scholarly journals Armed conflict and mental health in Colombia

2018 ◽  
Vol 16 (02) ◽  
pp. 40-42
Author(s):  
William Tamayo-Agudelo ◽  
Vaughan Bell
Keyword(s):  
Mental Health ◽  
Mental Health Treatment ◽  
Armed Conflict ◽  
Unmet Needs ◽  
Mental Health Problems ◽  
Epidemiological Studies ◽  
Significant Progress ◽  
Internally Displaced ◽  
Displaced People ◽  
Made In

Although significant progress has been made in the peace process, Colombia still experiences high levels of ongoing violence and a legacy of more than five decades of armed conflict. Epidemiological studies show markedly raised levels of mental health problems in people affected by the conflict, with internally displaced people being a large and important group with unmet needs. Provision of mental health services is uneven and subject to significant underinvestment. Priority mental health treatment for victims of the conflict is now established in law, although the effectiveness of these programmes has yet to be established.

scholarly journals Psychiatric Morbidity among Internally Displaced People in Ethiopia

2020 ◽  
Author(s):  
Yaregal Fufa Eba ◽  
Jemal Ebrahim Shifa
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
Psychiatric Morbidity ◽  
Living Condition ◽  
Depression And Anxiety ◽  
Cross Sectional ◽  
Internally Displaced ◽  
Internally Displaced People ◽  
Prevalence Of Depression ◽  
Displaced People

Abstract Background: Mental health problems in internally displaced people (IDP) can be triggered by either collective effect or individual effect of traumas experienced during Preflight, Flight, and Resettlement time. Higher level of depression and anxiety has been reported among IDPs globally while little is known in Ethiopia.Aims: To assess the prevalence of depression and anxiety among internally displaced people in Gedeo zone, Ethiopia, 2019.Methods: A cross-sectional study was conducted among internally displaced communities settled in Gedeo Zone, Southern Nations, Nationalities, and Peoples' Regional states (SNNPR) among randomly selected 421 displaced individuals. Data were collected using standard and structured tools and entered into Epi info version 7 and exported to Statistical Package for the Social Sciences (SPSS) version 24 for analysis and descriptive statistics have been used to report the magnitude of the outcome. Logistic regression was considered to evaluate association between variables. Results: A total of 421 displaced persons completed the survey constituting a 99.5% response rate, of which 232 (55.1%) were males. Age of the study subjects ranged between 19 and 80 years, with a median of 33 years and ±11.8 SD. Higher prevalence of psychiatric disorders were found: depression 18.5% ((95% CI: (15.0, 22.3)), and anxiety 59.1% ((95% CI: (54.6, 63.9)). Tobacco use, female gender and age range from 19-30 years had statistically significant effect on the mental health outcomes of IDPs in the current study. Respondents’ marital condition, educational status, occupation, current living condition, social support status, as well as exposure status to physical and sexual violence were not significantly associated with both depression and anxiety. Conclusions: This assessment identified that the prevalence of depression and anxiety was high among internally displaced populations in the Gedeo zone. Clinical and psychosocial intervention is required.

Overview of European refugee mental health situation

2016 ◽  
Vol 33 (S1) ◽  
pp. S9-S9
Author(s):  
M. Muijen
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
Health Problems ◽  
Internally Displaced ◽  
Refugee Mental Health ◽  
Internally Displaced People ◽  
Displaced People ◽  
Effective Partnership ◽  
Competing Interest ◽  
Health Situation

This presentation will offer information about latest number of refugees and internally displaced people across Europe, their (mental) health problems and activities and interventions coordinated by WHO. It will also suggest ways by which EPA and WHO could continue their effective partnership to assist countries.Disclosure of interestThe author has not supplied his declaration of competing interest.

Met and unmet needs among adults with mild to moderate intellectual disability with and without mental health problems

2020 ◽  
Author(s):  
Matthias Schützwohl
Keyword(s):  
Mental Health ◽  
Intellectual Disability ◽  
Unmet Needs ◽  
Mental Health Problems ◽  
Psychiatric Symptoms ◽  
Health Problems ◽  
Service Planning ◽  
Support Needs ◽  
Behaviour Problem ◽  
Prevalence Rates

Background: People with an intellectual disability (ID) show a great number and complex constellation of support needs. With respect to the planning of services, it is important to assess needs at the population level. ID services need to know to what extent support needs of clients with mental health problems differ from support needs of clients without any mental health problem.Aims: The aim of this study was to compare the prevalence rates of needs in relevant study groups. Methods: Data was generated from the MEMENTA-Study (“Mental health care for adults with intellectual disability and a mental disorder”). The Camberwell Assessment of Need for Adults with Intellectual Disabilities (CANDID) was used to assess met und unmet support needs. Data was available for n=248 adults with mild to moderate ID.Results: Mean total number of needs and unmet needs was associated with mental health status. However, in most particular areas under study, individuals without significant psychiatric symptoms or any behaviour problem needed as much as often help as individuals with such mental health problems. A higher rate of need for care among study participants with significant psychiatric symptoms or any behaviour problem was mainly found with regard to these specific areas (“minor mental health problems”, “major mental health problems”, “inappropriate behaviour”) or with regard to closely related areas (“safety of others”).Conclusions: Differences in prevalence rates mainly occurred in such areas of need that rather fall under the responsibility of mental health services than under the responsibility of ID services. This has implications for service planning.

