.jsp

The National Child Traumatic Stress Centre (2007) Psychological First Aid - Field
Operations Guide (2nd ed) [Online] Available at: http://www.nctsn.org/

National Institute of Mental Health (2002) ‘Mental Health and Mass Violence: Evidence-
Based Early Psychological Interventions for Victims/Survivors of Mass Violence. A
Workshop to Reach Consensus on Best Practices’ [Online] Available at:
http://www.nimh.nih.gov

Norris, F., Galea, G., Friedman, M. Watson, P. (eds) (2006) Methods for Disaster Mental
Health Research. NYC: The Guilford Press

Patel, V. (2003) Where There Is No Psychiatrist: A Mental Health Care Manual. London:
Royal College of Psychiatrists

Peters, L. and Slade, T. (2004) ‘A Comparison of ICD10 and DSM-IV Criteria for Post-
traumatic Stress’. Journal of Traumatic Stress, April, 1999, Vol:12(2), P:335-345

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Resiliency in Action (2007) ‘Resiliency Quiz’ [Online]
http://www.resiliency.com/htm/resiliencyquiz.htm

Ritchie, E., Watson, P., Friedman, M. (eds) (2005) Interventions Following Mass Violence
and Disasters: Strategies for Mental Health Practice. NYC: The Guilford Press

SAMHSA (2007) ‘Psychological First Aid for First Responders: Tips for Emergency and
Disaster Response Workers ‘ [Online] Available at:
http://mentalhealth.samhsa.gov/Disasterrelief/pubs/manemotion.asp

Psychosocial Network [Online] Available at: http://psychosocialnetwork.net/library

The Sphere Project (2007) ‘The Sphere Project – Humanitarian Charter and Minimum
Standards in Disaster Response – Mental and Social Aspects of Health’ [Online] Available
at: http://www.sphereproject.org/

WHO (2003) Mental Health in Emergencies: Mental and Social Aspects of Populations
Exposed to Extreme Stressors. Geneva: World Health Organisation

WHO/UNHCR (1996) Mental Health of Refugees. Geneva: World Health Organisation


http://whqlibdoc.who.int

WHO (2007) ‘WHO Model List of Essential Medicines 15th list, March 2007’ [Online]
Available at: http://www.who.int/medicines/publications/EML15.pdf

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X. APPENDIX – Summary of Recent Mercy Psychosocial Activities

2005

Kota Kuala Muda, Kedah, Malaysia

Phase One: Emergency Response

Psychosocial Health Support:


 Psychosocial counselling to communities through mobile clinics continuing even after
people had moved to temporary accommodation
 Aim to restore normalcy; cleaning school compound and paint playground so that
classes could resume

Aceh, Indonesia

Phase one: Emergency Response

Psychosocial Health Support:


 Trauma counselling and mental health support

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 Tent visits by psychiatrists, clinical psychologists, art therapy and activities for women
and children
 Psychological first aid and debriefing

(Prof. Dr. Hatta Shahron)

Phase Two: Recovery and Rehabilitation

Mental Health Support Programmes at various IDP (Internally Displaced People) camps:
 Counselling
 Community Intervention
 Drawing and Story Telling Activities

Distress identified:
 PTSD symptoms with anxiety and depression
 Unresolved grief
 Major Depression

(Yasmin Majid)

Feb 2005

Ampara, Sri Lanka

Phase one: Emergency Response

Psychosocial Health Support:


 Education programmes using interactive posters as education and psychosocial
materials shared with the community; posters later adapted and used by UNICEF for
similar programmes
 For children: art therapy and counselling. 500 out of the 2,000 survivors who were
counselled by Mercy volunteers were children
 Trauma counselling sessions for adult communities for bereavement and to strengthen
coping mechanisms

Phase Two: Recovery and Rehabilitation

Mental Health and Support Psychosocial Programmes:


 Support the Kalmuni Hospitals Mental Health Unit; individual, family, group and
community counselling

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Mental Health Support Training Programme:
 Psychosocial Education of ‘para-counsellors’ in recognising and counselling minor
psychological symptoms for long term benefits to local community
 Local volunteers were trained to provide counselling and facilitate the activities for
children and women in IDP camps
 2 Phases; Basic and Advanced Family Support Workers training including:
o Counselling sessions (individually and group)
o Crisis intervention
o Grief management
o Team building
o Self-help training & Child/adolescent training

Nov 2005

Pakistan

Phase One: Emergency Response

Psychosocial Health Support:


 Issues included reactive depression and grief including anxiety, sleep disorders and
psychosomatic complaints

Dec 2005

Pakistan

Phase Two: Recovery and Rehabilitation

Psychosocial Health Support:


 Assisting Rawalpindi Military Hospital of Psychiatry’s Mental Health Relief Unit;
individual psychotherapy sessions at their field clinics and during our mobile clinics
 Psychological-education training to medical officers, female health workers, religious
leaders, teachers and District Hospital Quarters staff: assisting them in recognising and
facilitating referrals of mental health cases to the mental health units in Bagh

Phase 3: Development and Capacity Building

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No action

Jul & August 2006

KL

Training for trainers


 Stress
 Art Therapy

Jul – Sep 2006

Yogjakarta, Indonesia

Phase one: Emergency Response

Psychosocial First Aid (PSF):


 Immediate cases of post traumatic trauma

Phase Two: Recovery and Rehabilitation

Mental Health Support:


 9 schools in Bantul
 Psychosocial training for students and teachers: psychological response to disaster,
intervention during acute emergency and reconsolidation phases and psychosocial care
for children
 Training of trainers: undergraduates, school counsellors etc.

Mission: 11, 12, 13 & 14:


Mission: 16 & 17:
Mission 18: 21 Aug – 3 Sep 2006 (Full Report)
(Dr Affizal, Agung, Hermawan, Faley, Abdi, Yafit, Rahmah, Fitah, Runy: Rohani)

Nov 2006

Basic and advanced Psychosocial and Mental Health Intervention:


 6 day training for 38 participants: staff members and volunteers, plus 5 from Islamic
Health Society (IHS) in Lebanon
 Aim to develop on-hand pool of skilled volunteers for emergency response unit

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