Integrating Mental Health and Psychosocial Interventions into World Bank Lending for Conflict Affected Populations:

A Toolkit

About the Toolkit:

• Provides directions for incorporating mental health and psychosocial interventions into lending and non-lending World Bank support for populations affected by conflict

• Provides guidance for the development of national mental health and psychosocial intervention strategies and programs for populations affected by conflict

• Provides guidance for implementation, monitoring and evaluation, and indicators

• Suggests types of interventions targeting special populations (i.e orphans, ex-combatants, etc.)

Steps for Operationalizing Mental Health and Psychosocial Interventions:

Key Policy Issues:

1. Identify the lead government sector.2. Meet with staff from key sectors to discuss mental health and psychosocial issues.3. Review of sector policies and strategies to assess commitment to MH and psychosocial issues.4. If government is interested, Coordinating Group should offer to work with key government staff to include mental and psychosocial issues in relevant policies and strategies.

Creating the Coordinating Group:

1. Identify the lead government sector.2. Create the Coordinating Group made up of key stakeholders.3. Determine priorities.4. Establish principles, standards and guidelines, and regulations if appropriate.5. Agree on first steps to develop a strategy and the role of each partner.

Stakeholder Analysis:

1. Determine what approach is going to be used to carry out the stakeholder analysis.2. Develop TORs for the stakeholder analysis and have it carried out using the SWO/L approach.3. Using the results, determine which government sector will take the lead.4. Determine which stakeholders are going to be part of the Coordinating Group.

Baseline Data and Situation Analysis:

1. Collection of qualitative and quantitative data.2. Coordinating Group reviews data and uses to define the strategy.3. Develop action plan identifying the roles of the various stakeholders.4. Adopt broad program indicators defined by the Coordinating Group.

Residential facilities such as transition and rehabilitation centers for war trauma survivors; specialized and multi-sector interventions, such as group therapy and intensive individual therapy

Psychosocial Services

Hospital-based care with specialized personnel and diagnostic and treatment facilities

Mental Health Care

Relationship between Mental Health Care and Psychosocial Services

Provincial and district hospitals that provide more specialized care as well as out-reach and support to PHC centers and workers

Play therapy, expressive art therapy, drama and counseling support provided in more structured environment usually by NGOs; interventions may be integrated into school programs

School-based mental health care, community-based mental health programs; training PHC workers to recognize, provide early intervention, and refer patients with mental disorders

Listening and helping provided by family and community members. Community’s own resource persons may be trained to provide early recognition and referral