Mental health during the Syrian crisis: How Syrians are dealing with the psychological effects

2017 ◽  
Vol 99 (906) ◽  
pp. 927-935 ◽  
Author(s):  
Mazen Hedar
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Psychological Effects ◽  
Significant Progress ◽  
Physical Damage ◽  
Syrian Crisis ◽  
Health Situation ◽  
Effects Of War ◽  
Made In

AbstractLooking at the physical damage caused by the Syrian war, one can begin to imagine the scale of the psychological toll that eight years of crisis have taken on the Syrian people. In a country where mental health was still considered an emerging field before the war, Syrians are working to address and manage the mental health and psychological effects of war. Despite this disastrous situation, there appears to have been significant progress in the field of mental health during the crisis. This article explores the mental health situation in Syria prior to 2011, the effects of the crisis on Syrians, and how these have been managed in recent years. It concludes by citing some examples of progress that have been made in mental health care in Syria and discussing some of the challenges that remain to be addressed.

The unmet needs of refugees and internally displaced people

The Lancet ◽  
2018 ◽  
Vol 392 (10164) ◽  
pp. 2530-2532 ◽  
Author(s):  
David Miliband ◽  
Mesfin Teklu Tessema
Keyword(s):  
Unmet Needs ◽  
Internally Displaced ◽  
Internally Displaced People ◽  
Displaced People

scholarly journals Measuring child exposure to violence and mental health reactions in epidemiological studies: challenges and current issues

2009 ◽  
Vol 14 (2) ◽  
pp. 487-496 ◽  
Author(s):  
Cristiane Seixas Duarte ◽  
Isabel Altenfelder Santos Bordin ◽  
Genevieve Rachel Green ◽  
Christina W. Hoven
Keyword(s):  
Mental Health ◽  
Child Mental Health ◽  
Mental Health Problems ◽  
Physical Violence ◽  
Exposure To Violence ◽  
Epidemiological Studies ◽  
Health Problems ◽  
Traumatic Grief ◽  
Child Exposure ◽  
Grief In Children

This paper examines challenges and current issues involved in measuring exposure to different types of violence which are associated mental health problems in children and adolescents. Standardized measures suitable for epidemiological studies, selected based on their relevance in the current literature, are briefly described and commented. The assessment of child's exposure to violence may focus on a specific event (e.g., kidnapping), a specific context (e.g., war) or even of a certain type of exposure (e.g., intrafamilial physical violence). The assessment of child mental health after exposure to violence has traditionally focused on posttraumatic stress disorder (PTSD) - most frequently measured through non-diagnostic scales. However, other mental health reactions may be present and screening as well as diagnostic instruments which may be used to assess these reactions are also described. Two issues of emerging importance - the assessment of impairment and of traumatic grief in children - are also presented. Availability of culturally appropriate instruments is a crucial step towards proper identification of child mental health problems after exposure to violence.

scholarly journals Mental health of women and children experiencing family violence in conflict settings: a mixed methods systematic review

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Delan Devakumar ◽  
Alexis Palfreyman ◽  
Amaran Uthayakumar-Cumarasamy ◽  
Nazifa Ullah ◽  
Chavini Ranasinghe ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Outcomes ◽  
Family Violence ◽  
Armed Conflict ◽  
Mental Health Problems ◽  
Health Problems ◽  
Qualitative Studies ◽  
Mental Health Outcomes ◽  
Post Traumatic Stress ◽  
Conflict Settings

Abstract Background Armed conflict has significant impacts on individuals and families living in conflict-affected settings globally. Scholars working to prevent violence within families have hypothesised that experiencing armed conflict leads to an increase in family violence and mental health problems. In this review, we assessed the prevalence of family violence in conflict settings, its association with the mental health of survivors, moderating factors, and the importance of gender relations. Methods Following PRISMA guidelines, we systematically reviewed quantitative and qualitative studies that assessed the prevalence of family violence and the association between family violence and mental health problems, within conflict settings (PROSPERO reference CRD42018114443). Results We identified 2605 records, from which 174 full text articles were screened. Twenty-nine studies that reported family violence during or up to 10 years after conflict were eligible for inclusion. Twenty one studies were quantitative, measuring prevalence and association between family violence and mental health problems. The studies were generally of high quality and all reported high prevalence of violence. The prevalence of violence against women was mostly in the range of 30–40%, the highest reported prevalence of physical abuse being 78.9% in Bosnia and Herzegovina. For violence against children, over three-quarters had ever experienced violence, the highest prevalence being 95.6% in Sri Lanka. Associations were found with a number of mental health problems, particularly post-traumatic stress disorder. The risk varied in different locations. Eight qualitative studies showed how men’s experience of conflict, including financial stresses, contributes to their perpetration of family violence. Conclusions Family violence was common in conflict settings and was associated with mental health outcomes, but the studies were too heterogenous to determine whether prevalence or risk was greater than in non-conflict settings. The review highlights an urgent need for more robust data on perpetrators, forms of family violence, and mental health outcomes in conflict-affected settings in order to help understand the magnitude of the problem and identify potential solutions to address it.

