Table 1 Overview of interventions
From: Development of a multi-layered psychosocial care system for children in areas of political violence
Public mental health model | Primary objective | Module | Specific objective | Intervention modality | Personnel | Level of training (indicative) |
|---|---|---|---|---|---|---|
Tier 1: Primary prevention | Strengthening Community Resilience | Youth groups (Resilience Groups) | • Reduce stigmatization | Group activities |  |  |
|  |  |  | • Secondary screening |  |  |  |
|  |  |  | • Increasing social support |  |  |  |
|  |  |  | • Strengthening of resilience • Normalization |  |  |  |
|  |  | Community awareness raising | • Provide information on CTP | Group psycho-sessions with: | Community | 2 weeks |
|  |  |  | • Raise awareness on general psychosocial issues | -Teachers | Psychosocial Workers |  |
|  |  |  | • Raise awareness on community and/or target population- specific topics | - Parents |  |  |
|  |  |  | • Mobilization of existing resources and roles | - Community groups |  |  |
|  |  | Community Mobilization | • Utilization of existing community resources | Case-management |  |  |
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) |
|  |  |  | • Reduce risk of mal-adaptation • Facilitate resilience and normalcy |  |  |  |
|  |  | Parent/Family Intervention | • Support child-parent relationship • Child rearing support | Home visits or family sessions | Counsellors | 4-6 months |
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 |  |  |
|  |  | Referral to external services | • Specialized care (formal and informal) for severe problems |  |  |  |
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. |
|  |  |  | • Evaluation of services |  |  |  |
|  |  |  | • Provide overview of results |  |  |  |
|  |  | Screening | • Detection of indication for treatment | Child Psychosocial Distress Screener | CBI facilitators/Community psychosocial workers | 2 days |
|  |  | Clinical Supervision | • Continued learning • Clinical support through case discussions | Group inter-vision meetings | Mental health professional (incl. experienced counsellors) | Significant clinical experience |
|  |  |  | • Support to service providers |  |  |  |
|  |  |  | • Project implementation issues |  |  |  |