SH+ 360: novel model for scaling up a mental health and psychosocial support programme in humanitarian settings

Leku, Marx R.; Ndlovu, Jacqueline N.; Bourey, Christine; Aldridge, Luke R.; Upadhaya, Nawaraj; Tol, Wietse A.; Augustinavicius, Jura

doi:10.1192/bjo.2022.533

Cited by 2 publications

(3 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The participants told us that the migration process is fraught with di cultiesCiaramella et al, 2022). In line with other studies (UNHCR, 202;Leku et al, 2022), social and family support is key in the UIMC's adaptation process, therefore more support resources are needed from the time of arrival and through the adaptation process (WHO, 2022). UIMC experience rejection and discrimination based on their ethnic, cultural or racial origin(Lam et al, 2019;Ciaramella et al, 2022).Social stigma leads to feelings of exclusion, forcing them to seek refuge with similar people who offer them reassurance and understanding.…”

mentioning

confidence: 56%

“…IMs traverse the Sahara Desert to North Africa, and then cross the Mediterranean Sea to Europe (Trummer et al, 2018;Stevens, 2020). IMs risk their lives and endure thirst, UIMC ee gender-based discrimination, violence, and social and political con icts (Fauk et al, 2021;Henkelman et al, 2020) in search of improved safety, well-being and quality of life (Lam et al, 2019;Leku et al, 2022). UIMC are extremely vulnerable physically and psychologically (Loayza-Rivas & Fernández-Castro, 2020; Verhülsdonk & Molendijk, 2021).…”

Section: Introductionmentioning

confidence: 99%

“…As previous research (Loayza-Rivas & Fernández Castro, 2020;Rousseau & Frounfelker, 2019) shows, these obstacles include the complexity of administrative procedures, lack of information, dependence on third parties, legal uncertainty and long waiting times. Facing an unfamiliar and complex system leads to feelings of lost autonomy, distress and depression among UIMC (UNHCR, 2021;Leku et al, 2022); simplifying administrative procedures and improving access to information is essential (Sánchez-Teruel…”

mentioning

confidence: 99%

See 2 more Smart Citations

Experiences and needs of unaccompanied irregular migrant children who arrive in Spain on small boats: a qualitative study

Berthe-Kone,

Robles-Bello,

Fernández-Sola

et al. 2024

Preprint

View full text Add to dashboard Cite

The European Union receives thousands of unaccompanied irregular migrant children every year, but little is known about their life experiences during the migration process. The aim of this study is to describe and understand the experiences of unaccompanied irregular migrant children who arrive in Spain on small boats with regard to their psychosocial and health needs. A descriptive qualitative study was undertaken. A focus group and in-depth interviews were conducted with 18 unaccompanied irregular migrant children from different African countries. Thematic analysis was used to analyse the data. Three main themes emerged: (1) Unaccompanied irregular migrant children: risking it all for a better life; (2) Redefining your identity as a means of adaptation; (3) Obtaining legal status to avoid deportation. Unaccompanied migrant children risk their lives on the migration journey, but do not always find better conditions in the destination country. The unaccompanied irregular migrant children are forced to rebuild their lives at a high cost; they experience rejection from the host society and their culture of origin, which has a negative impact on their physical and psychological health over time.

show abstract

mentioning

confidence: 56%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

Experiences and needs of unaccompanied irregular migrant children who arrive in Spain on small boats: a qualitative study

Berthe-Kone,

Robles-Bello,

Fernández-Sola

et al. 2024

Preprint

View full text Add to dashboard Cite

show abstract

Scaling up mental health service provision through multisectoral integration: A qualitative analysis of factors shaping delivery and uptake among South Sudanese refugees and healthcare workers in Uganda

Ndlovu,

Ouizzane,

Leku

et al. 2024

Implementation Research and Practice

View full text Add to dashboard Cite

Background There is a growing need for mental health and psychosocial support (MHPSS) interventions that can feasibly be provided to larger groups of people, particularly in humanitarian settings. However, scaling up mental health interventions is notoriously difficult. There are therefore growing calls for integrating mental health outside traditional health structures, both to increase reach and to address social determinants of mental health. The objective of this study is to explore barriers and facilitators of Self-Help Plus (SH+), an MHPSS innovation implemented through multisectoral integration. We explore delivery and uptake at the scale of SH+ and aim to understand intervention adaptation needs when integrating SH+ within other health and non-health sectors in Uganda. Method We conducted a qualitative study using in-depth interviews in two phases: first for a needs and resource assessment, and second for a process evaluation. We conducted 50 in-depth interviews with BRAC Uganda and MoH partner staff, intervention facilitators, and target impact group members between July and December 2022. A thematic network analysis process was used to identify barriers and facilitators of SH+ delivery and uptake at scale in Uganda. Results We identified five major factors that should be considered when scaling through multisectoral integration, namely: (1) adaptivity, (2) funding mechanisms, (3) social capital, (4) participation, and (5) sustainability. Within these factors, there were varying degrees to which a factor was a facilitator or barrier, depending on participants’ perceptions of the intervention. Conclusions Our findings suggest that multisectoral integration of SH+ into sectors both inside and outside of health may be a viable means to scale SH+ and increase reach. However, funding, partnerships, co-creation, and adaptability need to be further explored to facilitate better and more sustainable integration.

show abstract

SH+ 360: novel model for scaling up a mental health and psychosocial support programme in humanitarian settings

Cited by 2 publications

References 16 publications

Experiences and needs of unaccompanied irregular migrant children who arrive in Spain on small boats: a qualitative study

Experiences and needs of unaccompanied irregular migrant children who arrive in Spain on small boats: a qualitative study

Scaling up mental health service provision through multisectoral integration: A qualitative analysis of factors shaping delivery and uptake among South Sudanese refugees and healthcare workers in Uganda

Contact Info

Product

Resources

About