scholarly journals National security of Somalia and it’s challenges

2021 ◽  
Vol 70 (7) ◽  
pp. 112-116
Author(s):  
Ahmed Ali Abdirahman
Keyword(s):  
National Security ◽  
Armed Conflict ◽  
Internally Displaced ◽  
Internally Displaced People ◽  
Humanitarian Crises ◽  
History Of ◽  
Displaced People ◽  
State Protection

Ongoing armed conflict, insecurity, lack of state protection, and recurring humanitarian crises exposed Somali civilians to serious abuse. There are an estimated 2.6 million internally displaced people (IDPs), many living unassisted and vulnerable to abuse. Somalia's history of conflict reveals an intriguing paradox--namely, many of the factors that drive armed conflict have also played a role in managing, ending, or preventing war.

scholarly journals The challenges of internally displaced persons and the way forward: the Nigerian experience

2021 ◽  
Vol 1 (1) ◽  
pp. 17-36
Author(s):  
Agbo Friday Ojonugwa
Keyword(s):  
Armed Conflict ◽  
Internal Displacement ◽  
Internally Displaced Persons ◽  
Displaced Persons ◽  
Internally Displaced ◽  
Lasting Peace ◽  
History Of ◽  
Displaced People ◽  
The Government ◽  
Peace And Development

Internally displaced persons (IDPs) are usually forced to flee or leave their homes, particularly in situations of armed conflict. They are displaced within their national territories and are generally subject to heightened suffering and vulnerability in many cases. It is also essential to state that the issue of internal displacement has become prominent because of the realisation that peace and reconstruction in conflict-ridden societies depend on the effective settlement and reintegration of displaced persons. Nigeria is a country that has a history of conflicts and displaced people. There has been a challenge in finding lasting peace through the employment of conflict resolution techniques and also the challenge of catering for the welfare of internally displaced persons in the country. However, peace and development without taking into account the settlement, return, and reintegration of IDPs. These desirous objectives are proving quite difficult in Nigeria as many challenges confront the government, policymakers, and humanitarian NGOs in providing the IDPs with their rights and needs. Some of the challenges can easily be overcome while some are more tasking requiring concerted efforts and massive resources to overcome. The aim of this article is to highlights the significant challenges confronting IDPs and provides some solutions to these challenges. In adopting the doctrinal method in discussions, the article finds that enormous challenges abound that confront IDPs in Nigeria, and it finds that there is the need for the government to find urgent solutions to the challenges of IDPs for the wellbeing of IDPs  

scholarly journals IPS in Supported Housing: Fidelity and Employment Outcomes Over a 4 Year Period

2021 ◽  
Vol 11 ◽  
Author(s):  
Diana Roeg ◽  
Lars de Winter ◽  
Cris Bergmans ◽  
Chrisje Couwenbergh ◽  
Peter McPherson ◽  
...  
Keyword(s):  
Mental Health ◽  
The Netherlands ◽  
Mental Health Treatment ◽  
Mental Health Problems ◽  
Employment Outcomes ◽  
Supported Housing ◽  
Competitive Employment ◽  
Health Treatment ◽  
Housing Services ◽  
Team Integration

Background: People with severe mental illness have difficulties finding and maintaining competitive employment. This is particularly so for those living in supported housing who, by definition, have significant day-to-day support needs: in the Netherlands only 3 to 5% of people with serious mental health problems who live in supported housing are competitively employed. To support these people in finding and maintaining competitive employment, Individual Placement, and Support (IPS) was introduced within supported housing services in the Netherlands in 2015. As this is the first country that broadly implemented IPS in supported housing settings, this paper will focus on the first results regarding feasibility and effects on employment in clients of IPS in this sector.Methods: We investigated the feasibility and employment outcomes of delivering IPS in supported housing services using fidelity assessments and quarterly employment outcomes on IPS program level within eight supported housing organizations, and compared these with 21 mental health treatment organizations in the Netherlands over a 4 year period. We investigated possible reasons for our findings and their implications through qualitative evaluations of the IPS fidelity assessors' notes and additional focus groups with IPS specialists and coordinators from supported housing services and fidelity assessors.Results: The overall fidelity scores indicated reasonable implementation of the IPS model within both supported housing services and mental health services. However, there were differences between services with regard to specific fidelity items; mental health treatment organizations scored higher for team integration, whereas supported housing services scored higher for rapid job search and caseload size, diversity of jobs, and employers. Our qualitative data suggested that the difference in team integration between the two sectors was due to differences in their organizational and financial structures, as well as in the specific needs of their clients. Conversely, supported housing services had better connections with employers which facilitated more rapid job searching and greater diversity in employment opportunities. The average total client employment rate did not significantly differ; and was 25.8% per quarter in supported housing services and 29.6% in mental health treatment services.Conclusion: Implementing IPS in supported housing settings is both feasible and effective.

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