Table 1 |
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Overview of interventions |
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Public mental health model |
Primary objective |
Module |
Specific objective |
Intervention modality |
Personnel |
Level of training (indicative) |
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Tier 1: Primary prevention |
Strengthening Community Resilience |
Youth groups (Resilience Groups) |
• Reduce stigmatization |
Group activities |
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• Secondary screening |
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• Increasing social support |
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• Strengthening of resilience • Normalization |
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Community awareness raising |
• Provide information on CTP |
Group psycho-sessions with: |
Community |
2 weeks |
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• Raise awareness on general psychosocial issues |
-Teachers |
Psychosocial Workers |
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• Raise awareness on community and/or target population- specific topics |
- Parents |
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• Mobilization of existing resources and roles |
- Community groups |
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Community Mobilization |
• Utilization of existing community resources |
Case-management |
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Tier 2: Secondary prevention |
Care for children at risk for developing more severe problems |
CBI |
• Reduce psychosocial distress to sub-threshold |
Classroom-based group sessions |
CBI Facilitators |
10-12 days (with subsequent regular 4-day booster courses) |
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• Reduce risk of mal-adaptation • Facilitate resilience and normalcy |
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Parent/Family Intervention |
• Support child-parent relationship • Child rearing support |
Home visits or family sessions |
Counsellors |
4-6 months |
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Tier 3: Tertiary prevention |
Advanced care for children with severe distress |
Counselling |
• Care for children with more severe problems |
Individual or group counselling Case-management |
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Referral to external services |
• Specialized care (formal and informal) for severe problems |
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Tiers 1, 2 and 3 |
Improving access to, and quality of, care system |
Monitoring and Evaluation |
• Determine reached population |
Questionnaires |
Service providers and beneficiaries |
n.a. |
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• Evaluation of services |
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• Provide overview of results |
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Screening |
• Detection of indication for treatment |
Child Psychosocial Distress Screener |
CBI facilitators/Community psychosocial workers |
2 days |
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Clinical Supervision |
• Continued learning • Clinical support through case discussions |
Group inter-vision meetings |
Mental health professional (incl. experienced counsellors) |
Significant clinical experience |
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• Support to service providers |
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• Project implementation issues |
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Note. Counselling is here presented as a tertiary intervention, but as is represented in figure 1, it can also serve as a secondary prevention intervention. |
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Jordans et al. International Journal of Mental Health Systems 2010 4:15 doi:10.1186/1752-4458-4-15 |
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